On Tuesday, November 15, Kari, Gama and I loaded ourselves and our bulky backpacks onto the bus that was scheduled to leave at 11:30. I breathed a sigh of relief. It had been a crazy morning of adjusting and readjusting to accommodate for things that didn’t go as planned. For the last hour, I had expected not to make the last bust that was to leave for Choluteca, but after prayers, running, and some bits of good luck, we made it just in time. Just in time to wait in the hot sun for 45 more minutes, because this is Honduras where the rapidly moving hands on the clock have little relevance. I really need to learn to relax, I think to myself again as the knots in my stomach begin to unwind and the frustration with some peoples lack of respect for punctuality dissolves into light humor. What happens, happens. Asi es la vida. When am I going to figure this out?
This day began the opportunity to do something different from the everyday routine of working in the hospital. A Maranatha missionary group from Wenatchee, Washington had been in Choluteca for about a week. They had been working on building schoolhouses and leading out a series of evangelistic meetings. The three of us were headed to join them and help out with the 2-day medical clinic that was to start on Wednesday. The drive was beautiful. Every time I travel through Honduras I am struck by the variety of beauty that I experience. Within only a few hours, we go from mountains and pine trees to lush green jungles to valleys and rivers to desert and palm trees. Choluteca is southern Honduras. They say it is the hottest part and the closer we get the more I believe them. As we enter Choluteca, the heat swelters and beads of sweat begin to drip down my back despite the open window and wind whipping about my face. “This is like exercising without the work” I optimistically comment to my seatmate and comrade, Keri.
On Wednesday we got up early, ate a fantastic breakfast, had a devotional thought (in English!), and piled into the small bus along with boxes and boxes of medications, simple medical supplies, and dental equipment. We arrived to our site: a church with 2 rooms, disintegrating walls, collapsing benches, 2 rough-wooden tables, a few chairs, and a dusty, artificial, floral plant. People came here every Sabbath but they usually met outside, I assume, due to the condition of the church. There was already at least 50 people waiting for us when we arrived although we technically had an hour before we were to start. We immediately got to work transforming the old sanctuary into a pharmacy, a waiting area, and 2 consult offices. The back room was transformed into the dental clinic and outside was the triage area where they took vitals under a tree, prayed with people and handed out various forms of reading glasses according to the need.
It was only 8:30, but I was already starting to sweat and my long pants and closed-toed shoes did not help the matter. I was thankful though that I was able to look somewhat professional despite the condition of the clinic. We were here to provide our best.
Before we began seeing patients, we gathered together for prayer. “Lord, we are here to help, but we know that there is so much that we can’t do. Bless our efforts, bless the medicines, that the few pills we are able to give will last as long as they need to, and help us to know what the patients need to hear.” I knew in my heart that what we were doing was really just a drop in the bucket de un monton de nececidades. But a drop is better then nothing, right?
Patient after patient came with various issues: cough and cold, malnutrition, asthma, hypertension, uncontrolled diabetes, wound infections, parasites and worms, fungal skin infections, headaches, body aches, and more. I strained to understand each patient as they rapidly told me their reason for coming. I was barely getting to the point in my Spanish where I didn’t have to think about every word before I said it, that granted, I still had to think a lot. It was like working on 1,000 piece puzzle all day long. In addition to thinking about the language, I had to try to think about each problem. Had I seen it before? Had I even learned about it? What medication could I prescribe for it? I should have payed better attention in microbiology! Thankfully I wasn’t completely on my own. Dr. HAYMEN??? Was seeing patients next to me and graciously answered my fountain of questions, even stopping in the middle of his consults to come take a listen to or a look at my patient if needed. Sometimes he would agree with what I wanted to do, other times he would ask me another question that I hadn’t thought of or give me a reason why what I wanted to do was not a good idea. Either way, I was entirely impressed with his knowledge and I learned something new with almost every patient.
As draining as it was, the first day went by quickly. The second day went by about the same, mentally exhausting but also gratifying. I started praying with each patient that came through and for the medications that they were going to take, remembering to thank God that this world is not our home. For the most part it felt good to be able to help, there were many infections that we would be helped with the antibiotics, parasites that would be eradicated, and hypertension that would be better controlled, at least until the medication ran out. It is so easy to be overwhelmed by the needs that we can’t meet. They say Honduras has government provided health care. I’m not exactly sure how it all works but I am sure of one thing: there are thousands of people here that are less than adequately cared for.
Most of the medical brigades that I have been involved with run about the same. I enjoy seeing the patients and learning about the diseases and medications. I am trying to teach myself to think about every possibility and ask all the right questions in order to provide the best care I can. At the end of the day, I cannot help but look back at the situation and think I should have asked this or thought of this or told them that. It is still scary because I know I haven’t had the proper education to prepare me to diagnose and prescribe, but, once again, a drop is better then nothing right? My heart breaks to know that all I can give is a drop when it comes to providing for their physical needs. At the end of the day all I can do is claim that God’s strength is made perfect in my weaknesses and that the patients will be ok. I pray that through the little bit of teaching and physical relief that we are able to provide, the patients can see a glimpse of a God of Love; a God who has prepared a home for us in eternity where everyone is equally healthy, equally free of suffering, and equally wealthy in the riches of His love.
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