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 ...

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