Category Archives: Clinic Reports

CLINIC REPORT: OCTOBER 22, 2016 @ Enseñada

Coordinator: Shaddy Malik

Patients Seen: 25

This clinic, we had 6 cars total (2 dental cars with Pre-Dental Society volunteers, 3 volunteer-driver cars, and a provider’s car) that met up at the Stein Clinical Parking lot at 6:30am, and left around 7:30am.  We arrived to a large amount of children in the waiting room, and were able to provide 2 consult rooms with 2 medical providers and Peter, who is a healer. A large portion of them were there for dental as well. The water for the building was shut off for some reason, which greatly hindered the Dental side. They did not have suction and consequently, it took them about an hour and a half to see their first patient. We ended up seeing 19 patients,   in which 16 were children.  We finished clinic around 2:00pm and headed up the street to Tacos El Poblano. Dr. Lucy Horton drove herself, and I put one of our Officers, Abel Martinez in her car and allowed them to leave early. Abel is an experienced officer who speaks Spanish. We left to the border, and on the way up, a car got separated from the caravan. We were able to contact a person in their car via text and got updates from them until they crossed via the San Ysidro border. The remaining four cars got to the Otay border at around 6:40 and crossed back around 9:15. Everyone met at Stein afterwards and I collected all the binders and walkie talkies and the patient files.

Clinic Report: October 1, 2016 @ Sonrisa de Angeles Orphanatorio (Tijuana)

Coordinator: Anthony Talaugon
Patients Seen: 27

This was a trip planned in collaboration with Dr. Kabongo, one of our long-time volunteer providers. UCSD Students met at 6:30AM at Stein Clinical Parking Lot. We met Dr. Kabongo and his group of volunteers (two residents, 1 doctor, 1 pharmacist, 1 nurse, 1 dentist, and 1 volunteer) at the McDonald’s before the Otay Mesa Border crossing at 8:00AM. One UCSD car accidentally missed the exit and had to cross the border back into the US to meet us. From there, we caravanned to the orphanage in TJ. As this was our first time at this orphanage it was more of an exploratory trip to gauge the needs of the children. We were not prepared with medication or medical equipment – only stethoscopes, sanitizer, gloves, and pen lights. The flow was unorganized and due to time constraints, some children did not visit all 3 stations (vitals, dental, medical). We did not have patient history forms and took their information down on a notebook to be compiled electronically after the clinic. We had pizza at the orphanage and left for the border around 1:00PM. Dr. Kabongo’s car did not travel with us, however we had print-out directions from google maps: we traveled in a caravan with two other cars from Dr. Kabongo’s group. We got lost on the way back, however we ended up crossing back through the San Ysidro border – one car was stopped for secondaries. The first car got back to UCSD by 4:00pm and the second by 4:30pm. NOTE: Our volunteers will start visiting this new orphanage regularly in collaboration with Dr. Kabongo. Things that can be improved for next time: having a patient history system organized and ready, basic vitals and medical equipment, and our own supply of medication to supplement the one at the orphanage.

Clinic Report: September 26, 2015 @Chapultepec

Coordinator: Kiana Pham
Total Patients Seen: 19

We all met up at 6:30 am. Two drivers showed up about 15-20mins late, but they did inform us. Everyone signed the liability forms. Instructions for the walkie-talkies and binders were given to the drivers. Dr. Andrade and three residents also came on time. We gave all of them FS t-shirts. We waited until 7:15 am for the pharmacist, but he/she never showed. There was some miscommunication about confirming the trip. All five cars caravanned down to Ensenada, Mexico with no problem. We arrived around 9:45 am and started setting up for the clinic. With three residents seeing patients at the same time and Dr. Andrade signing off, we finished seeing 19 patients around 1 pm. We finished cleaning up, took a group pictures, headed to get tacos, and left around 3 pm. We took the Otay border crossing. There were some miscommunications about which rest stop to meet up before we get to the border. We used to name the toll booths A, B, and C instead for saying first and last. Three cars with passport cards took the ready lane and dropped off the providers and some volunteers off to walk across. The other two cars took the regular all access lane. We all crossed around 6 pm and the last car got to UCSD at 6:30 pm. All the binders and walkie-talkies were collected and logged. Gave the walkie-talkie and binder bins to Lynhea. Connie has all the patient files.
Side note: A few officers were chosen but never confirmed/showed up to the pre-clinic meeting. One didn’t notify the clinic coordinator that they couldn’t’ make it to the clinic until they were contacted again. Another never replied.

