Tuesday, July 31, 2007

Hot Sixty Yr Old Women

The sore Senegal ... Big

That's how I call them. Jocelyne (friend and colleague of my sister, with whom I left in Casamance last week) called Rastas.
These are the Senegalese ds harass you on the street, beach vendors and touts .. street ..

Some examples:
"Hello gazeeelles (with the accent!), How are you? - It's going." You want to come see my shop over there? - No thank you, it's going. "Come on, you know, I Chuis an artist, is not no prrrobleme Come I'll show you-not really, thank you ca not interest us. "But if go, just to please the eye" (... and portfolio sisi g a girlfriend that was said AC !).... Can last
verrrrry long as a game, even in the emvoyant rounding of the onset (t oblige, if you're doing it) Another

:
"Hello you're French?" Yes. "Oh, and how it is spent the holidays? Well thank you. "Look at my t-shirts are fine - not gonna thank you." But if go watch a beautiful pen Mont Blanc c c cheap cheap, I make you a price, because vs etes nice! "(Oh yeah you see AC 1st glance you??)-Nonon really no way ... You end up sending it to graze Ascending abruptly, really guys they leave you alone.
"So What vs are racist or koi? Yeah yeah Sarkozy vs the you are all racist!"
(yes, when you're french c mark on our heads "I vote Sarko" ... despairing.

About Sarko, this clown has come to make a speech or whatever it last week in Dakar. Apparently AC has not rained. I do not really know what he said. But I think he's not completely wrong ... VAIT
As for Ségolène, I viesn to learn she had here in Dakar in the neighborhood Ouakam! So people like him here ...

Returning to others + high, we can trouver des 10aines de 'conversations' ds le genre... "Salut les gazelles, on se sert la main?" ou "Tu me reconnais?" etc...
Ils sont tt simplement insupportables. Et ils donnent une mauvaise image du Senegal. C'est pas ca l'Afrique. Mais ca fait fuir les touristes, c dommage.

2 Death Aniversary Words

yell at the hospital ...

L'autre jour, j'étais vraiment énervée en stage.
Enervée car : certes, ici on a pas d'argent.
En réa, pas d'oxygène pour les patients, pas de quoi les intuber, meme s'ils sont en Glasgow 3/15 (=coma profond). C'est a la famille de payer les medicaments, les examens, etc... Et les familles n'ont PAS d'argent. Je vous assure, on se rend pas bien compte a quel point lotu it is in France with our system of Secu ... For 5000CFA, (7.5 €), they have the standard battery of laboratory tests. But after that, as c + a bit specialized, you need to extend the currency. My patient ds coma would have had a brain scan in extreme emergency 1week ago in France, well here it did not have tjs because the family can not put together the necessary 50000CFA (75 €, the same price that a scanner in France ... but I bet vs. do not even know!)
Do not speak of analgesics or anesthetics, they do not know, and if the family has no money, they can not even Paracetamol cons have no fever, no sheets on their beds, or meals, etc. ...

Well in short, ca, we know that in Africa there is a silver bp pr pr health as any.
What angered me, c here they are super strong in theory, clinical, semiology finite (= the study of clinical signs), they spend hours re-visit a full examination etc. ... but when it comes to an invasive procedure, a lumbar puncture for example ... they do it like feet .. An LP, c when you put a needle back dr ds take a little fluid around the spinal cord, between 2 vertebrae. Normally, if well done c, c ca ms unpleasant is not necessarily bad. But voila, here they do not explain the patient what they will do in kelle position you have to put that pr AC goes well. They did not put in condition, ie sitting quietly on a stool height of the patient's back pr be comfortable, right prick, giving the patient a pillow he could walk well bend your back .. No, here they stand, lean forward and completely twisting they bite pdt, patients do bursts of pain in his back arching (= position contrary to what is needed).
And c'mon I miss my (strength, not by stabbing right) that I start, 1 time, 2,3,4,5 times! Bottom, top ds neck (oh, here they know a way kon not used in France, sub-occipital cervical vertebrae at the level of what ... + and + painful danger) new bottom. Obviously, they never succeed in having their fucking CSF.
Good, AC tjs not happen like that I guess I saw 2 ms, thus terminating. While AC
irritates me, because not having money is one thing, do it with the means at hand too, but do not be fucking take a chair to sit and make the gesture correctly, ca ca costs nothing and even that savings to piss off bcp. It said.

