June 23, 2015 by
A hospital saves Haiti
The white Land Rover bounces over the rutted streets of Port au Prince and skirts a two story high pile of steaming garbage policed by spotted pigs the size of oil barrels. It passes the ruined faade of Our Lady of the Assumption Cathedral, unrepaired since a powerful earthquake rocked Haiti on January 12, 2010. Then it careens by the once grand National Palace, now collapsed onto itself like a melted wedding cake. As the Land Rover rattles by a tent city that’s home to 50,000 Haitians, passenger Aaron Pugmire shouts over the sound of the car’s squeaking axles: "Now we’re headed to one of the biggest disgraces to the medical profession in the Western Hemisphere."
At a dingy green and white concrete complex, moist, softball sized pools of blood lead like steppingstones up to the entrance of Haiti’s State University Hospital, where thousands of stinking corpses clogged the courtyard after the quake. A middle age man is on his knees, wailing: "My heart. My heart!" One hand clutches his chest, while the other grips the metal grate that separates him from an unmoved receptionist. A public facility with more than 400 beds, the General as it is known is Haiti’s largest hospital. But it’s neither free nor easy to enter.
"Bonsoir," says Pugmire, an emergency medical worker, shaking the hands of the security guards at the gate and briskly sidestepping the man. "I’m here to find a patient." He nimbly steps around the blood and pushes past a terrifying pastiche of scores of men and women some naked, bloody, and foul smelling who lie beneath flickering lights. Many are curled up on the shit smeared linoleum floor.
Pugmire passes a man who holds his head in his hands as blood trickles down his arm and
discount ray bans puddles in a plastic seat. He then crosses a courtyard where unused heart monitors are parked like broken down cars. Instead of nurses, family members tend to the sick and injured. Through an open door, he spots a boy writhing on an examination table; doctors are nowhere to be seen.
Pugmire, a curly haired Richard Branson look alike, is here to find 87 year old Eunide Baptiste. He dropped her off five days ago for an operation on a badly broken hip. Now, she sits in a room with 50 other glassy eyed patients, awaiting a physician. An ancient bleach bottle dangling from a string around her ankle serves as traction for her injury.
"They have done nothing for me here," Baptiste says softly in Kreyol, as Pugmire approaches. The young EMT holds her x ray up toward a broken
cheap ray bans window. "This is ridiculous," he fumes. "You drop them off here, and they rot."
Indeed, rotting is the rule in health facilities on this island nation two hours by plane from Miami. Death is at home in Haiti. A life expectancy of barely 60 years places it dead last in the Western Hemisphere. Haitians survive on an average income of $400 per year. Nearly 60 percent live in poverty, and 70 percent are unemployed.
For decades, General Hospital nicknamed "the morgue" has symbolized the ruined state left in the wake of the Duvalier dictatorships that ran the country from 1957 to 1986. Without clean water or health clinics, Haitians are 12 times more likely than Americans to die of communicable diseases. Women are 50 times more likely to perish while giving birth. Last year, the country of 10 million reported 50,000 cases of malaria: 30 times as many as in the neighboring Dominican Republic. "You can’t expect a country to develop if its people are sick. Sick people can’t farm. Sick people can’t sell goods."
Last January’s seven magnitude earthquake compounded the crisis. The tremor damaged 60 percent of the country’s health facilities and destroyed four hospitals in the capital. Since last October, more than 5,400 Haitians most living in tent cities established since the earthquake have died from cholera.
Now things could change. Billions of dollars in foreign aid offer a rare chance at reinventing health care. And one tiny hospital may serve as a model. Tucked down a narrow street off the road to the airport, Bernard Mevs is the only trauma and critical care center in Haiti. Gunshot and car crash victims are sent from around the city to its tall, orange gates. Inside, ventilators keep patients breathing during surgery, amputees receive prosthetics, and patients learn to walk again.
The hospital is a partnership between Project Medishare a nonprofit founded by University of Miami doctors and Bernard Mevs’s Haitian surgeons. Since the earthquake, Medishare has flown thousands of volunteers like Pugmire, the EMT, to the hospital to help
replica ray ban sunglasses treat 100,000 patients and train Haitian nurses and doctors.
But the challenge is enormous. After
replica ray bans finding Baptiste, Pugmire tracks down a doctor at General and explains how to treat the patient. But the next day, doctors release Baptiste, and she drags herself to Bernard Mevs seeking treatment. She is in worse shape than when she left.
Sixteen months before Baptiste arrived at Bernard Mevs, Wilfrid Macena washed the dirt and welding dust off his hands and looked to the sky. Wilfrid’s pretty young wife, Simone, and 3 month old son, Wilflamson, waited for him at home only a few blocks away. The welder shouldered his tools and headed for the gate.
Just as he walked outside, the earth began to pitch and roll. A strange, inhuman shriek rose from the ground like a thousand breaking bones. Wilfrid dropped his tools and tried to run, but the buckling soil tripped him. He put his hands out to brace himself, one on an old coconut tree and another on the heavy brick wall surrounding the workshop.
As he tried to sprint to an open area, an electrical cable caught him around the neck like a noose. When he tore it away from his throat, the live wire melted through his shirt and into the skin on his right shoulder. He sank to the trembling earth in pain, then tried to run again but fell. He staggered once more to his feet, but the earthquake floored him for a fourth and final time.
The wall crashed like thunder all around Wilfrid. Pain tore through his body. When the dust cleared, Wilfrid could see the blood seep into the packed dirt beneath his right leg. And when he brushed aside the brick fragments, he spotted the white of his tibia poking through his dark skin. He pulled off his T shirt, wrapped it around his shredded shin, and screamed for help.
Seconds later, Wilfrid’s boss, a businessman known only as Dady, arrived and carried him to the street. He boosted the younger man onto the back of a pickup truck and drove toward a hospital downtown. But the earthquake had left Boulevard Jean Jacques Dessalines a nightmarish landscape of crumbled buildings, honking cars, and dazed victims. A drive that normally took 20 minutes lasted four hours. Finally, the pickup inched down a steep hill in central Port au Prince and around a corner, but the path was completely blocked by concrete slabs.
"Leave me in the street," Wilfrid pleaded. Instead, his boss hailed a passing motorbike and climbed on. Promising to tell Wilfrid’s family that the young man was alive and to return with help, Dady disappeared into the darkness.Articles Connexes：