Khartoum, Sudan
July 8, 2009.
Part.
8 hours, triage. Among others there is a mother of twins and two months half
cough, one had a fever yesterday, not today.
Twins are always at risk because the mother hardly stand it
to breastfeed them both, so the priority is given Fatma and sees them almost immediately.
I am in ward, a little 'to ward really, a bit' to work with
Antonella protocols for nurses. About ten o'clock I Fatma
comes to call, ask for a consultation. One of the twins has
yellow eyes, jaundice. He's fine, eats, smiles, we decide to do some tests
, pending the mother is a bit 'in the ward. After a while arrive
tests: hepatitis B negative blood count normal. There are only urine,
clearly sent him to Khartoum tomorrow to clarify the diagnosis. I called
Kharda for another strange case, and then again Fatma:
a young child too, with a distended abdomen in an abnormal and
oblong, yesterday threw up, I did not. Simple constipation? Hard
relaxed that way. Most likely sub-ileus: I
the rectum, there is a bit of diarrhea, no blood. It takes a surgeon
pediatrician and remember that the only open
division of pediatric surgery at Soba, near our hospital,
will be twenty minutes. The load on the ambulance and Fatma goes with him, while I
substitute with patients. Back after more than an hour with a devil
hair. In the Soba have set an appointment for Tuesday (!), And so brought him to
Basheer where at least one surgery for adults is: there
the doctors told her she was too small and was brought to Khartoum
center. Small detail: the Sudanese hospitals do not have a '
ambulance to them, there is a central service that moves only in exceptional cases
on call. Usually hospitals say patients who
not accept them, to move on its own. So Fatma insists: I
you accept the patient, there is an agreement between the Ministry and Emergency, and then transferred
you calling an ambulance.
asks to speak with the director, and that is in agreement.
Well, eventually the child has left for a post qualified as
wanted (in the evening we will know who is under observation for suspected
occlusion). The day ranks among the fastest way more weird than usual cases. Ten minutes
o'clock the ambulance goes out to get gas.
a look at the Fatma twinned: the mother is out of the shade, still
child has not urinated. Comes out to ask if the want to bring more
later and meanwhile to go home, but sees that the child is almost
unconscious, not moving. Seizures? Meningitis?
him away from mom, she runs into in Ward. We put it on the bed, we shove
gloves, you are looking for a vein, I feel my heart, I call that
Travel Award back in a hurry with the ambulance, take the rectal temperature,
I place the pulse oximeter. Beats, but is bradycardic, 70 per minute,
normal breathing, normal oxygen: has the look scattered, drinking fountain
a little rounded. We vein, we have made something. There is also Kharda,
the mother is sitting on one side to see us run. Vomit blood.
The squares on a side, we aspire via cannula with blood,
monitors: the beat is getting weaker, the pulse oximeter is not picking up
more. The pinch, crying. We adrenaline, seems to react, but
look is gone, the body is completely flaccid.
another mouthful of blood, the smallest. I doubt that the heart beats, I'm starting to
massage, but Kharda can feel it. Antonella
asks what has, I tell her to pray in Italian if they are believers because they are dying.
the ambulance arrives, via: where I am going Ftama? Bashir ordered. But
not have neonatal equipment, better Khartoum she said. We arrive at Khartoum
, run Al Bashir. I screamed to her mother to go up, she loses
time because it has a little sister and does not know if it climb the mountain to force
: Kharda riding with her to explain, then I go down, someone must remain
. Move, move, cry. But I know that that child will not see again
.
remain cold and visited children from discharge, the tests are ready. I remember
examinations of the child, lacked only the urine.
back after half an hour. The boy died on the street, al-Bashir noted
death.
We bring the mother, twinned with each other and the little sister of five years in
ward, we close the door, we are all standing around the dead child.
Fatma, who is Muslim and knows their customs, wraps it in a blanket.
Abdul Aziz is with me and Theresa next to mom, crying without noise
: breast has another child. The sister looks at me.
signed the death. I put a hand on the shoulder of her mother,
say the two words that translate to me Theresa: As we are sorry.
