Thursday 10th February
Dr Bernard the lecturer from the university turned up and it has proved a very useful and fulfilling day. The morning was spent on the wards seeing and discussing the patients in detail which I think we both found mutually beneficial I certainly learnt a lot particularly about AIDS management. We had a number of the clinical officers in training with us so it turned into quite a long teaching opportunity.
Anaemia is very prevalent and often the cause isn’t easily elucidated Hook worm is a particularly common problem which contributes to this. This lady had a haemoglobin of 3.3 which is about a quarter of what it should be and hook worm seems a likely culprit. Note the smooth pale tongue for those in the know!
The afternoon was spent in out patients which actually feels very much like a GP surgery at home with patients with osteoarthritis, diabetes (which I actually think is more common here than at home!) and hypertension
I hope this may prove to be the start of the working relationship with the University that Kagando is seeking.
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