This week I gave a talk on dental hygiene and organized a clean-up operation with the students in Los Perez.

Transcription

1 Honduras New Hope Clinic February 2016 Weekly Reports Weekly Report Feb. 1-5, 2016 This week we saw a total of 90 patients, 29 of whom were unable to pay because of limited financial This week we saw an emergency patient, a 44 year old man who had been drinking and began to cut a log for firewood with a machete. Unfortunately everything went badly and he inflicted a wound on his left leg with the machete. The wound was approximately 4 centimeters long, but he had cut an artery. It was bleeding profusely and when he entered the clinic he was almost in a state of shock. The patient came from a place called "Casitas". This village is about an hour away from the clinic by car and almost 5 hours from the nearest hospital. The patient was in really bad condition and at first I thought we would not be able to do what we had to do. We talked with the family and we prayed for the patient. We were able to stabilize his vital signs and transferred him to the Hospital Escuela in Tegucigalpa where they gave him a blood transfusion. The patient is now recuperating well. And the family says that he hasn't had a drink since then. This week I gave a talk on dental hygiene and organized a clean-up operation with the students in Los Perez. 3 patients with bronchitis 2 patients for minor surgery 3 patients with allergic dermatitis 1 patient with grade I burn 2 patients for control of seborrhea dermatitis 4 patients recalled for Pap smear results and treatment 2 patients for catheter changes 3 patients with high cholesterol and triglycerides 2 patients with grade II varicose veins 3 patients for control of irritable colon problems 2 patients for infected wound cleaning 1 patient with hemorrhoids 4 patients with gastroenteritis 2 patients with throat infections 2 patients with osteocondritis 2 patients with diarrhea syndrome and moderate dehydration 4 Pap smears 1 patient for replacement of IUD 11 patients for hypertension control 11 patients for diabetes control 2 patients for family planning 2 patients with muscle pain 2 patients with intestinal Giardiasis 2 patients with grade I sprains 1 patient with CRUP 1 patient with head lice

2 2 patients with intestinal parasites 2 patients with menstrual pain 2 patients with positive pregnancy tests 3 patients with vaginal infections probably Gardnerella 1 patient with bleeding nose problem 2 patients with gingivitis 2 patients with allergic conjunctivitis Dental Report This week I saw a total of 32 patients, 9 of whom were unable to pay because of limited financial Extractions 13 Cleanings 7 Fillings 14 Weekly Report Feb. 8-12, 2016 This week we took care of 94 patients, 37 of whom were unable to pay because of limited financial We saw a 23 year old woman with a history of having been born with a congenital malformation, spina bifida. The patient was operated on when she was a year old. They inserted a valve in her skull. The reason for the consult was for an apparent urinary infection. When I examined her I realized that she had a mass on her spinal column which was draining a clear liquid which was compatible with cerebrospinal fluid. I immediately realized that I was facing a neurological emergency and I sent the patient to Tegucigalpa in an ambulance. As is normal, the majority of the patients that we refer to Tegucigalpa are never prepared economically for the trip and many of them are afraid to go to Tegucigalpa. For that reason, the clinic helps them financially and emotionally. The patient was admitted to the neurology department and was successfully operated on for the mass. Apparently they changed the valve that she had had since she was a year old. This week I organized a clean-up operation in the community of Las Minitas and gave a talk on first aid. 2 patients for minor surgery 2 patients with allergic dermatitis 2 patients with athlete's foot 1 patients with diaper rash 4 patients recalled for Pap smear results and treatment 1 patient for catheter change 2 patients with elevated cholesterol and triglycerides 1 patient with head lice 3 patients for control of irritable colon problems 2 patients with hemorrhoids 2 patients with moderated malnutrition

3 2 patients with osteocondritis 2 patients with migraine type headache 4 Pap smears 2 patients with allergic rhinitis 10 patients for hypertension control 9 patients for diabetes control 2 patients with lumbago 2 patients with urinary infections 2 patients with muscle spasms 1 patient with a foreign object in the right eye 1 patient with nasal polyps 1 patient with hydrocele 1 patient with common warts 2 patients with signs and symptoms of light pneumonia 2 patients with intestinal parasites as shown by lab results 2 patients with acute diarrhea syndrome 2 patients with dental abscesses because of cavities 2 patients for pregnancy tests 3 patients for family planning 2 patients with solar dermatitis 2 patients with halitosis 1 patient with armpit hyperhidrosis 2 patients with gingivitis 2 patients with allergic conjunctivitis 8 common colds Dental Report This week I saw a total of 25 patients, 13 of whom were unable to pay because of limited financial Extractions 12 Cleanings 5 Fillings 15 Weekly Report Feb , 2016 This week a total of 96 patients were seen, 39 of whom were unable to pay because of limited financial A little girl was seen as an emergency who had Grade I and Grade II burns on her chest from her neck to her abdomen. The 2 year old had accidentally tipped over a pan of hot water that her mother had taken off the fire. The child had burns over 40% of her body.