She nods through her tears, thank you. Not screaming, hiding her face in her scarf
continue to breastfeed. I ask if we need to tell her husband,
but she still can not do it. We ended: Fatma Abdul Aziz and I
accompany his mother.
It 's a sad procession mount ambulance once again: outside
expectant mothers mourn their discharge,
embrace the mother of the dead child. Let's go, without a word, to the interior of
field. I think back to myself, by the way, from what has happened and if we could expect something
, to prevent this death, to avoid it: if we were wrong.
E 'was seen by Fatma and me: he was fine, eating normally, not
was nothing I did imagine a critical situation. The tests show that
had neonatal hepatitis B, meningitis and had no
a form of bacteria. Only quell'ittero. Then, hepatitis, cholestatic
perhaps, as I supposed, and perhaps had a
collapse of liver function. Maybe. But we could think of it before it happened? No. If we had moved without
analysis would have changed anything? No.
We lost six or seven minutes for the damn
misfortune that the ambulance was out: he counted? No, only makes more anger. So? So
anything, we're just all wrong.
arrive in a few minutes at home, the usual room mud
surrounded by a wall of mud, in the two networks without mattress
for older children. Abdul Aziz supports the small pool in the closed
on a bed, sits in front of his mother, crying as before, quiet,
broken, with the second twin in the womb. And 'most lucid, gives us the phone
father's call with my phone, I feel.
The girl sitting next to her mother. Outside there is a guy sitting next door
of ten, twelve years is the big brother. Ftama
speaks to him gently, he nods is the will of Allah, he says quietly. Only
this point I realize that the eyes upside down, is completely blind
. We warn the neighbors, the women offer us a drink, but thank
refuse: they headed for the house of the dead, they will think. We still
goodbye to mother, shaking hands with big brother and little sister
.
Let's go in silence.
explains Fatma their use. They think that the soul of the dead is to
distance of one arm from the body and is able to feel even
all the sensations he felt in life: and so we must be careful and respectful
, gently wash your body, but with water
warm in winter and cool in summer, move it and treat it gently for
not give pain. However, it is a painful situation, which should be stopped as soon as possible
burying the body and freeing the soul: they do,
immediately when the father returns.
I have no desire to write.
8 hours, triage. Among others there is a mother of twins and two months half
cough, one had a fever yesterday, not today.
Twins are always at risk because the mother hardly stand it
to breastfeed them both, so the priority is given Fatma and sees them almost immediately.
I am in ward, a little 'to ward really, a bit' to work with
Antonella protocols for nurses. About ten o'clock I Fatma
comes to call, ask for a consultation. One of the twins has
yellow eyes, jaundice. He's fine, eats, smiles, we decide to do some tests
, pending the mother is a bit 'in the ward. After a while arrive
tests: hepatitis B negative blood count normal. There are only urine,
clearly sent him to Khartoum tomorrow to clarify the diagnosis. I called
Kharda for another strange case, and then again Fatma:
a young child too, with a distended abdomen in an abnormal and
oblong, yesterday threw up, I did not. Simple constipation? Hard
relaxed that way. Most likely sub-ileus: I
the rectum, there is a bit of diarrhea, no blood. It takes a surgeon
pediatrician and remember that the only open
division of pediatric surgery at Soba, near our hospital,
will be twenty minutes. The load on the ambulance and Fatma goes with him, while I
substitute with patients. Back after more than an hour with a devil
hair. In the Soba have set an appointment for Tuesday (!), And so brought him to
Basheer where at least one surgery for adults is: there
the doctors told her she was too small and was brought to Khartoum
center. Small detail: the Sudanese hospitals do not have a '
ambulance to them, there is a central service that moves only in exceptional cases
on call. Usually hospitals say patients who
not accept them, to move on its own. So Fatma insists: I
you accept the patient, there is an agreement between the Ministry and Emergency, and then transferred
you calling an ambulance.
asks to speak with the director, and that is in agreement.
