Khartoum, Sudan
July 16, 2009.
This morning I started very late. We are organizing and the driver (an Arabic name unpronounceable, known by Italians as "meatball" for reasons to be rediscovered in the mists of time) could only get to 8; Mayo have the national open. From Saturday, we will organize it better, even if my presence is not being required to start working. The triage shall do them, and they do them very well.
Anyway I had plenty of time to prepare well, get a good shower and a good half hour for breakfast. The ability to do it sitting at a table on a terrace on the Nile I am so glad that I appea shrugged at the news that we could not have coffee: you can not even find the gut of the hob burners and those are still here larger than those in Riyadh, even the coffee pot is on the needles of 12, rest stroke directly the hole and the gas is not the case. Given the time and saw that there was strangely the jam I made myself a sandwich and a cup of tea, a good mood. A Mayo situation under control and apparently nothing complicated cases: apparently because they did not last long. They came two children, both visiting relatives from two different areas of Sudan. The first two years, had a bad malnutrition, with a hemoglobin level of 5, say 5. I personally could die suddenly have to 8. But all in all it was still understandable. The other Kharda told me that he did not know what to do: a child of 7 years in the mountains of Nubia your opinion with hydrocephalus and mental deficiency anemia and a frightening, 2.9 hemoglobin. Vado to see it: it is difficult to define a pale skin black comeiI Nubians, but whites were earthen and lime-colored nails. Other than hydrocephalus: the poor man has a chronic anemia from birth, perhaps a thalassemia, and nobody has ever transfused. Then your bone marrow is so ipetrofico that has deformed the skull, as they did from us to thalassemia many years before transfusion. It has a slender body that fails to support it, is always in the arms of his mother, and this head larger than normal. Mental retardation, if it really exists, is probably due to lack of oxygen.
I brought them both in Khartoum, the university hospital, because they need not only qualified support (just as an example, if instils them too at least the second is now in heart failure) but also well made a diagnosis. I found two very kind pediatricians, who agreed with me on the hypothesis thalassemia, and I have entrusted them with the quiet heart. Only at that point the driver told me he took advantage to go to Soba to make diesel fuel that seems to be Salaam. I mean to say: because we went to Rome, from Florence, you might as well make a trip to Bologna. However I did the best of a bad situation and I took the opportunity while he was diesel, to see a child in the intensive unit Salaam that I had talked and I promised to go to visit after work. In short, between one thing and another son returned to Mayo to the two after nearly four hours by car, dehydrated and tired like a camel after crossing the Sahara. Why then I say that it is cooler, but they are always 40 beautiful abundant, and even a little 'damp now, even if there is a bit' of wind that makes you breathe. At the short end of the clinic have been there just a little: however, it begins Saturday. Back here at home, attached to the computer without damage and felt a bit 'of heartache for the air conditioner was wrong, I shrugged and I began to read in the garden. At some point the current is skipped, the generator began operation of the hospital and recovery conditioner it is adequate. I say, that the disease is infectious pc now? We'll see.
I expect a great dinner (okay, however, a dinner) and chat on the Nile. Tomorrow placed me on the terrace with a good book and I do not move the world collapsed.
Happy weekend everyone!
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