The definite highlight of the day was seeing a kiddo come into the clinic dressed as Santa Claus (his mother completely unaware) and seeing another kiddo named 'Beyonce' (not the typical Congolese-refugee name) ;)
Read MoreClinic
Blood Pressures & Babies /
Spending so much time with pregnant woman here in the settlement and being so close to life and death on a daily bases has caused me to do a great deal of thinking, specifically about the differences between delivery in a country such as Uganda and the U.S; the differences not only in the delivery itself but also in the preparation leading up to the birth. Back home, we have the power and the knowledge to be in charge of our bodies (in most cases) from pre-conception to post-delivery. We can plan whether or not to become pregnant and after our urine dipsticks display a '+', we have nine months to fully prepare for the coming child. We order parenting 'how to' books, attend parenting classes and workshops, practice prenatal Yoga, consult with our friends who have gone before us, outfit the baby's room and line up friends who can deliver meals. Once the delivery gets closer we go to work in our search for the perfect midwife and if we are lucky, a doula as well. We visit birthing centers and hospitals and start choosing how and where we will bring new life into the world. Through every step of the process we are receiving routine antenatal care, which includes ultrasounds to tell us whether all is well inside the womb. In Africa, and many other areas of the world, women are never consulted about the decision of whether to get pregnant. Theirs is a life of subservience and reproductive surrender. There are no books for them to read or classes to attend on how to be a good parent, there is no one telling them what they should or shouldn't eat as the baby begins to grow inside their wombs. As their gestation period winds to an end, there are no ultrasounds, no fancy birthing suites and no pain medications. They do what their ancestors have been doing for millenia before them. They squat on a dirt or concrete floor and bring new life into the world. Their bodies know what to do and for many, both baby and mom come out of the experience healthy. The problem however, is that for the majority of women, this is not their story. According to the WHO, almost 800 women die from pregnancy or childbirth-related complications around the world every day, with 99% of maternal deaths occurring in developing countries (primarily Africa and areas of Asia and the Middle East). http://www.who.int/mediacentre/factsheets/fs348/en/
Read MoreMy first paracentesis, for starters.... /
At six years of age he was unable to walk and appeared to be perhaps 3 years old, his head being completely disproportionate to the rest of his body which had stopped growing early into his development.
Read MoreMalaria! /
Never before have I seen so many cases of Malaria! Probably 1/3 of the kiddos that I sent for testing today came back positive. What was even more shocking to me was the number of severe pediatric malaria cases. Unfortunately, the triage system is not so hot here (we will be doing some triage teaching for the staff next week). I am not sure how long this young boy had been waiting to be seen but while his mom held him, soaking wet from the fever he had just broke, a group of angry women vied for my attention, demanding that I see their kids who had ‘treat at home’ runny noses. It was obvious that this boy was not well. By the time I saw him, he was barely responsive. His RDT (Rapid Diagnostic Test) came back positive for a high load of falciparum trophozites (the strain of Malaria, which causes cerebral malaria). Until yesterday, I had never before seen a case of Cerebral Malaria. Now I have seen several cases; all in small children. Meanwhile, on my drives in and out of the settlement, I spot mosquito nets adorning chicken coops, rooftops and walls...
Women begin to gather around the OPD as a pharmacist begins to distribute meds