Juticalpa buying weed

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Juticalpa buying weed

Thank-you for creating an account on Longwoods. If you are caught with crack cocaine in your pockets, the drugs will not be admitted as evidence and you will not go to jail if the arresting officer fails to read you your rights - notably. Back then, during prohibition, many died swilling bootleg. From the MontrealGazette. What about all the other drugs, for that matter? Since marijuana has become an election issue, we should stop. Those who do not receive an online payment because they do not have a bank account or email address, can rest assured that Red Cross is working. Will I buy a joint from Premier Mom? Thanks, Ontario government. Please enable JavaScript of your browser. Click here for help. Sign In. Remember Me Forgot password? Don't have an Account? Create an Account. Create an account. What is your mother's maiden name? What is the middle name of your youngest child? What was the name of your first pet? Check this box if you'd like to receive occasional email updates from Longwoods. Forgot Password. Thank You for Registration Thank-you for creating an account on Longwoods. As a registered user of longwoods. Please check your e-mail and follow the instructions to activate your account. If you do not receive an e-mail, please check your junk folder. Reset Password Please check your e-mail and follow the instructions to reset your password. Quality Improvement Workforce Planning. Sort By. About results. Dec A Patient's Right to be Believed If you are caught with crack cocaine in your pockets, the drugs will not be admitted as evidence and you will not go to jail if the arresting officer fails to read you your rights - notably.

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Juticalpa buying weed

As my final outreach with the clinic, I found it fitting to be one of my favorites. The community is located feet up in the remote mountainside. Along the way, we passed horseback riders, school children, and women carrying large containers of produce on their head. Many of the houses had their gardens, varying in size and crops. After arriving at our host family I quickly noticed that I was considerably taller than the community. It was slightly charming to feel like Will Ferrell in Elf. Our outreach took place in a half-constructed church. The pews were wooden planks propped up on adobe bricks, the ground was dirt, and the door was a combination of sticks to keep cattle out of the building. We saw around patients throughout the morning, many walking several miles to be there. Some patients rode horses and others carpooled in the back of trucks. Watching patients slowly trickle in made me think about the sustainability of rural health services. The western view of medicine has created a supply and demand system. In order for a full-time clinic to be established, it must be profitable. If not supplied by private funds, it needs to seek other sources government, donations, international. For countries in economic crisis, such as Honduras, there must be a radical change in the system which we adhere too or additional sources of funding must be found. The inhabitants of Guajiquiro have little disposable income. While shadowing a cataracts patient consultation, his first concern was money. It felt good to reassure him that his surgery would be covered by the Zoe Health Clinic. Without our ability to absorb his costs, I wonder if they would ever receive treatment. Furthermore, at what cost can a non-profit continue to provide temporary health services? Also, what is the end goal of rural health? How much how rural health should be mobile and how much should be permanent? As I think more about these, I feel a natural interest in city planning growing. Hopefully, I will be able to explore these ideas in the upcoming year. I woke up to the lovely sound of roosters at 5 A. As I tried to drift back to sleep they would continue to call like two competitive people tying to have the last word in a conversation. Breakfast, lunch and dinner were simple meals, all prepared from scratch. I woke to tortillas, eggs, and beans. For lunch, we ate tortillas and bean soup. To end our day we were offered rice, beans, avocado, and a small portion of chicken. Knowing that there are no nearby supermarkets, the chicken must have come from their own personal farm, both heartwarming and disheartening. On the property, I met a 5-year-old named Brian. We played soccer together on the slanted grass field in front of their house. The goalposts were made from sticks and the field was littered with piles of cow and horse scat. We took turns shooting on each other and chasing the ball after one of us scored. His desire to play with me made my whole week. I am inspired by children. In all situations, they have a love for nonsensical ideas and perseverance to withstand most challenges. We harvested three bunches of bananas and I tried raw coffee beans it did not taste good. Similarly, I tried dragonfruit for the first time. I am most grateful for the escape from the city. After living here for a little under two months, it is easy to forget other lifestyles. I have completed over interviews in 7 weeks! During this process, I learned the best way to obtain consent, conduct my questionnaire, and record data. Along the way I faced several challenges that developed into future research questions. One of the most difficult parts of my study was recruiting patients to participate in my study. My