Thursday, 13 October 2016

Thursday 13th October
Overnight I had a message from Ann to say she had arrived in Dubai weary but safe and sound. All being well Ann has arrived in Entebbe this afternoon and will be travelling on to Mityana tomorrow after staying overnight at Whitecrest in Lubowa which is a suburb of Kampala. Unfortunately our friend Simonpeter will have left for a trip to Kidepo National Park in the north of Uganda so she will miss him this time. She will be spending a week there and I intend to join her on Wednesday next week when I can share transport to Mityana with someone who is returning to the UK from Kagando. Needless to say I will be extremely pleased to be reunited after spending the last 4 weeks on my own! Our stay in Mityana will give us a good opportunity to see how both Ekiwulomo and the Café are progressing and hopefully sort out any problems that have arisen since the Esuubi trip in April.
In the meantime the hospital remains very busy but the new group of interns have finally arrived. They are equivalent to FY1 doctors in the UK i.e. they have just left medical school so are quite inexperienced. They are working on Maternity and Paediatrics so I probably won’t see so much of them.
We continue to have some challenging cases on the medical wards. Two men ended up sharing a side room over the last 3-4 days. They had very similar stories having had a cough and fever over the last week. However that was where the similarities ended as one man proved to have a straightforward pneumonia while the other appears somehow to have developed a large lung abscess and will take a considerable length of time to improve. 
                                                  Pneumonia in the right lung middle lobe
                                                    Lung abscess in the lower right lung
                                                                                                                                                                  James (who is one of the Ugandan Doctors working on the medical wards) and I also have a” special project”- a man sharing his name and my age (!) so we both feel we have a special interest! He is currently on our Intensive Care unit but making good progress with his pneumonia!



Samuel one of the nurses. James the patient aged 62 and James the Doctor!


James the patient's chest xray


Kagando also never fails to turn up things which I personally haven’t seen since I was working at Kapsowar. A young boy looks as if he has Diphtheria which is now fortunately rare due to children being immunised bit he seems to be making good progress after rather a stormy couple of days.


Boy with probable diphtheria making a good recovery now


This morning I found a patient handcuffed to a bed. He had taken an overdose and had tried to abscond from the hospital so as it is illegal here to commit suicide the police decided to place him temporarily under arrest. Hopefully we were able to sort things out today as he wasn’t intending to kill himself and I think the police were satisfied he wasn’t just about to break the law! Life certainly isn’t dull!





My room mate "George"

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