Clinic Report: August 29, 2015 @Chapultepec, Ensenada

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Coordinator: Nicholas Sun
Total Patients Seen: 23

We left Stein Clinical around 7:15 because we were waiting on PA students and one volunteer. We waited for them for about 30 minutes before deciding to depart. The PA students never showed up due to a miscommunication. Since we had three people not show up, we ended up fitting everyone in three cars instead of four. When we arrived at the clinic, there were already 20 patients signed up. All the volunteers were given their assignments and we got started promptly. Unfortunately, we only had one provider and no pharmacist, so Dr. Arment had a lot of patients to see. Dental did not go with us on this trip so the clinic was not crowded at all and everything was running smoothly. I had everyone switch to their second shift after seeing 14 patients, which was around 12:45 pm. By the time of the second shift switch, we had no more patients to go through histories and vitals. Those volunteers waited patiently for the community walk around and de-pilled. Before the walk around happened, we had to go on a pharmacy run. After the run, Maria Elena and the chosen volunteers went on the walk around. Three patients left early and were not seen, but we finished seeing all the patients around 3:30. The volunteers that went on the walk around informed me that it was eye-opening to see how the community was laid out. After taking pictures and cleaning up the clinic, we went to get tacos until 4:30. Upon arriving at the Otay Mesa border, we had passport card holders drive through the ready lane while all the book holders walked across. The lines for both were very short, and there were no issues for the walkers. For the people that went through the ready lane, the border patrol officer was being very strict and checked each car’s drunk for medication. We did not have any medication on us so there was no trouble. We all arrived back at Stein safely at 8:20 and all walkie talkies and binders were collected.

CLINIC REPORT: AUGUST 22, 2015 @ CHAPULTEPEC, ENSENADA

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Medical Patients seen: 17
Volunteers: 28

This trip was supposed to be an MCM trip and had the according number of volunteers selected for that purpose. However, MCM was not able to secure permission for us to use the building before September 10th, and our last resort was to use our regular clinic site. 8/22 was also the scheduled visit of 4 dental students from Western Dental. Consequently, flow of clinic was disrupted by the new layout having to accommodate so many people. Nurse Catherine and Peter could not make it at the last minute, so PA students Gina and Emily were recruited to fill their spots as providers, under the supervision of Dr. Pando. The room where we usually hold histories and vitals was converted into a consult room, though I don’t recommend doing this ever again unless we have partitions, because of the lack of privacy. We changed shifts around 1 or 2. Maria Elena was in charge of calling patients. One car of volunteers went to eat while we waited for patients to be seen by physicians. We concluded clinic around 4, ate tacos, and traveled to the border. Those with passport booklets walked across while those with passport cards drove the cars across the border. We passed without incident and arrived back at school safely.

Clinic Report: August 8, 2015 @ Rosarito (Pharmacy)

Coordinator: Jennifer Corona
Pharm Admin Lead: Dorian Chen

We left Stein Clinic at 7:00 AM. We had no problems with the drive there and got there safely. There, Susan split us up into different groups. Niko and Lisa went to help in the pharmacy, Razaw and Kyra went to shadow doctors and Dorian helped a nurse sort medicine. After a shift change, Dorian went to the pharmacy to work alongside Niko and Lisa, Razaw filed papers and Kyra remained shadowing doctors. The clinic trip ended at 3:00 PM and we left to Main Street in search of tacos. We found a taco stand on Main Street and ate there till 4:00 PM and headed on towards the border. We crossed the border back to the US at 7:00 PM.

Their pharmacy is bigger and serves a lot more patient than ours, around 60-100 patients if I remember correctly. To keep the pharmacy running smoothly, they have strict organizational rules. There are 4 roles in the pharmacy, medicine grabber, medicine filler, label maker, and label checker.

During this trip, they had 2 people who were allowed to bring medicine off and back on the shelves. This ensures that the medicine gets put back on the same spot and that the shelves do not get messy. They also put each respective medicine on a specific spot on the shelf and in a bucket. The bucket allows them to stack the medicine laterally since they do not have a lot of space horizontally. Since each medicine is supposed to be in a specific spot on the shelf, they have labeled the shelf in a letter and number coordinate ie. F5 and have a list of all the medicine so if people can’t find a medicine, they can look it up on the list.

After the medicine grabber gets the medicine that’s needs to be dispensed, they put it in a bucket with the prescription and give it to a medicine filler. The medicine filler fills the prescription and hands the whole bucket to the label maker.

The label maker checks that the correct medicine was used and estimates that the correct number of pills was dispensed. He then makes a label with a computer and label machine.

Lastly, a nurse double checks the label and that the correct medicine is being dispensed before the prescription leaves the pharmacy.

Outside the pharmacy, someone is in charge of recording down the number of dispensed medicine and gives it out to the patient.

Something we can implement in our pharmacy is by adding the stations. Our pharmacy is a lot smaller so I’m not sure how effective that is vs having 1 or 2 people doing all the jobs. Adding the buckets could also make the pharmacy more organized. Something we should definitely add is the label printer machine. Rosarito pharmacy says its super useful and makes making labels a lot easier.

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