{"id":10,"date":"2015-04-06T17:45:41","date_gmt":"2015-04-06T17:45:41","guid":{"rendered":"https:\/\/inmedblogs.us\/taiseisuzuki\/?p=10"},"modified":"2015-04-18T18:09:45","modified_gmt":"2015-04-18T18:09:45","slug":"zambia-here-i-come","status":"publish","type":"post","link":"https:\/\/inmedblogs.us\/taiseisuzuki\/2015\/04\/06\/zambia-here-i-come\/","title":{"rendered":"Zambia, here I come!"},"content":{"rendered":"<p>I am a 4<sup>th<\/sup> year medical student from A.T. Still University Kirksville College of Osteopathic Medicine (ATSU-KCOM), the founder\u2019s school of the Osteopathy.\u00a0 I have an unique back ground \u2013 born in Japan, completed a high school and a university in Portland Oregon, got a master\u2019s degree in International Public Health at the University of Sydney, Australia, worked about 8 years as a humanitarian aid worker in developing countries including Zimbabwe.\u00a0 I came back to the US as an international student again with a student visa to go to a medical school.\u00a0 My passion to serve in developing country continues, and I decided to do an international rotation as one of my elective rotations.<\/p>\n<p>&nbsp;<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignleft wp-image-11 size-medium\" style=\"margin: 10px;\" src=\"https:\/\/inmedblogs.us\/taiseisuzuki\/wp-content\/uploads\/sites\/30\/2015\/04\/SA-flight-225x300.jpg\" alt=\"SA flight\" width=\"225\" height=\"300\" srcset=\"https:\/\/inmedblogs.us\/taiseisuzuki\/wp-content\/uploads\/sites\/30\/2015\/04\/SA-flight-225x300.jpg 225w, https:\/\/inmedblogs.us\/taiseisuzuki\/wp-content\/uploads\/sites\/30\/2015\/04\/SA-flight.jpg 296w\" sizes=\"(max-width: 225px) 100vw, 225px\" \/>After spending 3 hours on the road to Kansas City airport, a few hours to waiting for my flight, 2.5 hours flight to Washington DC, 4 hours to connect, 17 hours (!!) flight to Johannesburg, South Africa (including 1 hour at Dakar airport to get some more people and fuel to the plane, 2 more hours at the airport, and then 2 hours flight later (total of 32.5 hours\u2026), I finally arrived in Lusaka, Zambia!!\u00a0 Though it was night and I could not see the scenery well due to the lack of (or no) street lights, the smell, the slight humidity, and comfortable temperature woke up my memories being in southern Africa.\u00a0 Very excited to be back in this region, and I cannot wait to face some challenges in the next 4 weeks!!<\/p>\n<p>&nbsp;<\/p>\n<p>My first day at the Macha Mission Hospital began with rather surprising case.\u00a0 I arrived just before noon on Tue, and it was surgery day.\u00a0 My attending-to-be was already scrubbed in, so I changed my cloths quickly and went into the OR.\u00a0 There, I found a 4 year boy with an open wound in his right forearm, and all of his fingers were cyanotic, considered \u201cdead\u201d.\u00a0 My attending explained to me that this poor boy broke his ulna and radius, but the care wasn\u2019t enough that he developed compartment syndrome, but never recovered from the complication.\u00a0 Now, he has a dead right hand.\u00a0 My attending, who has been a \u201cbush doctor\u201d for more than 30 years, amputated the forearm\u2026\u00a0 It was something to observe.\u00a0 Moreover, the boy underwent anesthesia with only ketamine and atropine.\u00a0 No intubation, no pulse oxygen monitor because sensor was not working.\u00a0 This is the \u201cnormal scene\u201d of an established hospital in a very rural area of Zambia.\u00a0 But, my attending saved his life \u2013 took care of the problem before it gets infected and becomes septic.\u00a0 It was the opening scene of my \u201cbush medicine\u201d.<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/inmedblogs.us\/taiseisuzuki\/wp-content\/uploads\/sites\/30\/2015\/04\/P1040069.jpg\"><img decoding=\"async\" class=\"alignnone wp-image-12\" src=\"https:\/\/inmedblogs.us\/taiseisuzuki\/wp-content\/uploads\/sites\/30\/2015\/04\/P1040069-300x225.jpg\" alt=\"P1040069\" width=\"265\" height=\"199\" srcset=\"https:\/\/inmedblogs.us\/taiseisuzuki\/wp-content\/uploads\/sites\/30\/2015\/04\/P1040069-300x225.jpg 300w, https:\/\/inmedblogs.us\/taiseisuzuki\/wp-content\/uploads\/sites\/30\/2015\/04\/P1040069.jpg 448w\" sizes=\"(max-width: 265px) 100vw, 265px\" \/><img decoding=\"async\" class=\"alignnone wp-image-13\" src=\"https:\/\/inmedblogs.us\/taiseisuzuki\/wp-content\/uploads\/sites\/30\/2015\/04\/P1040072-300x225.jpg\" alt=\"P1040072\" width=\"265\" height=\"199\" srcset=\"https:\/\/inmedblogs.us\/taiseisuzuki\/wp-content\/uploads\/sites\/30\/2015\/04\/P1040072-300x225.jpg 300w, https:\/\/inmedblogs.us\/taiseisuzuki\/wp-content\/uploads\/sites\/30\/2015\/04\/P1040072.jpg 448w\" sizes=\"(max-width: 265px) 100vw, 265px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I am a 4th year medical student from A.T. Still University Kirksville College of Osteopathic Medicine (ATSU-KCOM), the founder\u2019s school [&hellip;]<\/p>\n","protected":false},"author":31,"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-10","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/inmedblogs.us\/taiseisuzuki\/wp-json\/wp\/v2\/posts\/10","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/inmedblogs.us\/taiseisuzuki\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/inmedblogs.us\/taiseisuzuki\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/inmedblogs.us\/taiseisuzuki\/wp-json\/wp\/v2\/users\/31"}],"replies":[{"embeddable":true,"href":"https:\/\/inmedblogs.us\/taiseisuzuki\/wp-json\/wp\/v2\/comments?post=10"}],"version-history":[{"count":0,"href":"https:\/\/inmedblogs.us\/taiseisuzuki\/wp-json\/wp\/v2\/posts\/10\/revisions"}],"wp:attachment":[{"href":"https:\/\/inmedblogs.us\/taiseisuzuki\/wp-json\/wp\/v2\/media?parent=10"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/inmedblogs.us\/taiseisuzuki\/wp-json\/wp\/v2\/categories?post=10"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/inmedblogs.us\/taiseisuzuki\/wp-json\/wp\/v2\/tags?post=10"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}