After an eight hour drive and a long flight with 3 stops for an overall 35hours in transit I am back in the states…..just on time to begin school once again!
The trip was very demanding and it required strenuous amounts of work from all. It was essential to rapidly adapt and to work as a team to be able to provide the maximum quality of care for all the patients we would try to see.
We arrived to Uganda on Saturday the 11th and rapidly we headed southeast to the city of Masindi. There, we have a clinic and we took our 40+ bags full of equipment and medicine and began organizing everything anticipating a long and demanding week.
Our purpose was to travel everyday to a different city, abandoned “pueblos” where there was a lack of a physician and health care and to try to see as many patients as possible. We traveled for about 1-2 hours every morning and took over any school we found. By 7am we had divided into triage, providers/surgery, PT/OT, and pharmacy. Upon our arrival we would find 500-2000 people waiting in long lines. Most people had slept overnight under the rough conditions, hoping to be seen by us-This was a very humbling experience. We tried to screen the first 300 patients and about 100 that definitely needed care. Everyday prior to begin we would walk around the long line and pull out the people that were in most need, and try to help them anyway we could.
Every morning I tried to wake up by 3 am and I would review the drugs we had on the pharmacy for about 2-3 hours, before we departed to the different cities. I felt the necessity to do so since many of these drugs are not used in the states, and the majority of women are pregnant making it a priority not to prescribe something that could cause a problem during pregnancy.
I was a provider and my main job was diagnosing patients based on their main concerns and participate in invasive procedures/ surgeries as required. This was a difficult task as many patients presented with “ususual” problems such as elephantitis, malignant tumors, sickle cell, broken bones…definitely not your everyday case scenario. I had to tell many women about malignant cancers, kids about retinoblastoma’s and many other malignant illnesses. It was definitely not an easy task and I had to learn in the process. The days were long and demanding lasting until nearly 7pm yet satisfying everyday.
Elephantiasis |
Arcus Senilis, Pterigium, Cataracts, Dislocated shoulder after falling off a tree while climbing to get a mango (103 yrs) |
removing a small tumor |
trying help this kid however we can |
Infected psoriasis
cystic fibroid |
leprosy |
During our trip we visited a total of 5 cities. Kigungubwa, Bulima, Bullisa, and kyatuni. From all these Bulisa was one of the poorest places of the country. After the recent discovery of massive amounts of oil in this city, the city is polluted with foreign companies exploiting its resources, leaving the people behind. This city in particular was right infront of the republic of Congo which I could see from the window of the math class in which I was for 12 hours helping patients to heal their pain.
As always I tried to get involved and submerge myself within the culture. I don’t go abroad not to learn so I made it a point to become on of them. Everyday I tried to learn the language which I had been practicing for quite sometime. I must say speaking Runyoro with a Spanish accent was quite amusing for most Africans but they were able to understand me, and in this way I was able to break the bridge and connect to them. Everyday I will write with a sharpie all types of words in the right leg of my scrubs and greet them and try to converse in their language. When food was served in the street around 1 pm I would make the line and eat what the locals ate. Rice, goat, bread, soup, lentels with my hands. I would drink the tap water like they did and I would give them the drinks/”American lunch” the team brought for me. I understand that the team wanted to prevent getting any diseases but I travel to learn from the poor, to try to cure the ones with needs so I take my chances, just as they take theirs by coming to me. I played soccer barefooted with the kids because if they don’t have shoes, then I can play just like they do, after all we are all equal.
penalty shoot-out! |
winner team |
the star of the game |
This was a great experience and I am very grateful. I was able to help and somehow change the lives of some people. I would like to thank everyone for helping me and supporting my dream of learning from the poor. For your help, I was able to raise my full trip and grow as a person, and as a future physician, all thanks to you.
Webale Muno (Thank you)!