Sunday 1 August 2010

we're going hiking...

Sunday 1st Aug;
Well, I've made it to August! It feels like I've been here MUCH longer then 2 weeks, not because im having a bad time but life is just so slow moving!
Today we went on a waterfall hike - I did one of these last year and didnt love it, but for some reason I felt compelled to pay to do another one in the Sols! It was fun when we eventually got the the falls (which were beautiful!), but it was a looong walk - much longer than specified! We also came close to being ripped off by locals for 60 pounds (no pound sterling sign) to do with fees etc for crossing the village which we had already paid for. It made for a very awkward 10 mins trying to negotiate! We all went for a swim in the waterfall pool, the guide assured us there were no crocs...none of us were entirely convinced - it looked like a croc haven, but we still had a swim and have all subsequently caught colds, which may or may not be due to the water! (dont worry mum, I'm fine!)

Monday;
Today I've started in the surgery dept. Have already seen diabetic foot cases that would just never present so late stage in the UK. A 31 year old guy had a bilateral below knee amputation as a result of diabetes. He seemed surprisingly upbeat on the ward round - the doc said that he's got a prosthesis for one leg and will be given a wheelchair and that physio will be in to see him. (yes, they have a physio dept - and a speech therapist!). There were lots of infected wounds the opening of which on more than one occasion involved the flight of dead necrotic skin being flung in my direction...ergh. I've learnt to stand behind the doctor when he's unwrapping wounds.
I'm going back in this afternoon to help with admission of new patients which will be good pijin practice and general history taking practice!

lots of love xxxx

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