CLINIC REPORT: JULY 25, 2015 @ CHAPULTEPEC

We left Stein Clinical around 7: 20 because a driver was late. Pharmacy brought over vitamins, and we weren’t stopped at the border. Walkie talkies and binders were each assigned to a designated officer in the car. Upon arrival, we had 19 patients signed up to be seen. The dental trip was cancelled at the last minute, so the 10 people signed up for 7/25 will be taken into account by Maria Elena when we have our next dental trip. Dr. Raja was in contact with me prior to the trip, because her daughter would be in attendance. She was able to make it at the last minute, but not enough volunteers for the dental side could be found. Dr. Celis arrived along with Rotary. They sent over a volunteer, named David, who is from Tijuana. Since we were short on Spanish speakers, he helped in the histories station.

Dr. Pando arrived later and assisted with some patients. Maria Elena advised that the whiteboard patient tracker might just upset the patients, so we didn’t go forward with that today. We ran out of history forms and need to transcribe them in the US onto forms from the notepads we were writing in. We didn’t have time or enough people for a shift change, since we had a group make a run for medication. We finished histories and vitals stations much earlier than Nurse Catherine could see everyone, so volunteers were asked to help de-pill and organize a new vitals bin.

We left clinic around 3 and went to get tacos together. While waiting in line, a man across the street went into an epileptic seizure and a crowd had gathered. Nurse Catherine and Meghan, an EMT, assisted him until an ambulance came to ensure that he could breathe. It turns out the man lives within blocks of our clinic and many people who know him were by his side, saying that this sometimes happens as he forgets to take his medication.

We got back on the road, and once at Otay Mesa, placed all the passport cardholders in the cars to drive in the Ready Lane while the rest walked across the border. The wait time was very short and all cars arrived back at Stein around 7 pm, all walkie talkies and binders were accounted for. Binder making event to be planned to put together all the supplies Lynhea bought and that I am currently in possession of.

Clinic Report: November 2015

All the volunteers arrived on time to Stein Parking Lot. Clinic Coordinator was a bit late from transporting patient history files. Shirts were given out to members before we left. Dental paid clinic fees that morning, so gas and toll were distributed then. We were lacking one officer in a car, so we had a veteran member ride in that car. The need was expressed for dental binders and a walkie-talkie or phone. We caravanned down to the border at around 7:15, where we managed to stay in a single file until reaching the streets near the clinic. Walkie talkies proved useful in pointing out turns to make, and no one got lost. Upon arrival at clinic, the amount of people waiting seemed low, so some public health officers went out to advertise with Maria Elena. Because there was only one provider and about 5 public health officers in attendance, we had an excess of volunteers with little to do. Peter instructed some of the volunteers and public health officers about his healing in his consult room. We had the shift change with a few rearrangements. Because of the low new patient volume in the afternoon, we allowed half the volunteers to go get tacos, and then switched them out with the remaining half so that we could get back on the road before dark. We caravanned back, and the fifth and fourth cars got stuck at a few intersections, causing the rest of the caravan to drive really slowly to allow them to catch up. No one missed the border line this time and the wait was somewhere from one and a half to two hours. The cars made it back to UCSD at the same general time. Joana collected binders and patient histories, and I collected the walkie-talkies.

Clinic Report: November 2014

In the morning of the clinic, Nurse Catherine lost her purse which included her passport, she had to go home and get other identifications. One of our drivers did not show up. Therefore, one car stayed behind and waited for Nurse Catherine and Peter while the rest caravaned to Mexico using walkie-talkies. We also used our back up driver and had to stop to fill up gas. We also had to stop by and transfer medicines, tools, etc. from our main clinic to Centro De Salud. As the results, we were behind on schedule. In addition, one of our doctors cancelled the night before due to sickness so we only had Nurse Catherine to see the patients. However, Nurse Catherine was amazingly able to see all the patients! Clinic was a success. We finished later than usual around 4pm. We transferred everything back to our main clinic and caravaned back home. It was dark on our way home and one of the cars got lost near the border but we were all able to cross the border back to the US safely around 8-9pm.

