tag:blogger.com,1999:blog-26611677346487433872024-02-18T18:51:38.860-08:00Tarheels in HondurasUNC Medical Students of the Honduran Health AllianceOlivia Myrickhttp://www.blogger.com/profile/02325031827070844428noreply@blogger.comBlogger43125tag:blogger.com,1999:blog-2661167734648743387.post-69537237720575332392017-07-20T11:46:00.002-07:002017-07-20T11:48:53.861-07:00Week 2 and 3 - Clinic and Farewells<div class="separator" style="margin-left: 1em; margin-right: 1em;">
<span style="font-family: "verdana" , sans-serif;">Pictures from our last 2 weeks in Honduras!</span></div>
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<span style="font-family: "verdana" , sans-serif;">[loading up the truck for the first day of clinic]</span></div>
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<span style="font-family: "verdana" , sans-serif;">[the attendings show some excitement for the first day of clinic. left to right: dr. michael baca-atlas, dr. marcela castillo, dr. dana neutze, and dr. cristina muñoz.]</span></div>
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<span style="font-family: "verdana" , sans-serif;">[breanne and lori (public health leaders) smile as they get ready to check in patients]</span></div>
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<span style="font-family: "verdana" , sans-serif;">[katherine (MS4) gives hunter (MS2) some pointers while dr. castillo listens on]</span></div>
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<span style="font-family: "verdana" , sans-serif; font-size: small;">[terrence (MS4) interviews a patient in spanish]</span></div>
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<span style="font-family: "verdana" , sans-serif;">[sebastian (MS2) and erica (MS4) listen to a patient's story] </span></div>
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<span style="font-family: "verdana" , sans-serif;">[jamie (MS4 leader), terrence (MS4), katherine (MS4), emily (MS4), erica (MS4), haley (MS4 leader), and lori (public health leader) smile after another successful day of clinic]</span></div>
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<span style="font-family: "verdana" , sans-serif;">[decorations for the pharmacy]</span></div>
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<span style="font-family: "verdana" , sans-serif;">[haley (MS4 leader) and josh (MS2) speak to a patient prior to a pap smear]</span></div>
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<span style="font-family: "verdana" , sans-serif;">[dr. neutze weighs in on emily (MS4) and ana's (MS2) plan for a patient]</span></div>
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<span style="font-family: "verdana" , sans-serif;">[clinic in full force]</span></div>
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<span style="font-family: "verdana" , sans-serif;">[hha celebrates the fourth of july]</span></div>
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<span style="font-family: "verdana" , sans-serif;">[the entire hha group smiles after the final day of clinic]</span></div>
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<span style="font-family: "verdana" , sans-serif;">[the group's final ride on the chicken truck]</span></div>
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<span style="font-family: "verdana" , sans-serif;">[hannah (MS4), ana (MS2), jamie (MS4 leader), and josh (MS2) try to make the best of the situation while on the chicken truck during a thunderstorm]</span></div>
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<span style="font-family: "verdana" , sans-serif;">[the group spends the day working together to input 500+ patient charts into the database]</span></div>
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<span style="font-family: "verdana" , sans-serif;">[students input the last few patient charts]</span></div>
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<span style="font-family: "verdana" , sans-serif;">[the group enjoys a break in ampala while they await pap smear results]</span></div>
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<span style="font-family: "verdana" , sans-serif;">[dre (MS4) shows the group his amazing light painting skills]</span></div>
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<span style="font-family: "verdana" , sans-serif;">[the group enjoys one last meal at juana's during the farewell party]</span></div>
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<span style="font-family: "verdana" , sans-serif;">[and it's a wrap for hha 2017!]</span></div>
Anonymoushttp://www.blogger.com/profile/14694268978665217166noreply@blogger.com1tag:blogger.com,1999:blog-2661167734648743387.post-38379719866674442342017-07-20T11:32:00.000-07:002017-07-20T11:32:03.673-07:00Week 1 - Arrival and Charlas<div style="text-align: left;">
<span style="font-family: Verdana, sans-serif;">Here are some pictures from the first week of our 2017 trip!</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiTVlq3Jvh52Rm-iX-nADSXhijmCERE5U5kIH5LgfiYKaOGLVigUx3oKUNTF0y0kRU_3xvFwc09lrhDQ40Vm-F6FI6fAlv3ip8hA-i-OnR4EwyY2RQK6vgzOKDdhtn-KV5qeb1QPJIMtM4/s1600/IMG_0001.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: Verdana, sans-serif;"><img border="0" data-original-height="1067" data-original-width="1600" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiTVlq3Jvh52Rm-iX-nADSXhijmCERE5U5kIH5LgfiYKaOGLVigUx3oKUNTF0y0kRU_3xvFwc09lrhDQ40Vm-F6FI6fAlv3ip8hA-i-OnR4EwyY2RQK6vgzOKDdhtn-KV5qeb1QPJIMtM4/s320/IMG_0001.jpg" width="320" /></span></a></div>
<div style="text-align: center;">
<span style="font-family: Verdana, sans-serif;">[loading up the bus to head to el corpus, our homestay base for the trip]</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj8ZWrG7RwFAA5f67u4sCB1RBiLO_TQsSPuM4JRTzQEtqDfAmB5GO2OQzKZGR376vW4o9W6AmpRSl0jifVltUlL3SZASfyGrqs53-UfEx08mjZ3PK8dGbNpAPNXA01DVB49oaKgZ5LLObc/s1600/IMG_0386.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: Verdana, sans-serif;"><img border="0" data-original-height="1600" data-original-width="1200" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj8ZWrG7RwFAA5f67u4sCB1RBiLO_TQsSPuM4JRTzQEtqDfAmB5GO2OQzKZGR376vW4o9W6AmpRSl0jifVltUlL3SZASfyGrqs53-UfEx08mjZ3PK8dGbNpAPNXA01DVB49oaKgZ5LLObc/s320/IMG_0386.jpg" width="240" /></span></a></div>
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<span style="font-family: Verdana, sans-serif;">[ready to go!]</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhR1nnThVNPyLeXP56yZjByvseTncfhrq3Zk0mxmcD2U9Jcr5Z1_AO7KTeTVZ6XNmN5-p8H2qlxzYTpg8DdD6JxMuFtAwyBKhyRnjRjfCsrKjzEh9LnW-C_l-6o12QJFh4qUZWxZ26cqrI/s1600/IMG_0003.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: Verdana, sans-serif;"><img border="0" data-original-height="1600" data-original-width="1067" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhR1nnThVNPyLeXP56yZjByvseTncfhrq3Zk0mxmcD2U9Jcr5Z1_AO7KTeTVZ6XNmN5-p8H2qlxzYTpg8DdD6JxMuFtAwyBKhyRnjRjfCsrKjzEh9LnW-C_l-6o12QJFh4qUZWxZ26cqrI/s320/IMG_0003.jpg" width="213" /></span></a></div>
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<span style="font-family: Verdana, sans-serif;">[el corpus]</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi1tf38aPxK26_l2qX39CPVMF6YRDR50t1OtSUx5xUUW4EU5P0CKN90WtRqjmk6hgU4ANy3j-fXhSPSKfA5oGQ9FiuoENBJBVtCg8MZMMLxVee_jngI_2aQONVfcdmK6n1E6qs-ujjhqk4/s1600/IMG_0009.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: Verdana, sans-serif;"><img border="0" data-original-height="1067" data-original-width="1600" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi1tf38aPxK26_l2qX39CPVMF6YRDR50t1OtSUx5xUUW4EU5P0CKN90WtRqjmk6hgU4ANy3j-fXhSPSKfA5oGQ9FiuoENBJBVtCg8MZMMLxVee_jngI_2aQONVfcdmK6n1E6qs-ujjhqk4/s320/IMG_0009.jpg" width="320" /></span></a></div>
<div style="text-align: center;">
<span style="font-family: Verdana, sans-serif;">[warm welcomes at juana's house]</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjDWRNK1SE4DW3Ko3H4fpx2duwCHrPcVnX28FycxMWRadeU_ZHHFC7tCgByr3n_pG_SH4EGJSiQ_z9Xb-Q0s8uJRcDtHwfLf9H8wbI3xA7mDwug6eLLxq6toXHUSHWvV512fnVVhXcO0M0/s1600/IMG_0416.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: Verdana, sans-serif;"><img border="0" data-original-height="1600" data-original-width="1200" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjDWRNK1SE4DW3Ko3H4fpx2duwCHrPcVnX28FycxMWRadeU_ZHHFC7tCgByr3n_pG_SH4EGJSiQ_z9Xb-Q0s8uJRcDtHwfLf9H8wbI3xA7mDwug6eLLxq6toXHUSHWvV512fnVVhXcO0M0/s320/IMG_0416.jpg" width="240" /></span></a></div>
<div style="text-align: center;">
<span style="font-family: Verdana, sans-serif;">[radhika (MS2) getting supplies ready for charlas, while hunter (MS2) and katherine (MS4) discuss their plans]</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjjx4jlaC3JHBG1lP1NOb4fAXJqnZDkh9-UCpvcH6CkBGhz0kPuYyUHmZcsqc2AkLhyI5AOj4mBOX3-P0C9oFjwLE3n8JECjsvhIOWI4E6aHK1bPWHp-DcGei0zNKxaI5fjqlomPhV9-Xk/s1600/IMG_0420.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: Verdana, sans-serif;"><img border="0" data-original-height="1600" data-original-width="1200" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjjx4jlaC3JHBG1lP1NOb4fAXJqnZDkh9-UCpvcH6CkBGhz0kPuYyUHmZcsqc2AkLhyI5AOj4mBOX3-P0C9oFjwLE3n8JECjsvhIOWI4E6aHK1bPWHp-DcGei0zNKxaI5fjqlomPhV9-Xk/s320/IMG_0420.jpg" width="240" /></span></a></div>
<div style="text-align: center;">
<span style="font-family: Verdana, sans-serif;">[sebastian (MS2) and emily (MS4) practicing their charlas in front of the group]</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEikNtzDbE0YPqL33_REPGkd5v8nd537K9BoJz2rjxKs5NGHgiSXVPlgkUKXIRkDueerCGLafL3z9yLoPgqVwhDwOQ7sO9_2Q3id-xtAO6UYR7QbW_fr1KVMv1z7n4RMikLreqNex9huXRA/s1600/IMG_0012.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: Verdana, sans-serif;"><img border="0" data-original-height="1600" data-original-width="1067" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEikNtzDbE0YPqL33_REPGkd5v8nd537K9BoJz2rjxKs5NGHgiSXVPlgkUKXIRkDueerCGLafL3z9yLoPgqVwhDwOQ7sO9_2Q3id-xtAO6UYR7QbW_fr1KVMv1z7n4RMikLreqNex9huXRA/s320/IMG_0012.jpg" width="213" /></span></a></div>
