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Attend our Academy Class. The child needed an echocardiogram, and a pediatric cardiologist would have to interpret the studies. Moreover, the only hospitals with the specialized equipment to do pediatric open heart surgery were in Tegucigalpa, and his family did not have the resources for travel and lodging to go to the capital for the surgery… or pay for the surgery. His mother and I talked about the possibility of medical brigades being able to provide some of the services her son needed.

I encouraged her to take the boy to a pediatrician in La Esperanza, several hours away. He would become more deconditioned to exercise because his heart would not be able to keep up. There was no way of telling how soon or how slowly this process would take place. I tried to offer some encouragement though that he needed to be allowed to be a child. She should encourage him to play outdoors and take rests when he did get short of breath. I hoped that this advice would be helpful to her and encouraging to hear.

The boy should not be treated as an invalid and kept inside or away from others. He had to be allowed to engage as much as possible despite the shortness of breath. Even this advice seemed hollow and unsatisfactory to me. I expressed to his mother that I was sorry we could not be more help or give more satisfying answers, and I asked her if she had any other concerns. There was something I could take care of!

We were able to send him home with a supply of vitamins, and his mother smiled as she accepted them from the pharmacy. I was able to lend her some advice and a concerned ear… and the vitamins.

I am not sure if I will ever see the boy again, who was my patient for such a short time, but he left a lasting impact on me. He made me think about how pervasive and disruptive injustice and inequity are in the world. God was hard to find that morning, but I think I was able to see a flicker of hope the simple request for vitamins.

She was grateful for the help and listening ear, and I was grateful that I found something, however small, I could help with.

We recently returned from our Fall trip to Honduras. We got so much accomplished! All the usual projects continue to move forward. Cook stoves, pilas, latrines and water filters continue to be built or distributed to the San Jose community. We reconnected with a distant community called el Salitre and hopefully can expand our interventions there. We had a video crew with us for a few days who made a great video about what we do in San Jose.

New middle school scholars applied in the hopes they can continue their studies beyond 6th grade. We are exploring ways to help area farmers improve their coffee crop and make more for their coffee. A focus group was held with community members as we improve our micro-loan program. We also had a real medical emergency in the clinic along with the day-to-day medical care of sick people. Check back in a couple weeks to view the trip report to get all the details. We recently returned from the May trip to San Jose.

A great group of people worked very hard and got much accomplished. One new idea we are exploring to help combat poverty is to find new markets for local coffee growers. We also found a regional group that helps farmers improve the quality of their coffee crop, even to the point of growing organic coffee. Reducing poverty is one of the most difficult problems to address, but there can be no health in areas with severe poverty.

A video was made in May of a severely disabled girl we have been trying to help. She lives in the village of Portillon, about a 2 hour walk from the main village. Her family struggles terribly to support this girl. A children's home a few hours away in another parto of Honduras is trying to raise money to have this girl live with them.

Consider watching the video. It is moving and helps us realize just how hard life is for people living with disabilities. This link will take you away from SanJosePartners. Every December we hold a small auction in our office. Staff members make hand crafted items and others within the office bid on each item. It is a great deal of fun seeing how creative people we work with every day can be. Some of the items can be viewed on-line.

The Fall trip to San Jose Honduras went very well. We of course saw patients in the clinic, educated students, and took applications for new scholars. There were many other activities that are chronicled in the Fall trip report. Trip members were very moved by some of the realities of how hard life can be for many people in our world. During the trip we tried our hand at Crowdfunding. Although we did not meet our goal, we raised money to help further our activities in San Jose.

Thanks to everyone who donated! Fall Photo Journal A few more photos from the most recent trip can be viewed here. The Spring Trip Report is available for viewing. Many great interventions took place, including a survey on Alcohol use in the area. You may also want to find out about how chicks are used at deliveries by traditional midwives. The Fall Trip Report is available for viewing.

Five residents, one medical student, a Nurse Practitioner, a community activist, and one Department attending physician returned to Rochester in mid November after two weeks of hard work in San Jose. It was a great trip with much accomplished! Read more about all of our activities in the trip report. Eight people from the US were joined by four Honduran interpreters for the May brigade. The trip went very well. The trip report should be available by the middle of June. Below are stories of clinical cases from the trip report.

San Jose Urology Partners offers the latest diagnostic and treatment techniques for disorders of the kidneys, bladder, and prostate, including minimally-invasive robotic and laparoscopic surgery.

Their knowledgeable team of health care professionals provides warm and friendly patient-centered care, with an emphasis on education and guidance of patients toward improving urological health and lowering risk of disease. Monday am - pm Tuesday am - pm Wednesday am - pm Thursday am - pm Friday am - pm Saturday Closed Sunday Closed. Read more. Read less. Sample Case Study. Download PDF Brochure.

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