Tuesday, September 06, 2011
This morning i started my internship at the hospital in pediatrics FINALLY!!!! The two doctors i will be shadowing are female and named Dr. Agyeiwaa Tetteh and Dr. Abena Kwarteng. As you can imagine, the first doctor's name was really hard for me to pronounce at first! But she was very understanding and they are both reallly easy going and have a good sense of humor. I was really happy about this because a lot of the time ghanaian women come off as being very unfriendly, but they were very accepting of having me there! When i got there, they had already gone to see the patients in the ward and were going to the office to see patients. The hospital administrator who ive been speaking with about this opportunity was really helpful and went and got me a white coat to wear...i felt so official! I sat with them in their office and observed them taking patients for a couple of hours. Most of the time the people who come in speak the local language, Twi, so unfortunately i can't understand the conversation. However, Dr. Agyeiwaa was really good about filling me in on the patients who had interesting cases. The first patient was a 1 week old baby girl who had an extra toe on her left foot. Dr. Agyeiwaa asked the mother a bunch of questions about herself because she is a teen mother and when this is the case, they like to take a holistic approach. The girl was 18 years old, had supposedly been raped, was Hepatitis B positive and had syphillus. They told me that when they have a mother who is Hep B positive who has a baby, they give the baby only the vaccine at birth since they do not have the immune globulin. After the patient left, i asked the doctor if the extra digit needed to be removed and she said not necessarily since it doesnt seem to pose a problem, but that many people want to get it removed at birth since it is seen as a curse in African culture. I thought this was really interesting to learn and yet sad at the same time. Another little girl who was probably 2 had an abscess on her neck. They gave her antibiotics and if it didnt clear up from this they would drain it in a couple of days. I think this is a common thing here because ive seen several children with abscesses like this. There was a cute little boy who came in and the entire time he was staring at me and they said after that he was so amazed to see an 'Obruni'. (this word is used for any person who isn't african basically, usually refers to a white person). He had come in the other day and there was no obruni in the office and then today there was one! After they had seen all their patients, we went over to the pediatric ward where all the nurses are with patients. There were several babies, and there was one newborn that was so tiny the nurse was able to hold it in one of her hands. Id never seen such a small newborn before! When i walked in to the area where older children were, a little boy spotted me from across the room and got all excited and yelled obruni!! His parents were laughing and i thought it was so funny how excited he got seeing me there. Overall, my first day went really well, i plan to be going there about 10-12 hours a week. I think this is going to be a really great experience for me and im really excited about everything im going to learn from working with these doctors.
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