Port-au-Prince, Haiti
February 18, 2010
By Kevin Connell
Haiti – Learning to Walk Again
Real Medicine, in partnership with Chadasha Foundation, has been allocating volunteer medical professionals to Sacred Heart Hospital (Hôpital Sacré Coeur) near the heart of the city to help in ongoing treatment and rehabilitation services. One of the biggest challenges in Haiti is rehabilitating the new population of amputees. The first few weeks are critical to getting these patients mobile as much as possible, strengthening what physical resources remain in the process. Oftentimes this process is more mental than it is physical.
Today I had a chance to catch up with a physical therapist working as part of our team Sacred Heart, Mel Hoffman, and learn more about her work at the facility. As the only PT currently working at the hospital, Mel has been in high demand, serving the 60 in-house patient populations by herself, about half of whom need daily rehabilitation sessions. Mel is also working to provide each of them with training regimen overviews, introductions to their new prosthetic equipment and direct counseling. Mel is very comprehensive in her approach, going out of her way to build relationships with each of the patients she serves. Mel says that building trust is critical to making progress in her physical therapy sessions, and is particularly important with the victims of the earthquake in Haiti. Most of them are suffering from PTSD (Post-Traumatic Stress Disorder), having been trapped under rubble for hours or even days before being found. Having suddenly found themselves living in tents out in the day’s heat, surrounded by strangers and missing a leg, it’s understandable how many could feel uncertain or discouraged. 
Mel also tells me that many patients refuse to do therapy until they’ve been assured that the therapist is not leaving. They have been subjected to a constantly-revolving staff of medical professionals, probing, prodding, measuring them each day since the disaster hit. The patients may only know a professional for the few minutes he or she visits with them before passing them off to the next volunteer rotating through. Mel insists on being present at the hospital as much as possible to build rapport with the patients, something that is unheard of at most facilities treating victims. It is also a real world example of RMF’s mission to build sustainability into its clinics, ensuring that patients develop relationships with their providers and receive care and treatment not just during the immediate humanitarian crisis, but on a regular basis well into the future.
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