Johns Hopkins in Santa Lucia (Nov 5 – Nov 19)


Two fourth year medical students from Johns Hopkins were accompanied by Dr. Zuroweste and a translator for a two week stay in Santa Lucia.  During their time here they saw 173 patients during daily paquete basicos and made ten house calls.  They also met with 37 patients with hypertension or diabetes during three separate Hypertension and Diabetes Clubs.  This new brigade activity is designed to educate patients about these chronic illnesses in addition to checking on their condition.  The medical students took call a couple of nights and delivered a baby.  During the weekend they swam at the Concepcion waterfall, visited the Magdalena market, entered El Salvador by crossing the Rio Torola, and did the traditional sunrise hike.  In the evenings the group got together for a lecture on a tropical disease, a slideshow, or to talk about the local culture and Shoulder to Shoulder.  They had a very productive and fun visit and the staff enjoyed getting to know this group.

Thomas examining a patient

Amanda visiting with patients

Swimming at the waterfall

A few comments from brigade participants:

“Very rewarding experience! My Spanish history taking improved.  I learned about health care sustainability and improve in clinical and primary care skills”

Brigade assistants made sure of directions everyday and supplies.  Translator Carolina was AWESOME”


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University of Wyoming Brigade (Nov. 12th- 20th, 2011)

The University of Wyoming was a multidisciplinary group composed of nursing students, nurse practioners, a doctor, family medicine residents, pharmacy students, social workers, and engineers. They traveled to their community affiliate of Agua Salada, a community named for the spring of salty water that once emerged from the ground in the “city center”.  They stayed in the local elementary school and ran clinic out of the local church.  Over 400 patients were attended to in four and a half days, nursing students gave educational chats on various health topics, and many brigade members traveled to homes around the area to see patients. English classes were given to local students and several meetings took place with community leaders to learn more about the history of the community and its current needs. Several brigade members also worked alongside the local Hondurans to help build the new clinic, which is well underway! The land is now ready for the pipe installation and the goal is to have it finished by July. The community is very excited about the new clinic and will continue to work alongside the University of Wyoming in order to bring sustainable health care to Agua Salada!

Seeing patients in the local church

The construction site of the future clinic

Teaching English to local students

The whole group on the last day in Agua Salada

“Both of my trips have been amazing and wonderful learning experiences for the future- can’t wait for the clinic to be built!”

“All accommodations including housing, food, clinic, etc. were great! Thank you for a fabulous experience!”

“Exceeded my expectations and then some! It was such an amazing experience. I feel blessed to have been part of the brigade!”
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MONTANA BRIGADE (November 5th-17th, 2011)

The Montana Brigade of 15 members was comprised of 2 instructors, an advanced nursing student and 12 undergraduate nurses in their final semester. The group was comprised of members from different satellite campuses of Montana State University College of Nursing. They brought with them enthusiasm and energy while representing the Western Shoulder to Shoulder affiliates. Over the week and a half they had 512 encounters while visiting over 10 communities. They performed greatly needed tasks such as home visits, consults in our health centers and clinic, health fairs and the painting of a mural with scholarship students. We thank each and everyone of them for their service and hard work and wish them all the best as many of them will graduate in December.

Health Fair in Guaruma

Paquete Basico in Colomarigua

Weighing children in Santiago

House visits in Santiago

Sexual education and adolescence education talks with scholarship students

Enjoying the waterfall

The whole brigade

A few quotes from our brigade members about the experience:

“I am excited for the what Shoulder to Shoulder does. I am proud and thankful for an organization that facilitates cross cultural experiences that lead to providing a sustainable health improvement for the citizens of Honduras.”

“I enjoyed being in communities and providing care. I feel like I received a rural health experience.

“Honestly. I thought I would learn a lot and have interesting experiences, but I never suspected that it would be a complete BLAST! I had so much fun and learned so much!”

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Virginia Commonwealth University (VCU) @ Pinares (Oct 29 – Nov 10)

The Virginia Commonwealth Brigade made its tri-annual (or ‘tranual’) journey to the frontera town of Pinares – approximately one hour from La Esperanza, Intibucá. The brigade was comprised of thirteen fourth year medical students, three third year residents and two family medicine attending physicians. In addition, we had five stellar translators (some old faces, some new ones): Josh, Alex, Daniel, Gus and Paulette.

