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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.

4 comments:

Anonymous said...

Look forward to talking to Cyndy when she gets home tomorrow; and at the wedding on Saturday. Hear that you are going to have a visitor in December, not Santa Claus!
Saw Mary o'Reilly this AM. Says Msgr McDermott gave her son a letter to be a baptismal sponsor only because he knew the Murphys!
Pat

juplife said...

i just heard from my cousin working in burkina faso. he sends like one email every 6 months. he said that he went to ghana this summer and really enjoyed it. he traveled to kumasi and down the coast.

good to hear that you are still enjoying your experience.

Unknown said...

wow.

i will take a look here before i next complain about my patients/the department.

i'm guessing most patients arrive towards the end of the day due to travel times? are most of your patients local, or are many coming from further away for treatment?

anyways, glad to see that things are going, and it's great to read about your work.

c.p.hsia.

Anonymous said...

Uncle Jim,
You were truly missed Thanksgiving Day but I must admit I am humbled by your work. It is nice to see you are making progress. I spoke with Cyndy I am going to try and come out this Spring. Enjoy Beth at Christmas. Stay Healthy !
Love Mar