Thursday, August 26, 2010

Tempus fugit

Tick tock, tick tock, times goes by...

Yet another day in the theatre of New Nyanza. When I arrived, I mistakenly changed into scrubs right away, since I knew that the head surgeon had requested for two cases to be put on for the morning. Appropriately attired (ridiculous white boots and all), I perused the board in vain, as no cases had yet been submitted. Full of ire, I raced back to the changing room, returned to my civilian clothes and prepared to go let loose on some intern. I extracted myself from my operating gear and headed to the ward, where not a single intern was to be found. Miracle of miracles, when I returned, fuming and frustrated, the cases had been magically listed.

With a huff, I changed back and dug in for the wait. And, predictably enough, the wait was long. ;-) Didn't start my first case until 11 am. Again, I thank providence and Dawn for the wisdom of bringing the Nook with me. I also thank Alexandre Dumas pere for writing four volumes of the story of the Three Musketeers. Prior to this trip I wasn't aware of the other three books of the series... I embark upon the 4th and final volume tomorrow.

Did my two cases and waited patiently for the third. The same baby that I described in my dressing down of the interns yesterday had not yet resolved his intestinal obstruction and needed to go to the operating room. However, things being how they are, only one anaesthetist is qualified to manage a 4 month old infant, and he was not scheudled ot be at NNPGH today. I waited in good faith for three hours for his arrival, then informed the gentleman who styles himself a pediatric surgeon that he would have to do the case.
(P.S. I did take pictures of one case today, but trust me when I tell you that the general public does not want to see a degloving injury of the lower leg)

On to the evening.

I enjoy Guinness. It is a taste I developed gradually over the course of a period in my life that is not to be mentioned here. I have enjoyed Guinness in Ireland, in England, in Irish pubs in New York, DC, and Orlando. I've even enjoyed Guinness in an Irish pub in the heart of Rome. I've even managed to sample some the "discarded" Guinness recipes at a bar in Dublin. What I didn't expect was to find a brand of Guinness brewed and bottled in Kenya, called Guinness Foreign Extra. It was a pleasant surprise, and the best of the bottled Guinness I have every tried. (Guinness on draft in a place with a clean nitrogen push system is still the best...)

After that delightful discovery, I joined Beldina and her family for dinner and companionable chatter over drinks. Just hanging out. Having a grand ol' time. Her son C.J. just went to bed, which is probably a sign that I should be heading back to Sooper soon. Busy day of travel tomorrow. I may or may not be able to post tomorrow night... For those of you who are inclined to worry, don't. ;-)

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