Today:

Completed rounds with Dr. Farrah in General Medicine Ward

            -Walked through SOAP (Subjective, Objective, Assessment, Plan)

            -Performed OBS (Observations/vitals)

Gave my first IM (intramuscular) injection – 100ml Tramadol

Saw my first amputation (tip of the finger to DIP joint-Distal Interphalangeal joint)

FUN FACT: did you know that in our bodies we have a ratio of 10:1, bacteria to cells? It is true.

I am not gonna lie… the amputation had me feeling a bit faint. The boy must’ve been a mere 12 years of age. He was such a champ, only wincing when the med student or Dr. Mlambo hit a spot that hadn’t been numbed by the Lidocaine.  

Going to join some others for night shift in causality tonight. Let’s hope for another busy night!

Types of patients I have dealt with in GenMed, or Cas: HIV, AIDS/ stage IV HIV (CD4 count under 200), Malaria, Brucellosis, Status Asmaticus (acute asthma that remains unresponsive to initial treatment of bronchodilators), Cryptococcal Meningitis, Diabetic Ketoacidosis (DKA), Mitral stenosis resulting from A Beta-haemolytic streptococcal infection (Strep—> Rheumatic fever), Atrial fibrillation, patients with external wounds (broken bones, gashes, burns, generalized abdominal pain).