Thanks to the generosity of the Class of 2010, I was able to spend my fourth-year elective combining my passions of ultrasound education and international medicine in Roatan, Honduras. I worked directly with the Honduran doctors who provide care to over 100 patients daily at Clinica Esperanza – a clinic that provides pediatric, medicine and obstetric care to the island natives.
The clinic had two ultrasound machines for use. However the Honduran physicians are not instructed in ultrasound during their medical education and training so they were not utilizing the machines available. Each day, I would spend 3 hours in the morning and 3 hours in the afternoon teaching ultrasound while caring for patients.
The Honduran doctor in the morning, Dr. Emma Nova, evaluated all of the obstetric patients. When I arrived she told me the ultrasound wasn’t working because the screen was too dark. I increased the gain and the image improved and she was amazed! When I arrived she did not use the ultrasound in her evaluation of the pregnant patients. Instead she measured uterus size with a tape measure and used a Doppler to assess fetal heart rate. Dr. Nova was a fast learner and when I left she was using the ultrasound to assess fetal heart rate and also to date pregnancies in each trimester. The best part of this was seeing the joy in each mom ‘s face when they saw their babies for the first time!
Dr. Jayleen Coleman was the afternoon Honduran physician. She saw general medical patients and was excited about all aspects of bedside ultrasound. We used the ultrasound to evaluate gallbladder, kidneys, aorta, heart, lungs, DVT – basically anything and everything we could! Because of the broad range of applications, Dr. Jayleen was not independent with any one ultrasound exam. But I know that with more practice she will be able to incorporate point-of-care ultrasound and improve care for her patients at Clinica Esperanza.
While in Roatan, I also hired a local woman, Karina, for individual Spanish lessons. I spent 2 hours a day with her in her home. It was such a pleasure getting to know Karina, her nine-year-old daughter Alice and her dog Molly. It was an experience I will never forget!