Today was our final day of clinic.  We were anxious to get started and were again split between 2 locations.  One team was practicing at El Coyol/ Las Pilas where they were able to care for multiple patients.  The other team’s health clinic was in El Gigante.  Illnesses, both chronic and acute, continue to mirror those found in the United States.  It would seem that hypertension, diabetes, and other diseases know no borders.  There is no way to express the gratitude of the Nicaraguans regarding our efforts to provide care to them.  While they have health posts, they are usually only staffed with one doctor during the week which makes it close to impossible to see everyone in need.  Each of our teams has 2-3 nurses and 5-6 providers to help meet the needs of these communities.  Working with the local nurses and doctors proved to be an extremely rewarding experience and they, too, seemed receptive and eager for us to relieve some of their load.  The education that our team was able to provide will hopefully leave a lasting imprint to help the patients and health care providers sustain the promotion of good health to those in need.

We were so excited to start our day and when we made our first turn, we were surprised to find that the road we must travel was decreased to one lane of traffic due to resurfacing.  Unlike the road surfacing in the United States, in Nicaragua large stones that are then pressed and packed into the soil are used.  As if the obstacle of single-lane traffic was not enough, we had only traveled approximately 1 mile when we discovered that there were 2 cars and a bulldozer blocking our path to the clinic which was at least 25 minutes from our location.   The 2 cars were literally stuck and had to be removed from the road before we could pass.  After approximately 30 minutes, the cars were removed only for us to realize that one of our vans was also unable to move forward or backward.  Our medical team then pulled together to physically push the van out of its position to allow it to move. 

Today was yet another amazing day. Working at the Nancimi Clinic we were able to provide so many different services to the patients. Along with routine medical exams, Amanda Bruggman, MD, was performing ultrasounds on the pregnant ladies presenting to the clinic.  Her patients were so happy to be able to have a glimpse at their unborn child and feel that sense of security that so many of us in the world take for granted. We also cared for 3 very sick patients who had to be transported to the hospital.  Two of the patients were transported in private vehicles.  The GivingMore team transported the third patient 10 miles to the outpost in Tola.  The patient was extremely ill and was taken via ambulance to the hospital in Rivas.

All in all, our team saw 109 medical patients and 37 dental patients. 

A couple of hours after sunrise, the brigade packed up the vans, split into teams and left for the medical clinics at Las Canas and Astillero. There were already several  patients waiting when we arrived. We went right to work, triaging and treating patients who showed up for both common complaints and emergent conditions.  Today in addition to the help of FIMRC, we were excited to have the assistance of a local physician and local nurses; whose help was greatly appreciated.

When we arrived at the clinic early this morning, there were patients already lined up.  FIMRC has been advertising our brigade for the past month and the local people have been anxiously awaiting.