MW4DR: How do we get past la Cabesa Dura?

Bronxboy

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Jul 11, 2007
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ROBERT OR MODERATOR:

It was explained to me in January that I was not to respond to Chip nor was he to respond to me in any postings with a threat of being banned. This was placed by Robert. I am supposedly to be placed in his "ignore" list wihtout his permission by Robert.

I have posted this thread in an effort to get genuine assistance for a problem affecting the women in the Dominican republic and he has entered my thread with a post laced with incorrect assumptions, finger-pointing, and sarcasm.
Please let me know if Robert's rule has been lifted or please disable him from commenting on my threads or posts (which was the rule placed in January), I do not want my thread to turn into a circus with his remarks, this is very important to me.

Thank You

SHALENA




No worries Shalena. I will not let this thread turn into a bickering match.

Heed warnings all!!!!!!!!
 

Chip

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Jul 25, 2007
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Santiago
There is nothing disingenuous in my post but positive advice in order that this very good medical procedure is accepted here in the DR. My only concern is helping this procedure be accepted as it is obviously beneficial to Dominican children. I'm sorry if people think so poorly of me that they think I would be taking such a serious matter so lightly. I will leave this thread at the request of the op.
 

keepcoming

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May 25, 2011
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I am sure that this is very fustrating for you but continue to "bang on that door" and be persistent. What you are bringing to light is very important and is needed. My sister in-law is a OBGYN outside of SFM and she has encountered the same stubborn attitude you are seeing. She did a internship in Cleveland a few years ago and when she came back with some ideas she was met with some resistance but she kept at it. Keep doing what your doing and someone will eventually listen. Unfortunately some here are slow to change and new ideas but again be persistent
 

SKing

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Nov 22, 2007
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From my experience with Dominican professionals I would say one has to be careful when suggesting anything new. While the aforementioned are certainly quite aware of the major issues in their country they are still proud of their country and can be resistant to change, even a good idea, just based on "presentation" of the new idea.

I can assure you that our "presentation" has been remarkable. Gifts for the doctors and nurse, literature in Spanish, donations for the patients, one on one sessions with the nurses interedted in Midwifery. LaTeacher has gone when I'm not there and I can also assure you that her "presentation" is also remarkable

As odd as it sounds my first suggestion would be to make sure the term "Kangaroo Care" is not be used but rather something more scientific.
"Kangaroo care" IS the term used for this type of care, in Spanish it is known as Metodo Canguro. There is not a Scientific word for it. Describe it to even the most intelligent of Physicians and they will say "That is Kangaroo Care"

Second, a real genuine repertoire needs to be established with the administrative doctors and nurses in charge who will be charged with implementing this change and to do that a real understanding of Dominican culture is of utmost importance.

I have the cell phone numbers of the Head nurse and also the Director of Obstetrics, and thank you but I interact with Dominicans as much as you do and think that although not an expert, I am very well understanding of the culture

These type of interactions need to be formal in the Dominican sense and very cordial to say the least(never say "vaina" please). Mentioning a very healthy respect for the job that is being done with so little resources would be a winner as well - but only for the public hospitals not private clinics.
Have you heard me speak professionally?? I didn't think so. Also when I bring the donations to the hospital, and supplies that sometimes (many times) come out of my own pocket, I let them know each and every time that it is to make their job easier as they do not have the resources that I do
Dominicans are also interested in why would a foreigner be so interested in helping them out. They may assume that the foreigner thinks they are better and thus they will be resistant. However, if the foreigner can demonstrate effectively that they want to help out because they generally are interested and impressed by aspects of Dominican culture they certainly will be received better. However, the latter can't be faked imo.
Faked?? I am American, it would not affect me one way or the other if 10,000 Dominican women died tomorrow. I believe that the people that I work with regarding Women's Health in the country and the Domincans that I associated with know whether I am faking or not. They know it when I take my Christmas bonus and buy supplies, they know it when I promise the nurses a rest lounge makeover next year if I have to pay for it myself, they know it when they have my personal cell phone number and call me to ask my opinion on one matter or the other. Thank you very much...

I'm basing this on my experience with other professionals in my field as a civil engineer. Any respect of what is good about the DR, whether it be food or love of the family, is always well received and respected. Bottom line is Dominican professionals want to be seen as equals. These are my personal observations based on my experiences and it may be different for others.

