November 24th

You have no access to labs in the field, no sonogram machine, no blood draws… just your hands and eyes and a basic set of tools/instruments you carry with you, and you’re left to use your best clinical judgment to evaluate, diagnose, and treat patients. It brings you into a space where you begin to question yourself, what you know, what you don’t. The training wheels are off and everything we have grown to rely on to support our clinical judgement is no longer there. It is us and it is the life sitting in front of us that is depending on our accuracy. You have to trust yourself, trust your skill, and trust your judgment. Trust that you know your shit and you’re making the best decision you can with the information you have. Because there will be moments where you find yourself in the middle of the field with one of the worst hemorrhages you’ve seen and you already used your bag of fluids and antihemhorragics on the birth you just left and you were called to this one because you happen to be in the right place at the right time. So you do what you can with what you have to stop the bleeding and stabilize the emergency, because it will take at least 3 hours to get her off the top of this hill and out of the camp to the nearest emergency clinic. …and you don’t always have 3 hours because by then there is a good chance it will be too late. But that’s what you have and you move mountains to get her to the road in 2 1/2 hours instead of 3 and to the clinic and by this time she can barely stay with you and is floating between this world and that one. The image of her surviving four children standing in her blood in the middle of their tent will forever be burned in your mind and you can’t shake the image from your head and you plead with the old gods and the new that she makes it, that she pulls through, because life for these people has been so fucking unfair and they have already had so much taken from them, so please don’t take her too.
**Also, many people have reached out to make donations and I finally created a fundraising page that you can access here:**

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