Khartoum, Sudan
July 10, 2009.
Yesterday I did not write the diary, I took an afternoon of holiday:
I was very tired, and then today I have the day off. Completely free
seen that the move does not exist: not bad, I feel really Loff. My
I was very tired, and then today I have the day off. Completely free
seen that the move does not exist: not bad, I feel really Loff. My
pressure for several days is higher. I have to get used to the Sudan,
or maybe it's the fault of the fact that the heat has dropped significantly: no more than 40
and with a nice breeze (hot), the fact is that this morning I start cautiously
to take the tablet : If so faint I'm home. Before grin:
Loffi I felt before taking the pill! Fatma
Yesterday I sent in the ward, according to new rules that we
Yesterday I sent in the ward, according to new rules that we
data for the rotation, while I was doing his surgery:
seemed to be in Prato, a few hard cases, and above all nonsense, people
who had fever even for a day, otitis, things like that.
Oh, a couple of pneumonia series, but nothing in short malnourished
which is something. Yesterday, however, when a heavy:
a child is a few months for cough and fever at the age
I check the white blood cells. Those are normal, but has a strong
anemia. I'm suspicious, I tested for sickle cell anemia
. He's got, poor child. There have already spoken: it is genetic, not
we can do just about anything. Red blood cells in oxygen deficiency
collapse and become like sickles, forming clots,
the child has severe hemolytic crisis and in addition the consequences of those
small infarcts: swollen spleen, grows worse, infection risks, can have a situation
acute cardiorespiratory. If well treated, with
full attention, can live a long life but it means prophylaxis with folic acid
life, a whole series of vaccinations that are not here
, transfusion if anemia gets worse and every crisis, maximum
care to avoid excessive heat, dehydration ... perfect for
Sudan in a refugee camp. I say to my mother, with two nurses to
my side to translate into Arabic. I do look into their eyes,
repeating often that I'm sorry, speaking in a calm voice and low. She did not speak
, nods, is sad. I thank you. Will understand? Agrees with the inevitable sadness
or do not realize? I ask you to always say
the doctors of his condition (they never do here, as if to
see if it's true) and the risks to other children. Go away and leave me
a heavy heart.
What do you think these people? It 'really so resigned to the idea of \u200b\u200b
death, fate? Or do not go crazy? Or simply do not realize
? The idea of \u200b\u200ba free health care is out of their head, probably as
monogamy, and we are just as stellar
several other aspects of their culture. But the eyes of children,
the pain of the mothers, that is the same.
After the surgery yesterday, including a follow-up and the children sent by
school (he is next to us and hundreds of kids in uniform there
flutter neighbors if they are sick when you are out of school) I was with Antonella
the PC to finish a big job to put the data into
. Now finally in Milan and the Sudanese Ministry
know exactly what is happening in Mayo: first the data were sent in accordance with the rules of
Dr Ahmed, the government official who presides over the area (a
diagnosis per child) which distorted everything. If one had, say, a
pneumonia and was malnourished, was only pneumonia, but
the malnutrition was a factor that xhiave pneumonia. And the same for the
abdominal infections that are often multiple. I was able to explain to Dr Ahmed
the problem and we countered with this little program
made to our computer (which my children to scandalize
what is slower). In the end, including an organizational problem and other things, the drafting of the new
sheets that best describe what each must do, we made 4
before even realizing it.
forgot to tell you that baby eastern Sudan for three months with
history of bleeding. He's normal coagulation tests, but those of the liver
unpacked and bilirubin. What will had? A deficiency disease
K? Liver failure? I do not believe this, but now
something wrong there. Repeat the tests after 7 days and then will send them
pediatrics because of Khartoum studying:
I check the white blood cells. Those are normal, but has a strong
anemia. I'm suspicious, I tested for sickle cell anemia
. He's got, poor child. There have already spoken: it is genetic, not
we can do just about anything. Red blood cells in oxygen deficiency
collapse and become like sickles, forming clots,
the child has severe hemolytic crisis and in addition the consequences of those
small infarcts: swollen spleen, grows worse, infection risks, can have a situation
acute cardiorespiratory. If well treated, with
full attention, can live a long life but it means prophylaxis with folic acid
life, a whole series of vaccinations that are not here
, transfusion if anemia gets worse and every crisis, maximum
care to avoid excessive heat, dehydration ... perfect for
Sudan in a refugee camp. I say to my mother, with two nurses to
my side to translate into Arabic. I do look into their eyes,
repeating often that I'm sorry, speaking in a calm voice and low. She did not speak
, nods, is sad. I thank you. Will understand? Agrees with the inevitable sadness
or do not realize? I ask you to always say
the doctors of his condition (they never do here, as if to
see if it's true) and the risks to other children. Go away and leave me
a heavy heart.
What do you think these people? It 'really so resigned to the idea of \u200b\u200b
death, fate? Or do not go crazy? Or simply do not realize
? The idea of \u200b\u200ba free health care is out of their head, probably as
monogamy, and we are just as stellar
several other aspects of their culture. But the eyes of children,
the pain of the mothers, that is the same.
