A typical day starts at 7am at the hospital. From there it can vary slightly depending on who I am working with that day. On days where I am with the other Americans working on a project measuring the outcomes in the Emergency Department pre and post interventions that included both greater supply of resources and educational instruction from mainly American Doctors. Pratically this involves a massive amount of chart review from the past 4-5 years. While this already would prevent some challenges (chart review in Spanish as a non-native speaker), all medical records in Honduras are on paper and hand written. So it is a lot of me compiling lists of the charts that need to be pulled, and then assisting with chart review. It has been quite interesting but most of all has taught me some medical Spanish. Because they are all hand-written, and doctors universally have terrible handwriting interpreting can be tricky, but luckily most of my work is compiling the lists so I deal with less handwriting. Below is a picture of about 1/20th of the archives.

The other days its a bit harder to have as concrete of a schedule. The days I am with Neurology just imagine a basic doctors office. These days are probably my most interesting, but I also am mainly just observing unless they need me to grab something from another room. Most of the patients are busing in from far away for their free appointments, and truthfully as great as Dr. Lester the Neurologist is, there is very rarely much he can do. In Honduras only four Neurological Medications are covered by the state, and because of the Economic situation of the patients that is what gets prescribed most of the time. Other than that it is a lot of "Mira Kevin" and then Dr. Lester shows me some EEG or MRI result and what it means. Overall so far so good.