Blogs from Castries, Saint Lucia, Central America Caribbean - page 2

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Exactly halfway through my time here now. I finished A&E yesterday. Nothing too dramatic happened in my last few days, although I did walk in to the ER on Thursday to see all the doctors doing CPR on someone. I waited for 10 minutes and then left, because it seemed a bit morbid after that. Otherwise, I got to see quite a few patients, mainly just sprains and vomiting and things you see in the UK. Next week I start internal medicine, and I'll be there for the rest of my time here. So yesterday, we went to buy some plants from sort of like a garden centre. But in St Lucia, they don't need greenhouses, so there's just a little forest off a main road that has hundreds of plants and you just pick what ... read more
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The last few weeks have flown by, and its odd to think that I'm almost halfway through my time here! A few extra things about the hospital, resources and having to pay for healthcare. I found out yesterday that the hospital doesn't have a CT scanner. This means that if you've had a stroke, or been in a car accident and you go to this hospital, you can't get the scan you need. There is a CT scanner at the private hospital nearby, so patients have to be transferred to there. Obviously in cases of a stroke or potential internal bleeding, getting the scan as fast as possible is really important, but these people might not get one in time if they don't go to the private hospital first. There was a paraplegic man in the ... read more
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Sunday July 1 - Terrible sleep. Still thinking about moving into a tent, but will see what happens when I get back from St. Lucia with Erika gone. I got up around 9am and of course can do nothing since everyone is asleep. They were all woken up to go somewhere for lunch with Erika before her flight in the evening. Once they left it was just me and the guys who work there until 2pm, or so I thought. Just after they left, we heard Lisa sprained her ankle and was coming back. Fortunately, she wasn't on the other side of the river yet. I finished packing and at 1:30pm Ben helped me get my things and myself across the river. I still find it difficult and a little scary to cross, holding the line, ... read more
Sugar mill ruins
Sugar mill ruins
Sugar mill ruins


Today the other girls and I went to Windjammers resort again. There were no jellyfish in the sea this time, so I got to swim in the sea and the pool. The sea had lots of fish in it. The water is clear enough for you to see them, but it would have been really cool to have a snorkel. There are fish around here that will eat the dead skin on your feet just like at the foot spas. Unfortunately it did rain on us a couple of times. The first time it really poured down, so we had to take cover in the bar for half an hour until the sun came back out. We used the time to have fish tacos for lunch and some cocktails though, so it wasn't all bad. Whenever ... read more
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Just a quick one to talk about a patient that came in the ambulance today. A man had been working in his garage this morning when a disgruntled ex-employee came and attacked him with a machete. He had a really deep cut to his arm which was almost to the bone (it had gone through all the skin and fat layers), and a cut to his cheek which went almost the whole way through, and a couple of other superficial ones. He was ok, but going into shock so needed fluids, and all the wounds needed stitches. He was a bit out of it, but the fluids helped bring him around again. Shock makes me people a little illogical though, as he refused to let the doctor clean his wound because it hurt too much, but ... read more


A&E is split into two parts here. When you arrive, the nurses triage you and decide whether you are ill enough to need a stay or treatment here, in which case you'll go to the ER side, or if its a minor problem that will just need a review and prescription, in which case you go to the Primary Health Centre. The Primary Health Centre is just another room in A&E with an examination bed. I spent the day there, which was actually quite fun. All of the problems were minor, and things you'd see at a GP in England. I saw UTIs, ingrown toenails, heart palpatations, etc. Although they were simple problems, it meant I could do the full history and examination, and I knew the diagnosis and the sort of management they'd need and ... read more


Took me a while to write up, but I'll tell you about my day Wednesday. Spent the morning in A&E, and finished pretty early because there weren't many patients in that morning. I saw a 92 year old lady with colon cancer and I could actually feel her tumour when I examined her. I also got to write up all the forms for bloods and xrays, which is really difficult because nothing has the same name as in England, but I'm getting the hang of it. I keep forgetting to give the forms to the patient first to go pay for them though, the nurses keep having to remind me. It just seems so alien to have to pay before you can have a blood test. I also found out that patients have to pay at ... read more
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So I've started on A&E this week. It's quite interesting. The medical conditions are very similar to England, with people coming in with shortness of breath, chest pain, etc. But the department is very different. There are only 6 beds in A&E. So to treat people in this A&E, if they are conscious and probably won't stay the night, they are all put on chairs in a small bay. So this morning the bay had 7 patients. Some were in wheelchairs, some were on oxygen masks. The doctors then talk to and examine the patients right there, in front of all the other patients. And these patients are all sat shoulder to shoulder because there are only 4 chairs. They even take their bloods there. If they need a bit more space or privacy, there is ... read more


So today was my last day of Paediatrics. These past two weeks have definitely gone quite quick. Today I went to the outpatient clinic which is based at the new hospital. Apparently the outpatient clinics are the only thing that is finished, and Victoria hospital doesn't actually have any rooms for clinics, so they moved there last month. It is a much nicer hospital. Proper flooring, proper chairs, proper examination beds. Still no computers though, and not even a digital scale for babies. They have to move a weight along a scale until it balances to weigh the babies. But it is nice. It's a shame its not properly finished and funded so they can use the wards. It's much cleaner and they have proper sinks in all of the rooms. The patients don't have an ... read more


The rainy season has definitely begun. It rained on and off all day today. And when it rains, it really pours it down, sometimes with thunder and lightning. The actual rain only lasts a couple of minutes before it's bright sunshine again, but it happens often enough that we had to call the beach off today. So this morning I went to the neonatal ward. That was really interesting. They had all the equipment they needed, like incubators and ventilators, although they were all quite old. But they were also basically shoved into a store cupboard. There wasn't enough room around the babies for the doctors and nurses to both be there, so they have to take it in turns to squeeze past each other. I don't know how you'd do any procedure on the babies ... read more
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