Community visits:
Two students went on house calls (which involves hiking 4 miles up mountainous terrain). They said it was a wonderful experience. They met an elderly woman that was likely raped during the genocide and thus contracted HIV. Her family and husband were also murdered leaving her to fend for herself (which, for women here, is an almost impossible task). To add insult to injury...well... injury to insult, they cut off her fingers.
So here she is, with a nub on one arm, HIV positive, and living in a tiny house, but ALL SHE COULD TALK ABOUT IS HOW GOOD CHRIST HAS BEEN TO HER! The students said it almost brought them to tears.
Surgery: Helped family medicine in an I&D (incision and drainage) of some really bad abscesses. The woman's immune system is low due to chemotherapy for Lymphoma.
Surgery also had a huge case today. They had to make a bypass for a pretty bad cancer in the pancreas of a woman (they went in not knowing what they were going to find on the pancreas, because there are no CT scans here). They were unable to resect the mass, so the surgery was done to help the patient live a somewhat normal life without an obstructive mass around the duodenum (small intestine).
Peds: malaria city (sleeping in my mosquito net for sure!)
That's all for now... GOOD NIGHT FROM KIBOGORA!
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