CONNOR TEAM SURGEON REFERRALS FOR JULY, 2011
Dear Team Leaders,
The Connor team which will be in Honduras from July 20-30, 2011 has a Trauma Surgeon coming with them. If you see patients during your team’s trip that require surgery that can wait until July, then he would be glad to see the patients and possibly do the surgery. The type surgeries he will do are hernias, vasectomies, circumcisions, cysts, lipomas or other lesions, or any type of surgery that could be done under local, regional or digital anesthesia.
The surgeon needs a physician note with a physical exam, history and description of the surgical problem as well as pictures of the area if appropriate. Please bring this information to the states with you and email or fax the information to Derinda Connor ASAP. Her email address is Uscmom0223@aol.com and her fax number is 843-407-0236. Please confirm that she received your email or fax. She will send the documentation to the surgeon for review and scheduling. The surgery schedule will be posted on the surgery room door at the Limon Clinic. PLEASE DO NOT POST A SURGERY ON THAT SCHEDULE. The surgeon needs to review the referral before it is scheduled. The referring physician should note in the patient’s chart that the requested referral information is being sent to Derinda Connor. Since it may be a long time between the date your doctor sees the patient and the time they are supposed to come in to have the surgery, we will depend on the front office staff to help with notification and reminders which means that the referral needs to have as much patient identification as possible on it.
The Connor team plans to be working in these areas on these days:
July 21 – Clinic and surgeries at the LaCeiba City dump
July 22 – Clinic and surgeries at Pastor Mario Miralda’s church
July 24 – Set up CHHF clinic, Visit Orphanage (Possible surgeries in the afternoon if needed)
July 25 – Clinic and surgeries in or around Limon
July 26 – Clinic and surgeries in or around Limon
July 27 – Clinic and surgeries in or around Limon
If you have any questions, please call Derinda Connor at 843-992-1179. See attached sheet for referral information.
CAROLINA HEALTH CLINIC
GENERAL REFFERAL SHEET
Date Examined_____________ Date to be seen_____________________________
Type of Specialist needed________________________________________________
Patient’s Name___________________________________________________________
Contact Information:
Name of Contact__________________________________________________
Cell Phone_________________________________________________________
Community: ex: Limon______________________________________________
Referring Physician (print)__________________________________________________
Contact Info: Email_________________________________________________
And/or
Phone number______________________________________________________
Reason for Referral – history of illness. Describe site if surgery required.
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