So it has been a long time since I have written a blog, mostly because I havent been with the crew. Just before they left for Haiti I had to return to Los Angeles to put money together for my move to Ireland for medical school at the end of August. So have spent the past month doing any jobs I could find and plan on getting back at the end of July or early August to doing a little more work and get everything together for my big move. But until then, I am back with the crew, living my life one adventure at a time, waking up in a new country where I hardly speak the language but still find ways to communicate. It truely is a beautiful way to live sometimes, and here is how the first week went.
So I arrived here Tuesday morning around 8am, a pleasant flight all in all, but the real trip began once I landed. Unfortunately the gentleman who was supposed to pick me us got into a car accident shortly before he got there. So he arrived just after 11am and we went over the “body shop” where his car was getting fixed. I say “body shop” because it was really a few guys with a small welder and a few hammers trying to pound everything back in line. I slept there for 2 hours, until our friends uncle arrived, and he was going to bring me out to the crew. Unfortunately (for reasons I still do not understand as the language barrier made this whole endeavor quite scary), he only took me into the city center which is heavily populated where I was going to transfer to a public bus (van) which was going out to the area of the boat. While I waited for the van I had to stay in the car as my handlers worked out the details because it is not safe for a white guy to be there out and about. When they worked out the transport, one of the guys I was already with (there were three guys taking me this far) took my bags to the van and hoped in. Then I was told to quickly get out of the car and into the van about 30 yards away. We eventually got going, but the most interesting part was how I felt like such an attraction to them. Everyone looking (staring more like it), kids with a curious smile, and many adults with mild malcontent. I have discovered after talking with many Haitians from this area that the sometimes resentfulness from adults is because of how many other non-profits have been working. While I have met a few since the airport I have not really seen any others doing anything for the people. The ones I have seen seem to just walk around with cameras and take pictures of the locals. They stay separated, except for one guy I met at the airport who is working in an orphanage in an outskirt of Port au Prince. But many of the locals do not trust most NGOs, because all they have seen is them coming in and taking many of the resources that are available (of which there are few). Around town here though, I have been welcomed by warm faces. In this area we are the only NGO that is currently in operation, and being the only white guy for the van ride, once I got out everyone just assumed that I was a Floating Doctor. Little kids would come up giving me high fives saying “big boat! Big boat!” or “le blanc” (meaning white or non-Haitian). I was dropped off at the place where our clinic is held and the school and orphanage are being built. I got a quick look around, still a little confused as I didn’t know exactly where I was or where the boat was, not sure how to get there, and no one understood what I was saying. It was a very lonely feeling, but the smiles the people gave me made me feel better. Shortly two motorcycles rolled into the compound and my travel escort and I got the bags and ourselves on the bikes which took us down through this, I guess it can be described as a cross between a dirt road and an alleyway, to where the beach is. Our skiff showed us shortly, with Nick driving, we loaded it us with my bags and equipment and I finally made it back to the boat. The flight from LA to Haiti took 9 hours, and the travel between the airport and the boat took just over 10. Interesting. Since then I have been working in the clinics. First it has been a change in position as I have been advised by Ben to focus on the clinics and not the boat. If anything happens on board, to let Nick fix it, and for me just to focus on learning as much of the medicine as I can and pretty much taking on the role of a visiting medical student for a prolonged time, until I have to once again leave for medical school. The first day, I spent with Ben in the clinic learning the questions to ask and how to take a proper history and things to keep an eye out for, and I got to close the day out by helping remove a large growth on a girls earlobe, which we are doing the other ears growth in the next day or two. It is the closest I’ve ever been to surgery, and even though it was a very minor operation, it was still so fascinating and I cannot wait to see more. Ben said that when we do the other ear I can sew it up. So excited! Today I was with George for the part of the morning then began doing triage for him which turned into me doing beginning diagnostics with a local nurse and recommending treatments with George quickly looking over my notes and confirming or rechecking my thoughts. I was happy that he only had to go back and change the treatment plan for a few people, but my knowledge of diagnostics and treatments has already greatly improved. We are seeing