Day 8- Still lots to do

Another night without much sleep, it was dogs fighting that kept me up most of the night again. Need to remember to bring earplugs if I ever come back here. Think I'm going to take Ronda's advice and drink a bunch of rum tonight!
This morning the woman with the crushed foot came for followup, it looked a lot better today. We also recasted one of the workers who broke her arm a few weeks ago.
Then we headed to the hospital, had a bunch of cases today. Started off by fixing the woman with an amputation on one side and a broken femur on the other leg. Hector took an extra finger off a kid. We did 2 amputations today, one was done by one of the new guys, he is very brash and cocky, aparently he rushed through the case and ended up having to go back to the or to find vessels that were bleeding. He also tried to reduce a 3 week old shoulder dislocation. As you can guess it didn't work, he just tortured the poor guy. It is surgeons like this guy that give us a bad reputation. I think he means well but is trying too hard to be the hero. I have been trying to teach dr alexi as much as I can, I try to help him and show him the tricks I know, he has taught me a lot too! We spent a long time in fracture clinic today too. We ran out of plaster at one point and everything came to a grinding halt. The staff just left and we waited over an hour for the supply depot to open up so we could get more stuff. It is obvious to me that there will be many mal unions to deal with down the road. Although I amazed with how stoic these hatians can be. We are still seeing people coming from PoP with untreated injuries, but it has slowed down considerably. We made rounds in the wards today too, we were able to send some people home. But many people have no where to go so they just stay in the hospital. It is amazing how patients are not mobilized, they lay in bed with a foley catheter and an iv with an empty bottle of fluid. It is a status symbol to be in the hospital with all of those tubes coming out of you.
We are still having issues with patients not getting meds. We have taken to giving patients a baggie of meds after surgery so they don't have to deal with the nurses.
Cynthia was able to talk to the health minister today, he doesn't think they need another group of surgeons, he feels like they are caught up and all they need help with is post op care. I'm not so sure that they are out of the woods yet. I agree that there is a lot of wound care that needs to be done, but there will be more amputations to do and lots of skin grafting to do. .
I wonder how things are going closer to PoP, I Imagine it is much like here. Only a lot more patients.
I was hoping to go to PoP tomorrow to get medical supplies and check out the destruction, but the trip fell through. I am a bit disappointed but maybe I'll be able to go later this week.
We did pick up a bunch of rum on the way home tonight. I need to get some sleep tonight, we have another busy day tomorrow. Looks like we we be heading home Saturday!

If you have not been reading the comments I suggest you do. We all look forward to reading your comments. Nice to feel connected. Sorry if there are lots of typos I am doing all of this from my iPhone! Thane again to Sam and Irl for talking me into getting one.