Somethings just strike you as being funny, regardless of what the circumstances. Let me relay to you to conversations I had over the past week.
The other night I was on call and getting read to leave the hospital when I was asked to take a phone call that went something like this:
“Dr Ashley, are you on call tonight for medicine?”
“Yes”
“We need you up on the women’s medical ward” (which I was standing about 50ft from at the time- so why was I even called)
“Why, what is wrong?”
“We have a lady here stopped breathing.”
“What! What are you doing for her?”
“Well, right now we are clearing off her bed.”
“What, is she dead?”
“Oh yes, we quit trying to resuscitate here a little while ago. We just need someone to declare her dead.”
Later that same evening I was with a new intern and casualty and she was going through some patients for advice. She got to one gentleman and told me that he was sick earlier in the day, went to a local clinic and was give meds (for those interested- it was epinephrine), and was here because he is not feeling much better. She said she thought he looked pretty good now and wanted to know if he can go home. I asked “Well, what are his vitals and exam.” She replies “Oh, I haven’t checked any of that yet.”
I started inpatient peds this week so I can get caught up to speed on how that service functions here. Like everything else, it is very different than back home. Pretty much all the kids are HIV complication, anemia, malnutrition, rheumatic heart disease and meningitis. Plus I am learning to care for the sick little premies in the NICU, which is new for me. I feel, however, that I am learning quickly. Pray for me as I will be on my own running the service next week.
There are some twins in the NICU. I found it funny that the moms will designate one breast for each twin and no switching is allowed!
Maggie is growing everyday. This past week she started doing flips on her own on the trampoline (don’t work, it has a protective netting up around it.) She also bows her head down on her own when we pray.
Sarah is doing well. 16wks tomorrow. We hope to find out boy or girls soon. It is hard to realize how close Thanksgiving and Christmas are as there is no Wal-mart here to remind us!
Saturday, October 13, 2007
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