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Sunday, November 4, 2007

Weekend Break in Accra

My wife and I spent this weekend in a different world from Tamale, in the Ghanaian capitol, Accra. There is an international influence in Accra. We ate in several fine Indian and Ghanaian restaurants, and stayed at a nice Ghanaian Lodge, all fine by anyone’s standards. After working every day, with our evenings busy trying to ready a rented house for occupancy, it is a refreshing break.

Several adult cases of acute epiglottitis were treated. Although Homophiles Influenza bacteria is the usual cause, Dr. Kitchner, chief of the Otolaryngology Department at Korle Bu Hospital, said Adult Immune Deficiency Syndrome might be the underlying cause and these patients should be tested for human immune virus.

We refer many profoundly hard of hearing children to the school for the deaf. Their deafness is often caused by malaria and/or its treatment. I saw a patient with severe permanent deafness resulting from artesinate, amodiaquin and ciprofloxin treatment. The patient was asymptomatic for malaria, but when he presented with eye disease and tested positive on a blood smear for malaria he was treated with this tragic result. Ghana states that its disability incidence is ten percent. Although the figure is hard to determine, it may be too low.

My United States colleagues have been kind enough to offer advice and supply me with articles regarding some of the difficult surgical cases shown in the photos.

After a lapse of several years, a new clinical conference at Tamale Teaching Hospital was attended by eighteen enthusiastic physicians. Five of these physicians were (housemen) residents, rotating through the hospital during their training break.

Work is hard, exciting, satisfying and worthwhile.