Saturday 2 July 2011

1st June-What a way to help out!?

Helped with an abortion or evacuation today in minor theatre.  When I saw helped, I held a metal clamp that held the vagina open so the doctor had one more free hand to do what he needed to do.  The doctor just scraped away the placenta or whatever was around there in the uterus that came out in bloody clumps into the bin below, meanwhile warmly passing over my hand as it slid down....The poor woman though, there were two, the procedure looked sooo painful!! It's a great thing to watch to preach abstinence or birth control! but also some women need to be cleaned from scars and such as well to help in getting pregnant.  The smell was horrible, I'm gonna just throw that out there.

Also did ward rounds with the majority of the doctors in the morning (takes place every Wednesday) where they discuss the severe or interesting cases.  Mainly takes place in the paediatric unit or maternity ward.
     1) Burnt baby-arm and face-some skin peeled off and a lot of swelling.  He had very little ointment on him and no gauze covering the exposed dermis and no mosquito net open to prevent flies and bacteria they can carry. What got me with this is that while the doctor was talking about him he even mentioned that he'd prefer all his patients to have mosquito nets around them to prevent flies but this child didn't have one at all! and what's more...the mosquito net was just tied up above  EVERY bed, just NONE of them were open! mind boggling :(  The doctor also said that the majority of their patients will get a bacterial infection because of the hospital...atleast he doesn't lie to himself, it's kind of frustrating to hear/see.
     2)Saw severe pneumonia child, which I found out are quite common here
     3) Saw malaria child turned blind after being on quinine (an anti-malarial medication) for a week.  Doctors weren't sure at first if it was the malaria that perhaps had caused some brain damage but then the matron mentioned a friend of hers that had malaria and took quinine and became deaf and blind for two years and then her senses came back.  These are possible rare side effects unfortunately, but sometimes it comes back when the treatment is stopped. Hopefully this will happen to the child as well.
  

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