{"id":8,"date":"2013-05-06T19:00:03","date_gmt":"2013-05-06T19:00:03","guid":{"rendered":"https:\/\/inmedblogs.us\/jeffreywalden\/?p=8"},"modified":"2015-06-08T19:14:42","modified_gmt":"2015-06-08T19:14:42","slug":"first-day-of-work","status":"publish","type":"post","link":"https:\/\/inmedblogs.us\/jeffreywalden\/2013\/05\/06\/first-day-of-work\/","title":{"rendered":"First Day Of Work"},"content":{"rendered":"<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-full wp-image-11\" src=\"https:\/\/inmedblogs.us\/jeffreywalden\/wp-content\/uploads\/sites\/40\/2013\/05\/kiwoko.jpg\" alt=\"kiwoko\" width=\"530\" height=\"398\" srcset=\"https:\/\/inmedblogs.us\/jeffreywalden\/wp-content\/uploads\/sites\/40\/2013\/05\/kiwoko.jpg 530w, https:\/\/inmedblogs.us\/jeffreywalden\/wp-content\/uploads\/sites\/40\/2013\/05\/kiwoko-300x225.jpg 300w\" sizes=\"(max-width: 530px) 100vw, 530px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>In my previous post, I mentioned working with INMED.\u00a0 For those who don\u2019t know:\u00a0 INMED stands for the <em>Institute for International Medicine<\/em> and is a program based in Kansas City which offers multiple courses in International Health.\u00a0 I am currently a diploma candidate.\u00a0 To certify for the Diploma in International Medicine and Public Health, one must complete an online course at the end of which is an on-site, hands-on practicum and final exam.\u00a0 Also required for the Diploma is the completion of an international medical elective, performed at one of their many training sites around the world.\u00a0 There is also the option to complete the online courses in either International Medicine or International Public\/Health to just obtain the Certificate or just attend one of the electives.\u00a0 INMED also offers several other courses as well which can be completed online.\u00a0I learned about the program when I was in Ghana in medical school.\u00a0 Two Peds residents from Iowa attended through the INMED program, as Baptist Medical Center in Nalerigu where I attended my medical school elective also happens to be an INMED site.\u00a0After learning more about the program, it seemed perfect.<\/p>\n<p>&nbsp;<\/p>\n<p>I wanted to return to Africa and chose Uganda to get a flavor of East Africa and compare it to West.\u00a0 I was there in the dry season in Ghana and this is the rainy season, so for one thing it is much greener here now.\u00a0 Though, according to the locals, it rains throughout the year as well, just more focused during the rainy season.\u00a0 Evidently Lake Victoria is large enough to produce it\u2019s own weather patterns, and we are near enough to the lake to see continuous effects of rain, even during the dry season. \u00a0I chose Kiwoko (despite the fact that here physicians are expected to wear ties! very different from the scrubs and flip-flops of Ghana) due to the mix of wards available and training opportunities.<\/p>\n<p>&nbsp;<\/p>\n<p>Work started today.\u00a0 After introductions at morning prayers (I\u2019ll describe a typical day in a later post), we had our usual AM physicians meeting and then I was assigned to the Female Medical Ward.\u00a0 I\u2019ll be on Male medical ward next week.<\/p>\n<p>Already today we\u2019ve seen a wide variety of patients.\u00a0 Some of the diagnoses seen just today:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Brucellosis (there is a rapid antigen test here for this)<\/li>\n<li>HIV\/TB\/combination of these<\/li>\n<li>malaria<\/li>\n<li>sickle cell<\/li>\n<li>strongyloides in the lung phase of its life cycle (larvae found incidentally in sputum of TB patient!)<\/li>\n<li>stool sample positive for Giardia<\/li>\n<li>separate stool sample positive for strongyloides (different patient from above)<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Besides the wide variety of diagnoses, the other main difficulty is translating the British abbreviations as well as British laboratory values.\u00a0 For example, O is short for edema (oedema).\u00a0 RBG is for random blood glucose, and they use VERY different ranges for blood glucose here! \u00a0Insulin here is also prescribed as \u201csoluble versus insoluble\u201d with names I have never heard.\u00a0That\u2019s probably enough for today. \u00a0Plan on doing some reading about the insulin used here as well as malaria treatment. \u00a0Stay tuned for more\u2026<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; In my previous post, I mentioned working with INMED.\u00a0 For those who don\u2019t know:\u00a0 INMED stands for the Institute [&hellip;]<\/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-8","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/inmedblogs.us\/jeffreywalden\/wp-json\/wp\/v2\/posts\/8","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/inmedblogs.us\/jeffreywalden\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/inmedblogs.us\/jeffreywalden\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/inmedblogs.us\/jeffreywalden\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/inmedblogs.us\/jeffreywalden\/wp-json\/wp\/v2\/comments?post=8"}],"version-history":[{"count":0,"href":"https:\/\/inmedblogs.us\/jeffreywalden\/wp-json\/wp\/v2\/posts\/8\/revisions"}],"wp:attachment":[{"href":"https:\/\/inmedblogs.us\/jeffreywalden\/wp-json\/wp\/v2\/media?parent=8"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/inmedblogs.us\/jeffreywalden\/wp-json\/wp\/v2\/categories?post=8"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/inmedblogs.us\/jeffreywalden\/wp-json\/wp\/v2\/tags?post=8"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}