The day started with Jones, his brother and his friend picking me up from the guesthouse in Tabarre. We headed to Bernard Mevs hospital and gathered up more people to come help with the mobile clinics. I had been storing medications at a room in the hospital. We picked up translators and 3 Haitian doctors came to help and an EMT who ended up helping in the pharmacy. I picked up 3 bottles of children’s multivitamins from the pharmacy. We headed out for a mobile clinic in Carrefour in a pickup truck. We had a bumpy, but fun and insightful ride getting to see interesting sites through downtown. We drove past many people on congested streets, most seemed to be selling some sort of product from fruits and vegetables to clothes and other misc items. It seems one can find most any retail product needed on the streets. We stopped off to pick up water and food for a couple of the docs. Once we got to the school we set up the clinic in the different classrooms. It was spacious which was nice allowing us to set up 3 rooms for the pharmacy and patient care. Some classrooms were filled with patients waiting on benches. Many people were there waiting patiently to be seen. I later learned that Jones stood on the roof and announced on an amplifier that we were coming to provide medical care, in a community without access to regular care, it was clear why there was such a massive turnout for the clinic in high demand. The volume o patient’s was so much greater than the church based mobile clinic and the flow was a challenge with so many patient’s. I had to make sure everything was in order and ensure the doctors had all the supplies that they needed plus get the medications set up in an orderly way in pharmacy and then staff the pharmacy with the help of the EMT, it felt like such a huge task. At times it seemed overwhelming with 3 different providers writing scripts and volumes of patient’s lining up in the hall. The pharmacy was set up in a classroom on the top floor. There was a gorgeous view of the ocean from the upstairs windows, but there was not much time to enjoy it. Filling orders for medications was a very involved task. Each person had to be educated on the proper use of the medications which had to be done through translators with instructions (i.e. dosing, etc.) written in Creole by the translators which was time consuming. I tried to designate some others to help with logistical efforts such as signing in patients. The doctors flowed through the patient’s seemingly quickly, much more so than we could fill the orders which created long lines and a loud environment with people waiting in the all. We had to set up boundaries greatly limiting the number of patients with a goal of no more than 2 at a time in the make shift pharmacy so that we could focus on getting the medications dispensed and patient’s informed on proper use of them and how to refill those given for chronic conditions. The hardest thing was interpreting orders and the handwriting from different providers. Some of the instructions were written in Creole, calculating pediatric doses and putting the appropriate amount of medication together then teaching the parent or guardian how have children take medications was also difficult. Sometimes I had to get creative with suggesting things that they could use to give the children meds because they may not have measuring instruments at home. I’d try and at least demonstrate a visual amount on what to give using a syringe, and we had extra syringes so we also gave those out to administer medications. If there were medications we did not have, we’d write the instructions out and send patient’s to the pharmacy to buy medications. We worked until it was dark. Jones wife cooked for us in their house walking distance from the school which was nice as I was hungry.