Wednesday 16Th February
Each day can bring its complications and frustrations. Today its been that there are no steroids that can be taken by mouth in the hospital which complicates managing a number of conditions. This has apparently been the case for the last 3 weeks. However the hospital here is in a much better state than so many of the smaller surrounding government hospitals who lack a much wider range of basic necessities.
Ronald will be going off to Mulago Hopsital in Kampala. The very enlarged glands he has have been biopsied and it seems most probable that he has a lymphoma, a tumour of the lymph gland system but hopefully this should be responsive to chemotherapy treatment. The young man with HIV is improving a little. His spinal fluid test was normal which is good but he has a long way to go.
New patients appear daily with HIV. There are currently 7 or 8 in patients with HIV that I am caring for. Yet this is an area with a lower incidence of HIV than many in Uganda and of all the sub-Saharan countries it is only Uganda whose HIV rates are dropping so you can see what a huge problem it is. Each patient is individually both a very complex medical problem but also a very real personal tragedy.
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