Wednesday, July 2, 2008
Julie (physio from N. Ireland) left this morning. It's always 
sad to see people go because we all quickly become like 
family. She was the 
first person from 
Northern Ireland that I had ever met (then I met three more within a week). Now she's the first person from Northern Ireland whom I said 
goodbye to. It's been really 
cool getting to know her.

Today was 
prenatal clinic. Before seeing patients, 
Ms. Ketlye gave an 
educational talk to all the pregnant women. 
Vicki and 
Nadine helped out with weighing and taking blood pressures, and 
Laura sat in with 
Amy and 
Evan. Meanwhile I shadowed 
Dr. Rodney until he left to see 
Julie off at the airport. Then I went to the 
lab where I drew some 
blood and did a bunch of 
finger sticks. I drew three blood, two of them from 
little boys (about 10-12), and all of them went 
smoothly, so I think I'm getting 
better at this. But I still need more 
practice on patients with veins that are hard to see (
Laura, are you still up for being a guinea pig?).

When I came back to the clinic from lunch, there had been a 
car accident where 
three people were brought to the clinic. In the 
treatment room (a.k.a. injection room) we had a 
75-year old man named 
Augusma who fell on his right side and had people 
pile on top of him in the accident. I heard there were 
two girls from the accident in some other rooms 
crying very loud, but they were not in as serious of a condition as the old man.
When I came in, 
Augusma was 
lying quietly on the table as 
Dr. Rodney cleaned his wound. A big 
flap of skin on the back of his right hand had been 
teared open, so we could see his 
muscles and 
tendons. We could tell that he was in 
pain, but he was 
moaning very 
quietly. 
Gavin told us that in accidents like this, it is 
important to look for people who are 
lying quietly among others who might be 
screaming for help, because often times those who are 
silent are the ones in more 
serious conditions.
Gavin sutured his hand, including an 
artery that had teared under the flap and a small 
laceration on his right palm. 
Laura, 
Vicki, and I took turns keeping the big overhead lamp in place and holding Augusma's other hand. Meanwhile 
Nadine and 
Evan helped out with the prenatal clinic. After Gavin finished suturing and bandaged the wound, Augusma still had 
pain when moving his right arm, and the 
elbow was 
swollen, so we took him to the 
X-ray clinic, which is 10 minutes down the street from us.

As we waited at the X-ray clinic for the film to develop, 
Augusma shared how 
thankful he was that he 
survived the accident and praised 
God for 
sending us to take care of him. He prayed and gave thanks to God, and then started singing "
Mwen renmen Jezi, mwen renmen Jezi, pou tout sa li fè pou mwen" (I love Jesus, I love Jesus, for all that he does for me). I was really 
inspired to see how much 
faith he had in God.

The X-ray showed that he had 
fractured the 
proximal neck of radius (bone of forearm on thumb side) and the 
olecranon (tip of elbow). So we went back to the clinic and put a 
cast on his arm. Augusma once again shared how 
thankful he was, 
sang the song, and 
prayed. He has such a bright 
personality. He'll be 
frequenting the clinic for 
further treatment. I'm 
looking forward to seeing him again.
Today was a very 
long day.
 
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