I’m too exhausted to do anything right now, but know I wouldn’t be able to sleep if I don’t write now. I think it’s a curse. I keep telling myself that I will appreciate reading my stories again in a few months/years when the details have faded from my memory. And, it’s so great to hear from you guys. I continue to be amazed that people actually want to read what I write. I’m grateful for you. Thanks for reading.
Today started like every clinic day—early. Sophie is still waking up 2-3 times every night, so 6am rolls around very early. I always get everything ready on Wednesday nights (all the way to my mocha mix all ready in the cup next to the kettle) so that my fumbling around in a daze won’t make us all late for clinic. I was especially grateful for that this morning when Sophie woke me up at 6:35 and I realized I only had 10 minutes to get both of us ready! Fortunately we made it out the door on time.
On the way to clinic, Mary and I were talking about everything under the sun when the topic of her book came up. It’s being published right now, and we’re planning on my friend will be bringing a few copies with him when he(hopefully!) comes to visit me for Christmas. (Right, Keith?
) Mary had asked for my permission to use a picture of me for the cover of the book, and I said that would be OK. I haven’t seen the proof yet, but Mary told me which picture it was. Apparently I’m listening to the lungs of our sweet patient Bootcha when he first came to clinic! How cool is that? So I guess I’ll be famous here in a few months….or somethin’
My clinic day was a bit uneventful as I only saw a few new patients. I kept busy with multiple injections, a couple pelvic exams, the debridement (cleaning out) of a tropical ulcer, and seeing about 4 new patients. (Now that I read that sentence, I realize that most people probably wouldn’t call that an uneventful day. It is, though, when the alternative is seeing and diagnosing 30 new patients, like I did last week!) We were very gratified to see profound improvement in the conditions of several patients from the past, including our poor brucellosis man. He looks like a different person than he did 3 months ago!
*Weak stomachs, beware. The next 2 paragraphs contain some icky graphic wound descriptions. The rest of the post is safe, though*
The current “patient special” is skin problems. We’ve concluded that when someone with a particular condition is successfully treated, everyone else with that same condition comes in because there’s hope that we can help them. I think that probably accounts for the huge surge of skin/abscess patients we’ve had lately. We have drained a couple abscesses, and suddenly we have multiple abscess patients appear. The saddest one today was a baby (maybe 18 months old?) with a 3-inch by 3-inch protuberant abscess on the side of her head. We’re going to try to drain it next week. Another skin condition we’ve seen a lot of is the tropical ulcer. It starts out as a tiny scratch or a bite, then gets infected. It doesn’t get treated, so turns into a huge, purulent, bloody scab that needs to be debrided (taken off, basically) and cleaned. Then the patients continue to come for several weeks to get the dressings changed and to make sure it’s healing. They’re messy and gross, but it’s exciting to see them get better!
One little 8-year old boy came in today with a 5-year history of a sore on his neck and the side of his face. What I saw was a hugely purulent, bloody scab from his temple down to his chin, then another 4-inch one on his back. It looked exactly like a tropical ulcer, but I know that’s where scrofula (a type of TB) presents. I brought Mary over, and she instantly confirmed my fear. It was indeed TB—in an 8-year old boy! Apparently it had been coming and going for 5 years, which is why it hadn’t been brought in before. Mary decided to take this guy back with us for a couple weeks so she can watch his progress—sometimes scrofula gets worse in the first couple weeks of treatment. When we were on our way home, the little one jumped into the car, and I could immediately smell him. The smell of unwashed body is no big deal because that’s what everyone smells like. This smell was infection and dead flesh. After the door was closed, Alemayehu said that we had to stop because the flies that had come in on this little guy’s scabs were too many for them to handle. I looked back, and the air was thick with them. And this kiddo has been living with this for 5 years! I can’t imagine what his house must be like. What an amazing change will come about in his life with just a few little pills! Absolutely amazing!
On to a lighter topic now…During pharmacy today, I giggled for about 3 minutes straight. The malaria patients have to swallow a whole handful of meds right in front of us, and apparently they’re pretty horrid-tasting. One woman had taken the meds, but still had her mouth full. We told her to swallow, and she (of course) couldn’t tell us that it was only water. Instead, she turned around and spit it out the door—right into the sleeve of the man waiting in line behind her! I busted up laughing, but I was the only one laughing. Nobody else seemed to care. The man didn’t even seem to notice, and went right on with his business. I still smile when I think about how that would have been received if it had happened at a clinic in America.
Oh, and we found out that Darcho went to be with Jesus on Saturday. Hooray for him!
And horray for me because I can now to go bed. (And don’t make fun of me for going to bed at 7:30!) Goodnight!