Inurl : Multicameraframe?mode=

My weekend in St. Louis ...









-> Lamine "a Senegalese like no other"








good Yes, I know I'm late MEGA: 15 days ago it was!
St. Louis, former capital of Senegal, is actually an island at North. We decided to spend a weekend over there, we thought it would be just super, but in fact largely c feasible because of the Bird Park Djioudji (one of the parks + known) is closed at this season. So Mathilde spoke to a doctor with whom she has a guard, who has spun the issue of one of his friends over there, a surgeon, who has hosted tt at weekends, calls and tt o resto! Finally les gens st bien sympas ici, certains du moins.
Donc nous voila en route pour la Gare Routière le vendredi midi apres notre stage, avec l'intention de prendre un taxi-brousse, ou taxi Peugeot 7 places. Deja, quand t'arrives la tu cherches pas bien longtemps, c eux ki viennent a toi avant meme ke tu sois descendu du taxi!!! "St-Louis? Venez,venez!" ok alors tu commences a essayer de negocier le prix du voyage, evidemment ca a augmente par rapport a notre Lonely Planet. 4000CFA/pers (+500/bagage), bon 6€ en gros.
Tu flippes paske tt le monde te saute dessus pdt ce temps-la, tu sais pas si le mec va te rendre la monnaie car il part en faire chez le voisin (ils ont jamais de monnaie ici, c'est le gros pb des PVD, ds distributors as they give big ticket but you 10000CFA galleys to death because the elapse tt the world in dire need of money), but in fact they are gonna Reglo.
Then you must wait until the taxi fills (yes, 7 seats, so we have 7 people, it was only 2, the two Senegalese already. The taxi-bush are very rings used by tourists, that ms also sengalais return ds their families at weekends, or they take the mini-bus - the NdiagaNdiaye vs vs remember?-c cheaper ... less comfortable too !!!!!) Good
was not gonna take long, 30 - 40min. Meanwhile you try to send ballad "poll" the sellers of watches, bananas, peanuts or sweets, jewelry, and articles all types ...

The trip itself: epic. Packed like sardines in the rear, you breathe pdt 1bonne hour exhaust fumes from the highway out of Dakar, the trunk is so packed to the rafters that opens each burst of the car, ie every 5 minutes (oh yes, drive to Dakar is not quite the right track but AC gets closer to a 4x4 ride anyway !!)... hmm not very reassuring all this.
Once on the road, we pass at the mango sellers, impressive all along the road several miles pdt. And there, the taxi starts to slow down and park ... Unhappy keskil fact, we'll be harassed! You see 4, 5, 6 .. mamas Senegalese Will rush from all sides, a basin full of mangoes ds arms, surrounding the car and starting to give you their price ... "500F 500F" hmm c Dakar has approximately 500f the 2 mangoes, ms good you try to negotiate (500 3) to understand that before .. c 500f ... the entire basins!! tt nothing, koi! "I want, I want!"

