Rounding With The Pediatrics Team   2 comments

Friday, April 3rd, 2009
Moi University Hospital

Today was my first full day in the clinic, and it was also my first chance to be on rounds with the pediatric team.  Bethany and I met up with Dr. Chitanga who is the team registrar (their version of a resident) next to the first line of patient cots.  We were also accompanied by 2-3 Kenyan medical students.  The registrar called for the first patient to be presented and a nervous student stepped forward with her notes in her visibly trembling hands.  She quietly and deliberately read through her notes while presenting her patient.  After a fumbling through a few questions from Dr. Chitanga, she ducked back into the crowd clearly relieved to be out of the spotlight.  I am told this is the result of the British system of medical education.  You are taught largely by being told what you are doing wrong rather than being given constructive feedback.  There is a clear demarcation between the ranks that does not tend to exist to the same extreme in the American system.

As we neared to end of rounding on our patients nearly an hour later, an additional 10 or so Kenyan medical students wandered onto the wards.  Surprisingly, the registrar only made a small comment about the ‘late-comers’ but did not seem bothered.  Today was an admitting day for our team which meant that any new pediatric cases came directly to us; it would be busy.  Before the first patients began to arrive, I took a minute to track down ‘Emily’s’ chart.  There was little in it of any specific use, but the doctors seemed to believe that she suffered from hysteria and was not having seizures at all.  She would likely be sent home without further treatment.  I found Emily lying on her cot with another headache.  “I don’t feel well today,” she muttered.  The only way to confirm her seizure activity without and EEG (electro-encephalogram) was to ask her grandmother to describe what she sees when Emily has ‘fits’.  It is very hard to fake such descriptions.  “Grandmother has gone to market to work today,” said Emily.  “Will you come tomorrow and see her then?”  “Of course.” She answered me with a big smile.  I returned to the team and helped admit patients for the rest of the afternoon.

When a group of us arrived home after dinner, our friend Stephanie was standing in the driveway with a blanket in hand.  She and Collin had recently gone to Nairobi to complete security documents for their residency programs awaiting them in the states.  Unfortunately, they came down with food poisoning while there so the extra bunks in my room are now a makeshift convalescent ward for them.  I’ll likely stay in another room to let them recover.  Another eventful day.  The first of many I’m sure.

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Posted April 4, 2009 by chrislux in Travel

2 responses to “Rounding With The Pediatrics Team

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  1. Thanks for the update! I am looking forward to following you!

  2. hey chris!! i just wanted to let you know that im following your blog =) i only have 5 more weeks of my first year of pharmacy school!! very very exciting!!

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