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Newborn clinic at Annotto Bay is no joke.  There were definitely a LOT of patients to be seen today. It still amazes me how these mothers wait for hours before being seen, some of them essentially spending the whole day! Anyway, between newborn clinic and the A&E, I barely made it back to the resort in time for my birthday dinner reservation at Eight Rivers (one of the fancier restaurants here). I was so tired I was almost tempted to just skip dinner and go to bed. But you only get a birthday once a year after all, so I went.  And it was absolutely delicious.  I even got my own little personalized dessert with my name on it and a bunch of staff members singing me happy birthday!!  Hurray!! I will say that one of the oddest things so far has been the experience of being here alone. It is probably one of the few things I would change about the rotation.  Everything at Couples is designed for … well either two people, or multiples of two.  I would definitely recommend volunteering with a buddy, or ensuring somehow that there are two people working the month you are here.  Having someone to talk to definitely beats reading a book to keep oneself occupied during dinner. But on the plus side, I get to read a book for fun, which I haven’t been able to do for a while, and either way, it continues to be a great experience.  🙂 RH

Today was ward rounds at Annotto Bay, which was an excellent learning experience. Typically the morning on the ward is a combination of “ward reviews” which is a brief follow up visit for (mostly) recently discharged patients who need a sooner follow up than the next available clinic date. I was able to see a baby that I had admitted for dehydration and failure to regain birthweight on my very first day of work. He was discharged a few days ago and is doing great now, has surpassed birthweight and is feeding well – I’m so happy about that! The remainder of the morning is spent discussing patients currently admitted to the ward. I never realized how much I enjoyed the whole process of reviewing management and differential diagnoses and now I realize how much more important this process becomes in a setting such as this where management decisions are largely based on your clinical judgment and a limited number of available tests.  There are quite a few patients currently admitted, most of them neonates, and quite a few admitted for jaundice.  The management of neonatal jaundice here is an interesting mix of some quite familiar therapies mixed in with some (such as giving phenobarbital and albumin) that I had never heard of, but when explained, made intuitive sense.  There is no universal bilirubin screening for newborns here and so only babies with clinical concern for jaundice end up getting a level. Even with mild jaundice, mothers are sometimes encouraged to expose the babies to sunlight and advised to return to care if jaundice does not improve. Here in Annotto Bay there is the capability for phototherapy as well as exchange transfusion if the need arises. Overall a great day, and definitely the most “academic” day so far, which is a nice contrast to the constant buzz of the clinic setting. RH

Today was my first day of work, which was at Annotto Bay Hospital. To say I got thrown right in would be nothing short of a gross understatement, but I somehow managed to get a handle on what I was supposed to be doing by the end of the day. Today was a chronic disease follow up clinic, so I saw a mix of patients with asthma, sickle cell, epilepsy,G6PD deficiency, Trisomy 21 and a few ex-premies  – quite an impressive range, actually. I was pretty excited to see the sickle cell patients, particularly because I plan to pursue subspecialty training in pediatric hematology/oncology.  (Not so) fun fact: there are no pediatric heme/onc physicians in the entire island of Jamaica. As hard as it is to imagine there being zero, it is equally difficult for me to imagine what it would be like to be the only one. Peds heme/onc was certainly not designed to be practiced in isolation, and the extremely cooperative culture is one of the reasons I am drawn to it. So what exactly happens here?  Turns out oncology patients are treated at Bustamante Children’s Hospital in consultation with physicians from St. Jude’s for protocols and such. Hematology wise, there is a Sickle Cell Unit at the University Hospital of the West Indies that will see patients for initial consultations, for vaccines such as Pneumovax, and for management of complicated cases. However both of these institutions are in Kingston, which means often significant transportation costs for patients’ families.  So the majority of heme care takes place in clinics like the one at Annotto Bay. The patients I saw with sickle cell today brought several issues to my mind, the foremost being the lack of universal newborn screening for the disease. Given the prevalence of the sickle trait in Jamaica (1 in 10 persons), about  1 in 150 newborns will have some form of sickle cell disease.* From what I can gather, only babies born at the University Hospital of the West Indies, Victoria Jubilee and Spanish Town Hospitals get their cord blood screened for SCD. All patients that I saw today were diagnosed after some acute illness that unveiled their SCD. The first was an 11 year old boy carrying a presumptive diagnosis of SCD (in addition to his diagnosis of asthma) after CBC on an admission for respiratory distress showed Hb 5.8 and subsequent sickle screen was positive. Another was a 3 year old girl diagnosed after an episode of splenic sequestration and yet another was an 8 year old boy who presented with abdominal pain, and had an appendectomy.  His appendix was not inflamed after removal  and subsequent testing showed HbSS, so it was likely abdominal VOC all along! Overall it was a tough but exhilarating first day.  I think my favorite moment was when the dad of the 3 year old (the only dad I saw in clinic today) showed me how he palpates his daughter’s spleen, and he was spot on!  Yes, yes, yes – for so many reasons! RH *  Info from  http://www.sicklecelltrustjamaica.com/