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<span style="font-family: Verdana, sans-serif;">[loading up the chicken truck to head to madrigales to set up the clinic]</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgSk9U-YFvahDsChHaZIWdQmdx03YZIN7Nv6iNtOCY_MgxEZF4AUtNW-izTr1ATHaOfSSmqEXGnO1QM_LGbvIpidWdvOT8aoZYh-aV0whJ7K6ZJ90R0SVV9HLislpfBVCjYeotXmHixmY0/s1600/IMG_0016.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: Verdana, sans-serif;"><img border="0" data-original-height="1067" data-original-width="1600" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgSk9U-YFvahDsChHaZIWdQmdx03YZIN7Nv6iNtOCY_MgxEZF4AUtNW-izTr1ATHaOfSSmqEXGnO1QM_LGbvIpidWdvOT8aoZYh-aV0whJ7K6ZJ90R0SVV9HLislpfBVCjYeotXmHixmY0/s320/IMG_0016.jpg" width="320" /></span></a></div>
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<span style="font-family: Verdana, sans-serif;">[erica (MS4) getting the pharmacy clinic ready]</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgKqxUcQCIiyrGG5QRvBZORCxMl7fdf67L_CwD-0ucpKAMTr3pliEzNViuBi0BrBsPlC1Hsqjh82NuQYARoi3P33ThCkawNixARFyupoZvDM68FmDG0rMVpTKFzjlB5tv2FB504CjIvMQ8/s1600/IMG_0018.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: Verdana, sans-serif;"><img border="0" data-original-height="1600" data-original-width="1067" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgKqxUcQCIiyrGG5QRvBZORCxMl7fdf67L_CwD-0ucpKAMTr3pliEzNViuBi0BrBsPlC1Hsqjh82NuQYARoi3P33ThCkawNixARFyupoZvDM68FmDG0rMVpTKFzjlB5tv2FB504CjIvMQ8/s320/IMG_0018.jpg" width="213" /></span></a></div>
<div style="text-align: center;">
<span style="font-family: Verdana, sans-serif;">[jamie (MS4 leader) sanitizing the speculums]</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjKqvesu9tk8p5LECeGS6MUpA2GGqsjAVFTz4_ZUyNzlmYit_vmI3uIU-ac9F0d5gxHgHdjiugKGbL8QjJY_1096QDHhfLktz6QQVXCqfu95Ahih0uR4o7WcfgJe_OP8Oi57XXlmegBb9U/s1600/IMG_0903.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: Verdana, sans-serif;"><img border="0" data-original-height="1200" data-original-width="1600" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjKqvesu9tk8p5LECeGS6MUpA2GGqsjAVFTz4_ZUyNzlmYit_vmI3uIU-ac9F0d5gxHgHdjiugKGbL8QjJY_1096QDHhfLktz6QQVXCqfu95Ahih0uR4o7WcfgJe_OP8Oi57XXlmegBb9U/s320/IMG_0903.jpg" width="320" /></span></a></div>
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<span style="font-family: Verdana, sans-serif;">[beautiful view on our commute back from clinic set up]</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiXIA5UwRbKrFbhGdity1xxgjQ9MIQpYD98q3N2a5pTHXrcbpwWSLDLnzLvUfR0SN7mUL7utdubPXrx9WeGNimhfzgwEyJxNlFsTXlHZSQm1ofzdaYbKW8Usj9z1brpDIyLMs9gkWihXLY/s1600/IMG_0444.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: Verdana, sans-serif;"><img border="0" data-original-height="1200" data-original-width="1600" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiXIA5UwRbKrFbhGdity1xxgjQ9MIQpYD98q3N2a5pTHXrcbpwWSLDLnzLvUfR0SN7mUL7utdubPXrx9WeGNimhfzgwEyJxNlFsTXlHZSQm1ofzdaYbKW8Usj9z1brpDIyLMs9gkWihXLY/s320/IMG_0444.jpg" width="320" /></span></a></div>
<div style="text-align: center;">
<span style="font-family: Verdana, sans-serif;"> [MS4s stop to enjoy the views. left to right: jamie (leader), chris, katherine, hannah, emily, terrence, haley (leader), dre, and erica.]</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjVR4VeKSTgb5SxkrchLMEUNx35H-eRjIu_9TclTkQQqN8nkG_Xgh3oRQONMYQwjJGRuXZzfWwtBlEgFfQjngPYbCr7oaSf4NVuevexd6XZ-XA1mMl_0nM3ZxU7kZ8cvHRduXC7bfUiqiA/s1600/IMG_0455.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: Verdana, sans-serif;"><img border="0" data-original-height="1200" data-original-width="1600" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjVR4VeKSTgb5SxkrchLMEUNx35H-eRjIu_9TclTkQQqN8nkG_Xgh3oRQONMYQwjJGRuXZzfWwtBlEgFfQjngPYbCr7oaSf4NVuevexd6XZ-XA1mMl_0nM3ZxU7kZ8cvHRduXC7bfUiqiA/s320/IMG_0455.jpg" width="320" /></span></a></div>
<div style="text-align: center;">
<span style="font-family: Verdana, sans-serif;">[MS2s, MS4s, and public health leaders. top: hunter (MS2), sebastian (MS2), terrence (MS4), dre (MS4), haley (MS4 leader), hannah (MS4), maggie (MS2), lori (public health leader). middle: josh (MS2), chris (MS4), breanne (public health leader), ana (MS2), emily (MS4), erica (MS4). bottom: christina (MS2), jamie (MS4 leader), erin (MS2), katherine (MS4), and radhika (MS2).]</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjduT1ZN0NDElU_neYbmqiHOH4hZGcUbg4jITRAltEeorC4AjNNTVc29tWInS3zq_eP4BODKGvGZkowrbdTFFnitzSCq3jOYULmpMX5J-JZz9ZEMLSKhueAZxPybFi3VtSDtrRApO6KPb8/s1600/IMG_0378.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: Verdana, sans-serif;"><img border="0" data-original-height="1600" data-original-width="1200" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjduT1ZN0NDElU_neYbmqiHOH4hZGcUbg4jITRAltEeorC4AjNNTVc29tWInS3zq_eP4BODKGvGZkowrbdTFFnitzSCq3jOYULmpMX5J-JZz9ZEMLSKhueAZxPybFi3VtSDtrRApO6KPb8/s320/IMG_0378.jpg" width="240" /></span></a></div>
<div style="text-align: center;">
<span style="font-family: Verdana, sans-serif;"> [MS2s and MS4s head off to their different communities to give charlas over the next few days]</span></div>
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<span style="font-family: Verdana, sans-serif;">[emily (MS4) does some last minute charla prep]</span></div>
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<div style="text-align: center;">
<span style="font-family: Verdana, sans-serif;"> [terrence (MS4) and ana (MS2) act out a skit during a charla]</span></div>
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<div style="text-align: center;">
<span style="font-family: Verdana, sans-serif;"> [christina (MS2) and erin (MS2) take a break after charlas while local children peep in through the classroom window]</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjuPxDSphTFFNerO4KaAJguy6ArItBpS6L1Q0Mrpd-i7ix_vx5B8bxjmtfhBku8fH3pBjjHCCAYI1hJr5YqCPw34EkwYKSvg-58ShELabS-KYwf6arIT16wQ7ldFWTcJKV-mObT9G1ZBkU/s1600/20170630_161420.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: Verdana, sans-serif;"><img border="0" data-original-height="900" data-original-width="1600" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjuPxDSphTFFNerO4KaAJguy6ArItBpS6L1Q0Mrpd-i7ix_vx5B8bxjmtfhBku8fH3pBjjHCCAYI1hJr5YqCPw34EkwYKSvg-58ShELabS-KYwf6arIT16wQ7ldFWTcJKV-mObT9G1ZBkU/s320/20170630_161420.jpg" width="320" /></span></a></div>
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<span style="font-family: Verdana, sans-serif;"> [posters and diagrams used during charlas]</span></div>
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<span style="font-family: Verdana, sans-serif;">[erica (MS4) enjoys some down time in her community after a long day giving charlas to local women]</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjZrNHJUX78m3GoxR4uwGk5J1a8I01h69y-mpOY8zPjnmpfUSga7qVAKAm-0_qDP42vAkX6NAYpXwQJEurAyTdcUk3W3KLOFcdx2oi6_tuTeLN_zVJuKG-2-uBEPvxI9K-BSGnjtt_yHRk/s1600/IMG_0029.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: Verdana, sans-serif;"><img border="0" data-original-height="900" data-original-width="1600" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjZrNHJUX78m3GoxR4uwGk5J1a8I01h69y-mpOY8zPjnmpfUSga7qVAKAm-0_qDP42vAkX6NAYpXwQJEurAyTdcUk3W3KLOFcdx2oi6_tuTeLN_zVJuKG-2-uBEPvxI9K-BSGnjtt_yHRk/s320/IMG_0029.jpg" width="320" /></span></a></div>
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<span style="font-family: Verdana, sans-serif;"> [erin (MS2) and christina (MS2) hike back from their community after 2 days of charlas]</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiWBcg8AtBFEMuqhPpL98w4D3o-3hGcFQafr4gXEaZ12pu4O9PtoqCcGo_bETvpdUTIvvQp0eZZoxDZLZKOGSWKE85qTUQF8KHf9mzWHgc9PqI09tLBLxGcLx0xgbzOYN8ZpTHAny6qryU/s1600/IMG_0048.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: Verdana, sans-serif;"><img border="0" data-original-height="1067" data-original-width="1600" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiWBcg8AtBFEMuqhPpL98w4D3o-3hGcFQafr4gXEaZ12pu4O9PtoqCcGo_bETvpdUTIvvQp0eZZoxDZLZKOGSWKE85qTUQF8KHf9mzWHgc9PqI09tLBLxGcLx0xgbzOYN8ZpTHAny6qryU/s320/IMG_0048.jpg" width="320" /></span></a></div>
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<span style="font-family: Verdana, sans-serif;">[part of the group enjoys a hike up the beautiful mountain near el corpus] </span></div>
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<span style="font-family: Verdana, sans-serif;">[the group makes their way up the mountain]</span></div>
<br />Anonymoushttp://www.blogger.com/profile/14694268978665217166noreply@blogger.com0tag:blogger.com,1999:blog-2661167734648743387.post-87553163015411793222017-06-25T07:33:00.001-07:002017-06-25T07:33:42.710-07:00... and we're off!<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj-8uN-F5Qq6xcClfPIDP_32rblMJv2JQGzEH_2QKWOHo7RMqrzD6VamymzqGUGRM55oHkg-NlQeUaPSjn5mp0baoEYtOLTqtssop7NhIq6PNgPd0fLZJHyeMJpff5ZncbcTi0Nht4zEg8/s1600/IMG_0880.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1200" data-original-width="1600" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj-8uN-F5Qq6xcClfPIDP_32rblMJv2JQGzEH_2QKWOHo7RMqrzD6VamymzqGUGRM55oHkg-NlQeUaPSjn5mp0baoEYtOLTqtssop7NhIq6PNgPd0fLZJHyeMJpff5ZncbcTi0Nht4zEg8/s320/IMG_0880.JPG" width="320" /></a></div>
<img src="webkit-fake-url://e34b1d3a-17c8-44a0-9f87-375535009d81/imagejpeg" />Anonymoushttp://www.blogger.com/profile/14694268978665217166noreply@blogger.com1tag:blogger.com,1999:blog-2661167734648743387.post-30893955723413939112017-06-18T14:48:00.005-07:002017-06-20T20:46:51.703-07:00Soon!<span style="font-family: "arial" , "helvetica" , sans-serif;">T-7 days! The 2017 HHA team will be leaving for Honduras in just 7 short days! We are all very excited to head off to Honduras on this wonderful experience. We are spending the last few days before the trip gathering the last of the supplies, </span><span style="font-family: "arial" , "helvetica" , sans-serif;">brushing up on our Spanish, and </span><span style="font-family: "arial" , "helvetica" , sans-serif;">trying desperately not to overpack. Hopefully we can do it all! </span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">We cannot wait until next Sunday!</span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">2017 HHA Team!</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><u>Public Health Leaders</u>: Lori Hendrickson and Breanne Lesnar</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><u>Medical School Leaders (MS4s)</u>: Haley Holway, Jamie Prince</span><br />
