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29th March 2017

Cow gut anastomosis

Paul joined the ward round on Female Medical at Lira Hospital while Judy went off to the District Health Offices to pursue the breast lump project and Frankie safety taught in theatre. The ward round was lead by Dr Arkello Emilly Brenda with a group of white coated medical students. A 27 bedded Nightingale ward with open windows, no power and one oxygen cylinder. More HIV cryptococcal meningitis, and acute glomerulonephritis following ‘crude’ tonsillectomy (removal of infected tonsils by scooping them out using a long fingernail without anaesthetic) and a 14 year old girl in a coma following a self induced abortion that went wrong (she did not want to tell her parents), I wondered if she had a brain abscess but no CT scan. A tragedy.

After lunch, Judy collared 3 of the interns to teach intestinal anastomosis. The agreement was they would bring a kilo of goat gut and she would bring he rest. Somewhat predictably they had not got the goat guts so Judy got on a boda boda (motobike taxi) to go to the market to buy, on the advice of her veterinary daughter, cow gut not goat gut. Having seen the number of flies and having a morbid fear of maggots Judy returned on the boda boda with the gut at arms length. Following this was an enjoyable advanced surgical technique workshop. That all the anastomoses were completely secure on underwater testing convinced them it’s a technique worth using.

Paul, Frankie and Sarah filmed a piece of theatre as an educational exercise. The midwifery students were given a brief and put together a great short play about a young girl dragged into prostitution by financial necessity. We plan to take the clips back and ask Charlie, Frankie’s son who is a film maker and graduate of the Media School at BU, to edit it into a short video that we can use to promote the idea of further educational films in conjunction with DOC (see yesterday’s blog). Dinner out and early to bed.

Cow gut anastomosis

Cow gut anastomosis

Ward Round

Ward Round



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