Learned a bit more Lugandan today at clinic! We wrote down the words for "bend" and "straighten", both very important words to know in the physio dept.
Me and Kristi started in the ICU which was pretty awesome. We first saw a patient who was seriously injured in a traffic accident (surprise surprise) and was in a coma. Unfortunately, his identity was unknown so he had been in the ICU for several weeks. He was stable enough to be moved to another ward of the hospital, but since he had no family there to take care of him, he needed to remain there. In this hospital, families are taught how to do certain medical procedures such as suctioning out their mouths. With no family there to help him with this or with feeding, he would not survive, so they are keeping him in the ICU. We did some range of motion exercises, and some chest PT (!). By placing our hands on his ribcage and initiating a breathing-like pattern, we are encouraging proper airflow throughout all the lung in order to prevent things such as pneumonia and to help get out the gook.
Another patient we saw was interesting because he had suffered a brain trauma from a fall, and had also gotten tetanus. A side effect of tetanus is muscle spasms so I got to feel some cool muscle tone that I had never felt before. He was intubated, which actually surprised me because throughout the rest of the hospital I never saw any eletronic equipment. However, the ICU was actually relatively clean (no visitors allowed) and very quiet. They had vitals monitors on the patients which actually surprised me given the fact that we had gone on a tour of the entire hospital and I never once even saw a blood pressure cuff anywhere!
The last spot we went to was the post-ICU ICU. Basically the place where you go when you become stable, but still need fairly close attention (however "close" attention means maybe one nurse for 15 or 20 patients.) We saw a man with a craniotomy (a removal of part of the skull) after he was in a traffic accident (something should REALLY be done about the traffic here!). What I found interesting was that this man, with basically a chunk of his head missing, was sitting next to an open window (no screens) in a dirty corner. I can't imagine how many infections occur in this hospital...
Right now we are getting ready for a party because it is one of our professors birthday today. We are going to order pizza and have her over and play volleyball with the other med students from Madison who are visiting here.
K Your detailed description allows me to feel as though I'm right there with you. From the lizard like things to the crazy traffic to the walls inside the hospital. Looking forward to your next posting. Enjoying a lot of great baseball still and getting excited with all the planning of the boy's graduation. Love and miss you! xoxo Mom
ReplyDeleteKristen - great posts! Thanks for sending! Look forward to more. Say hi to everyone.
ReplyDeleteSusan Frikken