I talked with Baby Yelsi’s mom multiple times through the weekend to make sure she got admitted and would get the echo. She got the echo on Wednesday and still hadn’t seen the cardiologist, and they wanted to keep her longer, but Yelsi is doing well. I asked her to make sure that she bring copies of all the test results and everything when she returns to the island and come by our clinic to let us know how all is going.
First thing Monday morning I passed a baby boy, and I asked if he was a ten day check, so that I would get him through first and the mother said that he was a three month old. Ostin, ended up coming to our clinic from Miss Peggy’s clinic. He was 8 pounds at three months, and had brochiolitis and a failure to thrive. His mother died when he was two weeks old, so his aunt is caring for him. We decided we didn’t want to admit Ostin to the hospital, so Tami taught Dilsia, the aunt, to increase his caloric intake with more formula, and just treat the cold with supportive care. She then asked her to follow up in three days. He came back and Tami gave him an inhaler but he seemed to be doing okay, and we asked her to come in at least once a week to check his weight and make sure he was growing.
It was Dr. Preetha’s last week in the clinic. Dr. Tami did a presentation on back pain. She presented a case and went through the differential and it was a case of Tuberculosis. It was really interesting.
In addition, we could have used some permethrin this week. Lots of scabies, I was starting to itch just seeing all the kids with scabies. And all we can give them is Scabicide, which one of the doctors told me just treats the itching and doesn’t really kill the scabies. Other than that we had lots of faringitis and a possible Tuberculosis case that we had to send to La Ceiba to get tested.
