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This Monday and Tuesday we returned to Port Maria, where we are beginning to feel more comfortable with the resources available and how the clinics and the A&E function in general. The matron continues to be our hero and the children have not stopped being irresistible. If there are several Jamaican babies missing from Port Maria, check with us… I saw one 6 week old for a well child check whose mother asked me to look closely at the skin over her anterior fontanelle. When I asked why, she told me that her mother (the child’s grandmother) had poured rum over her soft spot to cure the child’s head cold (which turned out to be likely reflux). Luckily, the child’s scalp was unharmed. I am convinced the family will find other uses for one of Jamaica’s primary exports. Jamie and Alison
 
little one Just like in the U.S., toddlers are a Pediatrician’s biggest critic (permission granted for photo)
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Port Maria!
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You Win Along With The Children – Set It and Forget It!

AmazonSmile donates a portion of your purchase to the charity of your choosing. Choose the Issa Trust Foundation as your charity of choice, and Amazon will donate 0.5 percent of the price of eligible purchases to support Issa Trust Foundation programs. AmazonSmile is a simple and automatic way for you to support the Issa Trust Foundation every time you shop, at no cost to you. When you shop at smile.amazon.com, you’ll find the exact same low prices, vast selection and convenient shopping experience as Amazon.com, with the added bonus that Amazon will donate a portion of the purchase price to our foundation! Click on the link below to begin using AmazonSmile in support of The Issa Trust Foundation! AmazonSmile-banner We truly believe that if we want to change our world and really make a difference, there is no better place to start than in the life of a child! Today’s children are our future—they are the ones who will be leading their countries and cities . . . the ones who will be shaping the values future generations will live by. And though they may just be small children now, they still hold a great purpose. You shop, Amazon gives directly to The Issa Trust Foundation, helping us continue our mission — making a difference for children, one child at a time!
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We just finished our first week in beautiful Jamaica — what an experience! Each site we visited had it’s own personality and availability of resources but two remain the same no matter where we are. First, Jamaican children are adorable. Second, Jamaican hospitality is second to none. The first day at Port Maria was a bit of a whirlwind. With the help of the staff and a very knowledgeable matron (who is also a Justice of the Peace…and our hero) we found our way to the A and E (accident and emergency) and the Port Maria clinic. We saw a variety of conditions, some familiar to us (asthma, eczema, viral upper respiratory infections) and others that required some guidance for treatment from the local nurses and physicians.  We went to Annotto Bay on Tuesday and Wednesday. It is a bigger facility and while it is not a teaching hospital, there are residents who work there and we had an hour long teaching session with them and the head pediatrician, Dr. Ramos. It was fun to see that the experience Jamaican residents have (rounding, being quizzed by the attending, etc) was very similar to our experiencing in the United States.  On Friday we traveled to Port Antonio, which is also a larger facility with a beautiful view! Before we started work we were introduced to every (literally, every) hospital employee by Mr. Campbell (the Port Antonio hospital administrator).  We’re pretty sure he told everyone to stop by with their children, as we saw the sons and daughters of multiple employees. It is still hard to believe that when we leave work at the end of the day, we come back to the incredibly beautiful Couples Resort.  The staff has been amazing and the views are incredible.  We feel like we should buy a lottery ticket because we just might be the two luckiest pediatricians in the world right now.