by Kate Layman, CNM On the first day of October 2011, I had the great fortune of joining a medical group in Bocas del Toro, Panama. The Floating Doctors Team is a nonprofit 501 (c)3 with the mission of delivering healthcare to isolated coastal communities throughout the Caribbean. Before arriving in the Archipelago del Bocas, the group had been active in Jamaica, post-earthquake Haiti, and Honduras. After weeks of reading their Facebook page, combing the website, and brushing up on my Spanish, I embarked on discovering a new country and delivering healthcare out of my usual role at the Birth Center. I landed in the township of Bocas, a patchwork of colorful buildings and tributes to the “Irie” existence. Dusty streets lined with hammock-strewn patios, fruit stands, and businesses pulsed with life. I soon realized the stunning landscape truly reveals itself when you get out on the waterways woven among the islands. Motorized boats and dugout canoes traverse these thoroughfares. Gazing over the side through crystal clear water, glimpses of stingrays, schools of fish, and a white sandy bottom race by. My hopes were confirmed for an amazing adventure. The home base for Floating Doctors was a 76-foot vessel called The Southern Wind. Her nooks served as pharmacy, occasional exam room, sleeping quarters, and mission control for the group. The troupe of volunteers was remarkable and diverse. We were a collection of physicians, nurses, public health researchers, sailors, a pro-surfer and a midwife. Life on the boat was a buzz of activity and comedy. I often felt like I was on a floating medical hostel with moments of The Life Aquatic with Steve Zissou. Unfortunately, we were missing the sauna room, but the soundtrack was just as good. The population in this area is incredibly diverse. The presence of banana plantations and proximity to other Caribbean nations produced a mix of West Indians, Latinos, and more recently ex-pat retirees from all over the world. Various indigenous populations also inhabit the far reaches of the islands and made up the majority of patients we served. The group executes two to three clinics a week in the surrounding archipelago. The most common ailments I encountered were gastrointestinal parasites, respiratory infections, and fungal skin infections, byproducts of the climate and lack of infrastructure. Public health disparities abound. Although fortunes from the Panama Canal provide free healthcare services to all Panamanians, a lack … Read More