First Pres- Last day in San Juan

Up early again with the chickens on our travel day.   We spent last night debriefing and having fun talking about our experiences here this week.   We went through the med room and did some cleaning and taking inventory.   The following are our thoughts on what is needed and used out in the barrios.

Pediatrics
Liquid iron
liquid vitamins
any liquid or chewable antibiotic for kids
liquid tylenol and advil
fluoride
mebendazole and albendazol for parasites- these are expensive in the us though we found a big bottle of albendazole 400 mg from Blessings Innternational in Tulsa that we used extensively.  half a bottle left in the med room

Adult medicine
cipro
amoxicillin
flagyl 500 for vaginitis
Ibuprofen and acetaminophen by the buckets
Famotidine and Ranitidine and tums by the buckets
Topical antifungals
Amlodipine for bp-   all the Dominicans are on enalapril and atenolol which i am not sure about effectiveness
used a lot of HCTZ and there were multiple bottles of this .   There was also a lot of Furosemide remaining which was not used
Vaginal antifungals
eye drops for dry eyes

Things that are not needed
antidiarrheals - we used more laxatives
aspirin
nonsterile gloves
bandaids and wound care stuff
diabetes care - i saw one person on insulin and no one on oral agents the whole week
Cephalexin-  there were multiple big bottles that we used extensively

Betsy Triggs our pediatrician had the following items for the kids which were big hits
old baseball hats
small stuffed animals
sunglasses
toothbrushes and toothpaste
we bought the stuffed animals and baseball hats at garage sales back home for almost nothing

As noted above, the barrios require uncomplicated medicine though plenty of patience.  The experience though was very rewarding.   Off to the airport in 2 hours.  Will see everyone tonight at home.

Jim Cato