Outpatient Clinics

Services Provided:

• Chronic Conditions
• Acute/Urgent Care
• Lumps and Bumps
• Chronic Wound Care (“curacion”)
• Pap smears

General Clinics: These are held in the three clinic rooms Monday through Friday, from 8:30 to 12:30 and from 2:30 to 5:00/whenever the last patient is seen. The most common conditions seen are listed below.

Adults:

• Chronic Obstructive Pulmonary Disease/COPD (“EPOC”). This is especially common in woman as they spend much of their time over wood fires.
• Diabetes – Type 2
• Hypertension
• Gastritis/GERD (often H. pylori positive)
• Intestinal Parasites (ascaris, giardia, and entomoeba histolytica are endemic)
• Pneumonia
• Cellulitis and Abscesses
• Non-tropical (due to altitude) infectious diseases

Children:

• Colds
• Otitis Media
• Asthma
• Bronchiolitis
• Acute diarrhea with/without dehydration
• Intestinal Parasites (ascaris, giardia, and entomoeba histolytica are endemic).
• Dermatological Conditions
• Malnutrition (replacement of healthy foods with soda and junk food)

It is very difficult to get patients to come in unless they are sick; therefore screening and identification of high-risk individuals should be done at every visit.

Prenatal Clinics:
Tuesday and Thursday afternoons.
Common problems include:

• Pre-existing/Gestational Diabetes
• Grand multips
• Pre-eclampsia
• Need for slow prim-ip inductions

Pap smears and disease screening is extremely important during pre-natal care as it may be the only opportunity we have to offer such services to female patients.

Acupuncture Clinic:

These are held on Wednesday mornings in the Sala de Education. Patients are charged Q10 per visit, the same price as a regular clinic visit. The acupuncturist makes notes in the patients' charts. Feel free to refer patients to this clinic. This clinic is very well accepted by patients.

Emergency Room and Inpatients

Services Provided:

• EKG
• Defibrillation
• Nebulization
• Suturing
• Intubation (for transfer, we do not have a ventilator)
• Lumbar Puncture
• Paracentesis/Thoracentisis/Chest Tubes

Obstetrical Services Provided (staff-dependent):

• Vaginal deliveries, with suction and forceps if required.
• Fetal Monitoring
• Ultrasound
• Induction with Misoprostol or Pitocin
• Magnesium infusion
• Umbilical artery/vein catheterization
• Cesarean section
• Dilation and curettage
• Tubal ligation
• Hysterectomy
• Fibroidectomy
• Cystocele repair, bladder suspension

Commonly Seen Conditions and Illnesses:

• Obstetrics
• Trauma from motor vehicle accidents, machete wounds and interpersonal violence.
• Respiratory crises: exacerbations of asthma and COPD
• Pneumonia, bronchiolitis (always consider TB)
• Hypo or hyperglycemia
• Chest Pain
• Vomiting
• Diarrhea – often due to intestinal Parasites (ascaris, giardia, and entomoeba histolytica are endemic).
• High Fever
• Dehydration, usually secondary to acute diarrhea
• Seizures (febrile, epileptic)
• Abscesses, cellulitis
• Sepsis – including neonatal
• Alcohol Withdrawal (we have plenty of thiamine and diazepam).