On Wednesday I had the awesome experience of "receiving" a omwana omwojo (baby boy) during a C-section and taking care of him in his first few minutes of life.
As I reflect on the past two weeks, I see personal growth. I see knowledge gained. I have only traveled internationally alone once before, and it was to China with a connection in Germany with a close friend waiting for me at the airport. The traveling adventures, to and from Peru, have forced me to act as an adult, fully responsible for myself. Nobody else was watching out for me.
Much of the material in the medicine class was interesting to me. Most notably, Dr. Neira reported that 34% of the children in the community the clinic serves have anemia. Contrary to popular belief, the problem in Peruvian families is not necessarily a lack of income, but a lack of wisdom on where to allocate their resources. Dr. Neira explained the difference between symptoms (described about a patient by a third party of by him or herself) and signs (a measurable result of illness). He then went through the process of a general examination with us, and taught us the main Spanish words to know when performing these. We then practiced general examinations on one another, and on one young girl from the community that had spent time with us during the class.
12:00 am: It was time for dinner: hot chocolate milk, turkey, applesauce, and fruitcake. After dinner, we opened presents. Mommy got us each a purse and earrings. The whole family, including myself, found great joy in watching Mary’s, our host sister, son open his Christmas presents. I was amazed by the thoughtful gifts exchanged between our family members.
This is where health education comes into play; it must start at the top of the ladder and trickle down. Government officials need to realize the flaw in this policy. Peruvian doctors need to understand the danger in over prescribing drugs to patients. Without understanding that bacterial strands can develop resistance to antibiotics, it seems like there would be no repercussions for giving out pills as if they were candy. Doctors also need to advocate for more restrictions on pharmaceutical distribution. Individuals need to be taught to take antibiotics seriously.
The last patient of the day was a 15-month-old boy with a 42-year-old mother. The young boy could not walk, was unresponsive to verbal cues, and had a fever of 38.6 degrees Celsius (101.5 Fahrenheit). According to medical records, he has congenital heart failure, Down syndrome, and growth stagnation.
It took coercing and candies to get many of the kids to hand over their arms, but this is important. They need to know early if they have anemia. It is worth the temporary pain of a finger prick. Peruvian medicine (and all other medicine) has to remember that preventing disease is far better than finding solutions to disease. This seems intuitive, but it is not always the applied practice.