Dr. Stephanie and Dr. Aditi arrived last weekend, and will be in the clinic for two weeks. Dr. Dennys, one of the social service doctors came in to help as Dr. Mario had to go to Tegucigalpa.
Dr. Stephanie had been here before, so she got adjusted fairly quickly, and they were on rounds and seeing newborns right away. There were a lot of kids in the ward, so clinic got started a little late. Dr. Dennys saw a kid with an abscess on his head and tried to drain it with a syringe, but it didn’t work out very well and he tried to squeeze out the pus and that didn’t get enough out so the poor child had to be admitted to the hospital, so the surgeon could use some anesthetic and lacerate it. He did fine. We had a boy come in with malaria p. falciparum, he actually didn’t even look or act as sick as one would expect. There was another boy that came in with a head lesion that was a parasitic infection. It looked like an abscess on his scalp, but there was a worm living in it. The surgeon came in for a consult and they set up an appointment for the surgeon to remove the worm the next day. Other than that, there were lots of scabies cases this week, in addition to the intestinal parasites and respiratory problems.
Dr. Stephanie did an ultrasound course at Ms. Peggy’s clinic with Dr. Laleh. I somehow was coerced into being the model for all the ultrasounds, but it was very interesting. A couple of doctors from Anthony’s Key were there and all the doctors Clinica Esperanza and a few nurses too. I think they are using the ultrasound machine more already.
There was one baby on the ward that Stephanie and Aditi were worried about and the hospital discharged with a distended abdomen, and abnormal hematocrit and platelet counts. Aditi talked to Sarah, another social service doctor that was in peds, and they arranged to have the mother come by our clinic after she was discharged so we could take her to Ms. Peggy’s. She ended up getting discharged an hour earlier than we expected and she left. We tracked her name down from the chart and that she lived in Sandy Bay, so we had people asking around for her. Somebody foung her and she came into Ms. Peggy’s the next day. Dr. Laleh did an ultrasound and found free fluid around the liver. The clinic bought her a ferry ticket and gave her money to take the baby to the mainland. She ended up going to the hospital in La Ceiba because she had family there, I don’t know what the diagnosis is.
