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50 Burlington Mall Rd. #114, Burlington MA. 01803
(781) 229-2020
 

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VOSH-ONE, Dr. Derek Feifke and friends, give their services to those in need in the Dominican Republic
 
Report on joint Mission to Constanza, Dominican Republic April 30 to May 6, 2011 by Derek Feifke OD
This was my first trip to the Dominican Republic. We set up clinics in the mountainous region of Constanza. This beautiful part of the Dominican Republic is at the highest altitude in the Caribbean at about 4500 feet and is also home to the tallest waterfall in the Dominican Republic.

I represented VOSH as part of a multidisciplinary team, which included a local Dominican physician, ENT specialist, dentist, pediatrician and five nurses. I was the first optometrist to join the “Constanza Mission” team. My fourteen-year-old son accompanied me. Our team included three Rotarians who are introducing a desperately needed water filtration system to the area. Five peace corp. volunteers also assisted us.

The Constanza Mission was established six years ago and the mission founders have worked with the local hospital to upgrade and improve facilities since then. A full time Dominican doctor works at the hospital overseeing patient care in the Mission’s absence and mentoring local health care workers. A medical team from the South Shore Hospital visits the same region twice a year and the area has seen a substantial improvement in the standard and sustainability of medical care.

Our team conducted one clinic in Constanza and others in surrounding barrios in the mountains. Patients were first triaged by the nurses and then examined by the doctors. As always there was a high demand for our services. I examined and treated 150 patients and dispensed about three hundred pairs of glasses. Complicated lens prescriptions have been made up by my office lens lab and will be sent to Constanza. An Ophthalmologist from the South Shore Hospital will join a mission next May and perform surgery on sixteen patients that were identified for cataract and pterygia surgery.

Being a part of a multi-disciplinary team is most beneficial to the patients and very satisfying to the health care team, in that varied and multiple health care issues can be addressed at once. For myself, I found that I learnt much from the other clinicians, and similarly they were able to call upon me to address ophthalmic issues that would not have been addressed had I not been on the team. It was a valuable and enjoyable experience and I feel that future VOSH missions could benefit from this type of collaboration.
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