Update f/ Dr. Cheryl

"...Their arms and legs were crushed, their bones sticking out of their bodies, their heads gashed open. Some crying in pain, some barely alive. 5, 6, 7, people per truck.
After a few minutes I left the gate and security took over letting them all in and I rushed back to the hospital. For the next 33 hours straight we worked on the traumatic cases that lie before us. It looked like war. We did not know the integrity of the clinic yet so we could not go inside. The aftershocks started to come and were frequent but less in intensity. We had to get supplies in side but ran back out every aftershock we got. The injured were lying all over our outside walk way. Grant, our visiting nurses and myself worked on triaging the worst patients. We are not a full service hospital, we are just a clinic.....we started to get reports that the biggest hospital in PAP, General hospital had crashed down, Doctors without Borders had crashed (the only 2 main ER's in the entire city!). We got further reports that other hospitals were down. We started to realize, that we were all there was for miles and miles and miles.

At the 20th hour, we told the gate we could not accept anymore patients as we still had to get through many many more. We sent our nurses (except for a few) and our helpers to work in shifts and Grant and I worked on. We reduced (tractioned bones back in place) open compound fractures.......putting tibia bones, back into people's legs that were sticking out. We reduced and set many many femur fractures, lower leg fractures, arm fractures. We sutured arms, legs, heads. We put scalps back together and we cleaned concrete out of wounds for hours. We stabilized pelvic fractures and we helped babies with head trauma breath on oxygen.
We had 3 die. 1 baby, 1 two year old and 1 ten year old. We had 4 others on the brink of death. We saved a lot. Because we had no other choice (as there was no where to send them), at the end of 33 hours, we had discharged all but 5 to follow up. The last few we attempted to take to hospitals. 3 refused and wanted to go home to die.

The other 2 Grant and Laurens tried to find somewhere that would take them in Port Au Prince. It was true, most hospital's were not functioning and those that were, were full of bodies, inside and out. Everywhere, some alive and some dead. Bodies were pilled up in the parking lots as there was no where to put them. Most of the doctors that used to work at the hospital's were dead or not heard of. Families had no where to take their loved one's bodies because their houses were crashed down, they still were missing family members or the funeral homes were destroyed....so they left them.

We went home and slept 6 hours. Then opened the clinic again. We worked another 10 hours, seeing the same things. Finally it stopped. There were no more tap tap's running as there was no more diesel for their vehicles.

That same night, our president of Mission of Hope arrived. We started into disaster relief planing with some partner organizations. By this time reports of what the damage in the country looked like were becoming clear. We had US and CAN doctors start to come in through the dominican to help. We have had doctors coming now since Sat. We have been coordinating a grand scale disaster relief plan for the 100's of thousands of people that have not yet got into the hospital and for food distribution. It is to say the least, no small task.
We have hardly slept, we have not been able to communicate with you. Tonight it was time.
The capital is devastated. The national palace is on the ground (white house), the ministry of transportation is on the ground, the huge justice palace (the whole judicial system) is on the ground, the ministry of health is on the ground, the ministry of finance is not down but destroyed, the entire downtown core has almost every building down to rubble, the insurance bureau is on the ground, every national bank headquarters are crashed to the ground except one that stands severely damaged, the head police headquarters is in rubble, the hospital that Laurens was in after his accident (the best in the country) is severely damaged and non functional, the building that has all the adoption papers in the country is destroyed, the only grocery store that all the missionaries shop at (that I almost was at that day) is rubble on the ground killing and trapping everyone inside, the Montana hotel where we had lunch not so long ago is completely rubble killing everyone inside, many collages and schools and crashed down, Digicel world headquarters (cell phone) and the tallest building in PAP is to the ground (hence we have no cell communications and on.....and on.....and on.

We have 160 staff on our mission and we already know of one that has died and we still have not heard from about 100 staff. Everyday that someone shows up is joyous to see that they are alive. Most everyone has a family member that has died. One security guard has 4 children that died. Many of our Haitian staff suffer severe post traumatic stress after what they have been through or seen. One of our friends was trapped in his school next to 50 of his classmates that were crushed by the building. He heard them screaming but could not save them. He watched them die, as he was trapped inside for 3 hours with a dead man on his chest. He was pulled out eventually..."