By María José Montiel Castillo
Julieta came to Clinica Verde from El Jocote, an area that belongs to a municipality in the department of Boaco. To get to the clinic, she woke at 4 in the morning.
"We have to walk 30 minutes, then grab a bus or truck, then take another bus that brings us to Boaco. It takes us over 2 hours to make the journey."
Julieta says she has come to Clinica Verde many times with her mother and children. “The nurses are very friendly, the doctor (Dr. Miranda) also." As a patient at Clinica Verde, Julieta contributes a “donation” to the clinic for the services provided. She says the fee is lower than at other places with medications. Recently, Julieta shared, she had to pay 1,600 cordobas (approximately $62) for exams at another health institution, and she’s still trying to pay the last 450 cordobas ($17). She hopes that Clinica Verde will one day have a laboratory and provide such exams “at a lower cost, because sometimes her family has to go without eating in order to cure our children of their illnesses.”
Julieta has 7 children – 5 girls and 2 boys. On this visit to Clinica Verde, Julieta came with her younger daughter, Mariana, 19 years old. It is her third visit to Clinica Verde, and she arrives with pain in her throat. Dr. Nubia Huete diagnosed her with pharyngitis and malnutrition. Mariana weighs 38.6 KG (aoubt 85 pounds). Julieta’s other daughter, 22-year-old Valeria, had visited Clinica Verde recently with stomach problems.
“I am very grateful to the doctors and Clinica Verde," said Mariana. “My Mom has received treatment here and also much of my family.”
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Message from the Founder:
We love to share stories of our patients, which highlight our challenges as well as our triumphs. Julieta and her family underscore our challenge providing transportation to indigent patients, and also our need to expand our services. Clinica Verde is seeking funding to support a van and to begin laboratory services.
The question of patient fees - or, in our case, a requested "donation" - is also something we're always reviewing. In trying to create a sustainable financial model, Clinica Verde experiments with services that produce revenue while not interfering with our primary purpose to serve those in need. How do we reach the most patients, providing excellent care and education, while contributing to our long-term financial health and sustainability? In the coming months we'll continue to explore this, looking at ways we can expand our U.S. student education program, consider occasional specialist services such as dental, and open an in-house laboratory. We welcome ideas and feedback from our supporters!
In other news we'd like to share: Our wonderful clinic director, Dr. Alba Castillo, has breast cancer and begins chemotherapy this week. Our Clinica Verde staff has been coached and trained to help cover her duties while she goes through treatment. Please hold her in your prayers.
Thanks, as always, for your wonderful support! We couldn't do our work without you.
Susan Dix Lyons
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