<u style="font-family: arial, helvetica, sans-serif;">MS4s</u><span style="font-family: "arial" , "helvetica" , sans-serif;">: </span><span style="font-family: "arial" , "helvetica" , sans-serif;">Erica Andrews,</span><span style="font-family: "arial" , "helvetica" , sans-serif;"> </span><span style="font-family: "arial" , "helvetica" , sans-serif;">Dre Antono, </span><span style="font-family: "arial" , "helvetica" , sans-serif;">Christopher Cowden, Hannah Jones, Katherine Lee, Terrence Wong, Emily Zalimeni</span><br />
<u style="font-family: arial, helvetica, sans-serif;">MS2s</u><span style="font-family: "arial" , "helvetica" , sans-serif;">: Maggie Conner, Christina Dorismond, Josh Ellis, Radhika Ghodasara, Erin Isenberg, Ana Kouri, Hunter Smith, Sebastian Werner</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><u>Attendings</u>: Cristina Munoz, MD, Dana Neutze, MD </span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><u>Fellow</u>: Marcela Castillo, MD and </span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><u>Resident</u>: Michael Baca-Atlas, MD</span><br />
<br />Anonymoushttp://www.blogger.com/profile/14694268978665217166noreply@blogger.com1tag:blogger.com,1999:blog-2661167734648743387.post-28609721450515220172016-07-10T11:16:00.000-07:002016-07-10T11:16:49.187-07:00Fotos del viaje<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjnAuD8oAsi3Lcp2WlEHjoaSs6yQeZHsR9bU1vGy4oawCN3KutOMmJLIFjYpXNn8f4psDsZH6bkPQfHDSShFWXLPKYY76xRRk2eqeroziKiTxrWrIyXbwYPRtAycYsB7jtk2nYsq3IX1ag/s1600/IMG_1998.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjnAuD8oAsi3Lcp2WlEHjoaSs6yQeZHsR9bU1vGy4oawCN3KutOMmJLIFjYpXNn8f4psDsZH6bkPQfHDSShFWXLPKYY76xRRk2eqeroziKiTxrWrIyXbwYPRtAycYsB7jtk2nYsq3IX1ag/s400/IMG_1998.JPG" width="400" /></a></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[MS4s Diya Jost and Chris Iskander were all smiles at 6 AM on our way to Miami]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[</span><span style="font-family: "georgia" , "times new roman" , serif;">HHA members ready for take-off!</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[The HHA crew on our way to El Corpus</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[</span><span style="font-family: "georgia" , "times new roman" , serif;">Headed to Madrigales on day 2 to set up for clinic</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[MS4 Danielle Martin riding horseback to give charlas in Guasaule</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[Neha Verma (MS2) and Liz Deans (MS4) in Los Terreros for charlas</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[</span><span style="font-family: "georgia" , "times new roman" , serif;">Ned Hardison (MS2) and Liz Deans (MS4) interview a patient</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span><span style="font-family: "georgia" , "times new roman" , serif;"><br /></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[Stephanie Sun (MS2) and Anna Goswick (MS4) are all smiles at clinic</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[MS2 Kunal Patel at our laboratory station to run a urine test</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[Leaving El Corpus for clinic</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[MS2s Marie Anderson and Neha Verma on the way to clinic</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[</span><span style="font-family: "georgia" , "times new roman" , serif;">MS2s on the ride home after another successful day of clinic</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[MS4 Anna Goswick helps MS2 Marie Anderson run a pregnancy test</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[Our fearless leader Helen Toma scrubbing speculums!</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[Our public health leaders, Lisa Garland and Lavanya Gupta, taking a quick break after hours of intake</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[Attendings Dr. Rupal Yu and Dr. Cris Munoz chatting at our clinic in Madrigales</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[</span><span style="font-family: "georgia" , "times new roman" , serif;">Dr. Michael Baca-Atlas listens as Ned Hardison (MS2) and Patrick Snyder (MS4) present their findings</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[Dr. Martha Carlough gives MS2 Kate Garner feedback after an awesome day of work</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[Katie Paul (MS4 leader) and Stephanie Sun (MS2) are a perfectly color coordinated pair!</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[Dr. Munoz carefully counting cytology slides</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[</span><span style="font-family: "georgia" , "times new roman" , serif;">Dr. Munoz and Natalia Smirnova (MS4) pose after a great day of work</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[Liz and Katie debriefing, laughing, and loving being in Honduras!</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[We are forever grateful for our wonderful driver and friend Pedro!</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[Joyously celebrating after another awesome day at clinic</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[Another afternoon in Madrigales means another trip to the pulperia for some post-clinic refrescos</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[Loving Honduras!</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[Everything is total cheque for these two as we head to clinic</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[MS2 Sara Feldman helps set up for our last day of clinic in Los Terreros</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[All four attendings sit together during a quick break</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[MS2s Gabby Reed and Neha Verma at the end of our very last day of clinic!</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">[Gabby, Natalia and Patrick focus as they enter patient encounters into our database</span><span style="font-family: "georgia" , "times new roman" , serif;">]</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">That's all folks!</span></div>
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Anonymoushttp://www.blogger.com/profile/14694268978665217166noreply@blogger.com1tag:blogger.com,1999:blog-2661167734648743387.post-58746374553570250932016-07-10T08:43:00.001-07:002016-07-10T08:43:23.263-07:00Saludos desde Honduras<span style="color: #351c75; font-family: Georgia, Times New Roman, serif;">It is day 14 for the HHA crew here in Honduras and we are having a blast! This week, 565 women traveled from several rural mountain communities we partner with in Honduras to be seen at our clinic. These communities include Nueva Union, Guasaule, Guanacaste, Espaveles, Papalón, Protretitos, Tejar, El Corpus, and Los Terreros. We completed 370 pap smears this year, a record breaking number in HHA history! </span><br />
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<span style="color: #351c75; font-family: Georgia, Times New Roman, serif;">Throughout the week, students learned so much both from the attendings and from each other. MS4 students mentored MS2 students, teaching clinical knowledge and skills, as well as insight into how to work through differential diagnoses, present to attendings, and interact with patients. Special thanks to our Public Health trip leaders Lavanya Gupta and Lisa Garland for an awesome job with patient intake and behind the scenes logistics this week.</span><br />
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<span style="color: #351c75; font-family: Georgia, Times New Roman, serif;">Today we are in Choluteca entering patient data from the week. This morning we said goodbye to our amazing attendings, who are headed back to Chapel Hill after an incredibly successful week of clinic. While our MS4 trip leaders Helen Toma and Katie Paul deliver the pap slides to Tegucigalpa early this week, the rest of the group will be taking a 3 day trip to Amapala for some group bonding and well-deserved relaxation! We will return to our partner communities on 7/15 to deliver cytology results. Stay tuned for some awesome photos from this week! </span><br />
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Anonymoushttp://www.blogger.com/profile/14694268978665217166noreply@blogger.com0tag:blogger.com,1999:blog-2661167734648743387.post-4753865848964366412016-04-14T18:21:00.000-07:002016-04-14T19:46:36.009-07:00Update from Helen Toma (an MS4 2016 Trip Leader)<br />
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"The spring trip happens every year in order to prep for the summer, as well as so the public health leaders can become more familiar with how things will work in country over the summer, and to meet some of the people involved in making things happen. This year, our first stop was in Choluteca, where we met with Silvia, our liaison at ASHONPLAFA. She helps us acquire all the medications we will need in country, coordinates for all of our pap smear slides to get sent to Tegucigalpa and read, and is very diligent about helping women get the follow-up care they need. While in Choluteca, we were also able to meet with women who work for the Oficina Municipal de la Mujer, an organization that works to help and empower women experiencing domestic violence. The women there were able to explain to us the resources offered, as well as how women can obtain them.</div>
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From Choluteca we headed to El Corpus, our home base for the summer. There, we met with Juana and worked out all the details for summer, including lodging and transportation for clinic week. We also headed up to Madrigales, where clinic is held, and met with the promotores from the various surrounding communities. We had a record breaking SEVENTEEN show up! During that meeting we discussed when students would be arriving to present charlas, as well as assigned specific clinic dates for the communities. Another key aspect of this meeting is getting feedback on the charlas. Because the charlas are meant to empower women, we always ask for feedback to make sure women are getting not only the information they need, but most importantly, the information they desire. The public health leaders (Lavanya and Lisa) did a fabulous job of going through the proposed charlas for the upcoming summer, as well as listening to suggestions on ways to tweak or add new information based on the suggestions of the health promoteres."</div>
