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• W2798949901 abstract "After a few days, morning rounds at Hopital Sacre Coeur in Haiti quickly became a ritual. Walking classroom to classroom within the converted school house hospital, I greeted my patients lying on straw mats on top of improvised beds made from school benches. “Bonjour; kouman ou ye?” (“Good morning; how are you?”) I would say in Creole with a somewhat strained smile across my face. Almost in unison, the response from my patients was “M pa pi mal,” which translates as, “I am not worse.” I didn’t give this common colloquial response much thought at first as I made my way from patient to patient each morning. One young woman had lost half her leg. She seemed eternally grateful each morning and evening for the few minutes I spent reviewing her chart, briefly examining her infected stump, and providing pain medication. My next patient, a middle-aged man, had secondand third-degree burns over his face, chest, and upper extremities. Although there is a natural tendency to avert one’s eyes from scarred flesh, I found myself carefully examining his disfigured face each day, his peeling lips and eyes nearly swollen shut. I began to see the faintest taut smile emerge a little more each day. My next patient was an 8-year-old girl who had a 3-inch stump protruding from her shoulder where her left arm used to be. Accompanied by a doting family member, the 2 of them nonetheless shared the same listless look. The rest of the makeshift hospital room sheltered a paraplegic middle-aged man with a lumbar fracture, 2 patients with deeply infected buttock and thigh ulcers, and a young woman with an open book pelvis fracture. As I left the converted classroom, though, I found myself wondering how these people could choose a phrase (M pa pi mal) that expressed a sense of optimism and gratitude—acknowledging each day that things could have been worse—despite having suffered indescribable losses. Much of my work in Haiti involved dealing with the immediate medical and surgical needs of newly arriving patients by helicopter. As emergency physicians, we are trained to practice and accustomed to practicing a type of medicine in which we utilize our skills to prioritize and manage multiple patients with potential life-threatening injuries. That was the easy part of my job. The constant E" @default.
• W2798949901 created "2018-05-07" @default.
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• W2798949901 date "2011-01-01" @default.
• W2798949901 modified "2023-09-23" @default.
• W2798949901 title "CHANGE OF SHIFT M Pa Pi Mal: Grateful to Still Be Alive" @default.
• W2798949901 hasPublicationYear "2011" @default.
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