VCU in Pinares is known for hiking out to rural villages in order to provide care, and their most recent brigade certainly embraced that tradition. The normal day entailed leaving one attending, one resident and a few medical students at the clinic to provide care, while the rest of the group trekked out to different villages in order to provide medical assistance as well as collect data for the CHI program. CHI clinics are usually set up at schools, where children progress through a variety of different stations (height/weight, hemoglobin, dental, medical, etc.).

During the weekend we spent a fantastic day at the Concepción market, as well as hiking around the clinic and, of course, a stop at the waterfall.

All in all it was a very positive brigade. The evaluations all demonstrated that each member had a unique, memorable and enriching experience with Shoulder to Shoulder (and that they loved their brigade assistant, of course).

The mandatory group photo - with clinic in background

Children's Health Initiative

Hiking out to do clinic at a school

“A great organization with welcoming, dedicated and engaged staff”

“Great trip! Would love to come back!”

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University of Rochester (Oct. 21st- Nov. 4th, 2011)

The University of Rochester brigade was comprised of 2 attendings, 7 residents, 2 medical students, and 1 social worker. They spent their two weeks stationed in their affiliate community of San Jose, San Marcos. Through furthering their relationships with the community, they also oversaw many projects. Several of these projects include latrine building, cookstove building, a scholarship program, a microfinance project, and fish farm building. Their trip was complete with many meetings as a means to support existing projects and to discern possible ways of expansion in the future. Brigade members also saw around 100 patients in the clinic, attended to patients through home visits, hiked to the neighboring community of Las Delicias to oversee a partnership there, met with the scholarship students, and traveled to local schools to do a project with the classes and to give a health talk about proper injury care. The brigade stayed at the local school and at the newly built volunteer house, both complete with beautiful views of the mountains and surrounding areas. Through all of their hard work, the University of Rochester has clearly had a positive influence in San Jose and this relationship will continue to foster change in the future!

A meeting for the scholarship students and their parents

One of the family fish farms in San Jose

One of the many beautiful sunsets with the volunteer house in the foreground

Brigade members in front of the health center

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UC-Family Med/USC Brigade (October 8th-20th, 2011)

This was a diverse brigade comprised of residents, attendings, an opthamologist, and nursing and medical students.  There were also ten translators from La Ceiba who were excellent at their job and added lots of fun and energy to the group.  Despite non-stop rain beginning the first workday, this brigade stayed optimistic and was able to accomplish many things.  They provided field clinics at six locations in Magdalena, Santa Lucia, and San Antonio as well as took turn at the Santa Lucia clinic, ran a health fair, gave hypertension clubs, performed several cleaning operations, and went on home visits.  A brave few went for a hike on Saturday and everyone participated in painting the dining and living space in the clinic.  While they had to leave a day early to avoid worsening road conditions, everyone at Shoulder to Shoulder truly appreciated their energy and enthusiasm through out their stay.

On the move

Brigade members consulting with patients

Brigadeers working their magic at a field clinic

The group outside the Santa Lucia clinic

These are a few quotes from brigade members:

“Great team building, and a world-view changing experience”

“Everyone was warm and easy to approach”

“Everyone did a great job of helping to accommodate for changes in schedule.”

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MAHEC/Lancaster, PA Brigade (August 6-18, 2011)

The MAHEC/Lancaster Brigade came to Shoulder to Shoulder as a collaborative effort from programs in Lancaster, Pennsylvania and Ashville, North Carolina. Full of diversity, the brigade was comprised of physicians, residents, medical students, pharmacists, one financial consultant and one nutritionist, as well as three younger students. The group set up camp in the church residence in Camasca center, where they received exceptional hospitality from the local people. This is the second brigade that has spent time in Camasca, further building the ever-developing relationship between Shoulder to Shoulder and one of Intibucá’s finest towns. Each day the group traveled to a different “aldea” – or regional village – in order to provide a bevy of medical services. They also did numerous home visits and educational talks. In addition, the group spent time within the Camasca community, working at the CESEMO as well as in the local high school. The extremely positive experience was capped off with a US vs. Honduras basketball game at the community court, arranged by our friends in the Peace Corps. All in all, the second brigade to Camasca went extremely well, and the relationship between Shoulder to Shoulder and Camasca continues to blossom.

Working within the community

Lounging about with the pastor

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Ohio State/Tepe Dental Brigade (Sept. 5-18, 2011)

The Dental Brigade came to us from the beautiful state of Ohio. They were a fun and energetic group compiled of six Ohio State University dental students, Dr. Burns and Mrs. Burns and Dr. Larry Tepe and Dr. Jan Tepe. During the short time they were here they worked eight long days, swam in the waterfall and went on some hikes in the countryside. Over the eight days the dental brigade with help from the local staff performed over 800 treatments helping the local populations greatly. They also applied fluoride and examined over 400 elementary school students in the area. In addition, they helped to promote healthy dental hygiene to families. We thank them for their hard work and the service they gave to the local community.

