Today was another intense day. We had a 33 year old HIV+ female with typhoid and malaria. She was so skinny, we couldn’t wrap the blood pressure cuff around her arm. We gave her IV fluids and medication for typhoid and malaria. I couldn’t help but to think what we would have done if we didn’t even have these resources.
Although I was with Dr. Vicky, the afternoon was calm. I heard that Dr. Bon diagnosed a miscarriage in the first trimester. The 21 year old female was bleeding excessively. Their next plan was to do an evacuation. It is what it seems. We lay her on an examining table, unfortunately near a window. We tried to pull the curtain across, but then it was unbearable hot. Dr. Bon comes back with a syringe-type plastic device with suction. With a bucket below, he inserted the speculum and inserted the device to begin the evacuation without anesthesia. The medical students took turns holding the flashlight. As she screamed and groaned with pain, I was disturbed by the openness of all of this as the IHP workers were returning back to their work right near the window. Fortunately, the nurse asked them to leave. I’m not sure if it’s empathy, but I feel that my OB-Gyn experiences have been really traumatic for me. I’m not sure if these experiences encourage me to go into OB-Gyn or if they make me want to exclude it from my potential career choices.
The rest of the day was a usual Friday: market, tailor, pub, dinner at Lucy’s. We ended up watching Harry Potter 6; progressively getting to the dark side. I still haven’t watched HP 5, but probably will do so later.
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