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<span style="font-family: "segoe ui" , "helvetica" , "arial" , sans-serif;">La iglesia en El Corpus</span></div>
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<span style="font-family: "segoe ui" , "helvetica" , "arial" , sans-serif;">Helen with her 2014 host, Kelin</span><br />
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<span style="font-family: "segoe ui" , "helvetica" , "arial" , sans-serif;">Kelin, Lisa, Helen y Lavanya</span><br />
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<span style="font-family: "segoe ui" , "helvetica" , "arial" , sans-serif;">Helen with 2016 public health leader, Lisa</span><br />
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<span style="font-family: "segoe ui" , "helvetica" , "arial" , sans-serif;"> Plato tipico</span></div>
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Anonymoushttp://www.blogger.com/profile/14694268978665217166noreply@blogger.com0tag:blogger.com,1999:blog-2661167734648743387.post-50797393451466673502015-08-14T06:37:00.003-07:002015-08-14T06:37:47.989-07:00By The Numbers<span style="font-family: Arial, Helvetica, sans-serif;">Final Counts from the 2015 HHA trip are in! The HHA staff had an incredibly productive year, seeing and treating more women than any previous year! </span><br />
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<span style="font-family: Arial, Helvetica, sans-serif;">Total women seen: <u> 567 </u><o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Pap smears
performed: <u> 291 </u><o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">IUDs placed: <u> 15 </u><o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Depo Injections: <u> 44 </u><o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">OCP 1 month packs
provided: <u> 3601 </u><o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Women sent for follow-up
care: <u> 22 </u><o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Partner treatments hiked
out to community:<u> 32 </u><o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Communities visited/treated: <u>10 </u></span><span style="font-family: Tahoma, sans-serif; font-size: 10pt;"><o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">This year's trip added an additional clinic day as well as an additional community to reach more Honduran women. Although HHA continues to make great progress in providing women's healthcare to rural and underserved women, the organization continues to strive to expand its services and reach in years to come. </span></div>
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Anonymoushttp://www.blogger.com/profile/14694268978665217166noreply@blogger.com0tag:blogger.com,1999:blog-2661167734648743387.post-90979683893708589272015-07-31T10:09:00.001-07:002015-07-31T10:09:03.518-07:00Belated Update: 2015 SuccessThe 2015 Honduran Health Alliance team is celebrating a record-breaking year, with more than 550 women served in the clinic! All members of the team are safely back home.<br />
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Enjoy a few brief highlights from the trip below:</div>
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<span style="font-size: x-small;">The line of women waiting at the clinic when the team arrived every morning.</span></div>
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<span style="font-size: x-small;">The cattle-truck ride to and from clinic.</span></div>
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<span style="font-size: x-small;">MS2 Haley Holway interviewing a patient.</span></div>
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<span style="font-size: x-small;">The lovely team of attendings and MS4 leaders. </span></div>
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<span style="font-size: x-small;">Cattle truck ride to Choluteca after the last day of clinic.</span></div>
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<span style="font-size: x-small;">The adventurous hiking crew that tackled a tortuous climb after their time in communities giving health charlas.</span></div>
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We would like to extend a special thank you to all of our supporters that make the Honduran Health Alliance possible. Without your support, we would not be able to provide care and resources to underserved Honduran women. Thank you so much!<br />
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Official final statistics from the 2015 trip to come!<br />
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Follow us on <a href="https://www.facebook.com/HonduranHealthAlliance">Facebook</a>! </div>
Anonymoushttp://www.blogger.com/profile/14694268978665217166noreply@blogger.com0tag:blogger.com,1999:blog-2661167734648743387.post-48872717427920165172015-04-07T16:07:00.003-07:002015-04-07T16:07:56.262-07:002015 HHA Team Complete<div style="font-family: Tahoma; font-size: 13.3333330154419px;">
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We are
pleased to announce that our 2015 Honduran Health Alliance team is complete!<o:p></o:p></div>
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<b>2015 HHA
Team:</b><o:p></o:p></div>
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<u>Public
Health Leaders</u>: Liz Millar and Lauren Wall<o:p></o:p></div>
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Attendings: Narges Farahi MD, Dana Neutze MD, Caroline Roberts MD</div>
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<u>Resident</u>: Kimberly Newton MD</div>
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<u>OIA Representative</u>: Shay Slifko</div>
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<u>Medical School Leaders (MS4s)</u>: Tyler Warmack, Desiree Coutinho</div>
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<u>MS4s</u>: Richard Uribe, Seam Miller, Jessica Glatz, Marissa Gray, Roberto Rupcich, Julia Nugent, Christina Olson</div>
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<u>MS1s</u>: Erica Andrews, Jamie Prince, Katelyn Rittenhouse, Haley Holway, Elizabeth Stephenson, Helen Powell, Katherine Lee, Hannah Jones</div>
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As
excitement for the upcoming trip grows, this team is working hard to acquire
the last of the supplies and funds necessary to make the 2015 HHA clinics
successful.<o:p></o:p></div>
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Anonymoushttp://www.blogger.com/profile/14694268978665217166noreply@blogger.com0tag:blogger.com,1999:blog-2661167734648743387.post-28270120009531628812015-01-06T13:22:00.002-08:002015-01-06T13:22:36.335-08:00Meet the 2015 HHA Team<div class="MsoNormal" style="margin-bottom: 12.0pt; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
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<span style="font-family: Arial, Helvetica, sans-serif;">With the start of a new year, we would like to take a moment to introduce the members of the 2015 HHA team:</span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Front Row: Erica Andrews, Jamie Prince, Katelyn Rittenhouse</span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Back Row: Desiree Coutinho, Haley Holway, Elizabeth Stephenson, Helen Powell, Katherine Lee, Liz Millar, Hannah Jones, & Tyler Warmack</span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Not Pictured: Lauren Wall</span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">This team is currently busy gathering supplies, organizing trip logistics, and raising funds for the upcoming trip. If you are interested in donating, you can make an online donation in 3 easy steps:</span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Visit: <a href="https://secure.dev.unc.edu/gift/"><i><span style="color: windowtext; text-decoration: none;">https://secure.dev.unc.edu/gift/</span></i></a> </span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">1) Click Search Funds<o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">2) Type in Honduran Health Alliance and click search<o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">4) Click give and enter donation amount</span></div>
Anonymoushttp://www.blogger.com/profile/14694268978665217166noreply@blogger.com0tag:blogger.com,1999:blog-2661167734648743387.post-90620258722410718792014-12-09T06:31:00.002-08:002014-12-09T06:31:26.755-08:00Passing the Torch<div class="MsoNormal" style="font-family: Calibri, sans-serif; font-size: 11pt; margin: 0in 0in 0.0001pt;">
As a new cohort prepares for the 2015 Honduran Health Alliance trip, we would like to take a brief moment to recognize the great work of the 2014 HHA team.<o:p></o:p></div>
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Over the course of <b>6</b> clinic days, <b>9</b> rural communities were reached. The HHA team saw <b>496</b> women in clinic. Additionally, <b>461</b> women were reached through charlas (public health presentations). A breakdown of services and resources provided by the HHA staff include:<o:p></o:p></div>
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<b>299 </b>pap smears <o:p></o:p></div>
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<b>12</b> IUD’s placed<o:p></o:p></div>
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<b>3,950</b> condoms provided<o:p></o:p></div>
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<b>189</b> year supplies of OCP’s given<o:p></o:p></div>
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<b>21</b> women sent for HHA-funded follow-up<o:p></o:p></div>
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Although HHA has made great strides in providing women’s healthcare to rural and underserved regions of Honduras over the years, there is still room for significant progress to be made to expand the reach of adequate women’s health and family planning services. We hope that the 2015 trip will take one more step toward achieving this vision.</div>
Anonymoushttp://www.blogger.com/profile/13260719561631608542noreply@blogger.com0tag:blogger.com,1999:blog-2661167734648743387.post-53670009784189374082014-10-16T06:10:00.002-07:002014-10-16T06:10:46.410-07:00Now Accepting Applications for 2015!!Applications are now available for the 2015 course and excursion! Tentative dates for the trip are June 29th - July 20th, 2015. Please email hha.leader@gmail.com if you have questions.<br />
