September 17, 2010: Hospital Rounds
I start with this x-ray to establish a baseline for a normal heart. This is a sort of "how-to-interpret". As you'll see, this comes in handy
Entrance to the hospital
Infant ward
Anyone know anything about infection control? A couple of needles in a pan with a bit of betadine tossed into the mix
An iv for all
Mobile fast food
Pale is desirable - so avoiding the sun: protective gloves, hat, long sleave pullover, white stockings
Off to Preah Net Preah Hosptial
Entrance to Preah Net Preah Hospital
Meals on wheels
Triage
This lady was complaining of shortness of breath starting about a week after she delivered (3 months ago). She was diagnosed as having pneumonia
Something did not fit - so Francis started a physical exam
And listened - hmmm - no noises that one would expect from pneumonia
Patient and her daughter
Since no lung sounds - why short of breath. So off to take an X-ray. The yellow box is the electric generator to drive the x-ray unit (reliably)
Here film - big heart, maybe pericarditis?
Did a blood test - and the crit was 35 but Hgb was 7.5. What's wrong with this picture
Redo the blood test - crit = 33, Hgb 10. Need to calibrate the machines
More challenges. Sterilization with closed containers - not very effective as the tops are on the containers
ER - motorcycle accident, no helmet
Removing an IV - sterile procedure: one glove on, one glove off
Returning to Siem Reap - interesting rain in the distance - studies of green, blue and gray
C. Frank Starmer