Tuesday November 2nd
This morning I did a ward round with one of the junior doctors who has just transferred from surgical ward to the medical wards. It was an interesting time. He knows, in many ways, a lot about HIV, TB ect but I do feel there may be much that I can help with in regard to encouraging appropriate communication skills, examination skills and helping a better understanding of more western medical problems such as diabetes and COPD which are definitely emerging problems.
I was then ushered to out patients to perform a chest aspiration on a patient. This seemed to attract a huge crowd for something I don’t think they had seen done before. The student nurses are very keen to learn but are hampered by a lack of books and some teaching methods which seem to rely on intimidation mostly!
This evening I am hoping to have a discussion about some organisational matters in the hospital with Benson the overall director of the hospital. He is not medically qualified but was brought up only a couple of miles away from the hospital so has a great passion to see it succeed. One of the things I want to discuss is getting all the wards to use mosquito nets. Although these are now provided free by the government only 2 of the wards (paediatrics and surgery) have some beds with nets.
This 38 year old woman has an accumulation of fluid in the left side of her chest The exact cause isnt clear at present
A crowd soon gathered!
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