-This morning I was working with Dr. Stephanie, who threw a party for one of her NICU patients today. A party is thrown if any of her babies reach 2000 grams (4.4 lbs). She reads with them Psalm 139, all the mom's on the ward join in, and she prays for each baby on the ward, which her area is kind of overflowing (and one of the newest babies is only 800 grams). Of course, no party would be complete without cookies.
-Domestic violence is a big problem here as well as fighting. This can result in what is called a chop. Very common. Well, this afternoon I started seeing my own patients, and my first patient was a chop wound. She got her chop when the second wife of her husband and her got into a fight. She sustained essentially a knife wound (chop) to the left wrist. Her vascular supply seemed intact, but she severed alot of tendons and nerves. I loosely sutured her together with a drain, gave her antibiotics, made sure she was up to date with her tetanus, and sent her off to surgery (which she likely won't get until sometime next week).
-This patient is named Jessica. She had a baby 2 weeks ago, and presented to the hospital septic. She had alot of pus in her abdomen, which was drained, but her oxygen saturations remained low. Chest X-ray showed a left pleural effusion, which Dr. Bill has tapped twice with pus (likely empyema). She currently had a chest tube in, but its only draining serosanguinous fluid. Despite being quite sick, she is the sweetest girl. In this picture, Dr. Bill and her are joking around.
"For you created my inmost being; you knit me together in my mother's womb. I praise you because I am fearfully and wonderfully made; your works are wonderful, I know that full well.My frame was not hidden from you when I was made in the secret place. When I was woven together in the depths of the earth, your eyes saw my unformed body. All the days ordained for me were written in your book before one of them came to be." Psalm 139: 13-16
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