Hi,
Genni, I'm jealous about your safari, that's high up on my list of travel things to do one day.
I finished my rotation early today so I have some extra free time. I'm still having a great time here in India. It is has been very interesting to see some of the similarities and differences in the health care systems. In DehraDun, there is the big government hospital, which is free. Then there are lots of small private hospitals (10-30 beds, some with ICUs, some without) that are individually owned. That's one thing I find really different, it is weird to see these little hospitals everywhere. The Doctors everywhere are super busy because the ones at the government hospital see so many patients and the ones that have their own clinics/hospitals still see lots of patients and also do a lot of the admin work. The doctor I am with this week is sometimes on his cell and landline at the same time. Our medical director here, Dr. Gandhi, is a cardiologist with his own hospital. He rarely sleeps and told us he once went 3 days without food. He's a bit hardcore and a bit of an extreme example, but they all work pretty hard. He does very well for himself though (well dressed, nice car, etc.). I've also heard stories of him regularly firing his staff, which reminded me of stories of Dr. Tzaki. I also found that some doctors fit the sterotypes we have at home. I spent some time with an orthopedic surgeon, who, in his physical appearance, fit the orthopod model. He was tall and athletic looking, and much better dressed than the other doctors. Despite being so busy, most of the doctors have been good about trying to teach us stuff. I haven't done a lot of hands on things but I've listened to lots of hearts,lungs, fetal heart rates etc and this week I've been trying to brush up on my ECG reading.
I've seen lots of HTN and diabetes, especially since I've been with cardiologists this week. I've also seen several women who get misoprostol over the counter for abortions, but then have retained products and need D&Cs later. There isn't much privacy in the clinics here- sometimes there are 2 or 3 patients in the office at a hime. The resources are also limited- the opthomologist just used hand sanitizer over his gloves after cataract surgeries and switched his gloves every 5 patients or so. They also reused the black caps on the otoscopes and just wipe them with disinfectant.
Another interesting thing is that there are signs in every clinic that say "It is illegal to determine the sex of a fetus", which relates to the community health project some of us did this year.
Well, that is pretty much it for now. Everything else is going well. I'm off to a rural village next week in the hills. Hope you're all having a wonderful time!
I had my TL a little more than a year ago when my third child was born via c-section. I was not told ANYTHING about the possible side effects of having this proceedure. Since then I have experienced heavy bleeding lasting sometimes 3 weeks out of the month, weight gain, severe mood swings. Severe cramping, changes to my libido, severe depression accompanied by suicidal thoughts, headaches, migraines, many new symptoms & older issues are now exacerbated. The father of two of my children doesn't want me anymore. I've become too much of a pain in the ass I guess. We don't talk. We don't sleep in the same bed. I think he might really think I am crazy... & maybe I am. I feel crazy a lot of the time.
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