{"id":95,"date":"2022-03-26T19:30:11","date_gmt":"2022-03-26T19:30:11","guid":{"rendered":"https:\/\/inmedblogs.us\/kaitlynhite\/?p=95"},"modified":"2022-03-26T19:30:11","modified_gmt":"2022-03-26T19:30:11","slug":"day-27","status":"publish","type":"post","link":"https:\/\/inmedblogs.us\/kaitlynhite\/2022\/03\/26\/day-27\/","title":{"rendered":"Day 27"},"content":{"rendered":"

It\u2019s my second to last day in Kiwoko. I\u2019m not sure I have said this prior, but Kiwoko is pronounced \u201cchew-woke-oh\u201d. Any K at the beginning of the word becomes a \u201cch\u201d sound. Sorry it took me until now to mention that! I spent the day visiting my new friends around the hospital to say goodbye. I also returned to maternity to make a few short videos of some ultrasound principles on the requests of the medical officers. At the end of the day, I had a leisurely evening with friends, cooking a local dish of spiced pork and matoke (steamed bananas like plantains). It was delicious!<\/span><\/p>\n

Tomorrow I will take some time to reflect on my time here as a whole but for now I will list all the medical concepts I have either been introduced to or learned more in depth while here. Hopefully no one thinks I am a bad doctor for just now learning some of these things!<\/span><\/p>\n

    \n
  1. HIV management in children and pregnant women<\/span><\/li>\n
  2. Patient sensitive HIV nomenclature <\/span><\/li>\n
  3. Malaria management, its pathogenesis, and prevention strategies<\/span><\/li>\n
  4. Malaria prophylaxis side effects (which I may or may not have experienced personally- I\u2019m looking at you Malrone!)<\/span><\/li>\n
  5. How to scrub before surgery without sponges<\/span><\/li>\n
  6. How to assist in c-sections when the hospital power goes out because it is too hot outside and the generator only operates the one overhead light in the theater<\/span><\/li>\n
  7. How to assist in a c-section when it\u2019s an emergency and everyone is speaking Lugandan<\/span><\/li>\n
  8. How to resuscitate a baby when it\u2019s an emergency and everyone is speaking Lugandan <\/span><\/li>\n
  9. Translating between 3 languages at once<\/span><\/li>\n
  10. Understanding the education system an individual learned in helps you communicate more effectively with them<\/span><\/li>\n
  11. Tuberculosis signs and diagnosis in children<\/span><\/li>\n
  12. How to date a pregnancy without an ultrasound or reliable last menstrual period<\/span><\/li>\n
  13. Motivational interviewing from a faith based perspective<\/span><\/li>\n
  14. Starting a conversation about work up and treatment with the estimated cost of such things and subsequently negotiating with the patient to complete the most important <\/span><\/li>\n
  15. Cutaneous myiasis and the plight of mango flies <\/span><\/li>\n
  16. Acute malnutrition signs, diagnosis, and treatment<\/span><\/li>\n
  17. The importance of taking a complete, culturally appropriate and specific social history<\/span><\/li>\n
  18. Sickle cell disease diagnosis and management (specifically things to avoid in these patients and how to prevent\u00a0 <\/span>vaso-occlusive crises)<\/span><\/li>\n
  19. G6PD clinical presentation <\/span><\/li>\n
  20. Diagnosing obstructed labor and potential complications<\/span><\/li>\n
  21. The difference between typhoid\/typhus and typhoid fever (This has always been confusing to me so I only hope this stays in my brain long enough for the boards exam!)<\/span><\/li>\n
  22. How to use a sterile cloth tie to tie off an umbilical cord (as opposed to a plastic clip)<\/span><\/li>\n<\/ol>\n

    I am sure there is loads more that I have learned, but these points are top of mind and shows the constant learning I have been doing since arriving. Medicine is a profession that emphasizes lifelong learning and a huge reason why I pursued it as a career. At home though I feel I sometimes fall into the trap of \u201cjust finishing the day\u201d. I am hoping that the fulfillment I have gotten over the past month of constantly looking for new information will spill over into my work stateside and revitalize my love of learning. <\/span><\/p>\n

    Lugandan word of the day: mukwano (\u201cmoo-kwawn-oh\u201d, friend)<\/span><\/p>\n

    Medical learning point of the day: None today- see above.<\/span><\/p>\n

    \"\"
    Showing some ultrasound skills for the demonstration videos<\/figcaption><\/figure>\n
    \"\"
    Saying goodbye to new friends- two midwives in maternity (they are addressed as \u201cSister so-and-so\u201d)<\/figcaption><\/figure>\n
    \"\"
    My last night cooking with friends<\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"

    It\u2019s my second to last day in Kiwoko. I\u2019m not sure I have said this prior, but Kiwoko is pronounced […]<\/p>\n","protected":false},"author":162,"featured_media":0,"comment_status":"closed","ping_status":"closed","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-95","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/inmedblogs.us\/kaitlynhite\/wp-json\/wp\/v2\/posts\/95","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/inmedblogs.us\/kaitlynhite\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/inmedblogs.us\/kaitlynhite\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/inmedblogs.us\/kaitlynhite\/wp-json\/wp\/v2\/users\/162"}],"replies":[{"embeddable":true,"href":"https:\/\/inmedblogs.us\/kaitlynhite\/wp-json\/wp\/v2\/comments?post=95"}],"version-history":[{"count":0,"href":"https:\/\/inmedblogs.us\/kaitlynhite\/wp-json\/wp\/v2\/posts\/95\/revisions"}],"wp:attachment":[{"href":"https:\/\/inmedblogs.us\/kaitlynhite\/wp-json\/wp\/v2\/media?parent=95"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/inmedblogs.us\/kaitlynhite\/wp-json\/wp\/v2\/categories?post=95"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/inmedblogs.us\/kaitlynhite\/wp-json\/wp\/v2\/tags?post=95"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}