typical methodology would start with the identification of potential participants. While at the main clinic of Tegucigalpa, this was both easy and challenging due to the large quantity of patients and publicity of our conversation. Prior to seeing the clinic, I wanted to conduct my questionnaires in a private area. All throughout the morning, the two main waiting areas are typically filled to capacity and slowly open up as the day goes on. This makes it more difficult to conduct an interview conducive to the patients privacy. As a result, I typically wait to start my interviews until I notice patients sitting on the outskirts of the room. After my introduction, I faced problems with illiteracy and participation. As noted in the data by low education levels, many patients sign with their fingerprint on official documents. With their help, I could finalize the consent form and start the interview. Other times, I would be met with silence and the gaze of nearby strangers. I wish I had kept a log of rejections and patients who did not want to participate in the study. It felt like it depended on whether the patients were having a good or bad day. While this felt uncomfortable, I grew into this position of vulnerability. Respecting their decision as it is inevitable that people would say no. In the past few weeks, I have been learning how to use python to conduct basic analyses. Here are some graphs I generated from my preliminary data pre-review. I expect to clean the data after my last day with the clinic. The first figure demonstrates a strong relationship between cataracts and hypertension. In a quick chi-squared test, I found that patients are significantly more likely to be diagnosed with cataracts and hypertension. This established co-morbidity helps provide my data with validity, as they align with published academic literature. The second figure demonstrates the total number of patients diagnosed with cataracts, hypertension, or diabetes. I was surprised to find a relatively small number of diabetics and high rates of hypertension. I think the number of diabetics may be low because people are not being tested for this disease. On the other side, I think the high number of hypertensive patients may be due to environmental factors access to healthy food and physical exercise or genetic factors. The closeness in prevalence of hypertension and cataracts helps solidify that relationship in the patients of the ZOE Health Center. The third figure works to demonstrate that there is a relationship between diabetes and cataracts. Despite the low prevalence rate of Diabetes, there were three times the prevalence rate of diabetes in patients with cataracts. The fourth figure distinguishes the amount of individuals affected by one, two, and three conditions. There are more ideas embedded within the data I hope to uncover in the upcoming weeks. For example, when interviewing women I found a large portion were unmarried. This social trend may be connected to larger questions about family planning, help-seeking behavior, and population. In addition, I found that over half had no idea about the co-morbidity between diabetes and cataracts. Whether due to low education rates or lack of public health resources, there is an absence of health knowledge. This quick report will serve as a placeholder, until I can decide which trends I hope to address in my analysis. While in Choluteca, we drove by sugar cane farms. Their rows felt nearly endless. The larger fields had plants that looked to be feet high and created an impassable thicket. After asking my co-workers I thought of coursework from lectures and readings about the history of Central and Latin America. Both of these books focus on understanding the regional history and complex veil that has surrounded Central and Latin American development. During the colonization of these countries, sugar cane plantations started appearing anywhere it could grow. This resource was an integral part to the exploitation of both the land and local people. These plantations, tempted by greed, failed to rotate their crops. As a result, the consecutive harvests removed essential nutrients from the soil. Following this period farmers struggled to diversify their farms as they relied on commercial farming inputs fertilizer, insecticide, and weed killers. It was humbling to drive by families in adobe houses, knowing that history has barely changed. While living abroad for more than 1 month, it is almost certain that you will get sick. Thankfully I had nothing dangerous or life-debilitating illness; however, it took me 2 days to recover. For this reason, I am doing a combined update between week 5 and 6. At the end of week 5, I had 3 blood tests and visited 2 doctors. The first doctor I saw told me I could have anything ranging from Dengue, Chikungunya, Zika, to influenza. This was difficult to hear, as my initial reaction was to deny anything more serious than the flu. In addition to that I have received e-mails and read articles about the latest Dengue outbreak in Honduras. A day later my diagnosis was confirmed. I was prescribed drug which helped cure the effects within hours. Knowing that my disease could be nearly anything, I feel ecstatic to come out unscathed. While in Choluteca, we entered several different communities with the organization FunDeSur. Our outreaches were set up in public health offices whose walls were decorated with homemade posters describing family planning, high blood pressure, Zika, and basic epidemiological efforts. There