Monday 11th November

We arrived at the hospital bright and early, enthusiastic to start teaching and re-establishing relationships with doctors, nurses and midwives we have met on previous trips.  It was a day of ups and downs.  Bruce did a great job sorting out the store room and our kit bags.  We found the ECG machine and the monitor for the HDU.  We delivered supplies to theatres, paediatrics , ophthalmology, the HIV clinic and outpatients.  Bruce mended the autoclave in ophthalmology, his next job is the suction machine.  Sally disappeared off to the antenatal clinic and labour ward where she had a productive morning teaching students, and her prompt decisive action ensured a woman with a severe intra-partum haemorrhage got to theatre in time to save her baby.  Although Prem feels she should get some of the credit for dashing round Wau looking for the obstetrician with our trusty driver, Justin.

 Alli and Antoinette joined the paediatric ward round and were impressed by James the medical officer, who spent time teaching the junior doctors and nurses and discussing interesting clinical cases with Antoinette.  After the ward round and outpatients Alli and Antoinette found the energy to each do a teaching session on the ward.  Alli gave a very interesting talk on the development of paediatric nursing in the UK and Antoinette taught on the importance of vital signs and recognition of the deteriorating child.  Meanwhile Hilary was everywhere saying hello and delivering kit. Prem visited the medical wards but there were not many patients, doctors or nurses around.  Bruce, Alli and Hilary went off to teach at Sister Gracie’s and Prem, Sally and Antoinette went to CHTI.  The students really enjoyed their interactive session with Sally learning about IUCDs, apparently vasectomy is not very common in South Sudan.  Prem tried her best to explain the uses and science of MRI and CT scanning.  Bruce and Alli taught ETAT triage and ABCDE to Sister Gracie’s students.  Antoinette took 30 students through infant BLS.   So all in all a busy and productive day.  You would have thought we deserved a beer at the end of it all but we are not sure our hosts approve, although Prem swears it is medicinal and keeps the bacteria at bay.    Please check out Poole Africa Link Facebook for more photographs.

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– the hospital water suppy has arrived

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– a lady in the eye clinic receives a pair of glasses from Poole Africa Link

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