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Reported by the Jamaica Gleaner Friday | April 22, 2016 | by Christopher Thomas

Director of the Western Regional Health Authority (WRHA) Dr Ken Garfield Douglas (left) exchanges a warm handshake with Chairman of the Issa Trust Foundation Paul Issa, while President and Chief Executive Officer of the foundation Diane Pollard shares the moment. Occasion was handover of neonatal equipment to the hospital’s special-care unit.

WESTERN BUREAU:

The Issa Trust Foundation has given a commitment to the Savanna-la-Mar Public General Hospital in Westmoreland to fully outfit the facility’s neonatal unit as well as finance the training of staff to care for premature babies.

The commitment was given on Tuesday by Paul Issa, the chairman of the Issa Trust Foundation, during a brief launch ceremony on the grounds of the hospital. He also used the opportunity to outline additional plans by the organisation to improve health care at the hospital as well as at other facilities islandwide.

“I think we know that this hospital, along with every other hospital in Jamaica, has had some severe challenges, but we hope to be able to help you bridge the gap and address these issues,” Issa told stakeholders in his brief address. “We want to help you to improve the service that you offer to the community of western Jamaica.”

The neonatal unit has been equipped at a cost of J$24 million. Additional funds will be provided for the training of the staff to operate and maintain the facility. The foundation has also donated US$2,000 (J$244,460.50) worth of disposable equipment, which includes tubing and hypodermic needles, to the unit.

“The unit is based on the model of the special-care nursery we did at the St Ann’s Bay Hospital a few years ago, which has reduced infant mortality rates by 30 per cent,” said Issa. “We have replicated that here, and I think it is really going to change the quality of the neonatal health care at this hospital. We are going to be in an ongoing relationship, and we are very excited about it.”

SIGNIFICANT BOOST

Dr Alfred Dawes, the hospital’s senior medical officer, said the gift of the neonatal unit is a significant boost to the hospital’s capacity to provide high-quality services.

“This unit has really boosted the hospital’s efforts at providing care. Before that, we were not equipped to deal with premature babies, and so they had to be transferred,” said Dawes. “If they were unfortunate enough to be the ones who were not accepted by Cornwall Regional Hospital, then we would not be able to care for them and they would die.”

“With the commitment of the Issa Foundation, and the training programme and the increased staffing that we expect to get, once the nursery is up and running fully, then we should be able to provide top-class care for these premature babies,” added Dawes.

• If you recall the 2 yr old who had a blade of grass stuck I his throat last week, you’ll be surprised to know that he was admitted several days after our meeting for allegedly ingestion Clopidogril ( an anti-platelet medication that can cause bleeding). But you”ll be happy to know that he finally swallowed the grass without needing the ENT referral.
• The x-ray machine was malfunctioning for several days in Annotto Bay, so we really had to put our clinical skills to the test.
• The team at Annotto Bay were able to facilitate a transfer for a newborn term infant to Bustamante Children’s Hospital in Kingston within hours of birth because of impending respiratory failure. The new intern had a look of fear on her face as they left. Our words of advice: you can use bag mask ventilation till the cows come home. Unfortunately the baby passed soon after arrival.
• The interesting cases for the week go to a 7 month of female at Annotto Bay hospital  who was admitted for failure to thrive and dehydration. She has multiple abnormal electrolytes along with pneumonia. At this time the working differentials were Cystic Fibrosis and Bartter’s Syndrome. With hydration she improves clinically but continues have abnormal labs. A nephrologist in Kingston has been consulted to evaluate her. The second case is a 14 yr ol female at Port Maria hospital who had significant right arm pain, limited range of motion at the elbow and severe point tenderness at the joint. Our concern at the time was fracture, septic joint, or osteomyelitis yet there was no history of recent trauma, fever, or joint swelling. An xray of the right elbow had what appears to be an intraossessous bone cyst/abscess. Orthopedics were consulted from the next parish in St. Ann but the patient will have to wait until next week to be seen.
• We have noticed over the course of the month that many newborn infants whether in the A&E or Clinic have a red ribbon or band on their wrist. When asked “what is this for” to the mothers, the common response is “Me nah kno, fi him/her grandmada did put ti pon deh”. After a quick google search we found that this is a Jamaican custom to place the red tie/band on the hand or foot to ward off evil spirits.
• 

  Dr Ravi working on patient transfer to Bustamante Children’s Hospital

  

  Dr. Nicole Davidson taking a brief and much needed break at Port maria A&E

  

  Dr. Roxanne Samuels,
  reviewing arm film of our 14yr old female.

  

  Dr. Hayden-Peart

  
  

  children in infant class at Free Hill Primary school

  

  Mr. Rory Suarez, great driver

  

  Dr. Wilson on our last day at annotto bay

• thank you Diane Pollard of the Issa Trust Foundation for assisting use prior to and during our ration. The hotel staff have treated use like family and we truly appreciate all the accommodations made on our behalf.
• Thank you to all the medical and hospital staff at Port Maria Hospital, Annotto Bay Hospital and Port Antonio Hospital.
• Thank you to the hospital administrators, Dr Sloley, Dr. Hayden-Peart and Ms Nunez of Port Maria, Drs. Ramos , Ravi, and Wilson of Annotto Bay, and Mr. Campbell and Dr. Levwok of Port Antonio. All these people have helped us and taught us many lessons for which we are grateful. These service that these people provide to the country of Jamaica s greatly appreciated. Keep trying to change to world.
• Thank you to all our drivers who got us to and from work safely. Special shout out to Mr. Munsie, Mr. Forbes, and Mr Steve.

 

• Remember Jamaica is small, you may find out that one of the doctors you work with is a distant cousin or that your patient may be related to you.
• Success during this experience is greatly based upon understanding the system. Don’t be afraid to ask for help, calling the lab, calling Dr. Ramos/Ravi, or calling the pharmacy. At the end of the day its about doing your best with what you have for your patient at that moment.
• By this time you may feel like your impact is minuscule but every day, every week the staff are happy to see you because the help you provide (big or small) is very valuable.

Our last set of twins for the day. Photo consent given by parent.

successful sutures and smiles. Consent given by parent for photo.

• Everyone was eating, ordering or buying Bun and cheese – EVERYONE, EVERYWHERE – Happy Easter!
• Nicole discovered her love for June Plum juice
• Home addresses are more like directions (e.g. District, Parish. Blue and white house on the left after turning left at the Baptist church).
• You can make a spacer for albuterol (Ventolin) inhaler by cutting the bottom out of a Styrofoam cup or small water bottle.
• There is nothing better than a hug from patient.
• When in doubt call the pharmacy.