No nurses for the entire hospital! How is this acceptable? Intravenous lines running dry. One Sunday morning no local nurses came to work at the hospital. Even now, weeks later, I am still not sure what the right answer was. This seems to go against every grain embedded in us as health care providers. Her best interests were now threatened because of security. The problem was that it was too late in the evening to do a transfer without possible security threats. There was a facility that could take her and manage her wounds immediately. Late one afternoon, a 9-year-old girl with burns over 40% of her body needed to be transferred to a facility that could better manage her injuries. This is unfortunately not a new problem for the international community, as targeted attacks on foreign relief workers have occurred in many other circumstances. We heard stories of colleagues who had been kidnapped while doing their humanitarian work. In Haiti, security is of paramount importance, and sometimes patient decisions are influenced by this prevailing issue.
Fortunately, this is not as common a predicament when practising medicine in Canada. The one thing that can supersede making a decision in the best interests of the patient is the issue of personal and team security.
Some days it wavered like a trapeze artist, staying on target but facing hurricane-force winds rising up to confront even the strongest optimist.Įthical dilemmas were part of everyday life and medical decision making. There is a fine line between hope and despair. The knowledge that needle-stick injuries were quite common. The level of awareness one needed to have for security threats. The constant medical decisions that needed to be made with scarce resources. Many factors made Haiti a difficult place to be: The daily notes that I received from the translator begging for money to feed his family who had not eaten for 3 days. It is estimated that about 47% of the population in Haiti lacks access to basic health care.
HALO EXTREME FORMULA FREE
At this point he had free access to health care-something that he normally does not have. The father who painstakingly hauled his 10-year-old unresponsive daughter to the distant hospital after she had been in a coma for 5 days, clinging to the hope that we could try to cure her.
HALO EXTREME FORMULA HOW TO
Of course, the fractured buildings and the complete collapse of people’s lives, dreams, and aspirations were apparent at every turn, but so was the degree of poverty: The people who lived under tarps, focusing on how to feed their children for the day and trying to keep their families dry during the rainy season. The underlying poverty struck me as intensely as anything else. With 55% of the population living in extreme poverty before the 2010 earthquake, infant mortality estimated at live births, an adjusted maternal mortality ratio of 670 per 100 000 live births, 22% of the population younger than the age of 5 years being severely or moderately underweight, 42% of the population lacking access to safe water, 1 and challenges with governance and instability over the years, was this earthquake just adding another insult, the last straw, to a badly worn country? Perhaps, but maybe not. If we had been able to predict one of the most devastating places in the western hemisphere to have a 7.0 magnitude earthquake, it certainly could have been Port-au-Prince, Haiti. After having now worked in 4 serious natural disaster zones, I can say that Haiti was not any “easier” than the others. Easier? Perhaps the logistics, the details of what to do and how to do it, might get easier as the disaster-response community learns, but I am not sure that in some ways it ever gets easier. The more one responds to humanitarian disasters, the easier it gets.” This is a phrase I have heard all too often.
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