Today (Monday) was my first full volunteer day in my clinic, Salud y Paz (http://saludypaz.org/). Salud y Paz is a nonprofit organization sponsored by the Methodist church that runs 3 clinics year-round and 2 other clinics with medical mission trips visit rural areas. Monday and Tuesday I will be with the clinic in Cocomanuj (Chichicastenango), Wednesday in Xela, and Thursday in San Antonio (Sustantepequez). Today I met Korrin at the bottom of her hill at 620am and we walked to the Rotunda to pick up a microbus at 635am. Five minutes later we departed next to the orange wall under the overpass where Erika, our coordinator, told us to wait for the blue micro that would take us to the clinic. We arrived plenty early and watched chicken bus after chicken bus and micro after micro pass until we saw a woman across the street with a Salud y Paz jacket. We raced across the street to catch the bus, only to find it that it would truly make a u-turn and come back to the same place we waited for nearly 20 minutes. Tomorrow we are going to leave our houses a bit later to avoid the long wait time.
Our micro ride was uneventful at first. Jose, the eye glass specialist, drove the micro. Maribel, the clinic cook, rode in front with him. There were also two dentist, Dr. Fredy the GP, one nurse, two Guatemalan student volunteers, and us. About an hour into the ride, we came to a dead stop. There was a human blockade across the freeway to protest the crappiness of the freeway. Buses, trucks, and cars could not pass and would not be able to pass all day. Dr. Fredy, Korrin, and I walked through the blockade to the other side. The others followed shortly after. Jose parked our micro in some man’s driveway and we all waited together for about another hour. Korrin and I had a chance to talk to Dr. Fredy a little about ourselves. He presented the current state of Guatemalan public health to us a few weeks ago (shitty, as you can imagine). An ambulance from the town’s firestation came to pick us up and drove us the next hour into the clinic.
When we arrived Korrin and I met Sarah, a 4th year med student at UVA, and Cheryl, a nurse practioner from the States who is our coordinator. Sarah gave us a brief tour of the clinic, which she had just received herself that morning. The clinic includes a few exam rooms, a pharmacy, a laboratory, a storage room, an eye exam/surgery room, an operating room, multipurpose room, and kitchen. We spent our entire day in the multipurpose room. After our tour, we watched a presentation about the clinic and its expectations for us. Then Korrin and I helped Sonia and Maria count pills from big bottles and sort them into individual prescription sized amounts in zip locks. Sonia and Maria spoke Quiche (one of the top three most common Guatemalan dialects) to each other and spoke Spanish to Korrin and I. We want to learn some Quiche because the majority of the patients at the clinic speak only Quiche.
Just after 1pm we ate lunch as a staff. Roasted chicken, chicken soup, tortillas, and pineapple. Korrin and I ended up at what Cheryl called the “bilingual” table at lunch but Korrin and I spoke more Spanish than any of the other American staff or volunteers. Dr. Fredy sat with us as well but spoke in broken English (I assume he wanted to practice). I felt bad for two of the women who sat at our table and did not understand any English. Somos Hermanos has done a lot of prep with us about not speaking English in front of people who don’t understand it. I spoke some Spanish to Maria who sat next to me and translated some of the conversation for her. I was surprised by how much Cheryl struggled to speak Spanish despite her time in Guatemala and Honduras. The other visiting doctor turned out to be from Everett, WA. He did not understand any of the Spanish I said to him. Sarah has been in Guatemala for 3 weeks taking Spanish classes but Korrin and I will be spending part of our volunteer time translating for her during patient consultations (OMG but totally awesome for us). After lunch, the English-speakers continued on discussing a patient and medication, alternative birth control methods (alternative to condoms and pills because Guatemalan typically won’t use either), and how Cheryl does a lot of research to learn more about patients needs outside her expertise (way cool for her).
Around 230pm we left the clinic in anticipation of another delay after our ambulance ride back to the micro. Luckily, we had no further delays and arrived back in Xela around 4pm. We took another micro back closer to home. I had time to go to yoga after and reflect on the day. It was a great opportunity to stretch out all my soreness from Tacamujlco. Ready for bed after a long day!