Well, eventually the child has left for a post qualified as
wanted (in the evening we will know who is under observation for suspected
occlusion). The day ranks among the fastest way more weird than usual cases. Ten minutes
o'clock the ambulance goes out to get gas.
a look at the Fatma twinned: the mother is out of the shade, still
child has not urinated. Comes out to ask if the want to bring more
later and meanwhile to go home, but sees that the child is almost
unconscious, not moving. Seizures? Meningitis?
him away from mom, she runs into in Ward. We put it on the bed, we shove
gloves, you are looking for a vein, I feel my heart, I call that
Travel Award back in a hurry with the ambulance, take the rectal temperature,
I place the pulse oximeter. Beats, but is bradycardic, 70 per minute,
normal breathing, normal oxygen: has the look scattered, drinking fountain
a little rounded. We vein, we have made something. There is also Kharda,
the mother is sitting on one side to see us run. Vomit blood.
The squares on a side, we aspire via cannula with blood,
monitors: the beat is getting weaker, the pulse oximeter is not picking up
more. The pinch, crying. We adrenaline, seems to react, but
look is gone, the body is completely flaccid.
another mouthful of blood, the smallest. I doubt that the heart beats, I'm starting to
massage, but Kharda can feel it. Antonella
asks what has, I tell her to pray in Italian if they are believers because they are dying.
the ambulance arrives, via: where I am going Ftama? Bashir ordered. But
not have neonatal equipment, better Khartoum she said. We arrive at Khartoum
, run Al Bashir. I screamed to her mother to go up, she loses
time because it has a little sister and does not know if it climb the mountain to force
: Kharda riding with her to explain, then I go down, someone must remain
. Move, move, cry. But I know that that child will not see again
.
remain cold and visited children from discharge, the tests are ready. I remember
examinations of the child, lacked only the urine.
back after half an hour. The boy died on the street, al-Bashir noted
death.
We bring the mother, twinned with each other and the little sister of five years in
ward, we close the door, we are all standing around the dead child.
Fatma, who is Muslim and knows their customs, wraps it in a blanket.
Abdul Aziz is with me and Theresa next to mom, crying without noise
: breast has another child. The sister looks at me.
signed the death. I put a hand on the shoulder of her mother,
say the two words that translate to me Theresa: As we are sorry.
She nods through her tears, thank you. Not screaming, hiding her face in her scarf
continue to breastfeed. I ask if we need to tell her husband,
but she still can not do it. We ended: Fatma Abdul Aziz and I
accompany his mother.
It 's a sad procession mount ambulance once again: outside
expectant mothers mourn their discharge,
embrace the mother of the dead child. Let's go, without a word, to the interior of
field. I think back to myself, by the way, from what has happened and if we could expect something
, to prevent this death, to avoid it: if we were wrong.
E 'was seen by Fatma and me: he was fine, eating normally, not
was nothing I did imagine a critical situation. The tests show that
had neonatal hepatitis B, meningitis and had no
a form of bacteria. Only quell'ittero. Then, hepatitis, cholestatic
perhaps, as I supposed, and perhaps had a
collapse of liver function. Maybe. But we could think of it before it happened? No. If we had moved without
analysis would have changed anything? No.
We lost six or seven minutes for the damn
misfortune that the ambulance was out: he counted? No, only makes more anger. So? So
anything, we're just all wrong.
arrive in a few minutes at home, the usual room mud
surrounded by a wall of mud, in the two networks without mattress
for older children. Abdul Aziz supports the small pool in the closed
on a bed, sits in front of his mother, crying as before, quiet,
broken, with the second twin in the womb. And 'most lucid, gives us the phone
father's call with my phone, I feel.
The girl sitting next to her mother. Outside there is a guy sitting next door
of ten, twelve years is the big brother. Ftama
speaks to him gently, he nods is the will of Allah, he says quietly. Only
this point I realize that the eyes upside down, is completely blind
. We warn the neighbors, the women offer us a drink, but thank
refuse: they headed for the house of the dead, they will think. We still
goodbye to mother, shaking hands with big brother and little sister
.
Let's go in silence.
explains Fatma their use. They think that the soul of the dead is to
distance of one arm from the body and is able to feel even
all the sensations he felt in life: and so we must be careful and respectful
, gently wash your body, but with water
warm in winter and cool in summer, move it and treat it gently for
not give pain. However, it is a painful situation, which should be stopped as soon as possible
burying the body and freeing the soul: they do,
immediately when the father returns.
I have no desire to write.
At 19.00, the second part.
