Decisions

Wilsons_2013 Posted by Rory Wilson on Sat, 15 Sep 2007 | Bookmark: digg this Post this to del.icio.us Post this to Facebook

In some ways decisions about life are simper in rural Uganda – no worries about which TV programme to watch, which washing powder to use or where one should eat out tonight.

In some ways however significant decisions lurk at every corner. When out in the bush on my bicycle on Wednesday evening I stopped with a local family briefly. The three year old son was most unwell with pneumonia. As a GP in Ballyholme I would have phoned for an ambulance. After examination conducted with only my eyes and hands, and discussion with the family I left him in a mud hut without any treatment. The balance of allowing people to be responsible for themselves, and intervening in their lives is an unscripted path. Thankfully the boy has recovered.

My cradle to grave care this week took on new proportions:

- On Friday night I performed four caesarean sections (on average we do one per night.) All mothers and babies are alive and well.

- On Wednesday I found myself helping a family measure the body of their deceased brother (acute renal failure – on presentation to hospital had no appreciable renal function,) for his coffin. He was a lad of 32 and was previously well. I did laugh out loud afterwards at the ridiculousness of using my Bangor supply company tape measure for such a purpose.

Had some tasty goat’s liver for lunch yesterday washed down with some locally made yoghurt.

The rains have come at last – the road was so submerged in one of the swamp areas this week that the water was above my pedals as I tried to cycle through.

The wards are starting to get much busier. Most of our patients are very sick, and we have had several children this week who have did shortly after admission with severe pneumonia and anaemia.

Our HR manager Dennis has moved to a job in Kampala. He has been a strong member of the management team and will be greatly missed. Please pray that the right replacement is found. This post is one of great influence, and impacts greatly upon the extra work that Ken + I have to do – and as such is of great importance.

No more snake stories this time I’m afraid.

Cheers for now,

Rory