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The LAHI 2015 Application is a joint application with Proyectos Puentes de Salud in Mexico. You may indicate on the form whether you are interested in both or just one of the projects. The applications are available by email (sent out by Susanna Epling on 10/7), and are <b>due October 20th</b> to lahi.unc@gmail.com. We will contact you individually if you have been selected for an interview.<br />
<br />
Thank you!Olivia Myrickhttp://www.blogger.com/profile/02325031827070844428noreply@blogger.com0tag:blogger.com,1999:blog-2661167734648743387.post-23596667516862273572014-07-13T08:06:00.001-07:002014-07-13T08:06:37.214-07:00Los Torreros and the end of clinic week!<div>Our day started a little early yesterday. 4 am early. </div><div><br></div>After packing up our supplies, we took the 2-hour chicken truck ride to the Los Torreros community, our new clinic site for the day. We quickly set up our make-shift clinic in three-room community school where a line of women stood waiting. We knew the day would be busy, and as new patients contined to file in throughout the day, we were impressed to hear that we ended Satruday having seen 115 patients. <div><br></div><div>Due to the sheer volume of patients this year, out MS2/MS4 medical teams often split up to interview and perform exams separately. It was incredible to see how much all of the second years progressed in their clinical and presentation skills in just six days. </div><div><br></div><div>We also had a unique opportunity to provide family planning to a large percentage of our patients. All fourth year students learned how to place IUDs, and quickly turned around to teach 4 of the second years to place them in our last two clinic days. Our patient breakdown is shown below:</div><div><br></div><div>Total pts seen: 496</div><div>Pap smears performed: 300</div><div>IUDs placed: 12</div><div><br></div><div>Our group has experienced the full spectrum of emotions this clinical week. We have felt the sadness of delivering crushing, sometimes hopeless news. We have experienced the frustrations of not being able help every patient we encountered. And we have had flashes of anger over broken health care structures all too common around the world. </div><div><br></div><div>But we have also become hopeful. We have seen the power of modern medicine and experienced the importance of developing and sustaining relationships with the communities and patients we try to serve. Our mission as an organization is two-fold: to provide care and to train our students. The hope of our organization is to reach a point where our screenings and education alleviate the burden of delivering disastrous news. It's a hope we were reminded of every day. </div><div><br></div><div>Our next stop is Amapala, an island off the Pacific Coast where we will have a chance to decompress from a busy week as we await lab results. We will then hike back out to our communities to deliver resukts and counsel our patients on follow-up care. Stay tuned!</div>Anonymoushttp://www.blogger.com/profile/13260719561631608542noreply@blogger.com0tag:blogger.com,1999:blog-2661167734648743387.post-22437633566775281862014-07-08T18:01:00.002-07:002014-07-08T18:01:23.810-07:00Two clinic days down! I apologize for the tardiness of this blog post! Internet (and power) is sometimes hit or miss in our homestay town of El Corpus.<br />
<br />
Sunday afternoon, all of the students returned from their 4 day stays in the community where we all delivered our charlas. We had audiences of 30 to 160 women at the charlas, depending on the size of the community. Per HHA rules, a woman must attend at least two charlas in order to guarantee a spot at clinic on their community clinic day (though we have never had to turn away patients in the past). After debriefing Sunday night, we found that our patient population was incredibly receptive to our talks, and had a better understanding of our services and mission as an organization, as well as health resources they have access to in their area. Olivia Myrick and Tara Lane (MS4 trip leaders) also expanded HHA services to a brand new community this year! Continually, our three Family Medicine physicians (Drs. Rupal Yu, Narges Farahi, and Morgan McEachern) joined us Sunday night in El Corpus.<br />
<br />
Clinic Monday was a lighter day (60 women!) and gave the MS4s and opportunity to teach the MS2s in the clinic. MS2 and MS4 duos would interview a patient together, etablish a plan, present the patient to an attending physician, and continue the patient encounter from there. The second year medical students are in charge of all physical exams while the attending and fourth year medical student advise and assist. It has been an incredible opportunity for the medical students as the MS2s essentially fill the role of an ´´intern´´ with a supervising MS4 ´´resident´´. The learning curve was huge the first day, but was equally as exciting.<br />
<br />
Today, we left El Corpus at 6 am for clinic and saw 92 women from the Guanacaste community in clinic. It is suggested that women receive a Pap year every 2 years after the age of 21 (or every year in the case of abnormal results). We performed 51 Paps today!<br />
<br />
Tomorrow and Friday we are expecting close to a 100 women each day, with slightly less busy days Thursday and Saturday before we send all results off to the family planning center (ASHONPLAFA) to be read.<br />
<br />
I will try to post about clinic every day this week that we have Internet! For now, I am going to go join everyone for a much anticipated cerveza.Anonymoushttp://www.blogger.com/profile/13260719561631608542noreply@blogger.com0tag:blogger.com,1999:blog-2661167734648743387.post-88179732293776065172014-07-02T15:02:00.000-07:002014-07-02T15:03:00.796-07:00Clinic Set-upWe arrived in El Corpus yesterday after a smooth 4 hour ride down south. The quaint, cobblestone town will serve as our home base for the remainder of our trip. After splitting up and meeting our five different host families, we ate dinner and regrouped to plan the following day´s activities. The mountainous views in this part of the country are picturesque and are a sight worth the trip down alone.<br />
<br />
This morning, we piled into the back of a ¨chicken truck¨ around 7:30 and made the mountainous climb to our clinic in a tiny pueblo named Madrigales. For the rest of the morning, we set up exam rooms, divided supplies, and prepared the clinic for the patients we will see next week. Katie Paul and Helen Toma (MS1s) have been organizing our supplies all year and ran the show (seamlessly, I might add). We have four exam rooms, a pharmacy, and a sterilization center for speculums. We made note of remaining supplies we need, and closed up the clinic until we return next Monday.<br />
<br />
Throughout the Spring, the first year students and public health trip leaders worked together to construct several public health talks (charlas) that will be given in each community. Our four talks include an introduction to the purpose of our organization, family planning, domestic violence, and life stages. Julia and Kendra, our two public health leaders, have done an incredible job pulling together all our presentation materials, and we all feel well-prepared for our community stays.<br />
<br />
Tomorrow we head out in pairs to where we will spend three days presenting our public health charlas and recruiting women to come to our clinic. Everyone has a slightly different journey ahead of them - long bus rides, hikes, and even horseback riding.<br />
<br />
We return to El Corpus Sunday. Due to the remoteness of some communities, we will not have Internet connection so please check back in four days for an update!<br />
<br />
<br />
<br />
<br />
<br />Anonymoushttp://www.blogger.com/profile/13260719561631608542noreply@blogger.com1tag:blogger.com,1999:blog-2661167734648743387.post-22111057931286374852014-06-30T18:40:00.001-07:002014-06-30T18:48:07.119-07:00¡Bienvenidos! Arrival in HondurasWe have arrived in Tegucigalpa! <div><br></div><div>Despite some curious looks and inquiries from the customs officials over our bag of 4000 'condones' and 160 pregnancy tests, our team and supplies made it through customs and out of the airport! The 13 students traveling from the US and 4 traveling from Guatemala arrived within thirty minutes of each other, and we traveled to together to our hotel. <div><br></div><div>After getting settled in for the night, we planned our next day's activities over pizza and icebreakers. We also had the opportunity to listen to the (officially!) fourth year medical students recount their clinical encounters over the past year of hospital rounds. It was an awesome preview for the rising second second year students in the group!</div><div><br></div><div>Tomorrow morning, we leave for the southeastern part of the country. After lunch in Choluteca, we will continue on to El Corpus where we will eat dinner with our host families and continue reviewing our 'charlas' (public health talks) that will be given later in the week. </div><div><br></div><div>Our group has had great energy since 4 am this morning, and we are grateful for rest and time for preparation after a long day of travel. </div><div><br></div><div>Stay tuned for updates! </div><div><br></div><div><div class="separator" style="clear: both;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjP1djSVo_kWqHuWyetRcHcvQMg8_16LUfVH0y9e7Jluq38EhZVg1L0Rrbhv6NBUznYaZ4lMyh8YRCesIuCmigdSEkIvhaBQwY2DbDzuOQeV1d1fhk4NUyZdJGit1XzP7EfdPD6U9bZm4I/s640/blogger-image--14503414.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjP1djSVo_kWqHuWyetRcHcvQMg8_16LUfVH0y9e7Jluq38EhZVg1L0Rrbhv6NBUznYaZ4lMyh8YRCesIuCmigdSEkIvhaBQwY2DbDzuOQeV1d1fhk4NUyZdJGit1XzP7EfdPD6U9bZm4I/s640/blogger-image--14503414.jpg"></a></div><i>Luggage, supplies, and Charles post-Honduran customs</i></div><div><i><br></i></div><div><div class="separator" style="font-style: italic; clear: both;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjIgkSU6NP1vRDlAjN7oba_nVRodnG7HwWJVQUr-80N3hi2ds7bk3Y5mOrcQziJQuiMo5wp3yG_6mShPc_L9BbVG28Nrh4He1T33PGf4D2LdjLzszzh4oS6ltcS0iFZUlATxh6LauNDY1o/s640/blogger-image-1287522420.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjIgkSU6NP1vRDlAjN7oba_nVRodnG7HwWJVQUr-80N3hi2ds7bk3Y5mOrcQziJQuiMo5wp3yG_6mShPc_L9BbVG28Nrh4He1T33PGf4D2LdjLzszzh4oS6ltcS0iFZUlATxh6LauNDY1o/s640/blogger-image-1287522420.jpg"></a></div><i>View from our hotel in Tegucigalpa, Honduras</i></div></div>Anonymoushttp://www.blogger.com/profile/13260719561631608542noreply@blogger.com0tag:blogger.com,1999:blog-2661167734648743387.post-61954230157758830832014-06-24T17:24:00.000-07:002014-06-24T17:27:53.522-07:00Less than a week to go!<div>
