Oriani Clinic Life: Wednesday's after hours clinic

Wednesday afternoon at about 3:00 a lady came to the gate in labor. It was her first baby and she wasn't quite ready. She had been having pain since the evening before and was now dilated to about 6 cm so I sent her back home, telling her she wasn't quite there yet. She lives not far away and the family that was with asked if they could bring her back when she got closer. I told them that would be fine... so they said they would come back around 6pm. It isn't often someone can estimate an accurate time of when a baby is going to be born but they were pretty much right on. We went to Wednesday evening Bible study from 4-5pm. Jay left a few minutes after the service started to see an "ijans" at the clinic- a lady with abdominal pain. He never came back to church. We came home after the service but were planning on going to Quenton and Chrystelle's house for supper to celebrate their little boy's first birthday. Roseline and Chancela had gone there already in the afternoon to help with the cooking etc... Jay had messaged that he was going to be at the clinic a while, the lady with abdominal pain was still there and now he had a man there who needed a bunch of stitches in his hand. In a few minutes there was a man at the gate at the house with a child that had something in her nose. We sent them to the clinic and told them I would be there to help out in a few minutes. We didn't know if we would need to give Ketamine to remove whatever was in the child's nose or not and we had better tools available there anyway. When I got there Jay was busy stitching the guy's hand in Chancela's room, the lady with abdominal pain was in my room, and the kid and her dad were waiting on the bench in the entry. I gave the lady with abdominal pain a shot of IM promethazine then took the kid into Roseline's exam room. She had a blue bead lodged in her nose. She was 3 years old. Since I could see the bead very well I wanted to at least attempt to get it out without sedation. One of the youth guys had walked to the clinic with me so I employed his help and the child's dad to help hold her still while I tried to get the bead out. I was able to get it out in just a few minutes. While this all was going on, the lady who was in labor had showed back up at the gate at the house so Brianna sent her to the clinic also and called Roseline and Chancela to come help us out. Roseline, Chancela, and the lady in labor all arrived at about the same time. I wasn't quite finished with the kid yet, but that was the only exam room with the bed available so the lady in labor came in there also. After the kid and her dad left, I checked her. The baby's head was right there and it was time to push! I happened to glance at the clock... and it was about 10 minutes after 6 pm. Jay had just finished stitching the hand- of a very drunk man- had sent him home, and was mopping all the blood up off of the floor. Then he sent the lady with abdominal pain home also. She wasn't pain free but it was better, and we had given her everything we had available. Meanwhile this first time mom did an amazing job with her first baby! It was a boy and his lungs worked just fine. He was an angry child until we had him dressed and bundled up, then he chilled out. When they were ready to go, one of the ladies who had come to the clinic with the mom tucked the baby under her jacket and they walked home. We went to Quenton's. It was 7 pm. It was a full afternoon/evening but there were no more calls that night so nobody was overworked.

The little 3 year old boy with the burns to his face, chest, and arm is healing well. Instead of coming 3 times a week for dressing changes like they had been doing, on Wednesday I gave them a randevou for next Tuesday, for us to look at his burns and give more antibiotic cream if needed. He no longer needs a dressing on his arm, his face looks really good, and the places on his chest and the side of his head are slowly getting better.