20100923-25 by Tom

The Thursday started without excitement and the mumbling meeting was without doctors exception was little old me. It promised to be a warm day and the late-coming dr Chpaila said that Becky was glad to wait until next Friday for her lesson. Maria got ants in her pants and was in high gear to do her presentation. Not much happened during the round except that a lot of things ordered on Wednesday were not done. I send five patients home among those three relatively well “measles”. Nothing is to report from my afternoon “round”. There was not any nurse or other person around so I looked through some papers and returned home. We had agreed to play Yatzy in the night but Maria abstained in favour of getting well prepared for the big performance. The five of us drank lightly alcoholic drinks and played for three hours. Linda managed to get the best score. Then to bed knowing our plot was to be the stage for a big party Friday at 15 00. We were told on Thursday that the hospital was holding a good-bye party for Erna and dr Okoko. We also learned that it was to be on the backside of our house. Something like 60 persons were anticipated to attend.
Marias presentation on Friday morning was a success. Without a video projector she was forced to use the whiteboard. It worked out all right. She made her point quite clear : there are more infections among children than usually anticipated. Mon the more than 3000 patients handled by the COs every month a considerable amount are children that we in Sweden do not treat with antibiotics as we know that viruses are very common among them. Here they give them antibiotics, very often wide spectrum, Which, she pointed out, in the long run will be disastrous. Maria also pointed out how much hand hygiene will mean. The question about a water-dispensing apparatus in the waiting-room could mean was also discussed.
The rounds Friday were without any special interest.
There is no shadow whatsoever on the backside 15 – 18. We were not invited but we were to attend anyhow, as they were having a lot of the making of the party in our kitchen. They were to put both chicken and beef on the grill, but they did not start the grilling until some of the 20 speeches were held. This gave a late start to the eating but Dennis who was the “confrancier” kept the people on their toes the whole time. There was also some dancing. The locals were very good especially Angela. The music machine was very loud and could not be ignored. Erna was not interested in dancing but dr Okoko did some. The two VIP´s got their presents from the hospital wrapped in nice paper. I te end the food was ready and we all devoured potato salad, cabbage with mayonnaise, Grilled beef and chicken pieces. When it was all over the garbage took all our plastic bags so we had none in our garbage tin the next day. T sure was a stylish party.
We were late out of beds on Saturday morning. The round was uneventful but for one patient. It was a 12 year old buy, who had fallen out of a tree a year ago and broken his back. It made im a paraplegic without any movements or sensations from somewhere around his navel. He had an enormous pressure-sore over his “tail” that had healed at the price of two pressure-sores over his hips. One, the right was 15 x 15 cm wide and deep as to go to the hip-bone. The upper leg-bone was visible under a thin sheet of tissues. There was a foul smell in the room, suggesting a n infection. What on top of redressing is to be done will be discussed on Monday. The only consolation is that the boy does not feel anything.
The Holmgrens had a small party to say good-bye to sister Erna and dr Okoko. It was held in yje garden of dr Okokos former house. Attending were the two VIPs and their family and mrs Musaka and her family(Tuesday was away to some neighbouring country) the Holmgrens and Maria and me. It was a very nice and cosy party, without the high strung speeches. Maria had the computer and showed dr Okoko the results from the survey. As the sun was setting the party ended and Maria and Henry had a serious discussion on God and belief. Maria has got the task of talking some on next Wednesday bible-group, and she did not quite know what to say. I do not quite know if she knows now.
I could not show Henry how to handle the dongle as his coputer has Windows Vista and the dongle had not the right driver on board. I could not easily find the right one on te internet, there was too much to choose from. He is to visit the technicians from which Maria bought the dongle. They will for sure know how to handle this problem. At home we could always ask Måns.