Checked out of the quite luxurious Sheraton and was driven to my apartment on the hospital grounds. Steve Friedberg describes it as a crack house but I'm afraid that is a bit generous. It is definitely adequate but I'm sure glad I did not bring Janet and Rachel here. It does come with a lovely cook/laundress/housekeeper who as a bonus even speaks a few words of English.
After morning rounds I go to see patients; probably more than 20 in about 2 hrs. Tadios and I go to lunch and I walk back about a mile just to be outdoors. There is moderate pollution in Addis, but it is a lot better than the odors of the hospital.
We have a meeting at 2:00; they are trying to figure out how to interact with a Norwegian group that is coming to review the residency program to determine if it will continue to fund scholarships for four of the residents ranch year to go to Norway for seven months.
I am abruptly called from the meeting after two hours; they want me to be the consultant (I.e. assist) on an emergency, an epidural hematoma. It takes three hours to wait for anesthesia and get the case started. The first year resident who is doing the case and has done at least 30 of these so far this year ( in k.c. We saw one or two in a year in our busy practice), clearly needs help and guidance and I end up doing most of the case. It is an ordeal with woefully inadequate equipment, but that is the easy part. The O.R. Light is marginal at best and as the sun begins to go down I realize that the only light in the room is the surgical lamp with only three bulbs. When we finally finish the case I need to feel my way along the wall to find my way out of the o.r.
Walk to the market to buy food for breakfast. My housekeeper says she will make me lunch each day and leave additional food for dinner. Tonite, however I walk to a very nice Chinese restaurant.
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