Clinic pics

Here's some pictures of the clinic -- the top is of my exam room where I see patients for their initial consult before they wait to see Dr. Williams.  After Martin sees the patients I fill their prescription in the pharmacy (picture on the left) and explain how to take their medication. 

  

Didn't take long to realize how different things are in the medical world in Honduras than in the States, commonly due to limited accessibility.  For example, we wash and reuse equipment that is routinely tossed in the States, including all the pieces used to nebulize (breathing treatments), scalpels, surgical instruments, speculums, etc.  My job is to scrub, wash, and soak everything in bleach and later we will boil the metal instruments to sterilize them for use in minor surgeries (picture on the right).  

Also, dirty needles are kept in an empty wine bottle.  We use bed sheets for the exam table and wear headlamps while doing procedures.  Even prescribing medications is reliant upon what is available in our pharmacy (what has recently been donated and isn't too far out-of-date).  

Such is life in a Jungle Hospital!