James had a good time teaching at the university, meeting the vice chancellor and deputy vice chancellor. Sally and Hilary have set up the portable ultrasound machine bought by PAL in the doctors office in maternity and it’s being well used. We have set up an HDU area in the new maternity theatres but staffing it is the main challenge now.
Sunday being a day of rest we were up at 6.30am to attend the 8am English service at the Episcopal church. We spoke at both the English and Dinka services, the team introducing themselves and Hilary A and I giving messages of greeting from her church and Poole deanery and also one from the Bishop of Salisbury to the people of Wau.
We had the rest of the day for a bit of R&R with the female members of the team going to Amarula Lodge, the nicest hotel in Wau, to relax and swim, while James decided to remain at our hotel to prepare for his talk at the university tomorrow and escape our female chatter. He seemed quite refreshed on our return!
At the Dinka service
At the English service
We had a record turnout of over 90 staff at our ‘Shock’ morning today. About a third doctors and medical students, and the rest nurses and midwives. – plus one cleaner and one “down and out”! 20 people had to stand outside. General shock and obstetric shock was covered, and the morning went well.
We then went to visit the family of our loyal driver, Justin, with some gifts for his girls. then on to Dr Majok’s house. Here we had a lovely lunch and a warm welcome from his wife Alec Bol, children and extended family, about 20 in all.
James getting broody with Baby Majok
South Sudanese selfie
Some of our 90 students today
- At the home of our driver Justin
In the home of our driver Justin
It’s the hottest it’s been on my Wau trips, and working eleven hours each day at the hospital, then teaching students from 3 till 5.30, and then preparation for next day is hard for us all..
Today I’ve been mending and sorting kit again and teaching resuscitation at Sister Gracy’s with James. I had a lovely welcome from Bishop Moses at Wau cathedral when I went to arrange a lift to church on Sunday. Sally and Hilary A have caused great amusement for staff and visitors walking around the hospital with a black doll for resuscitation. They have managed to set up the portable ultrasound scanner bought by Poole Africa Link in the maternity unit, although I had to go to the market for a new extension lead. James has had a good day working with the anaesthetists on drugs and equipment to produce safe modern anaesethesia.
Air con and Internet at hotel now not working… Surprise!
James and Hilary teaching resus at sr gracys
New born baby at Comboni hospital weighed 1.1kg and abandoned by its mother
With sr Maria at Comboni hospital
Portable ultrasound machine bought by Poole Africa link set up in maternity
Another very hot day…
James has worked with the two newly trained anaesthetists, and was very impressed with their knowledge and skills which vastly outstrip the equipment and drugs available here, which is frustrating for everyone. James assisted them with the ketamine anaesethetic for a laparotomy patient, without the usual control of airways we have in the UK, in the superb new maternity theatre which we are delighted to find has the best toilets in the hospital!
Sally and Hilary, following yesterday’s tragedy, decided to strike while the iron was hot and invited all maternity staff to update their skills in resuscitation of the newborn. Unfortunately, some staff still refused to engage in developing modern safe skills. They are in the process of setting up an HDU in maternity and have moved the portable scanner bought by PAL into that area.
James and I met with IMC (International Medical Corps) who have been chosen to manage the £ 2.2 million grant from the Health Pooled Fund (a consortium of international donors including DFID, UK) for the development of WTH. They have asked to have more discussions with us, which is encouraging.
I’ve been locating and mending broken kit and also met with the Matron. Nurse: ‘management’ here is nothing like the UK!
We moved hotels today so now have Internet (of sorts).and air con