MSFT Trip Report 11.2013 (1)
Transcript of MSFT Trip Report 11.2013 (1)
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MEDICAL SERVICE TRIP REPORT
MISAHUALLI|ECUADOR
TIMMYGLOBAL HEALTH
4TH ANNUAL MSFT TEAM
NOVEMBER 8-17 2013
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MISAHUALLI, NAPO, ECUADORMicrosoft - Caradigm traveled to Napo Province
in November of 2013 on the fourth annual trip tosupport Timmy Global Healths programming inthe Amazon Basin of Ecuador. Started in 2011, the
Amazon Basin program is now one of the fastestgrowing programs within the organization. Timmyoffers medical services to 15 of the most vulner-able and at-risk communities in Napo Province,
generally too small or too difficult to be reached bythe Ministry of Health.
Communities within Timmys Napo network aresplit into two circuits, one hailing from Misahualli,the other based further out in the Chontapunta re-
gion. Travel can be challenging to reach Timmyscommunities, which are a mix of both indigenousKichwa populations as well as settlement colonies.
Under the purview of the local Ministry of Health,Timmy works hand-in-hand with Patronato, the
social service arm of the provincial government.Timmy partners with Patronato to provide qual-ity medical service to more than 600 patients per
service trip. Besides providing logistical supportand transportation, Patronato offers local expertisethrough a number of health promoters sent witheach team. The promoters are an invaluable as-set in helping with Kichwa-Spanish translation and
facilitating understanding of local traditions andcustoms. Timmy Global Health also contracts withand provides training for a designated commu-
nity health promoter in each site, enhancing un-derstanding of intricacies of each community andproviding a more effective patient referral process.
ATTENDING PHYSICIANSAbimbola Adike, MDInternal Medicine
Cecilia Allauca, MD
General Medicine
Gaby Arteaga, MD
General Medicine
Shawn Hake, PA
Womens Health
Craig Matthews, PA
Emergency Medicine
Jean Miller, MD
Family Medicine
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CLINICALPROFILEPowered by TIMMYCARE
7partner communities
were served in
mobile medical clinics.
CHILDREN
ADOLESCENT
S
ADULTSWOMEN
MEN
In total, we treated
610PATIENTS
TOPDIAGNOSES
MEDICATION TIMES PRESCRIBED
Ibuprofen 177
Acetaminophen 176
Albendazole 147
Metronidazole 92
Calcium 69
Amoxicillin 66
Clotrimazole 66
Ocular Lubricant 63
Loratidine 48
Ferrous Sulfate 43
POPULARPRESCRIPTIONS
211
60
339
370
240
Parasites
Osteoarthritis
Fungus
Gastritis
Generalpain
LowerBackPain
Headache
Dermatitis
Anemia
13%
7%6% 6%
4% 4%3% 3% 3%
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indicators ofhealth impact:
1
2
3
TIMMYGLOBAL HEALTH
How many patients werereferred to a partner hospitalfor further treatment?
What percent of patients havechronic conditions, requiring
regular care?
How many communitypatients were returning forcare after previous visits?
127
30%53%
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MEDICAL
REFERRALS withHEALTH PARTNERSAMAZON BASIN REFERRAL SYSTEMSince the programs inception in the Amazon Basin, Timmy Global Health has part-nered with Stadler-Richter hospital in Archidona, just outside of Tena, the capital of
Napo Province. Patients seen during clinics who need more specialized care are sentto the private hospital, where they are able to receive lab exams, x-rays, ultrasounds,
and emergency care. Specialists in gynecology, orthopedics, pediatrics, and generalsurgery are also available for consults. With the assistance of the community healthpromoter and Patronato promoters, patients from rural areas are guided though
what would otherwise be an intimidating and confusing process. One hundred per-cent of patient costs are covered by Timmy for all patients coming from the Amazon
Basin.At times, a patient with even more specialized needs will come to a Timmy clinic. In
cases where Archidona Hospital is unable to provide the level of patient care needed,patients are transferred to the countrys capital city, Quito, where Timmy partnerswith the Tierra Nueva Foundation and its Hospital Padre Jose Carollo, also known as
Un Canto a La Vida. Timmy works in collaboration with the Tierra Nueva Founda-tion year-round to perform follow-up care with critical patient cases and expand
health services to those who lack access. Hospital Padre Carollo serves as Timmyslargest referral center where patients from the coastal, Amazonian, and Andean re-
gion are referred to through community medical service trips.
Every year, Timmy donates $24,000 to facilitate patient follow-up care. Due
to the remarkable growth in the number of volunteers trips (increasingfrom 5 to 16 in the last 2 years), Timmy is looking for innovative
ways to continue providing support to its ever-increasing
patient population.
Physical Therapy 4
Non-specified referrals31
Ophthama9
OBGYN15
Gastroenterology 3
InternalMedicine
17
GeneralSurgery
2
ENT
6
Colonoscopy 1
Cardiol
ogy6
Echocardiogram 3
Family Medicine 2
Orthoped13
REFERRALS WRITTEN
21% of total clinical population
Of the 127 referrals made, 8 cases (6.3%) w
labeled high priority. 80 referral patients were
male and 47 were male.
