This week we saw a total of 85 patients, 25 of whom were unable to pay because of limited financial resources.

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1 February 2014 Honduras New Hope Clinic Weekly Reports Weekly Report Feb. 3-7, 2014 This week we saw a total of 85 patients, 25 of whom were unable to pay because of limited This week the clinic donated a wheel chair air cushion to a man who suffered a trauma in his spinal column that injured the spinal cord and unfortunately left him in a wheel chair. He suffered this trauma five years ago and now has decubitus ulcers on his buttocks. Upon entering the clinic the ulcers had become infected for which we did a debridation and cleaning of the ulcers. We now have the patient on medication and appointments in the clinic every week for evaluation. The air cushion has given him great relief from his ulcers. This week I gave a talk on dental hygiene along with Dr. Gonzales (clinic dentist) in the school in Guarabuqui. I also organized a clean-up operation in this community. At this time besides the students we also had the help of the Health Committee which was organized in this community. 1 patient with descubitus ulcers on both buttocks 2 patients with bronchitis 2 patients from a fall from a horse 2 patients recalled for Pap smear results and treatment 2 patients for Lumbago 2 patients for elevated uric acid 2 patients with sinusitis 3 patients with allergic rhinitis 2 patients with acute tonsillitis 2 patients with leg pain 3 patients for control of irritable colon problems 1 patient with dental abscess 2 patients with insufficient venous 2 patients with inner ear infections 3 prenatal visits 4 Pap smears 9 patients for hypertension control 9 patients for diabetes control 2 patients for torticollis 1 patient with migraine 1 patient with reflux problems 1 patient with probable hepatitis 1 patient with tendinitis 2 patients with head lice 2 patients for wound cleaning 1 patient for replacement of IUD

2 2 patients with urinary infections 4 patients for family planning 1 patient for sebaceous cyst 2 patients with dysentery 3 patients with gastroenteritis 2 patients with bacterial conjunctivitis 1 patient with arthritis 6 common colds In Chris, Dental Report This week we saw a total of 32 patients, 9 of whom were unable to pay because of limited Extractions 16 Cleanings 5 Fillings 15 Dental Surgeries 2 Weekly Report Feb , 2014 This week we saw a total of 86 patients, 26 of whom were unable to pay because of limited This week we performed minor surgery on a 10 year old girl because on one of her hands she had a supernumerary which means on one of her hands the child had 6 fingers. In reality, the 6 th finger had no function, as is common in these cases. Unfortunately in school the girl was made fun of by her classmates to the point that it had caused psychological trauma and she had fallen behind in her classes and no longer wanted to attend school. The surgery to remove the extra finger was very simple and the result was immediate. The happiness on the face of the girl and on that of the parents was gratifying. It made me very happy because I was looking at a girl who had lost a finger but gained a great deal of confidence. Now the girl has returned to school with great determination and the children do not make fun of her. 3 patients for minor surgery 2 patients with osteocondritis 2 patients with migraine type headache 4 Pap smears 3 patients with impetigo

3 2 patients with allergic rhinitis 8 patients for hypertension control 10 patients for diabetes control 2 patients with lumbago 2 patients with cataracts 2 patients with muscular spasms 1 patient with a foreign object in the right eye 1 patient with nasal polyp 2 patients with elevated uric acid 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 for pregnancy tests 3 patients for family planning 2 patients for solar dermatitis 2 patients with Gingivitis 6 common colds 2 patients with bronchitis 2 patients with infected wounds 2 patients with allergic dermatitis 2 patients with athlete s foot 1 patient with diaper rash 2 patients for catheter changes 2 patients with oral Candidiasis 2 patients with elevated cholesterol and triglycerides 1 patient with ringworms 2 patients with hemorrhoids 2 patients with moderate malnutrition In Christ, Weekly Dental Report This week we saw a total of 29 patients, 8 of whom were unable to pay because of limited Extractions 14 Cleanings 4 Fillings 17 Dental Surgery 3

