May 31

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5-31-10
Awoke at 7 for 730 breakfast. Then took a tour of the clinic. The surgeons were here last week and there is one surgery suite. There are 4 exam rooms which consist of a desk and exam table. I worked with Dr. Vicki today. They call all Drs. By their first name and Dr. She is a new Dr. our of school but has worked here since Jan. She is burned out seeing the same things over and over.

The patients check in, then are sent to get vitals, then the nurses bring in the chart which is usually one page. Dr. Vicki would then ask them their symptoms and translate to me. The Dr.s here rarely do any exams. They just assume the most obvious - malaria or typhoid. We then write up the lab slip of what we want and the patient goes to pay for the lab and waits for it to be done. They then are sent back to us when they are finished. We have a lot of meds to use but some are not ones I have heard of.

Today I saw 18-20 patients. Several Malaria, typhoid, one new diabetic with a sugar of 475 and in DKA, another diabetic with malaria, two HTN, one spleenic mass, one vaginal discharge, one htn with chest and neck pain, one sick one with HIV weight loss and new diabetes.

There was a one year old with a hemoglobin of 4 that they had to ship out.

Everyone sat around in chairs outside under a tree and drank beer. The beer comes in big bottles. We had Kilimanjaro and Tusker. After dinner we sat in the hall of the ward drinking wine and more beer. Went to bed around midnight.

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