Clinic Report: October 2014

Total Health Professionals: 1

(Name and profession/title)

Catherine Konyn, FNP

Total Volunteers: 18

 

Total Patients Seen: 18

Medical: 18

Dental: None

Haircuts: None

 

Special Cases:

October clinic was a success! With our new walkie-talkies, we were able to caravan down to Mexico and back to the US together. Even though only we had one provider (Nurse Catherine), we still saw 18 patients total. We also had a pharmacist (Kimmie) joined us for the first time on this trip. Even with just one provider, most of the volunteers had a chance to observe Nurse Catherine treating patients. Most patients left with medication they needed. However, there were some special cases that we were not able to treat and had to refer them to see a local doctor. There was an eight-month-old baby girl that came. The mother was concerned about the mass on the baby’s right upper back right under her birthmark, close to the armpit. Nurse Catherine checked to make sure it was not close to the lymph node. Nurse Catherine’s guess was that it might just be an enlarged vessel from the birthmark. However, without any proper equipment, we could not confirm that. She recommended the baby to see a pediatrician. There was also a six-year-old boy that came with his mother. His chief complaint was that it hurts when he urinates. He did not have a fever so Nurse Catherine did not think it was a urinary tract infection (UTI). After checking his genitalia, she believes that there might be something anatomically wrong with him. Same with the first case, we had to refer that boy out to see a local doctor. Public Health did an informative presentation on the respiratory tract. They also followed up with their diabetic patients and gave them more glucose test strips. We finished seeing patients around 4pm. As usual, we rewarded ourselves with delicious tacos and tortas. We took the San Ysidro border crossing this time since they opened up more lanes. We got back to UCSD safely around 9pm. Thanks to Nurse Catherine, Kimmie, and all the volunteers’ hard work that made this trip possible.

Reports, Suggestions, or Comments:

Pharmacy: Pharmacy is still very crowded. We had a table right outside of the pharmacy to count pills.

Vitals: Vitals went well. I taught the volunteers to take BP manually. I had three volunteers at this station and had them rotate shadowing.

Translators and Histories: We had a lot of Spanish speakers on this trip

Clinic Report: September 2014

Total Health Professionals:

(Name and profession/title) Dr. Campbell MD, Dr. King MD, Catherine Konyn ANP

 

Total Volunteers:

7 plus three officers, 10 total

Total Patients Seen:

Medical: 0

Dental:

Haircuts: 0

 

Special Cases:

Clinic was cancelled at the last minute due to low volume of volunteers, insufficient number of Spanish speakers, and absence of the clinic coordinator who had the medical insurance cards and clinic fees. Also the date of a protest taking place at several border crossing, meant to start at 8 AM. Dr. Patel was meant to bring a donor, so Joana Vazquez accompanied them to other schools’ clinic to see how clinic is generally run.

Reports, Suggestions, or Comments:

Pharmacy: NA

Vitals: NA

Dentistry:

Seminars: NA

Translators: NA

Histories: NA. Maybe include relevant terminology and practice with history sheets at future Spanish language tables so that we have volunteers familiar with how to run histories in the event of few Spanish speakers present at clinic.

Clinic Report: August 2014

Total Health Professionals: 2

Dr. Castaner, Dr. Akhtar, Dr. Andrade, Dr. Abbas

 

Total Volunteers:

15 FS volunteers (clinic), 3 doctors (two residents), 1 dentist, 4 PDS volunteers, 3 guests of Dr. Abbas

Total Patients Seen:

Medical: 22

Dental:

Public Health: Not present this clinic

Special Cases:

  • Two cases of rash and eye irritations
  • Six diabetic cases and related conditions
  • Low mood and weight gain, accompanied by depression.
  • Urinary track infection, requested STI screening
  • Ear infection (otitis extema)
  • Sciatica
  • Allergic rhinitis, lice
  • Umbilical hernia

Reports, Suggestions, or Comments:

  1. Late start, a driver arrived twenty-five minutes late. Varied arrival times for other drivers.
  2. Volunteer shortlist due to limited summer availability for most members. There were enough to operate all stations and provide translators to all stations, as well as the providers.
  3. One of the providers was rendered unable to practice and resumed later on in the clinic.
  4. Increase of patients seen this clinic.