Tuesday 1 December 2009

Mosvold as a holiday destination?

November has been a month of visitors. Firstly one of my former O&G registrars came for a week (handily the week Deyo was away so I didn't get too lonely) and then my friend Lizzie, who is a Paediatric ITU nurse.
It was interesting to see their impressions of Mosvold and to be reminded of some of the very shocking things that we see here, that I think we are starting to adjust to, but that fresh eyes remind us aren't what we are used to back home. In particular, during the first week we had a maternal death from a post-partum haemorrhage. The review of the case notes the following day would have been laughable had we not been facing a child orphaned through what appeared to be a chain avoidable of clinical errors. Susan helpfully did a presentation on management of these cases but even some of the simple management steps are lacking here (in particular we currently have no blood products).
Lizzie's arrival strangely brought a week of paediatric emergencies with another 27 week premature baby born. This one battled through the night and was actually transferred out but sadly died at our referral centre, leaving his young mother alone and 4 hours from home. My on call was another night of poor sleep, an emergency c-section on a pre-eclamptic woman with APH and the slow demise of a young child from what appeared to be enema poisoning, something that is not uncommon practice in this area.
After all that, Lizzie and I both felt very in need of our relaxing week off in Mozambique...

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