-Samuel Johnson, (attributed)English author, critic, & lexicographer (1709 - 1784)
Today we did a CMA (Community Medical Assistance) project in a remote village in southern Kabul. It was a great opportunity to give out a bunch of the donations that we received. A ton of 6 M.I.K. 2.0 readers have sent me medical supplies, toys, candies, and school supplies. I loaded a picture book on the right hand column where you can view a lot more of the pics from today. I encourage everyone to continue sending me stuff. I will personally hand deliver them and always include pics. These 2 children below were some of the ones that benefited from your kindness.
There were 4 tents, 2 for women and children and 2 for men. I worked in one of the women and children tents. There is a real delicate balance that you have to strike when seeing patients in these kind of conditions. We were seeing patients in a dirt floor tent, with no labs, no x-ray, and a limited supply of meds. There is not much that you can accomplish unfortunately. There is a mantra in medicine which is first do no harm. You really need to understand your limitations and not try and overstep your bounds. For instance, just about every older adult had blood pressure that was through the roof (yes this is an official medical term). You will not be helping them if you just give them just 3 days worth of blood pressure medicine because hypertension is a disease that needs to be managed over time. It would be harmful to give someone medicine to abruptly lower their blood pressure just to have it rise again 3 days later when they run out.
Unfortunately, a lot of what we saw today were chronic medical conditions that really needed to be managed in a clinic with regular close follow-up care over many months. My goal was to alert them of the problem and to encourage them to seek proper medical care.The only problem is when I suggested this their answer was always that they had no money and therefore did not have access to care.
I saw some children that I would have referred to an ER right away if I were in the states, but instead, they were left to walk back to their home barefoot. For instance, there were a couple of children with serious heart problems, probably ventral septal defects, this boy pictured below was one of them. He was as cute as could be. He had the classic "machinery mumur" on exam. I am going to try and make an effort to see if I can get in contact with a charitable organization to see what we can do to help him. He really needs to be seen by a peds cardiolothoracic surgeon. If anyone out there can help, ie., if you have any contacts, please let me know. You would be saving a life.I saw a number of cases that I have never seen before. I saw a bad case of spina bifida. I also saw a young child that had the after effects of infantile polio. Obviously, there was not a lot we could do for them but we still tried our best to show our care and compassion. When we could we referred them to a local hospital out in town.