Don't want to make all of you in Lexington feel bad, but................while you are suffering through a major ice storm, we're quite toasty. Actually, it's pretty cool in the morning but by noon it's getting hot.
We've been seeing patients in consultation, probably 15-30/day depending on the needs and the complexity of their problems. Today was Clinique Maladies for patients with chronic conditions like epilepsy, hypertension, diabetes, and heart failure. Visits were much quicker and mostly happier as patients are feeling much better on their medications than they did before being treated. The difficult ones are those that have waited so long to come in for treatment, that there is little that can be done for them.
On the lighthearted, frustrating side think about seeing patients and trying to figure out what is wrong when the patient and one to two family members are all talking at once, they speak a different language than the interpreter, who is then translating it all back into English for me, and the medical record is written in French! Let's just say that time efficiency is non-existent! At one time - long, long ago- I was fluent in Spanish, now I would say my skills are rudimentary at best, but the Lord is good and I'm remembering enough that I can basically read the French medical records, and can communicate some ideas with one or two words and pantomime. Deciding on treatments is both easier and harder at the same time, the pharmacy and laboratory services are limited - you only have a few choices, but you only have a few choices.
For me personally, it's been wonderful to be returning to Hope Clinic. Many of the staff remembered me and were particularly happy to know that someone would choose to return to Guinea. The people associated with Hope Clinic, missionaries and locals alike, are some of the nicest people! It's not hard to want to come back. The addition of being able to fly down here rather than drive for two days makes the return even easier. They are appreciative of all the "gifts" of food that you all have sent along! We had a food shopping party the other night - anything chocolate or salty was the first to go!
That's all for now,
Judy