tag:blogger.com,1999:blog-3878949847801483173.post5592944521158349184..comments2022-04-01T19:27:31.910-05:00Comments on Jamaica Pediatric Medical Initiatives: Day 02 - Annotto Bay HospitalAnonymoushttp://www.blogger.com/profile/00263492063600014316noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-3878949847801483173.post-65046594447212329142010-08-03T00:36:08.342-05:002010-08-03T00:36:08.342-05:00You are right on the spot, Dr. Rabi !!!!As you det...You are right on the spot, Dr. Rabi !!!!As you detail only a few of our many challenges.<br /><br />As you know, it is a cumbersome and intricate task to care for premature neonates with or without respiratory distress, with all the complications they can develop.<br /><br />Preterm delivery is associated with a high mortality rate even in the best environments. No doubt,a higher mortality rates are expected in our third world countries.These disadvantageous outcomes are not necessarily related to lack of knowledge or dedication of the staff members.<br />Babies (like our fighting-triplets) are very often conceived, delivered and managed in less than optimal conditions.<br /><br />Besides of the shortcomings that you have underscored, there are yet many others that we face , like:<br />a) No Specialized/Pediatric nurses<br />b) Not enough staff, to keep the recommended nurse-to-patient ratio. One that could satisfy an intensive care for high-risk-of-dying-patients (as our triplets).<br />c) No working incubators.<br />d) Lack of necessary monitoring equipment.<br /><br />Therefore our nurses and doctors have to make an extraordinary effort with an amazing display of clinical skills and dedication, to achieve hour after hour, day in and day out, all year-long,what machines and equipment do in the first world.<br /><br />I understand that what you have seen and what your staff will see in the upcoming months might be shocking.We realize that our setting is suboptimal. That is why, we are so desperately in need for support, in terms of equipments.<br /><br />I should probably let know the fact that our Early Neonatal Mortality Rate in Annotto Bay Hospital for the last five years has been below 8 per 1000, and a Late Neonatal Mortality Rate less than 1 per 1000. Beyond the neonatal period (infancy) we have only had 2 deaths in the last five years.<br />Features these that can only be atributed to the hard work and sleepless hours of bedside monitoring dedicated to these extremely ill patients by our nurses. And also to the fast pacing work, quick wit,relentless spirit, high clinical skills and accurate pediatric knowledge of our team of doctors, whom more often than not have to rely only on clinical judgement to make diagnoses and discover complications, that in high technology working environs are made within minutes by echocardiograms, sonograms, ABG's, chest-X-Rays, CAT scans and MRIs.<br />But we will keep doing what we do best, even with a minimun at hand. With all heart.Dr. Iyer Ivan Berrroa Ramoshttps://www.blogger.com/profile/14463542897341962890noreply@blogger.comtag:blogger.com,1999:blog-3878949847801483173.post-83070434920242128822010-07-20T16:23:08.847-05:002010-07-20T16:23:08.847-05:00Keep it up guys, Well done. Ava.Keep it up guys, Well done. Ava.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3878949847801483173.post-36963886845675638312010-07-18T16:42:31.524-05:002010-07-18T16:42:31.524-05:00Thank you for your posting and the good work. It&#...Thank you for your posting and the good work. It's always a struggle to advocate for the LBW / premie in a low resource environment. I will try to get some newborn BP cuffs<br />Dr Arleen Haynes-LaingAnonymousnoreply@blogger.com