Sunday, 7 July 2013

Adjusting to life at Kiwoko!

Sorry if anyone has been wondering what I’ve been up to since my first day, we’ve had problems with the internet and getting our time onto our dongle, so we’ve not had internet since Tuesday! (Also to save internet I’m not on facebook too much other than to check messages as it uses up a fair bit of our package – so feel free to email or f.b message as I have a system of copy and pasting onto word to reply so I don’t use up lots of time!)
 I’d love to fill you in with absolutely everything but it’s just impossible to fit it all into a blog! No one would like to read an essay everyday...and I don’t suppose I’d find the time to do that either!!

So, last week was really good, I spent most of the time observing everything the physios were doing. There is so much to take in! As the week went on I was able to assist with treatment, so things like getting patients mobilised, passive stretching for the burns patients and measuring crutches for the many fracture patients. There’s not so much of the health and safety where the physios would decide if it was safe for the patients to walk with assistance of a nurse etc, it’s more like ‘here’s some crutches, off you go’! The patients do like to get outside as Ugandans do spend a lot of their time outside, so usually in the afternoons the majority of patients are outside in the space between the wards. I was also able to help put on plaster of paris on a wee baby who is 3 months old which was tricky!! We decided to put plaster on both legs to try and get their feet in the right position, as they were both turned in so the soles were nearly facing each other. It seems to be pretty common here for babies be born with this condition, they call it ‘Crab feet’. The plaster will hopefully be able to correct this as he’s still pretty young. We had a 13/14 year old boy in the day before but he was never treated while he was young, so his feet were still turned side on and he’d obviously found his own way to get around using a stick and carrying his things with him in a carry bag around his head. His feet were all swollen, but all we could do for him was order a proper pair of crutches.
We really don’t realise how fortunate we are at home with the treatment we get. With so many fractures here, they only have a Orthotic Surgeon who comes once a month (and it can vary slightly to be even longer). So one of the patients we went to see last week was a young boy who had been run over when he was on his bicycle, breaking both his Tibia and Fibia on both legs as well as his collar bone, and he has been stuck in bed unable to do anything for weeks until the surgeon came! All we could do was a couple of bed exercises to keep other muscles moving and working. The surgeon was here on Friday though, and when I walked by the male ward just before tea tonight I saw him with both his legs in plaster sticking out in front of him as he was wheeling himself about outside in a wheelchair with a massive grin on his face! So he must be chuffed to be able to move where he wants and have a change of scenery for the first time in weeks!!

I’ve been trying to learn useful words that I’ll be able to use when treating patients, like ‘bend’ & ‘straighten’ and useful things like numbers. It’s really good because there is a lot of contact with kids, so numbers and colours can be picked up pretty quickly and the physios are keen to try and teach me. However, one problem is that it’s not just people who speak Luganda who come here for treatment! Apparently most patients speak a bit, but there are many different dilects/languages and sometimes the staff who are local can struggle to communicate! So, we’ll see how my few words work!! I can't really imagine being able to treat patients myself here yet, especially with the whole language barrier, but we'll take it one day at a time and see how it all goes!

Since I only overlap a couple of weekends here with my friend Sarah, we’ve decided to make the most of it! So I’m just back from a weekend Safari at Murchison Falls!

No idea where to start describing that other than Amazing!! (My photos I’ve taken just don’t do it justice at all! ) A definite highlight was the boat ride up the Nile seeing Hippos really close; the giraffe’s were a personal favourite and one of the most amazing things I’ve ever seen was watching two lionesses stalking a massive herd of the Ugandan Kobs (which is the Ugandan national animal – it was some kind of antelope looking thing) ...So it’s been an amazing weekend, four of us went from the guesthouse at Kiwoko and in our minibus we were joined by two guys who were both travelling, but we’re all feeling pretty knackerd now!  It takes a fair bit of travelling to get anywhere from Kiwoko as it’s pretty rural, so that is pretty tiring in itself on the bumpy roads. And I also realised going to a touristy part of Uganda just how different it is to how Ugandans really live, so it’s been good to see the contrast. But there isn’t much time to write anymore just now, aiming for a fairly early night in order ready to start week two at the hospital! J

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