lots of skin infections, STDs, poor nutrition, but a few instances of other problems like scabies. Many of the problems, especially the STDs appear to have been a problem for some of these people for years the infection is so bad. It is very sad to experience. At the end of today I helped George with an incision and drainage of a very large abscess on this girls foot. We got most of it drained (LOTS of puss and blood) and she is going to come back tomorrow for a follow up. If it needs to be reopened George says he will need to give her a much stronger shot in the hip to numb all of her pain better, as today it was still quite painful. Sometimes it is very sad to look around, especially on the drive in, seeing all the devastation from the earthquake, wondering what it may have looked like before it hit. But its gets sorted in my mind and the work gets done. I am continually impressed with how well the crew has done in the past month. Getting down here and establishing our organization as a positive group unlike any other, which has given us a unique place among the people. When we walk down the street they all yell out and welcome us by name or by group, they know who we are and appreciate our help. So the last few days have been pretty cool. We went and did a shore side clinic down the way from where we are docked (so far we have been operating out of a clinic that already existed, but had no supplies and not a lot of personnel. So it was just Ben, George, Tom (a really cool EMT guy who is working with us) and me. They set up a few blankets as dividers in a small area inside some trees right along the water. Ben saw the kids, George saw the adults, Tom did triage and I ran the pharmacy. In just under 4 hours we saw just about 50 patients and all this without any real translators. Goes to show that even though there is a language barrier, you can always find a way to make it work if you are willing to try. Then today I ended up needing to stay on board with Tom (someone has to stay with the boat!) while the others went up into the mountains for a day off. It wasn’t bad really. I spent the day hanging out with these four Haitian kids that come around a lot, and ended up putting on Avitar, only in French. I spend most of my down time reading and studying ahead for Ireland. I’ve been going through and reading about clinical examinations, how to take a history etc., and the medications (what, what for, how much) for all the stuff we take into the clinics. I’ve already been able to learn so much, and every day brings more lessons learned. The scenery here is also just so beautiful. The weather is nice normally, hot and humid with some rain in the afternoons, but clear. It makes it so you can see all the way across the island. We are docked on the south peninsula of the island but we can see the north peninsula every day. And the hills are a beautiful green. If this place wasn’t such a disaster it would be a beautiful place to visit. An update on the travel front. We are planning on staying here for another two weeks or so then we are going to head out. So Ben and Sky decided that Jamaica is just too dangerous so we are going to bypass that. That means we are probably headed to Honduras, but since I still cannot find my immunization card, I may have to head home sooner than I thought. But if we decide to go up to Belize instead that won’t be necessary.





















comes alive and it really feels like I could be on it for a year now. I find myself imagining what I will be seeing for the first time in what seems like weeks. Work has been so crazy here that I have barely had time to breathe, but less than that is think about the future (and the only thing I force myself to think about when it comes to that is med school apps). Speaking of which med school apps are pretty much done. I am not counting on hearing anything back from the rest of UC med schools so all my others are completed and done, what a relief that is. Applying to 29 schools, rejected from 6, at least I still 23 left to hear from. I never knew how much these apps would take out of me. All the time and energy of writing them, and then the emotional energy of trying to give us with each rejection (which by the way are the nicest go to hell letters I have ever gotten). But I guess medical school is going to be like most other things in my life, I never really seem to take the easiest or common path. I often find the other ways of doing things or finding my place. Maybe the medical school thing will solve itself, and all I need to do is keep working. While it has gotten me into some trouble and times haven’t always been easy, because of this I have gotten to experience and learn more than many people twice my age, and look where I am now. About to sail around the world, going to help people. It is truly amazing.

several times that he has already seen a big change in who I am, just in the 6 months that we have been here. And in Florida we haven’t really done that much what I would call life changing work. The next 12-18 will be amazing and I think that it will be such a changing experience for me. I have been asked by so many people how I think this voyage will change me. The truth is I have no idea. But I do have some hopes as to the lessons I learn. (but for now those are my secrets)
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