Keeping this brief (still a bit under the weather-which is perfect for being on the infectious disease rotation)..
I roudned w/ another reg today. We say 20ish patients before meeting w/ the consultan, and then re-rounded on the patients.
TB.
HIV/AIDS.
MAC.
HIV/AIDS.
TB.
HIV/AIDS.
HIV/AIDS.
Possible cholera.
MAC.
IV herion user with right sided endocarditits.
Well of couse all the patients were interesting, but the team was most fascinated with that last one... Here is something they don't see. Infective endocarditits (infection of the valves of the heart) from shooting heroin. In fact, the consultant couldn't really remember the last time he'd seen a case, and the other reg had never seen a case. So it was nice to have a little basis to discuss, and discuss what we did for treatment back in MA.
CD4 counts today:
16, 43, 92, 23, 197...
More soon.
BPB
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Notes on my year at Baragwanath Hospital (Soweto, Johannesburg, South Africa) Posts here reflect my own views and opinions. Names and details may be changed to protect the privacy of patients and others.
