Yesterday was world refugee day. In Nyabiheke Refugee Camp there were speeches of encouragement from refugee leaders, camp managers, UN officials local politicians and students. Dancers, music and a skit provided entertainment. The program was three hours. It was almost all in Kinyarwanda so I could not understand most of the speeches. Near the end the dancers chose people from the audience to join the dancing, and of course as I stood out in my pale skin, I was soon dancing.
Recent clinical cases
We are occasionally able to fit middle aged or elderly patients with reading glasses selected from a large box with glasses labeled with a US discounter’s label. Last week a 55 year old woman was so pleased she danced a little jig. A four year old started on Phenobarbital a month ago for seizures returned and her father reported no further seizures. Unfortunately we were out of the drug and they were told to return in a week to see if our supply has been replenished. Financial restrictions frequently lead to lack of supplies.
The child who I wrote about in May who had severe malnutrition returned to the clinic a week ago with shortness of breath, no fever or cough. He was transferred to the local hospital and died the next day at 10 months of age. The cause is uncertain, but I suspect infection or heart failure causes by malnutrition. His body was held overnight in the clinic’s isolation room awaiting burial the next day.
The newborn that the health team resuscitated about six weeks ago had a cold last week and I was able to examine him and talk with his mother. Later he received routine immunizations. He is doing very well.
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