We continue our road: I really discover what I imagined of Africa: from the bush has lost sight of the baobabs in here and there, the sun, heat, the villages of huts regularly on the roadside, children or young senagalais trailing everywhere, probably between 2 villages ... I regale
L'arrivée a St-Louis, apres 4h de route sur 30cm de banquette. Les enfants venant vers toi "toubab, toubab, (= homme blanc) donne une mangue"...donne un cadeau"...donne une piece!" Tu finis par leur donner une mangue pour avoir la paix (ne jamais donner d'argent aux enfants en Afrique, ca va direct ds la poche du marabou censé les nourrir et les eduquer, ce que bien sur il ne fait pas!), mais ils reviennent vite a la charge! Heureusement notre hôte Lamine vient ns chercher, puis ns fait faire un tour de la ville en voiture, ns emmene chez lui, puis ns invite o resto, super sympa! (par contre il faut pas etre presse pr manger, le service est tres long : + d'1h! - mais je dois préciser, sur les conseils de Lamine, c c Paske that "not heated," c "homemade koi, the family kitchen! -). I can not describe the architecture of St. Louis, it should be seen in map or photo, but basically c connects an island to the mainland by a very handsome iron bridge, it is 500m wide and miles long qq . On the other side of the island, a bridge connects it to the Langue de Barbarie, a kind of extension / peninsula from Mauritania to the north that extends over more than 25 km to the south, for 200 or 300m wide! Looks like a language, what ... The next morning

ns ns useful info regarding tours to do with the tourist office. Error, because Ca + ns has cost well than if it was a guide walking through the town .. supposedly it pays 'provision Guide', and state taxes ... pout
Then we will visit the Hospital of St. Louis, with our host surgeon. It is + class that or I'm on probation in Dakar, but not c kan same as us ...
Saturday after lunch, we visit the National Park Langue de Barbarie, canoe, or we see a lot of birds, particularly pelicans etc. .. And the morning diamnche Reserve Gueumbeul, or they try to relocate several species of endangered anumaux: several breeds of gazelles, tortoises, monkeys, oryx .. good in fact it is done quickly, 30min. So then we walk the city ds, go around the island on foot.







And finally back, taxi-brousse always has a little + long because of caps on arrival at Dakar.

Thursday, July 19, 2007

Hack Receiver For Windows

public transport ... My internship

... the stuff the + folk in this town (and the whole country even in Dakar ms kan c sacrament impressive vmt they are an integral part of this continual ballet of color and noise so characteristic of Dakar!

All of First, taxis (if you can call it transit ms given that sees a loss of view, we will say so): the + simple way to make the point X to point Y. yellow and black as in NYC as I have said, nevertheless in good condition unless bcp! windshields without exception cracked from top to bottom, the doors do not open because there is more grip, little mirrors are still in place, the chests that open each has a sudden, the windows do open (or close!) Also, car bodies ... do not talk about, I guess they all had a half-12aine hooking already! counters on the floor full of dust seems to date from before the war (do not work pas bien entendu)...par contre ce qui fonctionne à merveille c le KLAXON, ca c bon.
Donc, des taxis à n'en plus finir, dire qu'il suffit de lever le bras pour que l'un d'entre eux ne s'arrête (oui oui comme ds les films, mieux meme) c peu dire, vu qu'ils s'arretent meme quand tu n'en veux pas.
On négocie ensuite le prix de la course. 1000CFA, 1500... (=1,5€, 2,25€..), parfois le tarif est fixe (ex.centre-ville->Point E (mon hopital) = 1000CFA)

Ensuite, il y a les bus, les Tata (blancs ou bleu et jaune) : ce qui ressemble le + aux notres si j'ose dire, mais le prix est 150CFA (=1,5F,j'arrive meme pas a convertir en euro!! pour CFA-->FF : Divide by 100), and apart from the path of the lines is displayed anywhere (just the number and the terminal), and we do not really know where are the stops ... the ms c + practice (qualité-prix!!)
other buses are blue, Dem Dikk, c the same thing as c sf private line ... or c Conversely I do not know!

Finally a must: the fast cars and Ndiaga Ndiaye! The symbol of Dakar! the 1st mini-cars/camionettes are stained all colors, NG White: complete anarchy! You go in (through the back door is left open), ie when you can kan he decides to stop or rather to slow you down like that, you can kan. No fixed route, no fixed stops ... we take the train to pass koi. Within a few seats and out the back there tjs 1 or 2 "apprentices" who walk upright on the stand at the door ... (c hard to describe actually, I'll put pictures as soon as j 'to get a chance!). Bcp Senegalese borrow them, they st fast and cheap (100CFA). It's so funny to see 1 or 2 Senegalese run behind these mini-cars and jump in on, a typical African scene!

