Things are definitely different compared to a year ago. I believe things are different, in a good way. Basically, I’m at Medishare, the only American run Hospital in Port-au-Prince. The University Hospital, where I was at a year ago, has totally been converted back to the Haitians, as it was prior to the earthquake.
It is now a county-like system, with very few physicians (unfortunately no real emergency medicine) and totally overpopulated. It’s literally too crowded for its current staffing. A colleague of mine had to go with my patient, a 3 year old who allegedly put a “pin in his nose” to get an x-ray of his face/neck/chest to figure out if he had. Our x-ray machine is broken, and we found out that the Foreign body was a huge button and it was deep within his nasal passage! Our surgeons took him to the OR and pulled it out. We were all happy. Anyway, my old hospital, per my colleague, was a mess (chaotic, disorganized, very few docs, and many, many patients… I guess it had to go back to the Haitians, but it was hard to realize that such a great hospital had to revert back to its old ways.