Khartoum, Sudan
July 20, 2009.
full day, but quiet: it's seven and a half, I am very tired,
write quickly before dinner.
up early as usual, slow and relaxed breakfast on the terrace. Two words with Elisa,
a cardiologist who shares with me the charm of a silent contemplation
morning, head to the point of meditation and then on. Today
touch my ward, and I managed without too many problems: almost no
tragic case, except for a small ward in the first minute.
a creature of two years with a big head (yet I do not think a real
hydrocephalus), a frank hemiparesis (but Mom does not seem to know) and
mental retardation. But look at me carefully, follow me, trying to touch
. We took him to cough, but what's with this child? What's the story behind
? It seems it was in the hospital soon, if so, why not
have done a shunt?
I'll know in late morning, arriving when the analysis: a
abdominal infestation by Giardia, which is just an accident of
path, but also has an anemia sickle cell disease. I'm going to do
courage and tell him, so we are all appalled that we have all three of us
doctors, most Antonella. I talk to mutual agreement, the physician Kawaja, and Fatma
translates. I speak in a low voice, warm and try to convey displeasure
but also provide guidance. What comes back is so hard that
Fatma, translating, barely holding back her sobs and tears
visibly. The woman has three children: one died of sickle cell anemia.
This was born of a twin pregnancy, the other twin seems to be fine.
They realized immediately that something was wrong and went to
hospital kept him there for observation and then a proposed or
intervention or a "medical treatment". That choice, there and then went
better, then the symptoms reappeared: have gone back
proposed action and they did not pay the money. True? False?
Rationalization of a terrible reality for someone to blame?
Who knows. Certainly no one had done a test for sickle cell disease, although
knowing that a brother was shot. Tomorrow we will bring the sheets of
hospitals and the second twin to see if, lucky as they are, has sickle cell anemia
him well. Incredible
the misfortune of this poor child and his family.
accompany a couple of children Basheer: one comes from Nubia,
has two years and jaundice since birth, is severely malnourished, has a liver that's
arrives in mid-belly. We do not even exams, why do
pierced twice? The loading and port, it seems more respectful to him
two tests just to see something and meet our pride.
The other port that is a kid who comes home from school, a cut in the scalp hair
very deep strikes bone: a companion with a razor blade shaving
. Luckily it in her hair. Even here, not even to try: we want
anesthesia, tetanus, and points. Kharda
calls me for a suspected appendicitis, but frankly did not have it, unless the child
not been able to cheat: I hope not.
The hours roll slowly, with Antonella'm behind the pharmacy and a thousand bureaucratic
commitments we have the pc broken, maybe the video card.
telephoned the logistics: the houses they have committed but here we have a
series of minor faults to be repaired, which we consider. The pc then
vital, there is all the statistics on which cards work Antonella
a month and lost all my work on nutrition with the proposals to be ready
keep in the drawer.
The four, closes: I take the ambulance this time and I do leave
on the way to Khartoum, where I take a taxi. I go along with Safe, HP,
going in that direction and gently keeps me company.
I discovered that there is a library in the center where you can find postcards and a bit '
of all: I hope to find material for my friend Gordon Gianluca.
a disappointment, but only a text in Arabic, a greeting card
Epper find the tomb of the Mahdi, modern but much better than printing a
my photos. They are the first cards I see, are not sold anywhere:
why is there and that the stakes in Sudan are not their own.
I do take the taxi to the hospital Makka, two hundred yards from where
was the old house in Riyadh. The logisticians have here ORGANIZATION point
arrival of our coaches: Every two hours, finished his work, a bus leaves from
Salaam port here who wants to go into town and back indiertro.
The choice of the place is strategic, because we are always in front of Makka
taxi. I have to wait a long time 'but that's okay because I thought of returning to
8, but I did so early in the library that are
7 when I get home and find it on the PC for a surprise. When I did my interview in Rome with Emergency
was with me a pediatrician Brindisi,
the city that is where I spent my childhood: a nice guy, that
among other things I appreciated for his work on transparencies forum
of pediatrics at which they are writing. I had hit this combination,
and gave me a great pleasure that he saw on your forum
my plea for help to the case I mentioned yesterday, I have written this chiedendoni
experience. Really this is an adventure that takes you back to the surface
one thousand things, even Brindisi and that piece of life to reflect.
But after dinner, because I have a hungry wolf.
The hours roll slowly, with Antonella'm behind the pharmacy and a thousand bureaucratic
commitments we have the pc broken, maybe the video card.
telephoned the logistics: the houses they have committed but here we have a
series of minor faults to be repaired, which we consider. The pc then
vital, there is all the statistics on which cards work Antonella
a month and lost all my work on nutrition with the proposals to be ready
keep in the drawer.
The four, closes: I take the ambulance this time and I do leave
on the way to Khartoum, where I take a taxi. I go along with Safe, HP,
going in that direction and gently keeps me company.
I discovered that there is a library in the center where you can find postcards and a bit '
of all: I hope to find material for my friend Gordon Gianluca.
a disappointment, but only a text in Arabic, a greeting card
Epper find the tomb of the Mahdi, modern but much better than printing a
my photos. They are the first cards I see, are not sold anywhere:
why is there and that the stakes in Sudan are not their own.
I do take the taxi to the hospital Makka, two hundred yards from where
was the old house in Riyadh. The logisticians have here ORGANIZATION point
arrival of our coaches: Every two hours, finished his work, a bus leaves from
Salaam port here who wants to go into town and back indiertro.
The choice of the place is strategic, because we are always in front of Makka
taxi. I have to wait a long time 'but that's okay because I thought of returning to
8, but I did so early in the library that are
7 when I get home and find it on the PC for a surprise. When I did my interview in Rome with Emergency
was with me a pediatrician Brindisi,
the city that is where I spent my childhood: a nice guy, that
among other things I appreciated for his work on transparencies forum
of pediatrics at which they are writing. I had hit this combination,
and gave me a great pleasure that he saw on your forum
my plea for help to the case I mentioned yesterday, I have written this chiedendoni
experience. Really this is an adventure that takes you back to the surface
one thousand things, even Brindisi and that piece of life to reflect.
But after dinner, because I have a hungry wolf.
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