In order to keep everyone in the loop, I believe we are going to keep updating everyone a few days at a time moving forward. Hope that works for everyone back home! After the first couple of days and the weekend, I think we are finally starting to get into a nice rhythm. I must admit that for me, this still consists of an afternoon nap courtesy of the 7 hour time difference.
Early Monday we had the opportunity to follow up with some of the children we had seen the previous week in the pediatric ward in Mulago Hospital. We divided up into our respective groups and were able to round with the medical teams a bit more than we were able to on Friday. The medical team my group was able to round with seemed a little weary of us initially. Once they understood why we were there and how we could help, we found them actively seeking our advice. I found these were much more complicated cases than what I had seen on any of my rotations thus far (A child with end stage renal failure, uncontrolled blood pressure on 5 different anti-hypertensive medications, on oxygen for fluid build up in his lungs, and a likely MRSA infection in his blood) and it took a group of 3-4 creative pharmacy students to come up with solid recommendations.
Above: Katy channeling her inner child in the Pediatric Ward Monday morning on rounds.
In the afternoon on Monday we were able to get involved with something a bit different. We traveled back to Makerere University School of Pharmacy to present “Inpatient Pharmacy in America” to 4th year students. We were able to discuss with the class the unique experiences we have each had in the realm of inpatient pharmacy. For me, I was able to speak to inpatient mental health wards, as well as, inpatient compounding (IV Labs). I think the students were surprised considering it is common to make the IVs at the bedside and administer them immediately. We were also able to listen in on a few group case presentations from the students at Makerere. This was exciting to get a feel for the types of patients and treatments we may see in the future in Uganda. It was also interesting to gauge the similarities and differences between the Makerere case presentations and the Wilkes case presentations.
Above: Beth introducing the responsibilities as a pharmacist in the Emergency Department to the students of Makerere School of Pharmacy.
Today (Tuesday) was another very exciting day that all of us have been looking forward to. Today Winnie and David (our Ugandan contacts/guides) took us to a clinic tailored to infants and toddlers. At this clinic, the mothers came to have their children weighed, growth charted, sought medical advice on their developing child, and get up to date on their vaccinations. IT WAS AWESOME, but very, very busy! Before I knew it 9:30AM was 12:30PM. There were so many mothers and babies seeking the help and services and I think the nurses were relieved to have some more help. Personally, I was in charge of charting which vaccinations were needed and given. I worked very closely with Autumn who was in charge of documenting the services provided in a large and “comprehensive” book of patients. We found quickly this is very different than how we document in the United States, but were able to continue to the best of our ability. Also, we found out very quickly that they do not give 3 doses of Rotavirus to children in Uganda.
Above: Autumn and myself checking in the waiting mothers and babies at the vaccination clinic.
Above: Rubi administering an oral Polio vaccine like a pro.
Above: Mike with the cutest, little girl that stole all of our hearts at the clinic.
The latter part of the day we split up a little due to some confusion with booking and time constraints (but that’s okay–we are all very good to “go with the flow” at this point). Dr. Manning and Dr. Prelewicz went back to the school of pharmacy to give a lecture on Acute Malnutrition, they were also able to listen in on several journal club presentations from the students. We were able to sit in on a Ugandan language class with a group of aspiring doctors and nurses from Sweden. Ugandan language is decently difficult, but we picked up some essential phrases mainly to be polite to the locals and annoy our driver, David (don’t worry he loves us). Here’s some of the phrases we learned:
How are you/Are you fine?——————Oli bulungi?
I am fine.——————-Ndi bulungi
Thank you very much————————Weebalennyo
(or as Mayi would say: Weebalennyo-nnyo-nnyo-nnyo-nnyo-nnyo-nnyo-nnyo which would translate to thank you very, very, very, very, very, very, very, very much)
Above: Dr. Manning speaking about acute malnutrition to students at Makerere University School of Pharmacy.
Peace out followers, and stay tuned. More exciting things to come!