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For about 2 yrs before this i had circulation issues show up also. I was diagnosed with factor v leiden. Only one side of family apparently had the gene. When we had no choice but to refer them, we would try to send patients along with any medicines or supplies they might need from antibiotics to intravenous solutions to gloves for their examining physicians as well as some cash. We also sent a doctor or nurse to accompany them, because in our experience, too many patients sent elsewhere were simply, in medical jargon, “lost to follow up.” In the United States, the expression “lost to follow up” means that a patient in question cannot be reached for the continuation of care. But in the case of Haitian public hospitals, without reliable partners to help with resources ranging from staff to medication to electricity, patients were sometimes lost to follow up within the facilities themselves.

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