Go to the people.
Live among them.
Learn from them.
Start with what they know.
Build on what they have.
But of the best leaders,
when their task is accomplished,
when their work is done...
the people will remark:
"We have done it ourselves."
|First (hopefully last) moto burn|
|Dr. Sharon perfecting our suturing|
Very routinely, we do not get to see the results of our efforts. Whether is a patient who we send to the hospital and never hear from again (even after attempt after attempt to phone them) or gnarly wounds we clean, suture or pack, there is no guarantee we will ever see them again. A few months ago, we had a woman come in with raised blisters on her neck. They were huge, covered her neck & face, was pussy, & made it difficult for her to swallow. Her daughter had brought all of their charts- from their other efforts to be helped- & we discovered she had been diagnosed with HIV. LAST YEAR. Never started on medication. I sent out an email to Dr. Brian (Infectious Disease MD) & got instruction to treat her aggressively for a herpes zoster infection. When she came back to get the medications, her blood pressure was 70/40. This is insanely low. We explained to her our thoughts, gave her the medication, prayed for her, & sent her to get treatment at the HIV clinic at the Haitian hospital (La Providence). And heard nothing back. In my mind, she had passed away. You don't last long having HIV plus a blood pressure of 70/40.
Last week, I went to La Providence to work on getting some paperwork for my residency here. I was passing a woman through a doorway, made eye contact, & thought "huh, she looks vaguely familiar." We have over 1300 patients at clinic. So that didn't mean a lot. Until she said "Miss!" And I realized that this was her! Her blisters were almost completely gone, she was receiving treatment for her HIV, & looked incredible! Plus she said she was feeling healthy. This means two things. One: this woman was not dead. Two: our referring people to this hospital for HIV testing/treatment was working. This is a big deal.
Pray for the welfare of your city.
Occasionally we get to the privilege of getting a glimpse of that coming about.
|My loyal guard dog, keeping me safe|