Today was our morning clinic at ASELSI, the clinic set up by another American couple that has been here for about 20 years. Heidi does clinic here every Thursday morning. Today was not a very eventful day in clinic, with most patients having fairly normal and benign complaints. We did have a man with fairly bad psoriasis. His sons wanted to know if it was caused from him abstaining from alcohol. I guess he was an alcoholic but quit 20 years ago and that was about the time the psoriasis started. I told them no and that he definitely should not try taking on alcohol again to get rid of the psoriasis. They then also asked if it could have come from the blood transfusion he had about 20 years ago. Apparently during the war that was here about 15-20 years ago he got shot several times and was in the hospital and received several blood transfusions.
We also saw a 22 y/o girl who was worried she had high blood pressure and diabetes. She was not married and had no kids. Apparently here that kind of labels you as an ‘old maid’. And Heidi and Matt say that many women in their 20s that aren’t married have many somatic type/vague complaints. She also talked a mile a minute and was very fidgety. When asked why she thought she had diabetes she told me because when she eats sweet or salty foods, her mouth gets dry.
At the end of the day we say a baby boy about 10-15mo old that had a rash over most of his body but worse on his hands, legs and around his neck and lower part of his face. He’s had it for about 2 months. I guess originally it was thought to be scabies and he was treated for that, but it didn’t go away. It didn’t get worse though either. He scratches at it, but it is not red. None of us could really figure out what it was. Heidi and Matt posted a picture of his arm on their blog. I looked through a skin disorder textbook and really couldn’t find anything that matched it. Any ideas?
Later this afternoon I enjoyed a short nap on the hammock! I love those things.