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!
The chapel, where we begin every weekday with a few hymns and a message
The delivery room in Maternity Ward
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.
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.
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.
Ben and Purity
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!