I went for a run, the first time since are here, along with Antony and Eleanor
: a show, seeing the two of them turned into long pants
(Antonella rock as ordered and CAI Belluno Alpini Division
Tridentine), because women in thigh
discovery here would be the stuff of immediate repatriation .
It took me a while to download and resume to tell something
less bitter.
Meanwhile, the move on Friday, jumped at the last moment:
much better left out of the rooms on Monday morning to pack the
logisticians will gradually throughout the day. For my pc I
up with a solution during the race (the great thing about that is when I run
solve problems, elaborate plots of my books, in other words the mind is free of
correrre like me, but somewhere else), or rather has created
Antonella: I bring the pc to Mayo. The batteries hold up at least an hour
no, not working? So ... at least until the return all'aereoplano
I should be able to keep it on, then you will see in Italy. And speaking of
back, twist. I had always done all my calculations on
what was written in official documents, two days leave per month for
co.co.pro like me and every six months for employees. And then I had to start
around 25 to 26 July. But for the three months
contracts like mine is not the case: I read the contract
these days and do not talk. So if all goes well in the evening division
1 and 2 at home (if that day there is a KLM flight, there is the
habub, etc., etc., and especially Inshalla). I must say that I have taken
with elegance, and after a moment of loss I shrugged and
there are still bad, except for the fact that the pass away from Isa
birthday for the first time in twenty-three years.
means that I will celebrate here. The idea of \u200b\u200bstaying six days in most
I was not upset, which is a sign that aside from some tension there last
'm not bad at all. Even if I want to return, perhaps the idea of \u200b\u200b
plunge back immediately, with interval of just a few days before the big start
the surgery, that scares me a little. We will do a
riambientarmi now?
Well, maybe this story is riambientamento sopravvalutata.Vedremo. Claudia
Yesterday he made his final exams and Isa went to see her
'm invdioso I must say, though I'd never gone there,
mindful that forbade even come to my graduation (but
There was my uncle Toni from Rome, presenting
quietly without permission and sending me merrily to hell). I had to call
... yeah, figured. It seems that I have sent two text messages, never got
(This is more than likely not arrive or arrive after
several days. Why? Boh ...) and I finally called him.
I was able to talk to her only in the evening because the evening fell to sleep, however, is
went well and she is satisfied. E 'on the ball, I'm happy for her.
I was thrilled to see her face an obstacle that important. Mark
already knew: he closed his first year exams in advance and with
up, he found his way. And Maurizio will find it.
Three Smart Girls.
Antonia started last night: we went to eat with her at seven
to his favorite restaurant (renamed coll'allusivo name of "The
zozzone") where you do not choose the menu: everything is fixed.
We sat outside, the dust of the road, because inside, I have explained, see
of the things you do not eat more. After this encouraging start
aspetatre we had over an hour, we were really tired when we saw the owner
back with a bundle. He had gone to
compare the flesh, he did not have enough for all of us and, as you rightly point out
Luca Rolla, the butcher must be very close because
between calls, a chat, how's the family, the child has eaten
, order, go, along with a smoke and come back,
hour escapes only if it is close. The man still has redeemed
quickly crank out a huge number of dishes of beef cooked in
pieces on the plate with rocket, full of beans and cheese, and pickles
. Among the pickle was hidden from treachery
some green chilli, with results imaginable on my throat.
Of course the whole thing was washed down with Pepsi Cola and
water bottle and small pieces of food taken with bread: but given that we are
Western was a dish for every two people and no one has licked his fingers
. The whole thing was topped with ice cream at the end of Delicious,
corner of the street and the restaurant, in spite of the name is
always been above suspicion, the ice cream in question, while good, is
considered at risk from diarrhea for a couple of people
past experiences. I decided to risk it and it went well. After that we wrote
names and greeting phrases on the flag, are mounted on pick up
iserbi while we pulled back a bucket of water (
auspicious sign from them) and we accompanied our friend
airport. Antonia, who is from the rock, did not cry, but never a rock
we went so close.
We came back pretty depressed. In the morning I only
make coffee for everyone before it reaches the cleaning lady ... I came
in mind that yellow Christie: Ten Little Indians. We stayed in
nine ...
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