Friday, July 13, 2007

Bath Overflow Is Leaking

....( dsl, this topic may be partly incomprehensible by novices)


Infectious Diseases, Department of Prof. Papa Salif Sow ..
I started on Monday this week I am consulting. The building is under construction, c + therefore still precarious than usual ... 2 boxes of consultation, closed by a curtain .., overlooking a room where everybody goes, anything noisy. A ceiling fan tt just happens to do a bit of air (and yet, g ns seen a patient who asked to turn off because it was COLD! Killer ...). A table, a stretcher or examining the patient (without sheets), a corner sink ds ... no soap. Good. We see
qq patients, some cases are interesting (like malaria or tetanus, graaaands classic here), others have nothing to do the (kind of effort dyspnea = It orients towards cardio but consult us it was "The Gate" which we sent)
The internal examination is because most patients only speak Wolof and not french (indeed, bcp doctors do not st Senegalese but clever or other .. and need a translator!), and then let us do the clinical examination
They pointed question veeeeeery clinical semiology and all ... that we will learn the odds. But AC is basically anything that does not excites me the medicine ...
Especially since I know that TO ME CHIRURGIIIIIE
Ah yes, my results have fallen yesterday: I'm ranked 325! Incredible ...
This allows me to very certainly do what I want or I want. So chir Paris, Toulouse or may be we will see in August ...

But back on topic .. In any case they
very doors st teaching here:
- course on Tuesday morning (by the head this week, HIV and tuberculosis),
- presentation of a patient record by 2 external Wednesdays (but hey, not just the small observation which takes 10min, no, rather the mega power point with detailed clinical examination to possible device by device, diagnostic discussion for each symptom (in this case, a patient with HIV infection opportunistic localization neurological, pulmonary, digestive and skin ... therefore discuss the causes of ALL diarrhea, infectious or not, the pros and cons, causes coughing, fever, asthenia (= fatigue), skin ulcers and anal, etc. ....) And c'mon jte that raises a million questions to clarify this or that (leaders), and that was the end "I want to say that ts very well, but qq remarks: and bam bam bam bam bam ..." AC and endless ... In short, very precise.
- "future action" on Thursday: This time it was "CAT before a feverish coma," everyone needs a lil topo prepare a plan koi, a somebody should "dedicate" to move to table the proposed plan and the rest of the course is interactive, it efait a plan together ...

Facing box to view, there is the Rea ... During construction, good c vmt precarious pieve a small, 3 beds and a cradle with patients lying on the mattress (ca family to bring a towel!), Equipment sterile ... ahem I think not very barren, no oxygen, just enough to infuse ... If the patient has a fever, the family has to pay paracetamol, if not too bad. Analgesia and anesthesia, I'm not sure they know. Good

finally all this is the 1st impressions again, we'll see bin afterwards.
I'd really like to see how it's going to block here, I think I would pull the hair ...

Ebay Sunfish Sailboat

History crapper ... 1st impressions ...

Oui, parce que ce que je trouve le + dur ici, c les chiottes... turques bien sûr presque partout, en général pas de PQ, ni de chasse d'eau, ni de verrou pour la porte... Dur... Quand tu sais que tu vas ptet pas réchapper encore longtemps à la turista, ca fait vmt peur...

Pour rester ds le thème, hier on est allées au Marché aux Poissons et Soumbedioune, il y a un espèce de canal qui déverse dans la mer des tonnes de...j'ose même pas imaginer exactement quoi, mais j'ai cru que j'allais m'évanouir avec cette odeur...