were posters of the neighbourhoods, mapping which houses contained diabetics, hypertensive patients, and kids. From witnessing the lack of education, I know increased efforts to connect individuals to this information can help reduce the rate of preventable diseases. There are many barriers to these ideas as many patients cannot read or write. These efforts would have to be replayable on mobile devices or delivered in person. Whichever intervention is chosen, I know it will come at a cost these offices cannot afford. Sustainable health care delivery is difficult in communities that are not profitable. The delivery of these services should be reframed for their potential impact on the communities productivity and welfare. These communities are living without an accessible source of potable water. A majority of the people in these communities purchase ounce pouches of water. Being their only clean source, they are reliant on these items. Furthermore, many of these people are living without electricity; thus, no automatic tools, refrigerator, stove, or television. The clock is starting to wind down as I only have 2 more weeks with the Zoe Health Clinic. It saddens me to leave this beautiful country. Two of the most common questions I get are:. During my first month, I was scared. Scared of the danger portrayed in the news. Scared of the language barrier. Scared of unknown foods. In this time I have grown out from my comfort zone. While the learning curve is steep I have grown to understand the transformation process. Locals here are not any different from I and I from them. We all sleep, rise, work, and repeat. In some sense, the connection we build with each other is all we can claim as our own. This week I got to spend 5 days on the road, travelling to different communities locals have difficulty locating on a map. My time was split up between the Department Olancho and the Department Choluteca. After spending time a month in Tegucigalpa I am able to identify the disparity of wealth in rural regions. In Olancho I walked by one-story houses, packed tightly in a row. With no yard, the children play in the dirt street. While not life-threatening, it could be difficult to get by in 85 degree summer days. Later in the week, I visited some rural regions Choluteca. The houses here were constructed out of any available building materials. As I drove by, I saw some being built with foraged sticks, adobe, and a sheet metal roof. Without a reliable trash or water system, the families have to take alternative measures to make the space livable. This includes burning their trash, buying 16oz plastic water pouches to drink, and doing whatever they can to stay cool. On the typical humid 95 degrees Summer day, families hang out under tree canopies or any available shade until dusk or dawn to do their work. After being immersed in these communities, I am motivated to do whatever I can to help. However good my intentions may be, I always feel a slight battle in presenting my willingness to help. When I talk to patients I am either presented with joy or neglect as if I do not exist. This duality has been difficult to navigate as a volunteer with little say over the services at our outreaches. Some of the most common questions include:. When I answer these questions, I transform into a native Spanish speaker. However, once they ask unscripted questions I have difficulty comprehending its meaning. In an attempt to speak more quickly, I started Spanish learning tongue-twisters:. While these are fun, I am feeling my Spanish-immersion training reaching a dead end. In hopes to further improve my fluency I, want to start studying grammar and vocabulary every day. This question is difficult for me to answer, as I was raised Buddhist, then stopped attending the Temple in the 2nd or 3rd grade. After that, I never regularly attended church or desired to be apart of one. One of our stops was a Teen Challenge campus, located 30 minutes outside Tegucigalpa. Having never heard of this camp, I was slightly confused when I saw English written on the signs. A quick google search told me everything I needed to know. These establishments help individuals who practice unhealthy behaviours by rehabilitating them with Christianity. We drove up to the long dirt road toward a ranch-like summer camp. Behind the property is a cemetery and to its right is a military training base. Like all neighbourhoods around Tegucigalpa, we drove my an armed guard at the gate. After we got through, I saw a series of buildings connected by an intricate set of concrete paths. The weaves within the paths created beautiful alcoves and table to admire the beautiful countryside. Despite the fact that the campus was built on a hill, everything was built carefully to account for its minuscule changes. In-between the paths were beautiful arrangements of flowers, carefully manicured trees, and signs of carefully selected bible verses. This felt like a beautiful sanctuary for anyone who is trying to improve themselves; however, is it necessary that they use Christianity? Is it fair that individuals who are struggling with drug abuse or self-destructive behaviour get whitelisted from this facility because they are not Christian? While there is a clear division between church and state in the United States, the line is not well defined here. This has been integrated into both the branding and marketing of the clinic. On days of surgery, there is a pastor sharing bible verses, talking to patients, and blessing them before their