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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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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.
 
This was my second time volunteering at the Edgehill School which is a program for special education students. There are about 40 students ranging in age from 6 years to 18 years. In March, 2012, I volunteered for 2 weeks at this school which is located in Port Maria. When I contacted the director to ask if I could again volunteer through the ISSA Trust Foundation, I found out that a flood had destroyed much of the school and they were temporarily being housed on the second floor of a church. I checked with the school’s director, Mrs. Lee, to see if there were specific things they needed. They requested heating tool, glass paints, and other kinds of paints. I bought and donated a suitcase of school and art supplies. When I came to the school, I was warmly greeted by the students and teachers. I prepared art and sign language lessons for the week for all the classes. Some of the lessons were soft pastel portraits, tempera paint pictures of sailboats, oil pastels on black paper, and several watercolor projects. The teachers and students seemed appreciative of my lessons and grateful for the supplies I left for them. The teachers are training the students to paint earrings, jewelry cases and other items which they can sell. It was another “feel good” week of being able to contribute to the wonder Jamaican children. I am grateful to the ISSA Trust Foundation Director, Diane Pollard, for again helping in setting up my driver to the Edgewood school and all the help given my husband, Richard, and me with our stay and volunteering efforts. Martha Pastcan
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