Bon mais euh sinon, à part ca, les embouteillages, les gaz, les klaxons incessants par les taxis-par-centaines-qui-veulent-te-proposer-la-course (Anyone here that can occur taxi with his car (they are black and yellow) and c good, so imagine the anarchy), street vendors etc ... apart from that Dakar is a city full of charm, colorful, alive as I have not seen anywhere else, I do not know how many markets ... We can find what we want when we want to c unbelievable! Are even street vendors who offer you irons or a pressure cooker, or je ne sais quoi "no thank you I do not need AC but loooooool" ... vmt folk. The marc

hey fish elsewhere, hundreds of boats of all colors moored on the beach with their catch of the day, fish énoooormes, lobsters, shrimps, crabs ... impressive. Chuis disappointed not to have pictures but g so afraid to leave my ds apparel such places, and then people do not like it, let them take a picture (even if you got just took the landscape several meters above them!)
Market Soumbédioune craft: it looks like a lil village Parc Asterix so full of hoods and small roads, with sales of paintings, jewelry, textiles, sculptures etc ... But such good here, you not spend too Paske you're already doing all Heler 2min, c a little painful ...

Sunday, July 8, 2007

Really Light Second Line On Pregnancy Test



's arrival. No, the departure scheduled at 16:30, but Ns 17h is called "ns have missed our time slot, starting in 55min" aaaaaah! it starts well, you're already cold (it is 15 ° C db plane), you can not even be with your trankil ptit film ptite your glass of champagne and all Paske ke as the aircraft is on the ground, nada!
short, arrived with 45min delay in Dakar, we descend from the plane: suffocating! You're nice to know, c kan as you return ds steam. It is only 26 ° C, 90% humidity ...
Customs: shit, I know my address in Dakar because my girlfriend ki c fetch me and take me "Ben will see your friend get his address and get your passport back ..." whore. Then retrieve the luggage. 45min. Siga tjs waiting for me outside.
Well, ultimately it does well, nothing to do with the galleys of Valerie in Peru or other lol ...
You leave the airport, the ballet begins "Taxi?" Taxi? " "No thank you someone already gonna g ... nothing to do they leave you alone. The first word you learn this city ds (official language: french, mother tongue, Wolof) is "Bakhna" (no thank you, it's enough)

I discovered the city in broad daylight the following day, Siga my mother walk with her driver, make all his purchases, I discovered Kermel Market ("bakhna, bakhna", remember!), you cross the Medina Grand Dakar (the 2 districts of Dkr). Concrete buildings grow across the city ds c a pity it would spoil the view, good ms, the difference in our work c ke not last for years. Otherwise, lots of gravel and sand on roads. No sidewalks (occupied by stalls and vendors), driving is an obstacle course pr avoid pedestrians and other cars, taxis or rather, to believe that there are only taxis here. No belt course. If you're walking ballads c concert horns of black and yellow taxis who want to take you.
Public transport: cheap ms bcp less safe: there are buses (blue and yellow) with no defined line, and "fast cars", you will not know where they go, you go to the back as you can, kan it slows the fire, and you go down like that. Seems there's a lot of amputation due to those.

Chuis had a go at my hospital (Fann) the inérieur looks like this (cf.photo), my service (Infectious Diseases) is the building in the background. I came face-to-nose on the entrance to the "resuscitation" enormous (cf.). Signs for the various services so make me think of Parc Asterix! (Cf.)
Unfortunately I fear not being able to strafe in photos here in the Dakar are people dislike not be taken ...

Tuesday, July 3, 2007

Churidar Friles Cutting



"A tourist is someone who travels thousands of miles to be photographed in front of his car" (Emile Ganesti)



I love this quote ... I find very illustrative ...

That said, I doubt the opportunity to have my own car this summer, but hey, at least some people here will recognize it;-pp

(and it + valid for my trip in Quebec !!-->)


short, in 2 days s it, I'm a mega-tourist with his camera photo and map, are annoyed by rabouteurs and is having on the bargaining is suuuuuuuur!