surgery. Furthermore, the clinic has adopted the logo of Vida Abundante churches or vice versa. Regardless of who came first, it is apparent that the churches are integral to the outreaches of the clinic. The logistical work is delegated from the administrative team to the outreach team, and then the local church. With the help of the local pastors, we have set up our outreach clinic in both public schools and churches. It is possible that those who are not religious or do not belong to Vida Abundante have a difficult time being informed about our pop-up clinic. I have witnessed the intersection between religion and health care services. While I wish I could say it is negligible, I know it is not true. Due to a lack of health services the professional sphere of healthcare is merging with social organizations to improve access. While I cannot comment on its effectiveness, I do believe this will have a larger impact in the years to come. By the end of the Summer, my goal is to achieve total interviews. Since my program is expected to last an additional 5 more weeks, I am projected to exceed my goal. This might be helpful as I have some incomplete data sets from patients who had to leave early. This research update will focus on my experience in interviewing patients, preliminary findings, and future plans. In my first few weeks, I have learned a lot about the logistics of conducting my questionnaire to patients in and outside the city. Originally, I had anticipated interviewing patients after they have received services from the clinic. When put into motion, this plan fell apart because patients would leave soon after they had received services. To recruit individuals, I started approaching patients waiting for services. This has worked in my favor, as these patients typically sit without entertainment. The second hurdle was figuring out how to work with a translator. Prior to arriving here, I thought the consent and survey would be difficult to administer. Soon after, I outgrew this problem. The increased familiarity with the consent process, questions, and answers helped me independently conduct the process. On my second day, I started working with a clinic affiliate that is bilingual in English and Spanish. She helped me review my questions for both cultural significance and grammatical errors. With her help I conducted my first few interviews. She gave me the confidence in my ability to approach and converse with patients. I am feeling more confident and capable in my ability to collect accurate data. Although I can feel my research get limited by the format of my consent form, I have found alternative techniques. Currently my form requires a witness to confirm the consent of the target patient. In theory this would be easy, as the translator would act as my witness for every interview. Without the translator it is more difficult for me to find a volunteer. Depending on the situation, I have used the help of nearby clinic employees, family members, and nearby strangers. In attempt to lower my burden on the clinic, I tend to choose individuals who are sitting in pairs because it is easy to find a witness who is willing to help. The final part of my experience has thus far highlighted my interest in social science research. Every connection I make, feels rewarding. Some of my most meaningful conservations occur after the survey. I have talked with patients about my post-graduation plans, history of my family, and everything in-between. Building these types of connections motivates me to pursue this research and provide the most I can to this clinic. Since my results are strictly limited to the patients that visit the ZOE health clinic, I have to account for the patient bias. The ZOE health clinic attracts a specific patient that is seeking low-cost treatment. In addition to this, there are cataract diagnosed patients from the outreaches that receive free cataract surgery. My results are not a direct representation of the population or any specific community. They best represent a sample of patients who visit the ZOE health clinic. Knowing this, the data identifies these smaller trends. Roughly I found this relationship surprising as the academic literature highlights diabetes an underreported issue. Going forward with my research, I anticipate collecting over sets of data. Given my current schedule, it will be difficult to collect a large sample size from other locations. I hope to conduct interviews in each unique community outside the main clinic in Tegucigalpa. One of the most common barriers to access to affordable health care is cost. A majority of the patients I am interviewing have come to the ZOE Health Clinic for eye care services ophthalmology consultation, optometry, and cataract surgery. In the other clinics of Honduras, the cost of Cataract surgery is far outside the affordability of the working class family. As a result, this has lead to high demand and thus, a shortage of services. Patients have to schedule surgeries 2 months in advance, which is both time-consuming and difficult to arrange. This got me interested in understanding the impact of the ZOE health clinic in the larger arena of Honduras Health Care. I am working on some infographics to display preliminary data. They should be ready by Week 6 August 1. In El Chaparro, the school is the only building with electricity. Around 8 in the morning we drive up the rocky dirt road. Once the highway falls out of view, I notice a woman plucking the feathers from a chicken. An experience I had