A fifteen month old child, with an abscess originating in his left mastoid and extending to his right eye, presented late Thursday afternoon. He was prepared for incision and drainage over the objections of the nurses who wished to wait until morning. When requested to give anesthesia at six PM, the nurse anesthetist refused and came only after the chief administrator sent a car for him. One hundred milliliters of exudates were drained. Clindamycin was ordered every six hours, but the antibiotic was given twice daily and no explanation for the discrepancy could be obtained. The child improved and with antibiotics his mastoiditis should resolve and his eardrum perforation may close.
In gross anatomy class, the skull and larynx were demonstrated to appreciative Ghanaian medical students. The course may continue and more detailed demonstrations well be given. Finding time to study the anatomy myself and prepare the dissections is difficult.
Our good, hard working Egyptian general surgeon will stay a fifth year if Tamale Teaching Hospital will continue to pay his former Egyptian salary. Cuban and Egyptian doctors here are paid by their countries to work two and four years respectively in Ghana. The United States needs a program whereby salaried physicians work in developing countries.
Subscribe to:
Post Comments (Atom)
No comments:
Post a Comment