The days after my first week have been intriguing with surprises and appreciation of the health of the people in the community simultaneously. I began the week with a small gift donated to the hospital. <\/p>
<\/p><\/p>\n\n\n\n
I have been\nworking closely along with Dr. Yakubu, my supervisor from the pediatric wards, across\nthe adult male and female wards and the maternity ward including clinic days.<\/p>
<\/p><\/p>\n\n\n\n
Proceeding from\nthe pediatric wards, we have been managing cases of neonatal sepsis, severe dehydration\ndue to diarrhea diseases, and upper and lower respiratory tract infections and\nmalaria.<\/p>
<\/p><\/p>\n\n\n\n
One of the challenges encountered was a parent who had home delivery without a trained healthcare birth attendant. She couldn\u2019t tell the age of her baby and the baby was malnourished. It was difficult to know the accurate weight to estimate the age of the baby.<\/p>
<\/p><\/p>\n\n\n\n
There was an\nopportunity to have two caesarian section cases with Dr. Yakubu. The first case\nwas an obstructed labor with occiput posterior presentation and the other was\nsevere oligohydramnios also with breech presentation. Both surgeries were\nsuccessful and the newborns are doing well.<\/p>
<\/p><\/p>\n\n\n\n
The use of\nultrasound here at BMC is indispensable in diagnosing ectopic pregnancy, molar\npregnancy and other gynecological conditions. We can\u2019t do quantitative beta \u2013hCG\nhere.<\/p>
<\/p><\/p>\n\n\n\n
I have also encountered\npatients with misleading information which make investigation and diagnosis\ndifficult.<\/p>
<\/p><\/p>\n\n\n\n
A case in point,\nwas a patient who presented with lower abdominal pain. Her urine pregnancy test\nwas positive but ultrasound investigation shows no product of conception in the\nuterus. We were suspecting ectopic pregnancy until proven otherwise and\nabortion. Interestingly, the patient denies of any form of engagement that\nleads to pregnancy and she was surprised of her UPT results because she emphatically\nstates that, she is unmarried and or has no sexual partner. <\/p>
<\/p><\/p>\n\n\n\n
There have been\ncases of Cerebrovascular accidents (CVA) at the adult male and female wards. Due\nto limited resources, we had to rely on clinical judgment to ascertain the\ncause of the CVA (either ischemic or hemorrhagic). There is no computed Tomography\n(CT) at BMC.<\/p>
<\/p><\/p>\n\n\n\n
I still advocate\nthat, community health education and patients\u2019 education are essential part of\nthe well-being and the socio economic development of the populations in poor\nand low resource countries. <\/p>
<\/p><\/p>\n\n\n\n
Most adult\npatients are hypertensive without knowing because, they have no health\neducation, screening and hardly ever gone to a healthcare center for a medical checkup.\n<\/p>
<\/p><\/p>\n\n\n\n
Patients\u2019\neducation on their own health and their families should not be unmarked but must\nbe highly encouraged in poor and low resource countries once they visit the\nhealthcare centers for any medical reason.<\/p>
<\/p><\/p>\n","protected":false},"excerpt":{"rendered":"
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