Bags are almost packed, supplies are all acounted for, and extra Immodium has been purchased! Next <b>Monday, June 30th</b>, 17 (<i>2 public health student leaders, 7 rising second year medical students, 8 rising fourth year students</i>) of the 21 HHA team members will <u>fly into Tegucigalpa, Honduras</u> in the early afternoon. Our two resident doctors and two attendings will meet us in-country at the end of the week. Some of our team members have gotten an early jump on travel and are currently brushing up on their Spanish skills in Guatemala.</div>
<div>
<br /></div>
After a night in the capital city, we will take a bus to El Corpus, near the city of Choluteca. There, we will begin setting up our clinic. The majority of the week will be spent in the surrounding communities giving public health presentations, or "charlas", to the women who will attend our clinic the following week. Our work takes place in the southeastern part of Honduras, near the border of Nicaragua.<br />
<div>
<br /></div>
<div>
We will have a team member documenting our daily activities and adventures, and will update the blog whenever we have internet access.</div>
<div>
<br /></div>
<div>
Stay tuned for pictures and stories, and wish us luck!</div>
Anonymoushttp://www.blogger.com/profile/13260719561631608542noreply@blogger.com0tag:blogger.com,1999:blog-2661167734648743387.post-4683193620436431932014-05-05T15:08:00.002-07:002014-05-05T15:08:45.971-07:00Spring Preparations for JULY 2014!We are getting so excited for our trip -- which will take place starting June 30th! Our fearless leaders trekked to El Corpus a few weeks ago to finalize logistics for the summer. We will keep you posted as we get closer to our departure date, but please see below for ways you can help. <br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgvZWgG8Kxgk86xvsLX0Ht84hYQp20IE6UCY0bZUZEOleppN3vDRtMJpBQteXyFdCkxDw1gEp6jVu-vHlj3zVWlYWE6cAbgGQncyPKPzS9o1mK9leNTHCbwLHwcCKBV0vLUEKJ8VXQZiG0/s1600/hha2014.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgvZWgG8Kxgk86xvsLX0Ht84hYQp20IE6UCY0bZUZEOleppN3vDRtMJpBQteXyFdCkxDw1gEp6jVu-vHlj3zVWlYWE6cAbgGQncyPKPzS9o1mK9leNTHCbwLHwcCKBV0vLUEKJ8VXQZiG0/s1600/hha2014.jpg" height="240" width="320" /></a></div>
<br />Olivia Myrickhttp://www.blogger.com/profile/02325031827070844428noreply@blogger.com0tag:blogger.com,1999:blog-2661167734648743387.post-26935436595947526712014-01-17T08:42:00.001-08:002014-01-17T08:44:23.050-08:00DONATIONS FOR 2014 TRIP!Thank you to all have supported us thus far! We encourage all alumni and friends of HHA to please donate to our upcoming adventure this summer! Below is the information on how to donate, both by mail and online. Please also email us at hha.leader@gmail.com with your current address if you would like to receive our Christmas holiday newsletter each year, or if you would like to donate any medical supplies to the trip this year.<br />
<br />
<div style="font-family: 'Segoe UI', Helvetica, Arial, sans-serif; margin-bottom: 14pt; margin-top: 14pt;">
<span style="font-size: small;"><span style="font-size: 13pt;"><b>How You Can Help</b></span></span></div>
<div style="font-family: 'Segoe UI', Helvetica, Arial, sans-serif; margin-bottom: 14pt; margin-top: 14pt;">
Make an online donation at <a href="https://outlook.unc.edu/owa/redir.aspx?C=0hmP3v8PP0WE5h7AOBp9Ip8UY54359AIUgrZcgtX85iIxAyvGQk3GY1JvSleQB4Otzv4Tg-Un-M.&URL=https%3a%2f%2fsecure.dev.unc.edu%2fgift%2f" target="_blank"><span style="color: windowtext;"><i>https://secure.dev.unc.edu/gift/</i></span></a> in 3 easy steps:</div>
<div style="font-family: 'Segoe UI', Helvetica, Arial, sans-serif; margin-bottom: 14pt; margin-top: 14pt;">
<b>1)</b> Click Search Funds</div>
<div style="font-family: 'Segoe UI', Helvetica, Arial, sans-serif; margin-bottom: 14pt; margin-top: 14pt;">
<b>2)</b> Type in Honduran Health Alliance and select Search</div>
<div style="font-family: 'Segoe UI', Helvetica, Arial, sans-serif; margin-bottom: 14pt; margin-top: 14pt;">
<b>3)</b> Click Give and enter donation amount<br />
<br />
OR<br />
<br />
By mailing a check made out to "Honduran Health Alliance" to:<br />
<br />
Attn: Honduran Health Alliance<br />
c/o Paula Shackelford<br />
The Medical Foundation of North Carolina, Inc.<br />
880 MLK Jr. Boulevard, CB#7565<br />
Chapel Hill NC, 27514-2600</div>
Olivia Myrickhttp://www.blogger.com/profile/02325031827070844428noreply@blogger.com0tag:blogger.com,1999:blog-2661167734648743387.post-36905828988005591632013-07-13T12:28:00.002-07:002013-08-06T08:56:16.196-07:00Results! Fiesta!<div class="MsoNormal">
<span lang="EN-US">Zac and
Rachel, our medical student leaders, returned to El Corpus on Thursday from
Tegucigalpa with the pap smear results. We convened on Thursday night to go
over the results and follow-up plans for women in each community. We had about
365 patients, about 270 whom received pap smears, and of those that received
pap smears there were 28 abnormal findings that ranged the spectrum of
severity. <o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US">Yesterday
we traveled to our respective communities to give back results. One of the
health promoters will organize all the women that had abnormal results to go to
Ashonplafa in Choluteca, our local partner. At Ashonplafa the women will
receive biopsies and be counseled on what treatment is necessary following the
biopsy results. We will provide the transportation and biopsy fees as we have
done in the past. <o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US">We all had
a great time spending a final afternoon with our host families in community. It
was so pleasant to be able to return to our communities to say goodbye after
developing a relationship with them during the first week. The MS2s on the trip
will have an opportunity to return to the same communities as MS4s and thus our
goodbye was possibly more of a ‘see you later.’ <o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US">After
packing up the clinic and reviewing pap results Thursday and returning results
on Friday, we only have one more day of work before returning to the states. We
will meet this afternoon to have an evaluation of HHA. This is HHAs 10<sup>th</sup>
anniversary and thus we feel a particular responsibility to evaluate how our
program has grown and how to effectively provide services in the future.
Finally, we will have a fiesta to celebrate our hard work! <o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US">This trip
would not have been possible without the generous donation of family members,
friends, physicians, alumni, and the medical school. We are grateful to be part
of such a legacy of UNC medical students and faculty that have gone before us.
We are excited to pass the torch for those returning next year.<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US"><br /></span></div>
<br />
<div class="MsoNormal">
¡Hasta en los Estados Unidos!</div>
<div class="MsoNormal">
<br /></div>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj7n3yCjWR3L7pDpjDFjwLE0LZXVZMmlGPVAm2ja9ZfT_ePJRB_bFGGY-0pcjMQj7o99KwGW_5UZfzcdT9kdF8NMNA-XBgZRlWutXk4snMdllmC1o04iqRqMDqipS-5UdQ23aTXyupXZII/s1600/DSCN0747%5B1%5D.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj7n3yCjWR3L7pDpjDFjwLE0LZXVZMmlGPVAm2ja9ZfT_ePJRB_bFGGY-0pcjMQj7o99KwGW_5UZfzcdT9kdF8NMNA-XBgZRlWutXk4snMdllmC1o04iqRqMDqipS-5UdQ23aTXyupXZII/s320/DSCN0747%5B1%5D.JPG" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Christina and her host family.</td></tr>
</tbody></table>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiXF1-3qzmj2j1zbeLQ8oFuzTi3O_EsB9763cYUIcWIxFwyFxB5gMF5SAc8ob8n5QSIAn6q9AFI0rYZGale4nSNlxrdpH4bP7I3lriXSvlaWEWJWp4xLN_x1AxUAAf0iU_946j18jnC114/s1600/DSCN0741%5B1%5D.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiXF1-3qzmj2j1zbeLQ8oFuzTi3O_EsB9763cYUIcWIxFwyFxB5gMF5SAc8ob8n5QSIAn6q9AFI0rYZGale4nSNlxrdpH4bP7I3lriXSvlaWEWJWp4xLN_x1AxUAAf0iU_946j18jnC114/s320/DSCN0741%5B1%5D.JPG" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Typical homestay.</td></tr>
</tbody></table>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjysMLbd7l0gVBnmB3l0WU5f_ihVXcWcLXQhuMdDMeEZr1dzp5JWiE7DMoYblnoeIrOefSw1h-7vwhwx0H0dQJFX-2TcZZSVYWVxFbcPnKs9tHO3HFLFxDhncXEw2djp213iJGUBb3yios/s1600/DSCN0734%5B1%5D.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjysMLbd7l0gVBnmB3l0WU5f_ihVXcWcLXQhuMdDMeEZr1dzp5JWiE7DMoYblnoeIrOefSw1h-7vwhwx0H0dQJFX-2TcZZSVYWVxFbcPnKs9tHO3HFLFxDhncXEw2djp213iJGUBb3yios/s320/DSCN0734%5B1%5D.JPG" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Des organizing clinic breakdown.</td></tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
Christinahttp://www.blogger.com/profile/17813805430026596136noreply@blogger.com0tag:blogger.com,1999:blog-2661167734648743387.post-66990592665750416992013-07-10T17:06:00.002-07:002013-08-06T08:55:31.037-07:00Amapala!<div class="MsoNormal">
<span lang="ES-MX">We just
returned from a fun trip in Amapala, an island about an hour south of
Choluteca. It was a much needed rest after an intense clinical week. It was a
beautiful island. We had plenty of time to explore the downtown area, which was
like walking through a time capsule lined with old, colorful buidlings. There
was also a lovely beach lined by shacks that sold delicious seafood that was
served at colorful tables situated next to a number of hammocks. We had a great
time relaxing and spending time with one another.<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ES-MX">Tonight we
will evaluate our charlas and make changes for next year. Tomorrow we will take
down clinic, inventory supplies, and go over pap smear results with the leaders.
