Typical day:
7 am--morning meeting. Updates from hospital departments (internal medicine, surgery, pediatrics, observation which is like an emergency department, and cholera unit) and overnight activity like admissions and discharges and census. Other hospital-wide announcements. Then a brief presentation. We've had UTI presentation / treatment in infants and children, DVT prevention, and radiology cases from ortho and internal medicine. This lasts from 30 mins to 45 min and is conducted in both French and English.
After meeting: rounds. I've been going on surgery rounds which is awesome since PT can chime in and clarify orders (esp. post op) and get to see wounds and radiographs.
9 am: PT meeting to assign inpatients. In theory outpatients have appointments for what day to return, but usually just show up and wait until someone can see them.
9:15-11:45 am: treat patients, or for me supervise students.
12 - 1:30 pm: lunch. We walk 5 min to our house for lunch and some down time during the heat. Sitting in front of a fan is awesome.
1:30 - 4:00 pm: see the rest of the patients, sign student notes, follow up on stuff from the morning. All while sweating a lot.
4 pm: we've heard a rumor this is when peds rounds are, but after 2 days sweating in the hallway until almost 4:30 with no luck, we may give up on this.
After work: go to the house and change so we can walk 5 min to the pool. It is so nice when you are sweaty and tired just to swim around a bit.
Try to get back to the house before 6 pm so we don't miss the evening water!
Evening: have dinner, chat, fill out our daily logs about the students and cases, plan for tomorrow. Also time to email, read, chat, and watch a movie on the computer. I'm usually in bed before 10, sometimes 9, but often read or watch something on the computer for a bit. The power goes out for a few minutes at 10 pm and 3:30 am, so best to not be up and about because its super dark and I don't want to run into any bugs!

Sorry for the lack of updates, it's been busy! Plus, the Internet isn't so good here which make updating difficult.

I'm one of 2 PTs supervising the 6 rehab tech students. They've been on clinical for 4 weeks, and will get a week off after our 2 weeks with them. They are seeing adult and peds inpatients and peds outpatients.

We have a special cholera unit here, as this is the original cholera region, and the rainy season has brought it back. They are cordoned off, have a triage tent, an area for the very ill, and then a few tens for those getting better. There is a shower/bathroom tent and an education table. When you leave the area you have to wash your hands with soap and water (not normal here) and have the bottom of your shoes sprayed with disinfectant.

Big news today is Hurricane Emily is supposed to hit tonight. However, not a lot of details about how bad they think it might be or any precautions we should take.

Dino

Deschappelles is great so far. I'm in a great house, am getting familiar with it's quirks. Big difference is we only have running water for 3 hours a day (3 one hour periods; 6 am, noon, and 6 pm). Did venture over to the pool on campus. Also plotting to go to the beach (1 to 1.5 hour drive in a taptap) next weekend, either for the day vs overnight. We've decided to acclimate today after the long traveling day yesterday, and save getting organized and oriented until tomorrow.

Thunderstorm I coming--big looming black clouds and audible thunder. Seems to be an afternoon occurrence here.

I know I'll fit in since someone in the house is playing Love Shack!

Safely in back in Port au Prince

Five hours to get from Cayes to PaP--pretty much the same as last time, but with a bit more drama.  It probably didn't help that I was more awake this trip (still sleep deprived, but not going on 36 hours of being awake like the trip out to Cayes).  Interesting traffic-related drama I can remember includes:

1. Donkey running away from owner right in front of our Land Cruiser when we were going about 60 mph.  
2. Road shared with the following: people and children walking, motorbikes with up to 4 or 5 people on them sometimes with no helmets, cars, trucks, mac trucks, tap taps (mini vans or trucks that act like buses STUFFED with people and sometimes with stuff stacked on top), vendors selling stuff, rocks, debris, donkeys, and we even saw a guy in a wheelchair.
3. My neck is handling all the driving sitting in the back of the Land Cruiser facing sideways remarkable well.  Better than my backside, in fact.
4. Swerving around while honking is how you pass here.  The road is only two lanes (if that).  Read #2 again and imagine that.
5. Ate half a 'sandwiche fromage' at the truck stop.  Reminded me of pannini at the train station in Europe, since it was toasted and melty. Hasn't made me sick yet, and highly recommended.

We had super big thunderstorm lasting all night last night, so sorry for no update.  I did add some photos over on FB (open account, anyone can view): http://www.facebook.com/media/set/?set=a.2215388714051.2130245.1527584939&l=aea6c348d4&type=1

If I get motivated tonight, I may put the ones I took at Bonne Fin and the ride out here to PaP up tonight.  Turns out I leave tomorrow for Deschappelles (thank goodness for international phone service so I could get that phone call while we were on the road) and on to Hopital Albert Schweitzer.  Cannot wait!

PaP (Port au Prince) is depressing and hopeful.  There were signs of rebuilding, but also a lot of trash and rubble and poverty.  And that's just what I saw from the road.  Also, lots of UN and UNICEF trucks.  The MTI Team House here is amazing--very nice, swanky by Haiti standards.  I don't know about the armed guard at the gate, I suppose it's necessary but it's a reminder of how safe I felt in Cayes and how potentially unsafe PaP can be.

Well, looks like rain is coming and sounds like there may be distant thunder.  The breeze is certainly nice, and the humidity here doesn't seem as bad.  Looking forward to being TIRED tonight and sleeping in an air conditioned room.  The adventure begins again tomorrow.  I don't know how able I will be to update from Deschappelles, so these may be short (via text).