June 18 Municipal Hospital

 I went to the Municipal Hospital today. We spent the morning rounding in the female ward. Then the afternoon in outpatient walk-in clinic. In the ward we saw multiple patients with sub-arachnoid hemorrhage and stroke. Most with significant neurological deficits. They do have CT but it is in the bigger hospital. Physical therapy is also available in the other hospital. However, will be a long road for most of the these patients. Medication and access is limited.

We also saw a great case of pelvis inflammatory disease with hepatomegaly. We were thinking Fitz-Hugh-Curtis, but no way to confirm diagnosis.

Hospital Wards - all separate buildings



Getting drenched in the rain!

The girls went to Chiraa again today. They were able to spend the day in the lab. They did malaria tests and also did type and screen on all the pregnant patients. Victoria Stephens was actually able to smear the blood and apply the reagents to look for clumping. She was super excited. Maybe research is her calling.

Home just in time for a incredible rainstorm. Came down in sheets and the girls wanted to dance around in the rain. Something about a bucket list.

 Sorry for all the medical jargon today. We are doing outreach tomorrow, into the small villages to check weight and height of babies and give immunizations, that can't make it into the city. Should be fun! Talk to you soon. With love.