Friday today. Quite a long outpatient clinic with mainly
trauma cases. I was told that there were some issues with some of the
registrars not performing i.e. not looking after the patients on the ward,
being arrogant, not attending outpatients etc. This resulted in a stern talk by
the head of department to the offenders and in Haiti a stern talk from a
superior is something you want to avoid at all cost: it consists in being
shouted at in the most demeaning manner often in earshot of other people and
the only thing you can do is to retreat with your tail between your legs!
After that was sorted I finished the day with seeing a few
kids including one with a tibia deformity on the basis of an untreated congenital
pseudarthrosis of the tibia (see photo) and another with a hand deformity (see
photo). This child had undergone an amputation of the thumb and index finger in
the past for what I was told was an infected IV line. The child’s current
problem was a skin contracture interfering with extension of the wrist. This
can easily be fixed with a Z skin plasty.
I also came across a few oddities (see photos).
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| Very elegant plaster jandal |
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| Thoraco brachial plaster |
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| Figure of 8 plaster |
The day ended with teaching the interns and residents.
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