She's getting so big!

Alright so Bea (or Daisy as I call her... I can'f figure out why) isn't getting that much bigger, but she is back over 8 pounds so she is growing and getting chinkier by the minute!  Here are some newer pictures for you mixed in with some classics from Cole and Gracie.

Welcome to the world Bea!

Well, I guess we had a baby yesterday (June 26).  She's just about 24 hours old and cute as can be (and super squishy and chubby)!  She came out with her eyes wide open, calmly exploring and trying to figure out this big world and she's doing just great!
We debated her name for a little while between Batman, Strawberry Shortcake and a few other awesome choices and eventually settled on Beatrice Maye Hansen.  She's named after her Great Great Grandma Bea and her middle name is a mix between her 2 Grandmothers' middle names: Marie + Gaye = Maye.  She was 7 pounds, 15.5 ounces (that's 8 pounds for you rounder uppers) and 20.5 inches long.
For those of you in Indiana, you'll notice that her initials are BMH.  We did not do that on purpose, however, we are excited that she will have the "strength it takes" (http://iuhealth.org/blog/detail/the-strength-it-takes/).
So, here are some pictures and a short video for your viewing pleasure.

More to follow of course.

This pretty much sums up my medical knowledge so far through residency.

The poop song

Report of DOcare 2011 trip to Guatemala with Midwestern University - AZCOM, February 19-March 5, 2011

In case anyone is interested, here is a "quick" report of my recent trip to Guatemala...

Highlights

• 2 weeks in Guate, 8 days of clinic, 2 weekends to explore Guatemala and plan for next year
• We held clinics in 4 towns:
• San Andres Itzapa
• San Martin Jilotepeque
• San Lorenzo el Cubo
• Jocotenango
• Over the 8 days we saw about 1000 Vision exams, 300 Dental exams, and 2800 Medical patients between:
• General Medical
• Pediatrics
• Dermatology
• Podiatry
• Our team consisted of
• ~8 FM & IM docs, 1 radiologist, 2 pediatricians, 1 dermatologist, 1 derm resident, 1 podiatrist, 1 dentist, 1 optometrist, 1 pharmacist, and 2 paramedics
• ~23 medical, 10 pharmacy, and 1 podiatry student
• ~10 translators and non-Spanish speaking “runners”

Guatemalan Healthcare

• There are huge disparities between rich and poor and lack of care depending on proximity to big cities (Guatemala, Antigua, Xela)
• Healthcare is free at National Hospitals, but almost no access to primary care and long distances between hospitals
• Very low education level, high illiteracy, some of the worst health indicators in the Americas
• Here are some basic health facts about Guatemala from www.globalhealthfacts.org
• Births attended by skilled health personnel (2000-2008) – 41% (99% in US)
• Infant mortality per 1,000 (2009) – 27.8 (6.26 in US)
• Under-five mortality per 1,000 (2008) – 34 (8 in US)
• Maternal mortality per 100,000 (2005) – 290 (81 in US)
• Life expectancy Male/Female (2008) – 65/72 (76/81 in US)
• Hospital beds per 10,000 people (2000-2008) – 6 (31 in US)

Most Common Problems we Encountered

• Pediatrics
• “Not eating well” (which meant the parents wanted multivitamins for them), Pityriasis Alba, Scabies, Cavities, and Cracked molars
• Adults
• Stomach aches (acid reflux and gastritis), “Nerves” (headaches), Rashes, Vision checks, Cracked molars
• Some Acute Problems
• Mango sized testicular cancer, Appendicitis, Multiple dental abscesses, Few home visits to terminally ill patients, Dehydration due to various infections with administration of IV fluids
• Other Common Problems
• UTIs, foot problems and ulcers, ear infections, diabetes (lots of blood sugars higher than 400), yeast infections, pregnancy checks, few parasites

The Future

• Next trip will be last 2 weeks of block 10, April 15-28, 2012 and then annually
• We will work out of Antigua and Panajachel, 2 beautiful locations, in the towns of:
• San Andres Itzapa (where we went with on this trip)
• Patzicia (Also close to Antigua, we visited here)
• Godinez (by Lake Atitlan, we also visited here)
• Santiago Atitlan
• We will do medical work as well as Spanish training, cultural experiences, and a Guatemalan healthcare experience in a National Hospital

Anyway, bottom line is that the trip was awesome!  I really enjoyed my time there, got to see some people from the mission including the Per family and lots of friends in San Jose Villa Nueva, and saw lots of patients over those 8 days.  I am now helping to plan a trip for next year which will hopefully turn into an annual trip for ATSU-SOMA and I am excited for the opportunity to hopefully make a difference for the people down there... they are wonderful people and it was a privilege to work down there!

Thanks to so many who helped, especially Healthpoint for donating medications, my Mom and Dad, and my cousin Matt Young for helping make it possible for me to go.  Also to Drs. Burdick and Shalscha for letting us come on the trip and Dr. Gibson and her husband Jeff for being so excited and willing to enjoy the trip with us!

I'm going to post again, more of my own thoughts on our work and global health in general and lots and lots of pictures... hasta la pasta

One more video... sorry

Video blitz!