We arrived at the hospital on Sunday afternoon and brigade started the next morning. The week before brigades are planned, the staff of the jungle hospital goes out to surrounding villages and passes out fliers that records where their brigades will be for the next week. In addition to this, they always have the locations of the clinics posted on the front gates of the hospital. That way, come brigade time, we have a hefty crowd waiting for the goodness that Dr. Martin has been blessed with and has surrendered back to the Lord for His Kingdom's furthering. On average, we usually have to be ready to go by 7 am. Whether that means starting clinic at the jungle hospital then, loading up the bus and leaving to a nearby town then, or beginning our hike to a nearby town. On this schedule, breakfast is opened at 6am. Once we are on brigade, we have several teams. But first let me describe the idea of brigade to you. The hospital has brigades when there are large teams staying at the hospital. Because we have more hands and more doctors, the hospital is able to see more patients. Therefore, efforts are made to try and round up large groups and the patients are able to see the doctors at a discounted price. At first, Dr. Martin had no intentions of charging his patients, but he soon found out that because of the culture, the patients were not taking their medicine. In their eyes, if they are not investing anything, the medicine must be bad, old, or doesn't work (if you can think of any other words to add to this list of synonyms, let me know.) Because of this, he began to charge 50 limps (I think), equivalent to $2.50 for medical visits. Brigades however, only cost 10 or so limps ($0.50). Due to this change, the patients are consistently taking their medicine and coming back on a regular basis. Anyway, back to those "teams" I was telling you about: we have students doing several things on brigade days.
1. we have childrens ministry where students play with kids while they wait to see the doctor or wait for their family to see the doctor.
2. we have registration: this is where we pull the files or create files for the patients. We find out their name, age, birthday, if they need consult or glasses, or both. We assign them a number and then pass the file along to the triage flow.
3. Triage Flow: This person is in charge of calling people in our waiting area to move along from registration and onto triage.
4. Triage: These students weigh the patients, take their blood pressure, their heart rate, and on occasion, their sugar level. After this, their file is passed along to the Medical flow
5. Medical Flow: This person is in charge of all of the files after triage and keeps them in order so that they may call the patients out of the triage/ waiting room and onto seeing a physician.
6. Physicians assistant: This person gets to sit alongside a doctor and listen really. They are in charge of documenting the name and location of the patient as well as what the patient is diagnosed with. This information is us ! ed to see if there are commonalities between illnesses and the location of the villages.
7. Translator: Each doctor has a translator if needed that... well, if you can imagine, translates between the English speaking doctor, and the Spanish speaking patient.
8. Pharmacy: After the patient sees the doctor, the doctor sends his prescription to the pharmacy. The pharmacy has several students filling the prescriptions and then having them checked by the professor and sent out to a translator who delivers them to the patient. The translator teaches the patient how to take each medicine: from learning how to open a push down and rotate cap to how often it should be taken each day.
9. Glasses flow: this is the person who keeps track of all of the patients who are here to get their eyes checked. They are in charge of keeping them in order and calling them back one by one.
10. Glasses: I can't be entirely sure what happens here because it was an area I was not assigned nor moseyed around but I know there was some type of "check your eyes machine" as well as one of those letter charts you have to read from something like 20 feet away.
If brigades were at the hospital, we could be done by lunch or a little bit later (12:30-2). If they were elsewhere, we were sometimes out until 4! After Brigade, we would have dinner around 5:30-6:30 and our incredible J team would have no time to shower to take a break as they all helped in making dinner an actual thing. After dinner, the J team would clean up as the rest of us hung around or repacked the medicine totes for the next day. The days would end in meetings or game night, or worship... and then it was off to sleep to start all over again!