Finally, I would personally would stick to the task at hand at of selling this type of care, which seems very good, instead of throwing a lot of statistics out there (like those that were presented in this thread) such as reminding them than there are a lot of teen pregnancies, etc. as this could be misinterpreted that one would at some point be advocating abortion
Statistics are how we know how we are doing, statistics are used to track failures and successes, they are a starting point for change. I will remind them a million nore times that the teenage pregnancy rate is high until I see a change in statistics. We have never advocated for abortion and it has never been taken that way. The nurses want to see more education and it has been decided that that is where we will start
- which would be a big no no imo.

Thank you for your suggestions, although smothered in sarcasm

SHALENA
 

SKing

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Nov 22, 2007
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I am sure that this is very fustrating for you but continue to "bang on that door" and be persistent. What you are bringing to light is very important and is needed. My sister in-law is a OBGYN outside of SFM and she has encountered the same stubborn attitude you are seeing. She did a internship in Cleveland a few years ago and when she came back with some ideas she was met with some resistance but she kept at it. Keep doing what your doing and someone will eventually listen. Unfortunately some here are slow to change and new ideas but again be persistent

Thank you so much, that gives me alot of hope. I would like to meet your sister-in-law anytime!

SHALENA
 

Chip

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Jul 25, 2007
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Santiago
Thank you for your suggestions, although smothered in sarcasm

SHALENA

Shalena

First in spite of our differences I respect what you are doing and I always believe in promoting good no matter who is the author.

Second, there is no sarcasm in my post at all. The comment about "vaina" is something I had to learn the hard way in professional situations. If you have already learned this then all the better.

I think what you are doing for Dominican children is a good thing so hence I risked getting in trouble to give you advice based on my experiences.
 

dv8

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Sep 27, 2006
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it is already turning into cat fight. guys, give each other credit and take posts positively, ok?

shalena, as they say: rome was built in a day. you have to give it time. idea about maternal and child care is still fairly new, even as little as hundred years ago women and newborns were dying in the first world due to infections and other issues. it took long time and work of many individuals and entities to change that.
everywhere you will see that people are resistant to changes. it needs lots of education, patience and - mostly - time.

i think maybe you could bite this problem from other direction? maybe instead of talking about benefits of kangaroo care to mother and child outline its benefits to doctors and nursing staff? less work for them since mum will be in charge of the baby? more profit for the hospital since the cost of care will be lower? more prestige to the doctor since his patients are doing better?

i am not a specialist here, i am sure you can word this idea and sell it.
 

SKing

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Nov 22, 2007
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it is already turning into cat fight. guys, give each other credit and take posts positively, ok?

shalena, as they say: rome was built in a day. you have to give it time. idea about maternal and child care is still fairly new, even as little as hundred years ago women and newborns were dying in the first world due to infections and other issues. it took long time and work of many individuals and entities to change that.
everywhere you will see that people are resistant to changes. it needs lots of education, patience and - mostly - time.

i think maybe you could bite this problem from other direction? maybe instead of talking about benefits of kangaroo care to mother and child outline its benefits to doctors and nursing staff? less work for them since mum will be in charge of the baby? more profit for the hospital since the cost of care will be lower? more prestige to the doctor since his patients are doing better?

i am not a specialist here, i am sure you can word this idea and sell it.

Now that is an excellent idea...thanks for that. Most likely that may work better

SHALENA
 

SKing

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Nov 22, 2007
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Shalena

First in spite of our differences I respect what you are doing and I always believe in promoting good no matter who is the author.

Second, there is no sarcasm in my post at all. The comment about "vaina" is something I had to learn the hard way in professional situations. If you have already learned this then all the better.

I think what you are doing for Dominican children is a good thing so hence I risked getting in trouble to give you advice based on my experiences.

Thank You

SHALENA
 

nas

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Jul 1, 2009
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I doubt any Dominican in DR1 would have an issue with what you've posted. You are neither being out of line nor disrespectful to the entire Dominican population.

Is the Hospital administrator or director aware of what you are trying to accomplish?
I don't know how generous your budget is, but this is the man or woman you have to impress. The staff will then follow his/her lead.

Have you shown them videos of this program been executed successfully abroad? I think this would be more effective than have them read stats on a brochure Pamphlet.

There is probably no escaping it, you might have reach and bribe someone; politely of course. I don't mean money. Maybe dinner for two (Dr and spouse) and or a couple tickets to a show.

It is sad you have to result to bribery when this is something they should embrace naturally for the sake of the kids.

It is even sadder that a lot of Drs. in the field don't have their hearts in the right places; hence the bribery!

:chinese:
 

SKing

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Nov 22, 2007
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I doubt any Dominican in DR1 would have an issue with what you've posted. You are neither being out of line nor disrespectful to the entire Dominican population.

