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And then there were 4 …

Posted by on March 31, 2014 — No Comments ↓

We arrived early at St. Luke’s on Thursday, as it was one of our two Clinic days for this week. There were almost 400 patients for the Clinic or the ED alone. Nicole worked in Triage, ensuring that the patients were placed in the right

Operating Room – Day 1

Posted by on June 22, 2013 — No Comments ↓

I think it’s safe to say that when we woke up Sunday morning and headed over to the hospital to …

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Reinforcements

Posted by on June 20, 2013 — No Comments ↓

I sat around Saturday at Villa Francesca feeling frustrated and defeated, and annoyed that I couldn’t be helping as much …

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Two Ends of the Spectrum

Posted by on May 7, 2013 — No Comments ↓

This morning, we went back to St.Luke’s and assisted again in the clinic and the ED. During the night, a 26-year-old female presented with altered level of consciousness and hypotension. Hx of a stroke with a right-side deficit, post-partum. The doctor interpreted well; I could

6 Steps Towards the Skinny Cow

Posted by on May 3, 2013 — No Comments ↓

We finally made progress. About 350 patients started lining up this morning at 0400. They have a number system here to decide how many patients are seen. Chief complaint determines whether a person is seen by a doctor or not. The patients are smart enough

The Art of Debrief

Posted by on May 1, 2013 — No Comments ↓

Another code. A different country. Wow. How do you teach and train when the staff you’re working with doesn’t see the value in that life? In the states, we wouldn’t have needed to resuscitate that patient because he wouldn’t have been allowed to get that