The dental brigade missing Dr. Larry Tepe

During the time we celebrated two birthdays!

Representing Ohio State on a Sunday morning hike

Some reflections from brigade members:

“Enjoyed morning walks-very invigorating. Food preparation was great @ Santa Lucia. Local dental staff helpful and supportive.”

“I really enjoyed the hiking. Other than that, we sort of came up with our own activities. The Honduran doctors at Concepción were super gracious to teach us.”

“Pretty much as expected. We could do what we do anywhere, but the Shoulder to Shoulder clinic provided a great facility to work. No frills but certainly adequate and functional.”

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A Life Changing Experience

Reflections from a brigade member:

“Back now from Santa Lucia and Concepcion for almost three weeks and still taking cold showers, conserving water, and sitting down at the table to eat my meals (with my family!). The inner peace I brought home with me from Honduras is incredible.

I would like to thank Shoulder to Shoulder for providing me the opportunity to experience healthcare in Honduras and share my nursing skills and knowledge with an incredible population.

Many years ago my family was rescued in the mountains of Mexico by a Hispanic family. They cared for us without question until we were safely back on the road. This led to a life long friendship and my father vowing to help educate their family. He did that and so much more. Through this experience I fell deeply in love of with the Hispanic culture and have continued my father’s work years after his death. It wasn’t until two years ago that I became a nurse and knew then that my mission was to provide medical care for the poor especially in Hispanic countries. I think my father would be proud. You see my father was a physician and I did not go to nursing school until after his death when I was 43 years old.

The staff were amazing and I thank them for keeping us healthy and safe. I followed all the advice I read on the web site and came back healthy and in shape thanks to the endless walking uphill. How was it we never seemed to be walking down hill? Incredible!

Our translators are to be congratulated. Daniel, Foncho, and Josh were courteous, mature, and always available for translation needs. Our prepared health promotion was on women’s contraception and each young man handled themselves professionally. I know they went out of their way to make sure we were safe and comfortable. My thanks to all three of them.

I am still in awe of what I experienced in Honduras. There is nothing greater than giving of yourself to others. I respect the mission of Shoulder to Shoulder and hope to return on another brigade. It would be an honor to find a way I can continue to support Shoulder to Shoulder with my nursing skills.”

Bonus Photo: Here is a view during a sunrise hike overlooking the clinic in Santa Lucia. Although brigade members have to wake up early for the hike to witness this view, this priceless image often justifies any loss of sleep.

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The Brown University Brigade (July 23rd-July 31st, 2011)

The Brown University Brigade came to us from different areas mostly concentrated in the Northeast region of the United States. They were a diverse and energetic group that came together to partner with the Guachipilincito community. During the short time they were here for they accomplished many goals. One of them was establishing a relationship with the community to create a healthy relationship with the newly constructed health center. This included meeting with the local health committee and visiting people’s homes. Another goal was to see patients in surrounding communities and within the health center. Over the week they managed to see over 300 patients. Lastly, the brigade helped celebrate the clinic’s inauguration at the end of the week. All of this was accomplished while having fun and coming together as a team. The Brown brigade helped to continue a long-term relationship with the Guachipilincito community that will last for many years.

After many hours of organizing the pharmacy the brigade was ready to see patients.The brigade brought many of medications and also had a pharmacist to work with the doctors.

The brigade started to implement a health database for the community. Here members of the brigade are working overtime to find ID numbers of patients.

A picture of the whole brigade during a birthday celebration of one of the local employees. As you can see it was a great group.

Reflections from brigade members:

“Thanks all for a very successful Brigade and a momentous launch of the Guachi clinic.  As we discussed, it was the great team effort that made it all possible.”

“I am very proud to have been a part of what was accomplished during the brief period in Guachi.”

“The list of ‘what got done’ spans from seeing patients, screening, setting up the charting and data system, setting up the pharmacy, orienting the new nurse, providing screening to an outlying community, and opening the clinic for business.  Sorry to have missed the grand opening celebration — hope it went well.  As for bringing sons along, would put that in the ‘priceless’ category.”

“I had such an amazing week with you all and can’t even begin to say how much the trip has impacted my thoughts on just about every aspect of life.”

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