Surgery: pretty busy service today... From what I heard, they had a pretty bad case of a typhoid abdomen. The patient came in with a extremely distended abdomen and when they opened it up there was nothing but green bile. They also fixed some osteomyelitis ankle/humerus and abdominal hernias.
Peds Service: saw soooo much malaria. Malaria is terrible here. We even saw a malaria of the brain. Some kids were in bad shape while others played gleefully in the halls. We pretty much spent the day getting a feel for how things are run, did a lumbar puncture (which Dr. Butters helped in), and finally blew bubbles with the kids!
Medicine Service: spent time also figuring out what was going on.
Everyone is really nice. Everyone is just trying not to step on the local docs toes, because they do things so differently here. We have adopted the idea that is it isn't detrimental to a patients health, we will leave it be and respect the difference.
More tomorrow! Good night from Kibogora, Rwanda!
(Oh and btw some of us went to the local market, and the kids there are so cute. They know some English. We taught them "head shoulders knees and toes". Then they all followed us home. One little girl walked us up (almost a mile) to the front gate. We thought she was coming in with us, instead, she waved and said "bye bye", gave us a hug and ran back home. Amazing how cute these kids are (esp. Our little escort back to the gate Davina)
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