{"id":16,"date":"2010-02-02T00:45:40","date_gmt":"2010-02-02T00:45:40","guid":{"rendered":"https:\/\/inmedblogs.us\/amandaschmidt\/?p=16"},"modified":"2015-06-09T00:46:33","modified_gmt":"2015-06-09T00:46:33","slug":"16","status":"publish","type":"post","link":"https:\/\/inmedblogs.us\/amandaschmidt\/2010\/02\/02\/16\/","title":{"rendered":"“Hello! How are you?”"},"content":{"rendered":"

\"\"<\/a><\/p>\n

 <\/p>\n

So life since the safari has had its ups and downs.\u00a0 I\u2019m feeling a little more confident with which tests to order and what treatment to give.\u00a0 I\u2019ve seen a lot more malaria.\u00a0 I saw chickenpox on a child, which was pretty cool (even cooler that I made the correct diagnosis before the attending saw the patient).\u00a0 I gave a presentation about tracheomalacia because it was thought one of the kids from the orphanage had it but upon further study, he really doesn\u2019t fit the picture.\u00a0 It seems his abnormal breathing is due to something higher up, so they are going to try to have and ENT see him.<\/p>\n

 <\/p>\n

On a sad note, one of the kids from the orphanage who came in initially a few weeks ago with severe anemia, abuse, and burns, suddenly died late last week.\u00a0 We don\u2019t really know what happened.\u00a0 He seemed to be more interactive the last time I saw him.\u00a0 Then they brought him in because of vomiting and diarrhea and lethargy, had a platelet count of zero, and then stopped breathing and died.\u00a0 It was awful.\u00a0 This poor child of probably around two years of age, probably never had a decent day.\u00a0 The days that would have been better at the orphanage were burdened with pain from burns and dressing changes.\u00a0We had another very sick AIDS male who quickly developed confusion and then lethargy and had to be air lifted to\u00a0Nairobi.\u00a0 His family is apparently big wigs in the government here.<\/p>\n

 <\/p>\n

On a lighter note, an American patient who\u2019s husband works for the oil drilling companies called back to the clinic after I saw her and invited me out for drinks with oil people.\u00a0 So random, that never happens in\u00a0South Bend (and I didn\u2019t go out and drink, I was still working at that time).<\/p>\n

 <\/p>\n

I went to an HIV clinic starting on Monday.\u00a0 They have a holistic approach, not only offering medical care and meds, but education, food, community outreach, helping families pay for school fees.\u00a0 It\u2019s quite a set up.\u00a0 I will hopefully get to go on home visits on Wednesday.\u00a0 Also on the way home on Monday I was in a matatu (shared taxi\u2014envision a white minivan equipped to hold 15 people, but usually more) with lots of people and a\u00a0chicken<\/em>.\u00a0 Today I sat in on an annual report for this program.\u00a0 They do some really neat work and really try to analyze their results for improvement.\u00a0 Later I sat with the person who starts patients on anti-retroviral drugs.\u00a0 They have to go through and extensive education process and even today before giving the patients the medications, she made sure they understood what they were for and that they would need to take them reliably.\u00a0 I wish we had something similar in the States.<\/p>\n

 <\/p>\n

Random thoughts about being abroad\u2026sometimes it\u2019s nice being a minority, all the kids (and many adults), run up to me and say something to the effect of hello \u201cmzungu\u201d (white person) (the kids are of course much cuter saying it than the adults).\u00a0 Memorial prepared me well for this because everyone in the hospital seems to know who we are without me knowing a quarter of them (our pictures are up all over the hospital, often on many nurses clip boards is a copy as well)\u2026.The roads in South Bend (or really anywhere in the States) are not bad compared to here.\u00a0 This major city with a population over a million, probably has more dirt roads than paved and the paved ones have excessive amounts of speed \u201chumps\u201d and large pot holes.<\/p>\n

 <\/p>\n

I\u2019m always amazed at people\u2019s generosity and kindness.\u00a0 This city can be confusing since many of the roads aren\u2019t on the map and there is no such thing as a bus map.\u00a0 But somehow I manage to get to where I need to be.\u00a0 Whether it\u2019s a neighbor who\u2019s going the same direction that I am takes me most of the way.\u00a0 Or it\u2019s a stranger who guides me to the right matatu.\u00a0 Or a worker at the clinic who brings me tea.\u00a0 Or a Ugandan doctor who takes time and tries to teach me a thing or two about medicine here.\u00a0 Or some random person who thanks me for coming here to help, even though I\u2019m receiving more help than giving for sure\u2026I love learning cultural things and wishing I could make everyone do them back home\u2026like tea time (that should definitely be blocked out for in clinic) and when you greet someone here you say \u201chello, how are you\u201d and actually care about the response.\u00a0 You have to say this to someone before you ask then a question or they think it\u2019s rude\u2026which I think is great.<\/p>\n","protected":false},"excerpt":{"rendered":"

  So life since the safari has had its ups and downs.\u00a0 I\u2019m feeling a little more confident with which […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[],"class_list":["post-16","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/inmedblogs.us\/amandaschmidt\/wp-json\/wp\/v2\/posts\/16","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/inmedblogs.us\/amandaschmidt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/inmedblogs.us\/amandaschmidt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/inmedblogs.us\/amandaschmidt\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/inmedblogs.us\/amandaschmidt\/wp-json\/wp\/v2\/comments?post=16"}],"version-history":[{"count":0,"href":"https:\/\/inmedblogs.us\/amandaschmidt\/wp-json\/wp\/v2\/posts\/16\/revisions"}],"wp:attachment":[{"href":"https:\/\/inmedblogs.us\/amandaschmidt\/wp-json\/wp\/v2\/media?parent=16"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/inmedblogs.us\/amandaschmidt\/wp-json\/wp\/v2\/categories?post=16"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/inmedblogs.us\/amandaschmidt\/wp-json\/wp\/v2\/tags?post=16"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}