Friday we will return to communities to return results. Saturday we will have
time for evaluation and tos ay goodbye to our host families in El Corpus.<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ES-MX"><br /></span></div>
<br />
<div class="MsoNormal">
<span lang="ES-MX">We are glad
to get back to work and finish the trip well. Thanks for your continued
support. More to come. <o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ES-MX"><br /></span></div>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjVZRaVTccKiaHxbuIY_Jpx_m2czTZe16jdMKUSNOmdU7oIsbK7db7xQnMxOvgsThsRrxzIRxy-a610hqljkTTThRoCT7iDtL8LIqYtmWev3PCCTjmECIL3hYIMw-Llg0TrqZdRFoAHk24/s1600/hha1+011.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjVZRaVTccKiaHxbuIY_Jpx_m2czTZe16jdMKUSNOmdU7oIsbK7db7xQnMxOvgsThsRrxzIRxy-a610hqljkTTThRoCT7iDtL8LIqYtmWev3PCCTjmECIL3hYIMw-Llg0TrqZdRFoAHk24/s320/hha1+011.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Top of the volcano.</td></tr>
</tbody></table>
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgHdw_UdDKRDZBEAoXsNyAtAhyA2_UMQQ-wVDntbhKj_MZLVGpYZ7qQYbjs0VNfTsIh7bMQsMTzLCgQBJ9eTPi1QRG1RPngAYs1TAQfp2Xl__VavQo8UDqXMCPvmBui5pfwKzjputfhMJk/s1600/hha1+012.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgHdw_UdDKRDZBEAoXsNyAtAhyA2_UMQQ-wVDntbhKj_MZLVGpYZ7qQYbjs0VNfTsIh7bMQsMTzLCgQBJ9eTPi1QRG1RPngAYs1TAQfp2Xl__VavQo8UDqXMCPvmBui5pfwKzjputfhMJk/s400/hha1+012.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Beach.</td></tr>
</tbody></table>
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Christinahttp://www.blogger.com/profile/17813805430026596136noreply@blogger.com0tag:blogger.com,1999:blog-2661167734648743387.post-65955845501029158452013-07-06T17:53:00.001-07:002013-08-06T08:55:05.017-07:00Los Torreros!<div class="separator" style="clear: both;">
Today we woke left El Corpus at 5:30am for Los Torreros, a rural, mountainous community about 2 hours away via chicken truck. We set up clinic in an elementary school and got to work by 9. It was an exhausting but fulfilling day as we saw over 60 patients while setting up and taking down a clinic. </div>
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<div>
<br /></div>
<div>
We are now in Choluteca before leaving for Amapala, the beach, for a relaxing few days while waiting on pap results. We will then return to El Corpus to review results and follow-up plans with the residents on Wednesday, inventory clinic supplies on Thursday, and return to community to give back results on Friday. </div>
<div>
<br /></div>
<div>
This has been a very fulfilling as well as challenging clinic week. We have a number of women who likely have more than mild to moderate dysplasia and we have to grapple with how to ethically and sustainably define our role and scope of practice. We do provide follow-up for several women, 18 last year, who needed it at Ashonplafa, who can facilitate care for early cases. </div>
<div>
<br /></div>
<div>
We have had meaningful and difficult conversations to our role as an organization with these difficult realities. </div>
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<div>
We are grateful we are helping to prevent cervical cancer, provide family planning, and treat acute infections. </div>
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We are proud to have served about 400 women this week and will work hard to close this trip well. </div>
<div>
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<div>
Dr. Bliss leaves tonight. She has been such an enthusiastic teacher and engaged member of this trip. She has taken time to get to know all the students personally and we are so thankful for her guidance and support. </div>
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More to come from the beach!</div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgwVZKBeIVM67n8ctZWiY1uc5MV_a7ZR3KEd7MvBtrJtmRGed2pHcQeO7QDULd68dhO8BvAfq3XPCOHKGeUKA27fU4DKYQWnLMKfo4Lv5j8dgDlhj6xDaZP726Rb5dFvRoKCsAT-mLTZH0/s640/blogger-image-608298734.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgwVZKBeIVM67n8ctZWiY1uc5MV_a7ZR3KEd7MvBtrJtmRGed2pHcQeO7QDULd68dhO8BvAfq3XPCOHKGeUKA27fU4DKYQWnLMKfo4Lv5j8dgDlhj6xDaZP726Rb5dFvRoKCsAT-mLTZH0/s400/blogger-image-608298734.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Line of women waiting to be seen.</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiIo_ynmtaP1na0ee1tiMN9Si4PPEi9WtDfz0xcWQD3d66sJZlBrg6ZFWEVleiItaor1tmxJR8U6FffbJ-CugjjOncdPXXC05sNqEeN1hsS5ievvl0AG913XXX6YnJLS7Xywi2YCvij5-I/s640/blogger-image--796484514.jpg" imageanchor="1" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiIo_ynmtaP1na0ee1tiMN9Si4PPEi9WtDfz0xcWQD3d66sJZlBrg6ZFWEVleiItaor1tmxJR8U6FffbJ-CugjjOncdPXXC05sNqEeN1hsS5ievvl0AG913XXX6YnJLS7Xywi2YCvij5-I/s400/blogger-image--796484514.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Dr. Bliss and Jackie.</td></tr>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgwVZKBeIVM67n8ctZWiY1uc5MV_a7ZR3KEd7MvBtrJtmRGed2pHcQeO7QDULd68dhO8BvAfq3XPCOHKGeUKA27fU4DKYQWnLMKfo4Lv5j8dgDlhj6xDaZP726Rb5dFvRoKCsAT-mLTZH0/s640/blogger-image-608298734.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"></a></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjIE_s38vfXX9W1HYj0sqSsI_vtSZx5oolIU9a6lIU3xAY6wF3Yh2BWtEDmoy86R2TtXZv5B3ukSWcrzaqkBkEp2cyoqrCBBUPW-FCcqzRPF2RLKM_16ha9P4Q6byMFz6aoEQfbs_WkMOA/s640/blogger-image--500021790.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjIE_s38vfXX9W1HYj0sqSsI_vtSZx5oolIU9a6lIU3xAY6wF3Yh2BWtEDmoy86R2TtXZv5B3ukSWcrzaqkBkEp2cyoqrCBBUPW-FCcqzRPF2RLKM_16ha9P4Q6byMFz6aoEQfbs_WkMOA/s400/blogger-image--500021790.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Check-in</td></tr>
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjNRlaQtmc9EKRYsa-xIypL0DT9wbS5684h3Y_PYm-CUNgf8tpp7t6P6EbTSvgJADDBhMWCVKXcbf1-41U12sx4mo55T6b2m_GqO8bI1BQu87N6iRMRstgsdrcteN99RMFjJrBkZke0iWQ/s640/blogger-image-1435996142.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjNRlaQtmc9EKRYsa-xIypL0DT9wbS5684h3Y_PYm-CUNgf8tpp7t6P6EbTSvgJADDBhMWCVKXcbf1-41U12sx4mo55T6b2m_GqO8bI1BQu87N6iRMRstgsdrcteN99RMFjJrBkZke0iWQ/s400/blogger-image-1435996142.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Jordy in a one of our makeshift clinic rooms (with a dirty speculum bin...)</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgNsNTjQCq18RUQlJBDlZCp9wLlcUscfzPcfjm_P29_RZz2zQCef70U-Lq9zmKzw2P7I8icGAogIcV_sSVQHqSmv2RytoFmgWYLdkMwtA0x84xxdDI-Jnl9mmVU1N_kk8b7Cheg-gm_SUo/s640/blogger-image-194541795.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgNsNTjQCq18RUQlJBDlZCp9wLlcUscfzPcfjm_P29_RZz2zQCef70U-Lq9zmKzw2P7I8icGAogIcV_sSVQHqSmv2RytoFmgWYLdkMwtA0x84xxdDI-Jnl9mmVU1N_kk8b7Cheg-gm_SUo/s400/blogger-image-194541795.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Exam room</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgrWWpVp1WddDCs5veMfevVnVM90IaWRS2pA6KMrrSXX_i5on5wE2qadSmycDhaUnNBIIhReA2ExyBtpgLpIQrjQzBBMUJypu83YHNLR2lFs8p0THwP4o1Z022PzqfzhCd2tQlAN-2qALk/s640/blogger-image--1800935796.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgrWWpVp1WddDCs5veMfevVnVM90IaWRS2pA6KMrrSXX_i5on5wE2qadSmycDhaUnNBIIhReA2ExyBtpgLpIQrjQzBBMUJypu83YHNLR2lFs8p0THwP4o1Z022PzqfzhCd2tQlAN-2qALk/s400/blogger-image--1800935796.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Taking a break.</td></tr>
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Christinahttp://www.blogger.com/profile/17813805430026596136noreply@blogger.com0tag:blogger.com,1999:blog-2661167734648743387.post-87972813777098614282013-07-04T15:52:00.000-07:002013-08-06T08:51:28.688-07:00Guanacaste: 89 women + 4th of July<div class="MsoNormal">
<span lang="EN-US">Yesterday was a big day. Between Monday and
Tuesday combined we saw a total of 69 women and yesterday we saw 89 women in
one day. We showed up per usual in a chicken truck donned in scrubs to a line
of over 50 women that had been waiting since 6 in the morning. Needless to say,
all a bit nervous, we hit the ground running immediately.</span></div>
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<span lang="EN-US"><br /></span></div>
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<span lang="EN-US">The MS2s that could speak Spanish fluently
enough to work on their own took their own patients (without an MS4) with the
oversight of our attendings. By 1pm we saw over 50 patients, which was a feat
of teamwork. Kyle, our pharmacist of the day, ran around with a walkie-talkie
handing out medications, taking vitals, and helping clean dirty speculums. The
attendings took the time to teach us even in the midst of the bustle. We took
all the time that the women needed to talk and ask questions while still moving
along at a clip. It was such an exciting challenge to serve so many women. It
will likely be are largest clinic day as the rest of the week we are expecting
about 70 women per day. </span></div>
<div class="MsoNormal">
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US">We saw 5 patients with possible cervical
cancer yesterday. Because of the extensive screening for and education about
cervical cancer in the US, it is very rare to find frank cervical cancer on
exam. Thus, this is a frustrating finding as we have technology available to
prevent such advancement of disease. However, this reinforces the importance of
HHA’s mission to screen and facilitate follow-up for mild and moderate dysplasia at Ashonplafa before cancer develops. We are grappling with how to best deal with more advanced cases that may e out of our scope of practice and funding capability. </span></div>
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<span lang="EN-US"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US">Today was a bit of a breather as we saw 57
patients. We are all getting into a routine and learning new things: how to
insert and remove IUDs, remove cervical polyps, detect cervical cancer, detect
STIs on exam, and how to counsel about a variety of ailments, for example.
