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.
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