It has been just over 24 hours since I arrived in Jamaica. Though it seems so distant, it truly was just yesterday that I was rushing to JFK airport, struggling with my bags (how have I not realized the beauty of curbside check in until now?!).  After that, there was only the unending line to security, 3 gate changes and a 1 hour flight time delay before finally we were off.  It was only once I was suspended above NY on my way to Jamaica that I allowed myself to grasp what was happening.  And what was happening was the opportunity of a lifetime. 10 years after graduating high school and leaving Jamaica for college I was coming back as a doctor to hopefully in some small way be able to give back to the country that had given me so much. I am still in disbelief that an organization like the Issa Trust Foundation even exists and so humbled by the work they have been doing in my home country over the past several years. When I heard of the opportunity I immediately started thinking of ways to make it possible for me to be here.  And now I’m here. This month will be a curious mixture of the foreign and the familiar. The culture, as well as the actual communities I will be working in, are familiar.  In fact one of the hospitals I will work at (Port Antonio) is about a 5 minute walk from the house where I grew up and where my parents still live. So I will literally be in my own backyard.  At the same time I am acutely aware of my lack of involvement with the Jamaican medical system to date. My entire medical training has taken place in New York, and I have no doubt that the differences will be stark, and at times jarring. Despite the challenges that may arise in the work setting, the most important thing is that I am home. It feels like home, looks like home, tastes like home and there’s no place in the world like it. RH

My name is Kelsey Bayliss. I am a fourth year pharmacy student at the University of Iowa, College of Pharmacy. I am very fortunate for the opportunity to have participated as part of the 2013 medical mission team for the Issa Trust Foundation in Jamaica. I spent close to two weeks in Jamaica as part of my elective pharmacy rotation and it has been the most influential time spent on my journey to become a pharmacist. Not only did it strengthen my love for international healthcare and the pediatric population, but it really introduced me to a love of mission work and helping others that are less fortunate. Truly, it has been a life-changing experience. I was first introduced to the Issa Trust Foundation as a third year pharmacy student. My preceptor, on an experiential pharmacy rotation, was a pharmacist who has been a medical mission trip volunteer in Jamaica for many years. I helped package albendazole tablets for the 2012 mission and after learning about the Issa Trust Foundation and what they do for children in Jamaica, I knew I wanted to become more involved. A year later, I contacted the preceptor asking permission to join her as part of the 2013 medical mission team, and the rest is history. I was so excited to become part of the team and participate in my first mission, and now that it is over, I am even more excited for next year’s mission to be here! The experience I had while on the medical mission is very hard to express in words. I have never felt as empowered and fulfilled as what I did during my time with the children in Jamaica. They do not have the access to proper healthcare and medical resources and it was a very touching experience to be able to help provide that. Being able to counsel a parent on a medication, knowing that you giving them a chance to improve the life of their child is truly life-changing. The patients were always so grateful for our time spent and the resources we gave them. Children were just as grateful when you shared a smile, hug, or gave them a high-five. Just thinking of the time I was able to spend with the children brings a smile to my face. While on the mission, not every moment deserved a smile. Many of the children are in dire need of our help. Many of the children lack a safe and stable home-life and some children were reported to be eating only every other day due to lack of access to food. This is heart-shattering. My husband, Austin, had a little boy ask him if he could go home with us. After Austin sadly told him that he could not, he asked again with a serious, straight-face, “Are you sure I can’t go home with you?”  Hearing this, broke my heart. A request like this, from someone this young, showed us that he was one of those children that lacked a good home-life. Children like this, are the reason my husband and I have a strong desire to continue mission work with the Issa Trust Foundation in Jamaica. I saw examples everyday on how the Issa Trust Foundation has enriched the lives of children in Jamaica. Not only did this mission provide children with medical care that they needed and deserve, but the team was also able to provide eye glasses to those with need as well.  The children were very shy when approached about their new glasses, but after a well-deserved compliment, a heart-warming smile was generally the response the children gave. I will never forget my experience as part of the medical mission trip team in Jamaica. I had the opportunity to help change the lives of close to 900 children in five days on my pharmacy rotation. Keeping everything I have shared in mind, I would highly recommend fellow pharmacy students, health care professionals, or those with a love of children or international healthcare to strongly consider contributing and/or donating their time to the Issa Trust Foundation. I am for certain that I want to continue enriching the lives of children in Jamaica through the Issa Trust Foundation and I cannot wait for next year’s mission to arrive. What an amazing experience!