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Photo time

Well, we're starting our last week here at Zimba Mission Hospital. It has been a really good rotation, despite the hard situations. This weekend was busy but good - yesterday we did 3 C-sections (one for cord prolapse after a long transfer, and another for fetal distress) along with 2 vaginal deliveries and had 5 happy, healthy babies.

Anyway, we thought it was time to show you where we've been working!

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The chapel, where we begin every weekday with a few hymns and a message

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The delivery room in Maternity Ward

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Ben and his interpreter Purity rounding in Male Ward. The most common diseases here are pulmonary TB, CHF exacerbations, opportunistic infections (lots of HIV with CD4 counts <100), gastroenteritis, ascites, and malaria. There are a few weird ones sprinkled in too - cryptococcal meningitis, tropical ulcer, PCP pneumonia, etc.

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Dr. Joan and some nurses in Female Ward. Many of the same problems as Male Ward are seen here, plus retained products of conception after miscarriages, other vaginal bleeding, C-section wound infections, and endometritis.

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Pediatrics Ward, where we both cover at times. Mostly it is staffed by a Zambian medical licenciate. Common problems are dehydration, malaria, gastroenteritis, malnutrition, fractures, and burns.

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Ben and Purity

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A room at the Outpatient Department, where we go to see outpatients when we're done with our rounding. Here we see lots of run-of-the-mill acute complaints like diarrhea, URI, and ear infections, with malaria mixed in as well. We also see a lot of very sick people and admit frequently. The most memorable was a child who had suffered a snakebite a week before, and came in with a necrotic, tense leg and signs of sepsis. We had to transfer but heard that after amputation, he was doing okay.

More photos to come... soon of safari! :)

Posted by vagabundos 10:37 Archived in Zambia

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