Because there is no pediatric endoscope or pediatric anesthesiologist, an adult fiber optic nasopharyngoscope was passed orally on a floppy, eleven month old girl with strider (noise obstructed breathing) to examine her larynx. Her general weakness caused a weak bite and a finger in her mouth protected the endoscope. Her larynx was normal.
Last Friday, the medical students and I did a cadaver dissection of the facial nerve. Even though they were off this week, they requested another demonstration and sixty arrived for a dissection of the carotid and jugular vessels, cranial nerves V, X, XI, XII, ansa cervicalis, cervical plexus, strap muscles, thyroid and parathyroid glands. In their final dissection next Friday the vessels, brachial plexus, larynx, trachea and esophagus will be demonstrated. The colon and pelvis will be demonstrated by a visiting British surgeon, who will also lecture on “Perianal Disease” at our weekly clinical conference. “Medical Practices Among the Dagombas” was discussed last week by an anthropologist who studied this local tribe for fifteen years.
My coughing, sixty three year old Dagomba watchman, who protects me and my house with his bow and arrows, has tuberculosis. Because patients stop their medication when stomach discomfort occurs, he will take his single pill, containing four medications, daily under direct observation. Due to miscommunication, or because he is attending a diviner and offering sacrifices, he has not appeared in two days.
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