Wednesday, 9 February 2011

The patient ran away

Wednesday 9th February
Its very hot at present with daytime temperatures around 30+ and overnight around 20. Even a number of the local staff are finding it too hot. For me its pleasantly warm during the day but a cold shower right now would be a treat but the water is off!
The excitement of today was a diabetic patient who became very agitated and aggressive and who after having 100mg of chlorpromazine to settle him decided to jump over the hospital perimeter fence and abscond so I just hope he will be OK. Otherwise it remains surprisingly quiet. I did have a long discussion with the overall director of the hospital to try to sort out how best to use my time here. I am hoping to discuss with the Medical director about getting some case based and regular topic education sessions going as there haven’t been any educational meetings for the doctors in the last 2 months. Tomorrow also the physician from the university is coming so hopefully I can discuss with him how the educational side of things could be built up. It is a process one has to be very patient with building relationships and trust being paramount.
I did discuss with one of the junior doctors about my plans to pay a visit to Mityana government hospital while I’m in Mityana. He informed me that it had featured on the Ugandan news a while back as the local residents were protesting outside the hospital because the doctors were never there! Also it seems there have been allegations made that one of the reasons drugs are in short supply is that they are being stolen by doctors! Its unclear if there is any truth in that!

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