My goal here is primarily to teach skills to the health workers at ARC's camps. The first four weeks have allowed me to see partially how the health care is delivered.
last week I spoke with the managers, physicians and some nurses about where to focus my efforts. Last week I gave three informal training sessions on diagnosis of pneumonia in children and adults without x ray, use of the otoscope and ear pain, and some skin infections. Photos from books and the internet were very helpful. I used some French terms and a translator was present part of the time. The books which were donated by many of you have been enthusiastically received and will stimulate learning and lead to improved care. The physician who just graduated from med school said he couldn't afford books, so used the in the library.
Now that he has a job, he wants to buy some books. I told him I would ask Martha to bring one in July. He was interested in information from the World Health Organization that is free over the internet. We will put some of this information on his flash drive for use on a computer. He has no computer now but can use one occasionally. Where he stays during the week he has no electricity nor light to read.
A newborn died of asphyxiation immediatly at birth last week. He had a heart beat, but toook only one breath. Meconium inhalation is the only reason known. I was in another area during this. We plan to review resuscitation proceedures, obtain better suction equipment and look into oxygen. A three weekold with pneumonia and menningitis survivrd three respiratory arrests and two episodes of bradycardia requiring epinephrine. He heeded 3 hours of hand ventillation Thursday afternoon but was improved the next day. Hopefully he continues to improve.
There have been several refugees who seem depressed. There is some very limited consoling available but no meds, so we have requested some meds. I'm unsure how much effect this will have.
Sunday, April 13, 2008
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