Laboratory Exam7
Ultrasound 4
Neurology
8
Urology9P
ediatric
s
7
MRI 2
Dermatology 1
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TAMIAHURCU November 11
Tamiahurcu is Kichwa for La Montaa de Llu-
via or rain mountain. There is one school with-
in the community that serves all 60 families.Here as well, members speak both a mixture
of Kichwa and Spanish. The community has
electricity but lacks potable water. In general,
Tamiahurcu lacks access basic health servicesand also presents with transportation challeng-
es, making Timmys clinics a valuable addition
to the community.
SIGNIFICANT DIAGNOSESParasites: 13.6%
Abdominal Pain: 12.6%
Gastritis: 10.7 %
LAS GALERAS November 11Las Galeras, or The Galleys, shares a local folklore tale of two tigers that lived in the nearby mountain tha
would come down and kidnap community members. It is safe to say that tigers do not inhabit the area, bu
it is always interesting to learn about local legends. There are 50 families living in the community, all speak
ing a mixture of Kichwa and Spanish. There is one school in the community, however lack of electricity anpotable water in the community makes access to basic health services more challenging.
SIGNIFICANT DIAGNOSESParasites: 14.7 %
Tonsilitis: 8.4%
Osteoarthritis: 6.3%
General Pain: 7.8%
Headache: 4.9%
Low Back Pain: 2.9%
CHILDREN
ADOLESCENTS
ADULTS
30
3216 15
31
CHILDREN
ADOLESCENTS
ADULTSWOMEN
MEN
56
34
39
6
45
Pharyngitis: 5.2%
Low Back Pain: 4.7%
WOMEN MEN
Number of patients seen: 54
Percent of total who were returning patients: 46%
Rate of patients referred: 11%
Number of patients seen: 90
Percent of total who were returning patients: 64%
Rate of patients referred: 9%
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JATUN YAKU(6 DE MARZO) November 14Jatun Yaku is Kichwa for Ro Grande or big riv-
er. Situated right above the Jatun Yaku river, ap-
proximately 60 families in the community speak a
mixture of Kichwa and Spanish. There is one small
school in the community known as 6 de Marzowhere Timmy clinics are run. The community is
fortunate to have electricity and potable wateravailable locally.
SIGNIFICANT DIAGNOSESParasites: 12.4%
Osteoarthritis: 8.0%
Fungus: 7.2%
Number of patients seen: 122
Percent of total who were returning patients: 30%Rate of patients referred: 17%
CHILDREN
ADOLESCENTS
ADULTSWOMEN
MEN
57
24 14
4
63
Gastritis: 5.6%
Anemia: 4.0%
MUSHUK ALLPA November 13
SIGNIFICANT DIAGNOSESOsteoarthritis: 8.2 %
Parasites: 6.7%
Gastritis: 4.9%
Hypertension: 4.5%Headache: 4.5%
Mushuk Allpa is Kichwa for A New Land. Thiscommunity was the very first location Timmy ad-
opted within the Amazon Basin and has progressedwell within the past years since the partnership
began. There are approximately 30 families living
in this community with access to both electricityand potable water. No school exists, but residents
are close enough to other schools that this does
not pose a problem. This particular community has
taken the health of their community very seriously,
and many have even stopped drinking chicha, a
traditional homemade fermented, alcoholic drinkmade from yucca, because of the health issues
associated with drinking. The community leaders
continue to celebrate the collaboration between
Timmy and Mushuk Allpa with a special dinner forvolunteers and local partners at the end of each
service trip.
CHILDREN
ADOLESCENTS
ADULTWOMEN
MEN
47
2517
12
43
Number of patients seen: 72
Percent of total who were returning patients: 48%
Rate of patients referred: 15%
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PUNICONTONA November 15
Punicotona is a rather isolated community
within the Amazon Basin and one of Timmysnewest and largest with nearly 70 families
within the community. Families speak a mix-
ture of both Spanish and Kichwa. There is one
school within the community to serve all 70families. Due to its remote location, this com-
munity lacks reliable electricity, potable water,
and phone service, making it particularly dif-
ficult for community members to stay in touch
with individuals both in and outside of theircommunity. Their location makes it a particu-
lar challenge for our programming.
Number of patients seen: 64
Percent of total who were returning patients: 48%
Rate of patients referred: 22%
SIGNIFICANT DIAGNOSESParasites: 15.8%
Fungus: 6.9%
Dry/Irritated Eyes: 5.9%
Gastritis: 5.0%
Anemia: 5.0%
Headache: 4.5%
CHIL
DREN
ADO
LESCENTS
ADU
LWOMENMEN
44
4325
4
36
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ON-SITEDENTAL
SERVICESDuring the Microsoft ser-vice trip, dental services
were offered to the Ama-zonian communities by
Timmy for the first time! In
partnership with Patronato,
Dr. Pedro Ortizand Dr. Luis Gual-
saqui worked alongside themedical clinic performingdental cleanings, fillings,
extractions, sealants, and
fluoride treatments. Theyalso counseled patients on
proper brushing and hy-
giene practices. In total,
179 were seen by the twodentists.
PATIENT BREAKDOWN BYCOMMUNITY
Tamiahurcu
JatunYaku
Punicotona
ElCalvario
LasGaleras
Llushianta
MushukAllpa
42
36
28
2118 17 17
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TIMMYGLOBAL HEALTH
www.timmyglobalhealth.org22. E. 22 Street, Indianapolis, Indiana
A special thanks to all medical professionals
and volunteers for their service and com-
mitment to improving access to qualityhealthcare within our communities.