Woke up to french toast, fruit and coffee. I hung out with my Dad briefly at the guest house. I went to the hospital and bought some medication (metronidazole) (to treat a variety of common infectious diseases seen). It was challenging to set up everyone, the medications and supplies to get everything to the church where we were holding the mobile clinic. We had to use two different cars to transport everything. We headed to the church and set up everything. Patient’s started arriving and it began to get busy. I saw patient’s leave and I was questioned about the price of the clinic from someone. I found out that offerings of money were being collected from patient’s for the clinic. I was very disappointed to learn this and I spoke with Pastor Luke who I had worked with to arrange the clinic. Pastor Luke suggested that they were taking this money up as an optional offering for those receiving care from the clinic. I had the translator help me to relay the message that it is not okay to charge patient’s (as that it not something we discussed). I had translators stationed at the front door for the rest of the clinic day to ensure that patient’s did not pay any additional fees. I had to trust that this was being done, but the experience was quite an eye opener as the things I need to be aware of that can potentially happen with mobile clinics. I had been told previously that the patient’s in Haiti feel like the services had no value if they were offered for free. It made me think throughout the trip that perhaps we should start charging minimal fees per visit in the future like 75 gourdes per visit and a less amount for return visits. That would be less than $2.00 US dollars per visit, but in some places this would be cost prohibitive like in a tented camp. So perhaps in the future, we’ll it suggested donations per visit and not required payments. These are things to be discussed with the Haitian clinicians in planning strategies. I received a text message from Jones the school director in Carrefour about the clinic planned for the next day saying that 400 patients were expected the next day for the school based mobile clinic. It felt like, in spite of challenges, particularly unanticipated one’s that came up, the clinic turned out to be a success by the day’s end. Getting that text message at the end of the day was an eye opener. Plans will need to be put into place about crowd control and limiting volumes of patient’s seen per mobile clinic visits. Measures will have to be applied to avoid burnout on the Haitian clinicians who have been generously donating their time for clinics around their other obligations. A number of us went out to dinner after the clinic; we caught a taptap to Mucheez, one of my favorite pizza places. Afterwords the Haitian doctors and I spoke about more mobile clinics.