After the surgery yesterday, including a follow-up and the children sent by
school (he is next to us and hundreds of kids in uniform there
flutter neighbors if they are sick when you are out of school) I was with Antonella
the PC to finish a big job to put the data into
. Now finally in Milan and the Sudanese Ministry
know exactly what is happening in Mayo: first the data were sent in accordance with the rules of
Dr Ahmed, the government official who presides over the area (a
diagnosis per child) which distorted everything. If one had, say, a
pneumonia and was malnourished, was only pneumonia, but
the malnutrition was a factor that xhiave pneumonia. And the same for the
abdominal infections that are often multiple. I was able to explain to Dr Ahmed
the problem and we countered with this little program
made to our computer (which my children to scandalize
what is slower). In the end, including an organizational problem and other things, the drafting of the new
sheets that best describe what each must do, we made 4
before even realizing it.
forgot to tell you that baby eastern Sudan for three months with
history of bleeding. He's normal coagulation tests, but those of the liver
unpacked and bilirubin. What will had? A deficiency disease
K? Liver failure? I do not believe this, but now
something wrong there. Repeat the tests after 7 days and then will send them
pediatrics because of Khartoum studying:
admitted that the family can stay here. The father seemed irritated by all these complications
, he wanted a cure once and it took a beautiful and good
to explain: I am really angry and I told
in a dry, without raising his voice, pretending that I
same feel from start to finish of what I meant. Finally realized
and if he left, shaking my hand.
Back home Yesterday I went to run a little (as I said
is less hot, but sweat spitting on a football pitch on the ground and dust you
allayed his mouth for hours) and then home. I saw a movie, I missed the episode on
diary and then went to the last party on the roof.
We were all a little melancholy at this time the international
are idle (it always happens in summer) and the effect is a little 'depressing.
I arrived on time and there was none: the dark, I began to smoke a pipe
lying on an old sofa that is half broken
up there watching the full moon. Then there were others, to
piecemeal, and we have given a move: a bowl of ice (you
sells on the street, as we used before refrigerators)
where we threw the drinks and even a large number of cans of beer
. Then with a little 'of potato chips were ready: the boys
Serbs had set up the computer with speakers and music:
the only problem was that, after subtracting those on duty at the hospital and a couple of us returned exhausted to
nine and went right to sleep, yes and no
ervamo ten. But what did it matter? I climbed onto a bench and
I improvised a toast to the last festival in Riyadh, while Antonella
called Mamoura. I have heard very kind with his accent
Belluno "Ye Just stay at a mamouriani Mamoura
Mamoura. Here is the last party on the roof, be ashamed. " Fifteen minutes after
adequate representation has made its appearance. We danced
(me at least) until one (but I think the thing has gone far beyond)
and secure the buildings will light a candle close to Allah (if you use
...) to thank our departure. The wildest of all was
Stepan, "the professor", a surgeon of 73 years Serbian
dancing in slippers, shorts and tank top screaming like crazy and having fun every now
"UPPA." It 's a good person when he came to visit
Mayo, a day that was free, he started crying and told me
his experience as a doctor in the villages of his country during the war.
, he wanted a cure once and it took a beautiful and good
to explain: I am really angry and I told
in a dry, without raising his voice, pretending that I
same feel from start to finish of what I meant. Finally realized
and if he left, shaking my hand.
Back home Yesterday I went to run a little (as I said
is less hot, but sweat spitting on a football pitch on the ground and dust you
allayed his mouth for hours) and then home. I saw a movie, I missed the episode on
diary and then went to the last party on the roof.
We were all a little melancholy at this time the international
are idle (it always happens in summer) and the effect is a little 'depressing.
I arrived on time and there was none: the dark, I began to smoke a pipe
lying on an old sofa that is half broken
up there watching the full moon. Then there were others, to
piecemeal, and we have given a move: a bowl of ice (you
sells on the street, as we used before refrigerators)
where we threw the drinks and even a large number of cans of beer
. Then with a little 'of potato chips were ready: the boys
Serbs had set up the computer with speakers and music:
the only problem was that, after subtracting those on duty at the hospital and a couple of us returned exhausted to
nine and went right to sleep, yes and no
ervamo ten. But what did it matter? I climbed onto a bench and
I improvised a toast to the last festival in Riyadh, while Antonella
called Mamoura. I have heard very kind with his accent
Belluno "Ye Just stay at a mamouriani Mamoura
Mamoura. Here is the last party on the roof, be ashamed. " Fifteen minutes after
adequate representation has made its appearance. We danced
(me at least) until one (but I think the thing has gone far beyond)
and secure the buildings will light a candle close to Allah (if you use
...) to thank our departure. The wildest of all was
Stepan, "the professor", a surgeon of 73 years Serbian
dancing in slippers, shorts and tank top screaming like crazy and having fun every now
"UPPA." It 's a good person when he came to visit
Mayo, a day that was free, he started crying and told me
his experience as a doctor in the villages of his country during the war.
Parlucchia a bit 'of Italian and greets me when she sees me shouting "hello neighbor",
saw that his room is next to mine. Another that I missed.
Well, it's Friday and I do not feel good (no, not hangover, slanderers:
I drank two beers in all). The other three go to the market
but I think I will make a custom little things to buy and I'll stay cool to
waiting to throw up or get better.
that some beast has finally hit it? We'll see. For now, the idea of \u200b\u200beating it makes me
sense, and therefore the postpongo Lariam at least tonight. Inshallah.
saw that his room is next to mine. Another that I missed.
Well, it's Friday and I do not feel good (no, not hangover, slanderers:
I drank two beers in all). The other three go to the market
but I think I will make a custom little things to buy and I'll stay cool to
waiting to throw up or get better.
that some beast has finally hit it? We'll see. For now, the idea of \u200b\u200beating it makes me
sense, and therefore the postpongo Lariam at least tonight. Inshallah.
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