4 She was first stabilized and topical analgesic and anesthetic was sprayed on her to alleviate the pain a little and then she was transferred as an emergency to the burn unit of the Hospital Escuela in Tegucigalpa where she was admitted and was put in intensive care. The child is now well after a long stay in the hospital. This week a clean-up operation was organized in the village of San Francisco as well as a talk on hw to prevent ZICA. 2 patients with acute diarrhea syndrome 2 patients with menstrual pain 3 patients with muscle pain because of fatigue 2 patients with signs and symptoms of sinusitis 1 patient with chicken pox 2 patients with menstrual delay because of pregnancy 1 patient for IUD replacement 2 patients with signs and symptoms of Helicobacter Pylori 3 patients with scabies 3 patients for control of irritable colon problems 2 patients with signs and symptoms of rheumatoid arthritis 2 patients with halitosis 2 patients with allergic dermatitis 6 common colds 1 patient with asthma crisis 2 patients with bronchitis 2 patients with pyogenic abscess 1 patient for suture removal 3 patients for wound cleaning 2 patients with allergic dermatitis 1 patient with cenicienta dermatitis 2 patients with seborrhea dermatitis 2 cases of bronchial asthma control 2 patients for family planning 1 patient with contact dermatitis 3 patients recalled for Pap smear results and treatment 2 patients with rhinitis 1 patient with insufficient venous 2 patients with shingles 2 cases of gastritis control 2 patients with probable anemia 2 patients with epigastralgia problems 2 patients with grade II varicose veins 1 patient with dental abscess 2 patients for ear irrigation 1 patient with inner ear infection 1 patient with vaginal Candidiasis 2 patients with vaginal Gardnerella 2 patients with pelvic region inflammation 1 patient outer ear infection

5 1 patient with migraine type headache 1 patient with gastroenteritis 4 patients for hypertension control 5 patients for diabetes control 2 patients with urinary infections 2 patients with venous circulation problems 2 patients with problem of high cholesterol and triglycerides Dental Report This week I saw a total of 38 patients, 10 of whom were unable to pay because of limited financial Extractions 17 Cleanings 4 Fillings 18 Root Canal 1 Weekly Report Feb , 2016 This week we saw a total of 90 patients, 29 of whom were unable to pay because of limited financial This week I took care of a 12 year old boy with suspicion of intellectual incapacity and hyperactivity. He is just into 2nd grade in school and unfortunately comes from a dysfunctional family with economic problems. His father died in an accident and his mother abandoned him. He lives with his grandmother. Today the grandmother brought him in for a consultation because the neighbors were saying that he had been sexually abused by another adolescent. The abuse was supposedly done some weeks ago. The grandmother brought him in for me to examine to look for signs of sexual abuse. But I explained to her that it was not possible because so much time had passed since the supposed violation. But I explained to her that the child had problems and that he was a special child. I told her that I could help her to overcome the difficulties of his intellectual development. I contacted TELETON in Tegucigalpa and I arranged an appointment with the psychological department for the next week. So that he could At the same time I talked with the Justice of the Peace in Orica so that he could immediately investigate the suspected case of sexual abuse along with the child's family and the police. This week I gave a talk on personal hygiene and organized a clean-up operation in the community of San Marquito. 1 patient with signs of miscarriage 2 patients with contact dermatitis 2 patients with circulation problems in the legs 1 patient with infected wound

6 2 patients with hemorrhoid problems 2 ear irrigations 1 patient with diaper rash 2 patients with chemical conjunctivitis 9 common colds 2 patients with bronchitis 2 patients for wound cleaning 4 patients with throat infections 2 patients with irritable colon problems 2 patients with migraine type headaches 4 patients with gastroenteritis 2 patients with gingivitis 4 patients for Pap smears 2 patients for family planning 2 patients for lice treatment 3 cases of bronchial asthma 2 patients with Erysipelas 2 patients with torticollis 3 prenatal visits 5 patients recalled for Pap smear results and treatment 2 minor surgeries 3 patients with high cholesterol and triglycerides 4 patients for hypertension control 2 patients with menstrual pain 5 diabetes control 1 catheter change 1 patient for treatment of elevated uric acid 2 patients with muscle spasms 2 patients with probable anemia 2 patients with urinary infections 1 patient with depression syndrome 2 patients with grade I sprains Dental Clinic This week I saw 35 patients, 9 of whom were unable to ay because of limited financial Extractions 13 Cleanings 7 Fillings 12 Surgeries 2

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