Blogs from Saint Lucia, Central America Caribbean - page 4

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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 we decided to venture to the beach. It was still raining on and off, but mostly sunny. We went down to Marigot Bay, which is a pretty little beach only 5 minutes away. You do have to get a ferry to the side of the bay with the beach. It's where parts of Pirates of the Caribbean was filmed. It's really beautiful, and there were a lot of snorklers and boat cruises around the bay. As soon as we got onto our sun loungers, it absolutely poured it down for about ten minutes. But after that the sun came out and stayed out all afternoon. This time the sea didn't have any jellyfish, so I got to swim in there for a while too. We saw some flying fish and lots of little fish. ... read more
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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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Not much of an update because I've not done a lot with the rain. It was better weather today, but I just went to town to get some few things, then I've had to do some work for a presentation tomorrow to the doctors on sickle cell disease. Just so many patients with that. So the baby with kidney problems should finally get some albumin tonight, because the private hospital managed to pull some strings and source it sooner. So Victoria hospital is paying the private hospital to have some. So good news for her. I felt pretty smart yesterday when I was the only person there that knew what a hemiplegic migraine was and had to explain it to the doctors because a young girl almost definitely had it, but they'd never seen it. I ... read more
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It's been a week, so I thought it was probably time I unpacked my suitcase. Plus I did some laundry yesterday and I didnt really want to put it back in my suitcase. So that's what I did this morning. Had another mango smoothie because we are currently overrun with mangoes and having to leave most of them in the garden for the animals and passersby to take because we have too many. Not a bad problem to have. Around lunchtime, the girls and I headed to a nearby resort. It has a pool, private beach and a beach bar. It's the only resort here that lets non-guests use their facilities, and it's really nice. There aren't any locals, so it's mainly American tourists at this time. So apart from occasionally hearing some loud, annoying American ... read more
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I got invited to do some more touristy things with the other students today. So after hospital we went to watch the cricket. It was Windies vs Sri Lanka test cricket. This was day 2, and it was already 4 hours in before we came. The stadium was pretty quiet because all of the locals will still at work, so apparently the weekend is a lot busier and a better atmosphere. It was quite good fun to watch, but after about 15 minutes of cricket, it started to pour it down with rain, so they had to cover the field with tarps and stop the game. The rain only lasted 5 minutes, but they then spent almost an hour drying the field, rolling over the whole field with like a mini steam roller. So after about ... read more
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Just a quick one to tell an interesting story from the hospital. There's been a 9 year old girl with a broken leg on the ward since before I came. Because she's an orthopedics patient, we don't see her on the ward round and she isn't treated by any of our doctors. Through the nurses and some notes and forms they leave lying around, I saw that she'd been diagnosed with GSW. I had no idea what that was, thought it must be an acronym for some tropical disease or condition. Turns out it means gun shot wound. This little girl was waiting at the bus stop for the bus to school, when a masked man started shooting at a vehicle with a gang of guys in it who started firing back. She got caught in ... read more


The last two days at the hospital have been much of the same. There are 5 patients on the ward, and they have all been here longer than I have. So ward rounds are very quick. Today one of the doctors did a presentation on diabetes. It was really odd because other than the consultants, I knew more about diabetes than every doctor there, including the one presenting. It's just not common over here at all. The only reason they were doing the presentation is because a young girl was diagnosed with diabetes on the ward two weeks ago, and none of the doctors or nurses knew much about the treatment or complications. It made me feel smart, and better about knowing nothing about sickle cell anaemia the days before. It was also odd because their ... read more
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