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Clinical Care

How Do We Avoid Another EHR Mishap? Part Two

In light of the recent mishandling of a patient with Ebola virus in Dallas, Texas, MCN has been discussing internally the importance of communication between each patient’s care team. Such issues greatly affect migrant clinicians, where language and cultural differences may create additional communication barriers.

How Do We Avoid Another EHR Mishap? Part One

EDIT: MCN is saddened to hear Thomas Duncan has passed away. We offer our condolences to his family and friends.

On September 25, Thomas Eric Duncan went to Texas Health Presbyterian Hospital in Dallas, Texas, with an unspecified illness. During the intake interview with the nurse, he noted that he had recently returned from Liberia, the country at the epicenter of the Ebola virus, which has already claimed the lives of more than 3400 people in West Africa. 

Congress Will See Life Through the Eyes of Farmworkers with Seth Holmes' "Fresh Fruit, Broken Bodies"

Last week, President Obama and every member of Congress received a copy of Seth Holmes’ Fresh Fruit, Broken Bodies.  For nearly two years, physician and anthropologist Seth Holmes lived and worked as a migrant farmworker.

EPA's New Pesticide Resource Includes Expanded Content, Features MCN

Your patient reports stomach pain, nausea and headache. It’s nearing the heart of flu season - these are possible flu symptoms, you think. On examination, the patient doesn’t present with a fever.

“Is anyone at home sick?” you ask.   

No.

“When did the symptoms begin?” 

Hoy (Today).

You notice the patient appears to be dressed for work. “Where were you when the symptoms began?” you ask.

En el trabajo (At work).  

At work, you think. “And what do you do for work?”

BRIEFING: A Clinician's Call for Safer Farmworkers and Families

Today and tomorrow on Capitol Hill, more than a dozen farmworkers from across the nation are meeting with their members of Congress to call for the implementation of stronger protections for farmworkers from pesticides. MCN's Chief Medical Officer, Dr. Ed Zuroweste, MD, will join the farmworkers and a coalition of allied groups at a briefing for members of Congress and their staffers about the urgent need for an update to EPA's Worker Protection Standard. Here is the statement he will deliver today at the briefing:

Clinician Spotlight: Tina Castañares

MCN and Partners Develop Comprehensive Clinical Tool

As part of our series of continuing education webinars, MCN partnered with the National Farm Medicine Center and Agrisafe Network in March to present the Nuts & Bolts of Cholinesterase Monitoring for Farmers, Ranchers and Agricultural Workers.

Poisonings a Leading Cause of Death, Poison Prevention Week Celebrates 50

During the month of March, MCN is taking the opportunity to share with you a series of blog posts about poisonings and poison prevention. This week marks the 50th50th Anniversary Logo Anniversary of National Poison Prevention Week and MCN wants to highlight a range of topics around this emerging issue.

Shrimp Burgers, Night Clinic and Canine Rescue: Celebrating a Career Devoted to Caring for Migrant Farmworkers

Article from Streamline, November - December, Issue: Volume 16, Issue 6

PHOTO: Caroloyn Davis FNP 2010

MCN- Carolyn Davis, Family Nurse Practitioner, was awarded the Steve Shore Community Catalyst Award at the 2010 East Coast Migrant Stream Forum that took place in Charleston, SC, in October of this year. I first met Carolyn in 1997, when a group of us at MCN embarked on an epic journey in a rented RV from Austin, Texas to Ashville, North Carolina for another East Coast Migrant Stream Forum. I was five months pregnant with my first child, my husband was the volunteer driver, and along with three other women from the staff we set off for a two-week tour of health centers in seven southeastern states.

Our adventures were nearly halted in Eutaw, Alabama, when we realized that the shoestring operation we’d used to rent the RV didn’t actually have insurance that covered us. But our intrepid leader, Karen Mountain, figured out some way around that hurdle from her post in Austin and we continued eastward.

Every stop along the way was unique and we were awed by the creativity and dedication we witnessed at each subsequent health center. On day six we rolled into Beaufort, South Carolina, a bit road weary and overwhelmed by all we had seen. We parked our monstrous RV in the parking lot of Beaufort Jasper Hampton Comprehensive Health Services, Inc. and were met in the waiting room by the Migrant Health Coordinator, Carolyn Davis, the most gracious and enthusiastic person we had yet encountered in a trip full of wonderful people. Carolyn took one look at us and declared us in dire need of the best local fare. We followed her out through the beautiful flat coastal lowlands to a hole-in-thewall on the dock called The Shrimp Shack. The “Shack” specializes in shrimp burgers made from the fresh catch hauled onto the dock daily. Unfortunately they will not reveal their recipe, but to this day that is one of the best meals I have ever had.

Beaufort Jasper Hampton Comprehensive Health Services, Inc. is located in the midst of the “low country” of South Carolina. This is a beautiful part of the United States; a land of spreading moss-covered oak trees, palmettos and thousands of acres of stately southern pine. The marshy coastal region is made up of many small islands, including exclusive resort islands such as Hilton Head. From her home on a nearby island, Carolyn can hear the guns from the Marine training grounds on the neighboring Parris Island.

This region is also known for its agriculture, particularly for tomatoes and watermelon in the summer with winter vegetable crops such as winter squash, collard greens and sweet potatoes. Unlike some other regions of the country, the crops in this area of South Carolina are still largely worked by migrant farmworkers, many of whom travel up from Florida, others of whom come from Mexico, Central America, or Texas. Most of the migrants in this region are Hispanic families and young single people; however there is still a contingent of Haitian workers who primarily work in the packing sheds. Once the picking season is over in the Beaufort Jasper area, many of the same farmworkers travel further north to the Delmarva Peninsula where the season begins a couple of months later.

While agricultural employment has remained stable in this region, in recent years many migrants have also found work in the booming construction industry, particularly in the upscale resorts of the barrier islands. The increase in luxury housing on the barriers islands has moved more of the agricultural production inland. As Carolyn says, the islands now “grow more condos then veggies”.

Carolyn Davis did not start her career with the intention of working with migrant farmworkers. The daughter of a career Navy man, she moved regularly as a child, graduating from high school in Guantanamo Bay, Cuba. She received an associate degree in nursing from Florida Junior College, eventually graduating from the University of South Carolina with a BA and a Masters in Nursing. At that point she went to work for the local county hospital where she was the Director of Nursing.

Be Informed and Educate Others on National Latino AIDS Awareness Day

BANNER: Save a Life. It may be your own. National AIDS Awareness Day.HIV/AIDS takes an especially heavy toll on the most vulnerable and marginalized groups in US society. Poverty, low income, limited education, sub-standard housing, and limited access to health care are all factors that increase the rate of HIV/AIDS in a population.

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