COVER STORY


Bernard’s—complex, urgent and inter-connected—that a commu- nity clinic or district hospital is not equipped to manage. With Bernard in tremendous pain, her family took her on the two-hour journey to Univer- sity Hospital, first carrying her on a wooden board for the 45-minute hike from her home to Lascahobas and then taking a motorcycle to the hos- pital in Mirebalais. There, staff stabilized her and began diagnose and treat her


to injuries.


Nurse Natalya Shtrevenskaya gives Irina Ivanova [name has been changed] and her newborn antiretroviral therapy in their home in Tomsk, Russia, on Aug. 26, 2015. (Photo by Elena Devyashina for Partners In Health)


slim. There would have been no emer- gency room to receive her, no modern surgery suite to repair her damaged abdomen and no computed tomogra-


phy (CT) scanner to identify her most complex injury. Thankfully, University Hospital was designed to handle cases like


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Using X-ray and other diagnostics, they found she had shattered both wrists, broken her face and had an internal abdominal injury. The surgery


team wheeled her


into the operating room to repair her abdominal injury and other clinicians set her broken bones. After the opera- tion, she began healing in the inpatient ward but was agitated and restless. She couldn’t walk, and for the first week, she could not even speak. Two weeks later, however, Bernard


was able to take a few steps on her own. Just before she was discharged home, she could walk more than the length of a football field on her own. “A lot of people did not feel there


was much hope for recovery,” says Andre LeRoy, MD, who led the hospi- tal’s rehabilitation unit. “We saw this young girl come to life.” Ronith Desperot, 31 at the time,


also turned to University Hospital for the surgical care that runs scarce in Haiti, traveling hours from Port-au- Prince to rural Mirebalais for care. In nine years of marriage, she had


been pregnant five times, but she had no surviving children. Her pregnan- cies ended in miscarriage four times between six and eight months. After her fifth pregnancy, she gave birth to a baby who seemed healthy but a few days later became sick. She and her husband went from hospital to hospital but could not find care for their baby. He was eight days old when he died.


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