Volunteer Days 2, 3, & 4: Multi-day Clinic in Ensenada




The Floating Doctors dedicates its efforts to educate and provide care to the Panamanians throughout the Panamanian and Caribbean seas.  Physicians, nurses, medics, students, and Spanish translators come from all corners of the world to contribute.  In the past three days, I have had the chance to observe and learn from kind, intelligent physicians who dedicated their time and efforts to help people who need it the most.

Volunteers move like a machine in the first few hours of our Multi-day clinics: we all are tasked with unloading equipment and setting up our administration desk, triage area, provider stations, pharmacy, and a private room for examinations.  Within about 20 minutes, we have a fully functioning medical clinic where we see a range of complaints from well-child checks to pre-natal ultrasounds to wound care.  Each patient comes to triage, gets a vital check with a basic workup of blood sugar checks or the occasional urinalysis, then sees a provider and translator who treats them as they see fit.  It works just like a normal general practice, except in the middle of nowhere without electricity, indoor plumbing, and a limited amount of supplies to provide.  Regardless of the complaint, every patient gets seen which sometimes drags our 8 am to 3 pm workday out to 5 or 6 pm.

Photos from the Multi-day clinic:

                                                 





Patients are seen either individually or in families upwards of 5 at a time.  Supplies such as soap, toothbrushes, condoms, children’s multivitamins, etc are donated to the Floating Doctors efforts and handed out as we see fit.  At baseline, everyone gets soap and toothbrushes.  The pharmacy provides what it can at no cost to the patient’s, however it becomes difficult to treat when you run out of amlodipine for a hypertense patient or don’t have enough insulin for a diabetic.  The importance of health educations comes to light when dealing with patients with complicated medical conditions.


Views from the walk through Ensenada:

Health education and at non-pharmaceutical treatment are some of the most advantageous solutions that we can provide in these rural islands.  While some medical companies only set up, distribute medical supplies, then leave, the Floating Doctors strive to help patients understand what is happening with their bodies and teach them how to better care for themselves.  After two full days of medical clinic, we spend an hour or two on the third day following up with patients from the previous days for rechecks or to present them with alternative treatments if the first solution did not work.  In another 12 weeks, we return to the same community to repeat the process.




This cookie-cutter outline of our rural clinics have some variation over time, but the mission and goal remain the same: help those in need.  I hope to make this my life mission and employ the acts of educating and treating simultaneously when I become a physician.

- Nicole

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