Wednesday, August 3, 2011

Typical day:
7 am--morning meeting. Updates from hospital departments (internal medicine, surgery, pediatrics, observation which is like an emergency department, and cholera unit) and overnight activity like admissions and discharges and census. Other hospital-wide announcements. Then a brief presentation. We've had UTI presentation / treatment in infants and children, DVT prevention, and radiology cases from ortho and internal medicine. This lasts from 30 mins to 45 min and is conducted in both French and English.
After meeting: rounds. I've been going on surgery rounds which is awesome since PT can chime in and clarify orders (esp. post op) and get to see wounds and radiographs.
9 am: PT meeting to assign inpatients. In theory outpatients have appointments for what day to return, but usually just show up and wait until someone can see them.
9:15-11:45 am: treat patients, or for me supervise students.
12 - 1:30 pm: lunch. We walk 5 min to our house for lunch and some down time during the heat. Sitting in front of a fan is awesome.
1:30 - 4:00 pm: see the rest of the patients, sign student notes, follow up on stuff from the morning. All while sweating a lot.
4 pm: we've heard a rumor this is when peds rounds are, but after 2 days sweating in the hallway until almost 4:30 with no luck, we may give up on this.
After work: go to the house and change so we can walk 5 min to the pool. It is so nice when you are sweaty and tired just to swim around a bit.
Try to get back to the house before 6 pm so we don't miss the evening water!
Evening: have dinner, chat, fill out our daily logs about the students and cases, plan for tomorrow. Also time to email, read, chat, and watch a movie on the computer. I'm usually in bed before 10, sometimes 9, but often read or watch something on the computer for a bit. The power goes out for a few minutes at 10 pm and 3:30 am, so best to not be up and about because its super dark and I don't want to run into any bugs!
Sorry for the lack of updates, it's been busy! Plus, the Internet isn't so good here which make updating difficult.

I'm one of 2 PTs supervising the 6 rehab tech students. They've been on clinical for 4 weeks, and will get a week off after our 2 weeks with them. They are seeing adult and peds inpatients and peds outpatients.

We have a special cholera unit here, as this is the original cholera region, and the rainy season has brought it back. They are cordoned off, have a triage tent, an area for the very ill, and then a few tens for those getting better. There is a shower/bathroom tent and an education table. When you leave the area you have to wash your hands with soap and water (not normal here) and have the bottom of your shoes sprayed with disinfectant.

Big news today is Hurricane Emily is supposed to hit tonight. However, not a lot of details about how bad they think it might be or any precautions we should take.