only witnessed through film or imagined. Watching this natural act felt like a breach of their privacy. I had never watched the feathers being plucked, much less a freshly killed chicken on the cutting block. I thought about how distanced I have been from the preparation of our food. This along with countless other observations has led to the reevaluation of my privilege. I am thankful for it all. I had never needed to worry about food security, financial hardships, or expensive health care. This type of privilege has allowed me to invest my time and energy into my education, something many people are unable to do in Honduras. An overwhelming majority of participants have reported their highest level as primary or part of primary school Grades K While I am not sure why they did not continue their studies, I am certain about this geographical disparity. Regardless of education level, people are both resilient and rising. On our outreaches, I am greeted with a handshake and smiles. Although we are from vastly different backgrounds I feel accepted into their community as if I had lived there my whole life. The Olancho Department is the largest in Honduras and located 3 hours away by car. While subsiding carsickness, I was trapped by the beautiful scenery. The highway curves in-between 2 large mountain ranges. Its twists and turns take us to city Juticalpa where we spend the night. We wake the next day, leaving for El Chaparo immediately after breakfast. The small town has about members. In hours we were able to provide visual acuity tests for 82 patients. For those who qualified, we gave them the appropriate reading or sunglasses. The team consisted of Doctor. Vasquez, Viktor the optometrist and I. I am responsible for distributing the correct glasses prescribed by the optometrist and doctor. As I distributed glasses, I felt intimately connected to my patients. Gifting them glasses that would allow them to read with ease or prevent the development of future pterygiums has changed the way I value my own belongings and access to health services. In the classroom, it is hard to imagine a village that does not have access to healthcare. While academics and creatives have created windows into this world through interviews and narratives, it cannot compare to personal experience. Working outside my comfort zone was more powerful than any classroom experience. While I have discussed objectives for global health in a worry-free lecture hall, the provision of regular health care feels distant and intangible in areas like El Chaparro. The cost of Health services is staggering and the community members are nowhere near making enough money to pay for it. I hope to further explore the logistics of this question as I spend time in more isolated communities. The daily protocol has become muscle memory. Each morning I arrive at 7, change into scrubs, and carefully adjust my hairnet. I help where I can: turning the light on and off, assisting with patient intake, and cleaning up after surgeries. Depending on the day, I have spent anywhere between a quick 3 hours and 7 hours observing surgeries. These were offered to patients who could not regularly afford these services. Before coming to Honduras I had only seen a cataract surgery once. During Winter term freshman year Winter , the professor of medical terminology showed the class a 3-minute animated video of a cataract surgery. By the end of this week, I have shadowed over 20 cataract surgeries, 1 pneumatic retinopexy surgery , 1 chalazion surgery , and 1 pterygium surgery. This experience is extremely unique, yet it could not be farther than my expectations. At the beginning of my college career, I had wanted to attend medical school and practice medicine. It was after I completed the pre-med requirements when I decided that I found my passion for public health. Since this change in thought, I started focusing on medical anthropology, ethics, and the social determinants of health. Knowing this shift in interests and professional objectives, why would I want to routinely observe surgeries? In the operating room, I feel helpless. The nurses and doctors have developed their own method of communication. Through a mix of gestures, Spanish medical terminology, and commands they operate effectively and efficiently. On most days, there is an average of eye surgeries varying in length. While there are two operating rooms, I primarily shadow surgeries in this room. It is unique in the sense that there are two patients in the operating room at the same time. Having no professional training, I feel as if I am a burden in the operating room. The extent of my responsibilities involves assisting patient intake collecting vitals , opening the door for patients, and cleaning-up after surgeries. With so much restriction, the operating room feels likes a waste of time. It was only when I asked about my schedule, did I learn about an alternative motive. Every eligible surgery I watch results in financial support from Unite For Sight. The donation per surgery is enough to offset the cost of the surgery such that it is free; however, if I am not present for the operation, the clinic does not receive any support. As a result, I am placed in a difficult position because I want to help the clinic, yet I do not want to spend excess time in the operating room. Due to my extended program with the clinic, I have decided to continue watching the surgeries because the financial support is larger than any work I can currently do. Although the operating room