Sunday November 6th
There have overall been more doctors here during the weeks I
have been here than on previous occasions although a mass exodus meant I was
first on call for the first time in many years on Friday night! With more staff
the opportunity to audit some of the hospitals activities has been possible and
I have been spending some time looking at how effectively the patients on the
wards are being screened for HIV. Inevitably there is always room for
improvement but it was encouraging to find that overall HIV rates on the
Medical wards is only 5.8% which I’m sure is considerably lower than it was 5-6
years ago. I have also spent some time looking at Serum Sodium levels which
overall are very low in the hospital population. This may be due in part to low
salt intake but also due to the severity of the conditions leading to people being
admitted. It almost certainly increases mortality for the patients having a low
sodium so is an issue we need to try to address.
As we are living in our own small house we have the opportunity
to invite people to supper. Last week we
had 3 lots of people round and played the inevitable Settlers of Catan board
game afterwards which everyone seemed to enjoy. No television here!!
This weekend has again allowed us some time to wander on our
favourite walk behind the hospital Everything is very green at present as the
rain intensifies. The rain also has led to some relatively low overnight
temperatures and I woke feeling cold last night for the first time!
Setting off on our circular walk. It takes around 2 hours.
A local brick Kiln we passed on the way.
The goats are happily eating the elephant grass which is sprouting with all the recent rain
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