Is the Hospital administrator or director aware of what you are trying to accomplish?
I don't know how generous your budget is, but this is the man or woman you have to impress. The staff will then follow his/her lead.

Have you shown them videos of this program been executed successfully abroad? I think this would be more effective than have them read stats on a brochure Pamphlet.

There is probably no escaping it, you might have reach and bribe someone; politely of course. I don't mean money. Maybe dinner for two (Dr and spouse) and or a couple tickets to a show.

It is sad you have to result to bribery when this is something they should embrace naturally for the sake of the kids.

It is even sadder that a lot of Drs. in the field don't have their hearts in the right places; hence the bribery!

:chinese:

I never thought about the Hospital administrator, I will try that direction.
I would need to take them out to show them a video, they are waaaaay to busy in the hosptal, hence the written information.
The OB Director never gives me any opposition, says "Si, si, si" alot like I'm wasting his time. The they do what I ask but its the follow through that sucks, and the fact that they wait until I'm back in the States to tell the girls no.
I was not going to move to Santiago until I finished my Midwifery schooling but moved back early becasue I saw that nothing was going to get done if I wasn't actively there. But I have to work to support my family and my studies so still I am only there 2 weeks out of every month and not consecutively. Melanie (LaTeacher was doing alot while I was in the States but of course she has her job and family too).
Yeah about the bribery....I already know. They didn't listen to me at first until I started bringing stuff.
What is the best restaurant in Santiago then? Maybe I will get a gift card for dinner for two, take it to the Hospital Director's office, and ask him for an appointment to speak with him. After speaking with him, maybe I can get the go ahead for some of the projects and if I do....tickets to a show :) thanking him for his time and his support
I will try that NAS, thanks.

SHALENA
 

SKing

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Nov 22, 2007
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BTW....we have no budget, currently we have $48 in the PayPal account. LOL

SHALENA
 

LaTeacher

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May 2, 2008
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The work that is being done for maternal health here is remarkable, however, most people don't even know what is going on! I speak to people frequently and hey have no idea of the services being offered around. Perhaps if we can educate the women to stand up for themselves, they can cause the ruckus for the cause. The more women who are educated before going into labor, the better chances they will demand these services when they need them.

SKing is doing great work - it's not easy to pack up your family and move to another country because of something you believe in! keep up the good work, shalena. (ps. call me)
 

dv8

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Sep 27, 2006
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another idea is to involve a celebrity. which in dominican terms means someone who is featured in "ritmo social" :) basically a rich influential woman who is going to brag about your project to the media.
i am not sure who could help here and help you reach the rich. but having someone of high social status back you up is going to move your case forward faster than any dinner or show.
maybe it is worth to flip the pages of domincan weekly magazines that come with listin diario and hoy. check who is getting married and who is getting pregnant. connect with those women via your project's facebook profile. present your ideas as a new fad, a way to shine as a mother. granted, rich women's kids are brought up by nannies but those women themselves never miss the opportunity to talk about how motherhood changed them and how kids are the light of their lives. play with that.
 

SKing

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Nov 22, 2007
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Maybe a fundraiser or donations?

Yes, we have had some. The money goes so quickly we could never raise enough. Cabral at times has up to 900 births per month, sometimes 20-30 per day. Just trying to provide even the smallest of things (like sheets) is a task. Everything goes so quickly. The Haitian women usually arrive with nothing and need extra. One of the ladies wanting to join has some ideas, we are just waiting till I talk to Melanie to gather a time to discuss things.
Of course, if you would like o make us your Christmas charity this year we would gladly appreciate it! :)

SHALENA

SHALENA
 

SKing

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Nov 22, 2007
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These are all great ideas, thanks guys.

SHALENA

P.S. I wonder, with alot being said for "image" in the DR if I can write-off my abdominoplasty as an organizational expense!!!LMAO
 

dv8

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Sep 27, 2006
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listen, how about you start off in private hospitals rather than public? because women pay and the financial situation of such institutions is different the staff can have more time on their hands, especially doctors. i know you aim to help those who really need it but one has to start small and smart. nearly all doctors from private clinics clock time in public hospitals too. if they learn some habits at their paid jobs they make take it further.

your second goal could be students - future doctors and medical staff. maybe HB could hook you up with some people in PUCMM so you could give - free - a course or a presentation to medical students?

and do try to worm your way to margarita. she likes to play the mother of the nation. with her support anything is possible. maybe you could join PLD? just joking... but in any case, there must be some people here who know big fish in PLD.