fredag 1 oktober 2010

A last note

This is going to be the last of the notes in the blog made in Mpongwe this year.
We know this has been a fantastic time filled to the brim with interesting things. A few of our inner thoughts. have displayed themselves unwillingly and for that we apologise. You cannot go through life without noticing things and there are a lot of differences between Africa and Söderköping This is extremely clear to everybody from Sweden that have been to Africa. Afew are regarded as good and some are regarded as bad or not so good. We had an interesting discussion with mr Musaka about eating caterpillars. He regarded some as a delicatessen but I can hardly think of eating one. The conclusion is that Zambia and Sweden are as unlike as the fact that the sun in Zambia is in the north but in Sweden in the south.
The morning murmur was as usual and the round frustrating as usual. There was a lot of important tests and other procedures not done and the nurses student that was my aide was not even slightly sorry. She was only carrying the papers. In the afternoon II found out that she had not noted any of my orders and they were not executed. We had some very dehydrated children that needed extra care and she could not be everywhere. I tried to persuade two parents to allow us to set a feeding-tube in their extremely dehydrated daughter. They did not allow us. The child had started giving away some urin which is the first sin that the rehydration is taking effect. Without the feeding-tube her chances of surviving are minimal, we told the parents. The paraplegic boy with the pressure sores have got a little fever and I am dying to do a bacteriologic culture from his wounds.
Maria had blown her head when she found out that our garden boys had equipped themselves with Swedish operating dresses. We additionally found out that a multimillion dentist chair with all possible fittings, was standing under the blue sky and dust without any protection. We contacted the donors and our coordinator and the hospital officials. A lot of people moved the dentists chair and a lot of other things down to the hospital and indoors. When pushed they react.
Late at night the Swedish doctor that is to succeed me, arrived. She had had troubles in customs because her baggage was lost. We, Maria and Tom, served a nice dinner and Anna Karin went to bed early.
We had an interesting and constructive discussion with Dennis from the Workshop. We decided to put our last “give away” money in a project to restore the old OPD into a childrens OPD and ART counselling room. It will be possible to have a room especially done for children and to separate the grown-ups and the children waiting in the OPD. One problem is that not a word of mutual understanding and economics are written down.
At the morning mumbles Friday I told the people there about the Childrens OPD and we all heard Becky talk about heart failure. A very fascinating subject that gave cause for a couple of questions from the audience. I made a short speech and bade goodbye and thenk you for te weeks that have gone. I sincerely hope that the cooperation with Sweden will continue even if it has to be otherwise.
The ward is presumably given to Rick as from Saturday so I tried to write in a reasonably discernable way. The same troubles exists and I guess that Rick will have to fight the same fights as I have done. Nobody is actually dying but there are a few that will if nothing is done.
I want to thank everybody that have used their valuable time to read this blog. Thank you all!

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