Togo.....a few hospital scenes at HBB.

The docs and PAs meet each morning in the doctor's lounge for "morning report" where all of the non-surgical cases are reviewed and treatment plans discussed. Then, rounds on the inpatients takes anywhere from 1 to 2 hours. After rounds are done, we go to the outpatient clinic until noon, when there is a nice break for lunch. Clinic resumes in the afternoon and usually lasts until 5 or so.

A teaching session with the PAs - everyone huddled around a Powerpoint presentation on a laptop!

The nursing station is the center of activity. The nurses at HBB are very good and always interested in helping and learning. They all speak excellent English !!

Susie with a malnourished 3 month old baby ready for discharge. African babies are adorable!!!

Justine is a 72 year old lady with lymphoma. Dave gave her 2 cycles of chemotherapy and left instructions for her followup care.

Essene is a 32 year old lady who came in with pancytopenia (all blood counts dangerously low) and a huge liver and spleen.  Her abdominal ultrasound showed numerous nodules in the liver of unclear cause (?malignant, ? infection, etc). Her peripheral blood slide was not diagnostic of anything. We suggested a CT scan in the capital city but the cost was prohibitive. Dave did a bone marrow aspiration and biopsy with assistance from Nurse Mawunyo.  We will carry the specimen to the US where it will be prepared and read by a pathologist. 

Each day several young boys greet us at the hospital. This is Jeremy with one of the hospital guards. Jeremy has an orthopedic problem and is staying near while he recovers.