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The Stethoscope and the Machete

My Journey Through the World of Humanitarian Medicine

  • Lumbini Medical College
  • Butaro District Hospital
  • Afghanistan
  • Maternity Hospital for Gaza
  • Princess Marina Hospital
  • Kyangwali Refugee Settlement
  • Return to Bocas
  • The Panama Journals

Category: The Panama Journals

This was the first adventure that launched my blog.

When I was a medical student in Ireland, I started my final year of college expecting to watch closely, be a little bit useful, and learn. What I didn’t expect was to find myself operating as lead medic alone in the Panamanian jungle resuscitating a 13-year-old native boy kicked unconscious by a horse—and that was only my first day. Yikes.

So began my ten-week adventure as a part of Floating Doctors, a humanitarian group I had signed up for in a desperate attempt to salvage some value from a 2020 that ripped a calendar full of planned electives out from under me.

Despite having never shouldered real medical responsibility before, I was suddenly involved in a lifetime’s worth of bizarre patient interactions, in an unfamiliar region, dealing with everything from brain-invading worms to diabetic nerve damage to toxic pregnancies. As if that wasn’t enough, I also had jellyfish hordes, snake bites, tropical storms, and bubble gum-chewing apes to contend with at every turn.

Pushed to my limits, discovering first-hand what it truly means to feel fear, I initially floundered. As time went on, I slowly found my feet by calling on every humour-based coping mechanism I could think of. By striking up a rapport with each patient no matter how dire their circumstances, I began to turn the tide. Above all, I learned the value of asking the right questions, both in medicine and in life.

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Ensenada Part I

Ensenada Part I

By juan.lopez, February 8, 2021
Posted in: The Panama Journals

For anybody who has tried to reach me on whatsapp this week, I am sorry for not responding. I also apologize to those of you who enjoy photos; you will…

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Ensenada Part I
Worms 3D

Worms 3D

By juan.lopez, January 31, 2021
Posted in: The Panama Journals

The Doctor to be joining us, like many of the volunteers and lead medics that came to Floating Doctors, was Dutch. This was a result of a travel show, one…

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Worms 3D
Dr Bozo Treats Arthritis and Gets it Wrong

Dr Bozo Treats Arthritis and Gets it Wrong

By juan.lopez, January 31, 2021
Posted in: The Panama Journals

The second day of deployment was going to be an improvised affair. Jack had agreed to check in the wifi rock near the school periodically with our driver to determine…

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Dr Bozo Treats Arthritis and Gets it Wrong
How Many Vaginas is Enough Vaginas?

How Many Vaginas is Enough Vaginas?

By juan.lopez, January 31, 2021
Posted in: The Panama Journals

Sexually educating a group of horny teenagers went as well as I could have hoped. Having never led a sexual education class, nor feeling qualified in any manner to do…

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How Many Vaginas is Enough Vaginas?
Sex, Drugs, and Opportunistic Infections

Sex, Drugs, and Opportunistic Infections

By juan.lopez, January 31, 2021
Posted in: The Panama Journals

Trying to ask him about the paper was arduous enough, between his constant deviation and fragmented conversation. Somehow after a fair back and forth he tells me something resembling getting…

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Sex, Drugs, and Opportunistic Infections
The Good, the Bad, and the Insulin

The Good, the Bad, and the Insulin

By juan.lopez, January 31, 2021
Posted in: The Panama Journals

Tuesday morning rolled around just as expected, and also as expected I was well enough to motor but not yet fully me. Despite my lingering illness and the soul-crushing disappointment…

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The Good, the Bad, and the Insulin
The Red Chinese and Rabbit Indian

The Red Chinese and Rabbit Indian

By juan.lopez, January 31, 2021
Posted in: The Panama Journals

The sharp whistle of wind through trees woke me up in the dark, it was pouring outside. There was a lacrosse ball in my throat eagerly trying to escape by…

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The Red Chinese and Rabbit Indian
It Hurts When I do this…

It Hurts When I do this…

By juan.lopez, January 24, 2021
Posted in: The Panama Journals

Despite my fired up ruminations about living large amongst the jellies and the trees (oh I’m king of the trees), I am still a mortal man, and somewhat of a…

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It Hurts When I do this…
A Stethoscope in One Hand and a Machete in the Other

A Stethoscope in One Hand and a Machete in the Other

By juan.lopez, January 24, 2021
Posted in: The Panama Journals

As the propellers rumbled forward, houses faded into specks and then were lost behind jungle as the river slithered like a serpent in all its bends and flows. The trees,…

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A Stethoscope in One Hand and a Machete in the Other
Viagra is the Devil

Viagra is the Devil

By juan.lopez, January 24, 2021
Posted in: The Panama Journals

We were up at our usual time and finished breakfast to begin clinic at 730. By 8am there was a line swollen enough to fill the whole day already. I…

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Viagra is the Devil
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