Typical Day sent good friday 2001 from Mukinge

To:vfbc
From:
I have had a busy week so far but today is Good Friday, one of the 12 national holidays here and things should be at a slower pace. Yesterday we had a 10% 2degree scalding burn on the abd & legs, a huge Burkitt’s Lymphoma about the size of a volly ball on the face of a 6 year old, half a dozen malaria, a trisomy 21 with probable transposition of the great vessels (TGV) who I discharge to die at home, a Kwashiorkor who died after being discovered moribund in the morning. I started intraosseous fluids and got her to cry, start moving again and have pulses in her extremities again only to return in 90 minutes to find her all wrapped up in her shroud for delivery to the morgue, probably arrythmia. Gave a powerpoint presentation at 1400 on resuscitation. Sent home a kid after cleft lip surgery, sent home three malarias, treated scabies without wreaking the kids skin, took a picture of everyone in the ward and a little girl who was seizuring all Sun and Mon from sepsis will survive. Generally a pretty fair day.