Ate logu, East Timor!

See you later, East Timor! The 9 weeks I spent in East Timor went by so quickly. I cannot believe that summer is over!

Over the course of my internship, I shadowed many of Bairo Pite’s staff. I followed the doctors around during their rounds and when they went to examine the patients. They discussed treatment plans amongst each other and let the nurses know of any changes on the patient’s status chart. This is how rounds typically run in the morning and in the afternoon. Some days I hung out with the laboratory staff. I watched them run lab tests. I have also worked with the clinic manager at the clinic organizing in her office and the stock room so we know what supplies we have.

Slides of sputum stained by the Ziehl–Neelsen method to identify TB
Slides of sputum stained by the Ziehl–Neelsen method to identify TB
Me looking at the stained slides. The bacteria for TB would show up bright red (amongst the blue) if the sputum is positive.
Me looking at the stained slides. The bacteria for TB would show up bright red (amongst the blue) if the sputum is positive.

At the clinic, I learned how to use an EKG machine. I admit that I cannot truly read the EKG results, but I know where to place the electrodes and run the test. With the medical students, I also learned and practiced taking blood pressure with a stethoscope and blood pressure cuff. Sometimes to check on a patient, I took their blood pressure. Sometimes I helped take patient histories; I asked them how they were doing and ask if they have certain symptoms in Tetun. I learned how to assess the patient by looking and examining the patient’s hands, face, and just getting a general look at the status of the patient to see if they are breathing heavily or any other acute problems that needed to be looked at. Other tasks I did included taking patients to the National Hospital to get chest x-rays or to get consultations with the specialists working there. I let the patient know where we were going and accompanied them for their visit.

To build off of this experience during the rest of my time at Brandeis I will continue to promote the Bairo Pite Clinic with Project Plus One on campus. I will share my experiences to club members and to members of the community at activities such as the Millennium Campus Conference. I am continuing to pursue a career in healthcare and learning more about global health. I want to learn more about the politics involved and examine the differences. I also want to learn more about the current policies of disease treatments such as the WHO guidelines for tuberculosis (TB). I hope to return to East Timor to the Bairo Pite Clinic (in the processing of becoming a hospital) with more knowledge and education.

If a student is interested in an internship at the Bairo Pite Clinic, I advise them to take advantage of the opportunities available. Because a lot of people visit the clinic, there are a whole range of cases to learn from. There are also mobile clinics (scheduled doctor visits and health education to villages in East Timor) which students can go on. The people that organize the mobile clinics do really great work and it is a great opportunity to see how and where most people of East Timor live. I believe they will have the ability to really make the internship their own at the BPC. My advice for a student interested in this field is to not be afraid of saying no to things that they are not comfortable doing or that they do not know. They do not want to cause more harm than good and it is important to be honest.

My concepts of social justice have been enforced. With the sad and violent history of East Timor, they need healthcare to repair some of the damage and to help East Timor rebuild and stand up strong again. Listen here for an interview Dr. Dan, the founder of the BPC, recently gave a few weeks ago during a trip back to US about his experience. However, I have learned, like with all things, change takes time. It would take time for East Timor it implement changes and to learn what would work for their country and what would not.

Alice Luu ’14

Dr Dan and I
Dr. Dan and I