Monday, November 18, 2013

Daeyang Luke Hospital, day #1

Today Jessica and I went to Daeyang Luke Hospital (DLH) to begin our time in the Casualty (ED). We started with devotionals at 7 AM, followed by hand - off reports, then to the ED. It actually was a very slow day today, but we got to meet some new people - Clinical Officers Owen and Lucky come to mind as two very good clinical officers and were a great help as we were figuring out our way around the ED (and the hospital system in general). We had a couple of med students from the Malawi medical school with us a part of the day - Johane and Naomi. The nurses were great! Ellen, Grace, Kewisha (not sure of that spelling) and Luci. Susie Kim, the principal at the Nursing school, invited us for lunch - Korean food. And Dr. Dangsoo Shin, a retired surgeon who has come to DLH to help with surgeries and the 'theater' set up stopped by the ED and spent some time with us.
We didn't see many patients (they say unusual for a Monday) and the ones we saw were all referred from OPD - outpatient department. Very few patients just come directly into the ED - most are seen in OPD and then referred to ED.

Dr. Shin has invited us to the surgical rounds at the medical school by Kamuzu Central Hospital (KCH) so we will start our day there, with the surgeons, at 7:30 AM and then go back to  DLH.
Jessica is set to teach CPR to two nursing classes on Thursday - one morning and one afternoon. Joseph Maenner taught CPR at the ED in Daeyang Luke several years ago... he was unsure if he made any difference, but last year we ran into one of the nurses, Dennis (who is now in theater instead of ED) and he told Joseph he had saved a couple of babies using the CPR Joseph taught him. Today in the ED, two nurses remembered Joseph and his CPR class and said that they had saved a patient in dialysis using CPR. Good job, Joseph!!

Praise / thanksgiving:
Continued safe travels
The fellowship we have found at Daeyang Luke hospital
Our continued health
Katie and Meredith's safe arrival in the US!
Jessica and Ellen, our 'tour guide' to the ED

Another shot of the two of them
Medication trolley
Jessica by the 'emergency cart'. Sort of a crash cart, minus some important parts! But very well organized!

Viewof the ED
Another view - of the beds, and one of the two oxygen concentrators. There is one monitor on the wall. When we first came, all the beds had monitors. No one seems to know what happened to them.
Sad fact, but people who die get transported to the morgue at night. Now, I am not sure if that means if they die at night they go to the morgue, or if all dead bodies go at night. (Guess I should ask). The morgue is at Kamuzu Central Hospital (KCH)

Jessica and I at door to Emergency
Lunch at Susie Kim's - a feast of Korean food!!!
Jessica reviewing the medical record (health passport) of a patient - we had offered to read CTs for radiology as it sometimes takes 2-3 days to get a read from the telerad in Korea. Fortunately, this was a normal head CT.

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