There was not a massive thunderstorm today, as there was yesterday, so all and
all the day was much smoother.</span></div>
<div class="MsoNormal">
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US"> Liza
went to Ashonplafa, our local partner, to attend the follow-up visit with the
first lady who came with invasive cervical cancer on Monday. She will get an
idea of how HHA can support her treatment follow-up and provide support and
brief us on that process tonight. We will also have a little 4<sup>th</sup> of
July celebration this evening after putting in patient charts. </span></div>
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<span lang="EN-US"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US">We are really enjoying spending time with
our attendings: Dr. Monica Selak, Dr. Mansa Sememya, and Dr. Susan Bliss. Drs.
Selak and Sememyaare 3<sup>rd</sup>-year family medicine residents at UNC and
Dr. Bliss is the OB/GYN clerkship director for UNC at the Charlotte campus.
They have all brought of enthusiasm and energy to this trip and we are thankful
for their intentional effort to teach us. </span></div>
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<span lang="EN-US"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US">Tomorrow is our last clinic in Madrigales,
about an hour chicken truck ride from El Corpus. We will travel to Los
Torreros, one of our larger communities, on Saturday and set up clinic there
for the day. After that, clinic time will be complete. Time is flying by.<a href="http://www.blogger.com/blogger.g?blogID=2661167734648743387" name="_GoBack"></a></span></div>
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<span lang="EN-US">Internet is a bit difficult to come by here
so more to come as it’s possible. Cheers!</span></div>
<div class="MsoNormal">
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh6_h3m-OwZsOxqdOzQZpzqzrL1JmS1GqUpksFVoYeNv7ZbCMfSeJ0bdV2Z24Zj2kfmDmeTegQXFXO8bKIWpRK_tnCw6AYUn3ici06ROeVfFiQWWgKTCXtX-tJm5cXbX7KVUC15vo9fViI/s1600/DSCN0693%5B1%5D.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh6_h3m-OwZsOxqdOzQZpzqzrL1JmS1GqUpksFVoYeNv7ZbCMfSeJ0bdV2Z24Zj2kfmDmeTegQXFXO8bKIWpRK_tnCw6AYUn3ici06ROeVfFiQWWgKTCXtX-tJm5cXbX7KVUC15vo9fViI/s320/DSCN0693%5B1%5D.JPG" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Our lovely attending and residents (all seated, from the left): Dr. Bliss, Dr. Semenya, and Dr. Selak.</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhY6G3fJ0lGpgUBWsYgF0vvHq1we8DXBd3M3nISslvZDok35avU85EUPmFULwoeoLyyPsBYJRWeo69z4LvumdjZpwaWy6uCvAwjqKhMuArEW7sDmjvMsbxw8n5RCdK6ARCGNYLxmUxtdYY/s1600/DSCN0695%5B1%5D.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhY6G3fJ0lGpgUBWsYgF0vvHq1we8DXBd3M3nISslvZDok35avU85EUPmFULwoeoLyyPsBYJRWeo69z4LvumdjZpwaWy6uCvAwjqKhMuArEW7sDmjvMsbxw8n5RCdK6ARCGNYLxmUxtdYY/s320/DSCN0695%5B1%5D.JPG" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Preparing pap slides and wet preps at the lab.</td></tr>
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Christinahttp://www.blogger.com/profile/17813805430026596136noreply@blogger.com0tag:blogger.com,1999:blog-2661167734648743387.post-53013723102097091452013-07-01T18:26:00.002-07:002013-08-06T08:49:53.957-07:00First day of clinic!<div class="MsoNormal">
<span lang="EN-US">We had a lovely and very smoothly run first
day of clinic. We served the community of Guansale, which totaled to 32 women.
We will ramp up the pace quite significantly in future days but purposefully
started out with a smaller community as we are getting used to things. We
expect 300-400 women in the course of the week. </span></div>
<div class="MsoNormal">
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US">The very first lady we saw had invasive
cervical cancer diagnosed elsewhere. We are able to provide follow up for women with mild to moderate dysplasia at Ashonplafa but have never dealt with this severe of a case before. Thus, we are defining our mission statement and scope of practice in light of this challenge. This beginning
to clinical week really gave perspective to our work at preventing cervical cancer. </span></div>
<div class="MsoNormal">
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US">At clinic, an MS2 and MS4 are paired
together to gather a history and physical exam. This gives the MS2s a lot of
hands-on experience and the MS4s ample teaching opportunities. The doctors
consult with us about our assessment and plan and oversee our pap smears and
pelvic exams. It is amazing how much the MS4s have learned and it is such a
pleasure to have someone willing and excited to field questions throughout the
day. We consulted women about birth control, STIs, UTIs, HPV, and bacterial
vaginosis. </span></div>
<div class="MsoNormal">
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US">It is so fulfilling to see the clinic come
together so nicely. We are all working well together in teams. Rachel and Zac,
our med student leaders, did a wonderful job laying out our responsibilities
beforehand so that everything ran smoothly. We have a well-stocked pharmacy
with medications for the most common complaints as well as year-long supplies
of birth control pills, depoprovera shots, and IUDs. </span></div>
<div class="MsoNormal">
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US">It has been peacefully raining off and on
here. Everyone has been in a good mood as we are here doing what we have
planned to do for months. More to come.</span></div>
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgZQVs16fyK_ystCMfabKn8kOQ8113danrSVsSYZmEcrzxZ46agrK1FUW59Oc-ewo984bxaVXtwqBHQ48-oDu6PqiUOLl4Sg1UfFKZoNBkXjBLhsYK95COT4rVnNkchZvR7lWs-_2FEqFA/s1600/DSCN0686%5B1%5D.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgZQVs16fyK_ystCMfabKn8kOQ8113danrSVsSYZmEcrzxZ46agrK1FUW59Oc-ewo984bxaVXtwqBHQ48-oDu6PqiUOLl4Sg1UfFKZoNBkXjBLhsYK95COT4rVnNkchZvR7lWs-_2FEqFA/s320/DSCN0686%5B1%5D.JPG" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Jordy and Dan taking a patient history.</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhfbFNlxTtfk5ITOyd9uWOGObzg78-l89dmwOQ-kuXyRW1t7dzShUHqvzZVW8_4XQuIAV1vhZjA1X5VQSFso4o2_hiuzNCgDivwlA4ffMbDg_t8cRXHu8xiSrWc1aFm40kCLN7b1pe2Ees/s1600/DSCN0685%5B1%5D.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhfbFNlxTtfk5ITOyd9uWOGObzg78-l89dmwOQ-kuXyRW1t7dzShUHqvzZVW8_4XQuIAV1vhZjA1X5VQSFso4o2_hiuzNCgDivwlA4ffMbDg_t8cRXHu8xiSrWc1aFm40kCLN7b1pe2Ees/s320/DSCN0685%5B1%5D.JPG" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Check-in and lab.</td></tr>
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<span lang="EN-US"><o:p><br /></o:p></span></div>
Christinahttp://www.blogger.com/profile/17813805430026596136noreply@blogger.com0