4 Weekly Report Feb , 2014 This week we saw a total of 87 patients, 27 of whom were unable to pay because of limited This week we referred a little boy who was born with a congenital malformation that is called myelomeningocele. This deformity comes from the incomplete closing of the spinal column that is produced in the embryonic development. The child is three years old and this week the mother mentioned several convulsions possible because of fever. When I examined him he showed respiratory signs and symptoms compatible with pneumonia. The single mother of limited financial resources had no possibility of being able to transport the child to Tegucigalpa. The clinic took care of contacting the ambulance in Orica to transport the child and his mother to Tegucigalpa and gave her some additional economic aid as well. This week I assisted in a canine vaccination program that was done in the community of los Perez and gave a talk on the Rabies virus. 2 patients with urinary infections 2 patients with insufficient venous 1 patient with throat infection 2 patients with depression syndrome 2 patients with stomatitis 1 patient with signs and symptoms of hair loss 1 patient with grade I sprain 1 patient with ringworm 3 patients with signs and symptoms of muscle weakness 1 patient with possible ovarian cyst 4 patients with gastroenteritis 2 patients with menstrual pain 2 patients with scalp ringworm 2 patients with vaginal infections probable Gardnerella 2 patients with muscle pulls 2 patients with labial herpes 2 patients with problems with intestinal Giardia lambia 2 patients with Gingivitis 2 patients with allergic conjunctivitis 8 common colds 2 patients with bronchitis 2 patients with allergic dermatitis 1 patient with signs and symptoms of heatstroke 2 patients for control of irritable colon problems 2 patients with probable arthritis 2 patients with asthma crisis 2 patients with diarrhea syndrome and moderate dehydration

5 4 Pap smears 2 patients with Giardia lambia as shown by feces examination 10 patients for control of hypertension 10 patients for control of diabetes 4 patients for family planning In Christ, Weekly Dental Report This week we saw a total of 39 patients, 10 of whom were unable to pay because of limited Extractions 23 Cleanings 5 Fillings 13 Dental Surgery 2 Weekly Report Feb , 2014 This week we saw a total of 80 patients, 32 of whom were unable to pay because of limited This week I attended an emergency of a 35 year old man. The man was pealing coconuts with a machete and he unfortunately suffered an amputation of the distal phalange of the second and third finger of the left hand. The patient says that he doesn t know what happened because he had done this before and had never cut himself. Well, we cleaned and repaired the wound as sterilely as possible and gave him antibiotics. I gave a talk on adolescent pregnancy and organized a clean-up operation in the community of Piedra Gorda. 2 patients for control of irritable colon problems 2 patients with mastitis 2 patients with Grade III varicose veins 1 patient with stomatitis 2 patients with Lactose intolerance 2 patients with acute diarrhea syndrome 2 patients with inner ear infections 1 patient with rheumatoid arthritis 3 prenatal visits 1 Pap smear

6 2 patients with vitiligo 7 patients for hypertension control 8 patients for diabetes control 2 patients with probable arthritis 1 patient with inflammatory changes from a wasp sting 1 patient with nasal hemorrhage 1 patient with dysentery 1 patient with Lumbago 2 patients with torticollis 1 patient with Gingivitis 2 patients with lipoma 1 patient for pregnancy test 2 patients with melasma 1 patient with impetigo 2 patients for wound cleaning 1 patient with a foreign object in the left eye 1 patient with bacterial conjunctivitis 5 common colds 1 patient with bronchitis 2 patients for minor surgery 1 patient with seborrhea dermatitis 2 case of control for bronchial asthma 2 patients for suture removal 2 patients recalled for Pap smear results and treatment 1 patient for catheter change 2 patients with elevated uric acid 2 patients with sinusitis 1 patient with rhinitis 4 cases of gastritis 2 patients for gastroenteritis 2 patients for control of irritable colon problems In Chris, Weekly Dental Report This week we saw a total of 29 patients, 10 of whom were unable to pay because of limited Extractions 13 Cleanings 6 Fillings 15 Dental Surgery 1

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