THURSDAY
A straightforward, rather cloudy, day of a busy clinic of 24 patients with many common local complaints. It even rained a little in the evening!
A wrist fracture, seen by the GP last week (and backslabbed), returned from the local hospital with a full (very large & heavy!) plaster, for £20 - a huge amount for a villager.
A woman had a clinical diagnosis of hypothyroidism by the local hospital and had been to KTM where they had done lots of tests but NOT her thyroid!! She had all the records and wanted to know from me why she was not better! Sure enough she had classical myxoedema and simply needed the required blood test and the simple daily hormone replacement. She will have to take a 2 day taxi-jeep to get this. At least that is so much cheaper than her wasted expensive flights to ‘clever doctors’ in KTM!!
And a middle aged man has classical symptoms of chest TB - we refer him on to the local hospital 6 hours walk up the valley.
I politely declined a ‘trip out’ on the motorbike! After a tasty supper we played cards, much to the ANM’s delight! It is a simple way to build confidence with English and always fun.
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