does not contribute to my professional objective or personal interests, I want the ZOE health clinic to receive as much support as it can from Unite For Sight. I have reached out to Unite For Sight and asked for their clarification. I believe this policy does not allow the flexibility and individuality of a volunteer abroad program. These are some of the surgical instruments used in the surgeries. All of the items are either sanitized or discarded after waste. This is the removed lens of a cataract patient. Patients with more occluded eyes tend to have a darker and larger lens. When held, the lense is hard and the size of a small pebble. Cataract surgeries replace this lens with an artificial one. Stay tuned next week for a more detailed report on my research and its findings. Many continue to be surprised by my ability to converse and understand Spanish. I have had countless conversations about my heritage, local cuisine, and which state is Oregon. Immersion has presented itself with difficulty as I ran into a problem over the weekend. Without the crutch of google translate, I had to both exchange money and find a tech repair shop. The receptionist at my hotel helped me with money and I happened upon a repair shop at the mall down the street. I am happy to report that there are no other bumps or hitches this week. The research and work continue to flow smoothly, although at times it feels like the same day every day. Both photos were taken there! This is a view from my hotel. On the top floor, there is an open roof with a restaurant that serves breakfast and dinner. In the middle of the day I like to spend time reading at these tables with a nice view over the city. Our smooth landing brought me no joy as I realized the extent which American companies have impacted Honduras. I enter van with tires as tall as my waist. He tells me this is the vehicle that he takes on Brigadas, temporary health clinics outside the city. My spirit and appetite diminished, although I had not eaten anything except granola bars the past 5 hours. When we arrived at the mall, I was surprised to see a 3-stories lively atmosphere. What burdened my heart the most was not the planned obsolescence of malls or lack of public transportation on the road. I was taken back by the amount of plastic being used in single-use containers food, beverages, and shopping bags and the amount of litter. Styrofoam is very popular here as many restaurants and small markets rely on this form of packaging for serving customers. While the hills in the distance are lush, there remain piles of trash tucked away in abandoned buildings or lots. When we arrived at the clinic the first thing I noticed was the line. As we pulled into the parking lot, I noticed two separate waiting areas, one for medical and the other for optical care. Each has approximately 20 chairs each, and are regularly above capacity. I was first placed with the optician assistants. With their instruction, I learned how to administer Snellen chart readings, use an autorefractor, and lensmeter. On Friday I started preparing the archive for my research, met with a translator, organized logistics, and took inventory of the glasses I plan to distribute during our Brigadas. Monday was the first day I shadowed cataract surgeries and started interviewing patients. In-between these surgeries, I completed my first interview with a patient who had just been released from surgery. On Tuesday, I shadowed Doctor Rojas in the operating room and saw two unique surgeries. I saw a vitrectomy and a pneumatic retinopexy. After these, I continued to collect data for my research. Wednesday marks the end of my first week in Honduras. I watched 5 cataract surgeries and 1 pterygium eye surgery under Doctor Flores. I started to help with the clean-up and preparation of the operation room. Today was the first day I felt like I contributed to the surgical team. Having noticed an empty oxygen tank, I brought it to the attention of nurses and they quickly exchanged it. The clinic, like every other establishment, has both barbed wire and security guards. The hallways, although regularly mopped, always feel dirty. The waiting rooms feel temporary, as patients wait on metal fold-up chairs. The walls are blank, as there are no images on the walls. Maybe its the use of cool LED lights that make these areas feel uncomfortable. Maybe its the lack of hospitality that makes the clinic feel inviting. Despite the seemingly low investment in the waiting room, the clinic offers a wide range of services: ophthalmology, optometry, dentistry, orthodontics, orthopaedics, internal medicine, dermatology, psychology, otolaryngology, audiology, gynaecology, paediatrics, nutrition, general medicine, laboratory tests, glasses shop, eyes nose and ear surgery, and ultrasounds. From my first day, I felt a genuine connection with the staff. I am proud to work for this clinic as it provides health care at an affordable cost to those who cannot typically afford these services. I am currently waiting on some good photos to share about the clinic. Life is good in Tegucigalpa! This marks halfway through my time with the clinic. See ya next week. It was a great week! Check out my Research Update. Los instrumentos These are some of the surgical instruments used in the surgeries. La lente This is the removed lens of a cataract patient. Iglesia de Los Dolores. A Jeep with four flat tires was parked in the garden of the National Gallery of Art. Todo azul en Tegucigalpa P. Older posts.

Juticalpa buying weed