I am at home, had a great dinner, getting for bed and long hot shower. I stil haven't come to grip with this drip. It is hard to talk with out breaking down and tearing up. It has impacted me like nothing else ever has. The pain, suffering and hopelessness is unimagineable. The screams of pain I heard through out the day and night. The look of terror in their faces when the tremors came are for ever imprinted in my mind. I am at peace with being home because Dr Vanderpool whom combed the area looking for patients said he found few that needed acute care. So they majority that neede lifesaving care are taken care of. In addtion their are many volunters coming in to take my place. This has been an exhausting week emotionally and physically. I stepped in along three other CRNA's that had been holding up remarkably well. The observation of this trip is that the government is inefficent with stacks of relief goods sitting on the Tarmac undelivered. Where as the Christian people and private corporations stepped up to help. Truly remarkable. Thank everyone for support and prayers

We had two big tremors that shook us pretty hard last evening. It taken eight days to get these people to the wards and helped. The mob exit was ten seconds. One man jumped from second floor and had a burst fx of his back. They then refused to go back in unconvinced the buildings were safe. The fear these people will live in is incredibley deep. My prayer is for many to come to know God so that peace will be replace the fear. We are having more refuse life saving amputation in orrder to save arms and legs. Because the chances of getting prosthesis is slim

Well..very reluctantly it is time to come home. We have a camp full of Anes and Ortho people here to help. There are 4-500 people here. We have a great outpouring of care. All given by individuals and private corporations-not by any government. These poor people ae scared to death from their experience. They all left one of the hospital wards tonight because of an aftershock. They were all sitting on the hill. It's just amazing how much we got done but there is so much left to do for years to come to get shelter. 95--100% of the people we have no place to go. They are trying to set up refugee camps so they can be housed and feed. Many will need to come back for more care but may never be found. The devastation and impact on these lives is beyond belief. We still here cries of pain throught out the day. But the appreciation these people have for our help is beyond measure. God is in this, at times it is hard to find him. But the sunrise and sunsets give me hope and comfort. Yes I have had many glimpses of God at work through all the selfless people around me. It is going to take some time for me to come to terms with a lot o have experieced I'm just glad I was blessed and have the opportunity to serve in this way

Sitting on the balcony enjoying the beauty of the mountain sunset, as beautiful as I have ever seen. Hard to imagine with this beauty there is such tragedy. The morning was slow because we have filled up all of the post op space. So we couldn't get any pts in nor anyplace to take em when done. Frustrating... Started day with drsg change and debridement on 6 month old, then did a 40% burn victim. Driving a propane truck when earthquake hit. Burned all of face, head, back and both arms. Set out of hospital in porta prince 5 days till Dr Vanderpool found him and brought him here. Has nice family that live him greatly. Unfortunately if he can't be evaced out will probably die, even after all of this. Then if he got better he has no place to go. Tomorrow we move into second phase of trauma where will take these back under more sterile conditions to clean and debride wounds. Lots of work left to do. We soon will be getting C-Arm so we can put in full length nails in legs. Which will be better. Not much food here, everyone is hungry. I'm glad Jayne insisted that I buy some. A wise lady for sure. Goodnight and thanks for prayer coverage. I have felt it everyday.

We are working hard and fast. Continue to do open fx and Hex Fixes on week old fx's. Very sad muchsuffering. Did c- section and 14 wk preg lady under spinal. Everyone is wearing down I am here alone and we just got in 30 new pts including children. One big grp left tonight so it will be different Doc's. All Ortho cases. Amputations and applying external fixators to lower extremities. We hear pts crying out in pain both day and night. Many are hungry and homeless...it is so hard to comprehend for us. They have all they own rapped in a bag around their waste. Infections are rampant and the caskets file by constantly. Yet their spirits are good thru all of this hopelessness. There isso much wrk left to do and new severe extremity injuries are coming in hourly. Please pray and send money. The government, ours included, are slow in getting it out. No one much wants to be the annoymous servant.

Wow!!! What an unbelievable situation down here. We have back log of 150-200 cases with new pts arriving hourly. We had several
different teams come in today. We are running OR 24 hrs. Sterilizeing with Clorox and alcohol. Our anes technique is basically Propofol and Ketamine with Versed and Fentanyl. We probably have more Propofol then in West Tennessee. The supplies are comng in better now. Which is a blessing. Thanks for prayers, encouragment and support. Don't know how long we will be needed We are in Jimani on the border of Dominocin Republic and Haiti. Logistics are very difficult. But this has been a challenge but a blessing

As usual everyone very generous. Have two King Airs loaded out. Heading to K'ville then Dominicon Republic where 300 pts. Await us we go in God Speed...