Tuesday, March 2, 2010

Organized chaos

Today was one of those satisfying days - very busy, but controllable, and good outcomes for all of our patients. Between 8AM and 6PM we had 11 deliveries (and not a caesarean in the lot), 1 eclamptic fit and 8 operations. Irritatingly the surgery that took the longest was the diagnostic laparoscopy - because it took longer to find a scope and light lead that worked and matched each other than any other single operation.

Martha has now joined our team - she is a Kenyan registrar in obstetrics and gynaecology at Kenyatta National Hospital (the major teaching hospital in Nairobi) and she has chosen to do an elective placement with us for the next six months. She is pleasant and competent, and as she worked here as an intern she is known and liked by the staff here, which is a great bonus. We're trying to increase her operative experience - today I supervised her in a myomectomy (removing fibroids from the uterus) and a hysterectomy (removing the uterus itself) - enjoyable for both of us I think.

Then I came home in the pouring rain and have just come back from walking Luthien after it let up - and so I think maybe I'll go to bed!

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