International health, Malawi, medicine, pulmonary and critical care fellowship

Malawian step aerobics class and Madonna visits

This first full week at work has been one where many administrative tasks had to be done before my study could be officially initiated.  At MLW (Malawi-Liverpool-Welcome Trust), this translates into a lot of one-on-one sit down meetings with the departments for orientation and acquiring a physical signature on a sheet of paper.  I spent most of… Continue reading Malawian step aerobics class and Madonna visits

fellowship training, International health, Malawi, medicine, pulmonary and critical care fellowship

Wintering in Malawi

After a 40 hour journey, I am finally in Blantyre, Malawi as of 07/05/2017.  The longest portion of the flight was 13 hours from Washington D.C. to Addis Ababa. I became restless after watching 3 films and reading one book.  I will rate the following entertainment in order of enjoyment if you are looking to entertain yourself:… Continue reading Wintering in Malawi

faith, fellowship training, medicine, pulmonary and critical care fellowship

No one wants to talk about it

Dying in the university ICU. Only the dying come into the ICU. No one wants to hear it, but it's the truth. 40% of the patients who come into our ICU, die in our hospital. Maybe not right away, but in a few days or a few weeks later, their disease is relentless, irreversible and their organs continue to fail, beyond… Continue reading No one wants to talk about it

faith, medicine, pulmonary and critical care fellowship

That which keeps us afloat

April is the time of the year when the additive months of psychological toil and physical stress from first year of fellowship culminates in a palpable weight. The sleepless nights of weeks of calls on end, the familiar scenarios of ushering family through tough times, and the dedication of advocating for your patient builds up to a… Continue reading That which keeps us afloat

faith, fellowship training, medicine, pulmonary and critical care fellowship

It’s so wheezy to see, we belung together

This is a picture taken 4 months ago while we were traveling to Bwindi Impenetrable National Park in Uganda on an adventurous weekend when we decided to go track gorillas. In the distance you see the 3 peaks of Virunga volcanic mountains that define the borders of Rwanda, Democratic Republic of Congo, and Uganda.  It… Continue reading It’s so wheezy to see, we belung together

International health, medicine, Uganda

Bugoye Health Center

 The Rwenzori Mountains are an equatorial mountain range located on the border between Uganda and the Democratic Republic of the Congo. Bugoye is a District Health Center for villages nestled in and on the foothills near these moutains. There is currently a Fogarty and Doris Duke  fellow there in addition to MGH residents who support… Continue reading Bugoye Health Center

International health, Kenya, medicine, Uganda

When we can’t do everything for everyone.

  T was a patient on our team. She was 32 years old, HIV+ for 1 year, on first line anti-retrovirals who presented with painless jaundice. With suspicion of symptoms being medication related, Efavirenz (anti-HIV med) had been stopped by her local village dispensary, but her symptoms didn't improve. The first day she was in… Continue reading When we can’t do everything for everyone.