November 2013 - James Peck

We are not the only "foreigners" here at Muhimbili National Hospital (MUHAS). There are 25 Chinese doctors from Shandong Province at MUHAS alone. They are here for 2 years and are then replaced by another 25 two years later. There are more than 50 Chinese physicians in the rest of Tanzania from the same Province.` One of the best anesthesiologist at MUHAS is a resident from New Zealand. There is a pediatric surgeon from Cuba. German physicians are her to do gastroenterology and babies.There is a number of German medical students.The head of the Emergency Medical Department is Teri Reynolds, MD,MS, PhD from UCSF Moffitt hospital. Today the ER was staffed by Dr. Allison Webber from UCSF with one of her residents and an ER Nurse (Tracy) from UCSF, Dr Ross was the other supervisor from Canada. There are ER docs from University of Chicago. There is a cardiologist from South Carolina.

Here is the schedule and the patients we are see in on the ward and in the clinic.  Jim and Mac

Schedule:

     Monday: Department of Surgery Meeting @ 0730 (Grand Rounds)
                    Operating Theatre @ 0830 +/-

     Tuesday: Morning Report by Interns on Admissions @0730
                     Clinic "Firm ONE" (Team 1) @ 0900 till 1300
                     Ward Rounds with Professor and Med.Students "Firm Two" @ 0900
                     Then Elective Surgery Scheduling @1300
                     Tumor Board @ 1400

    Wednesday: Master Thesis on occasion @ 0730
                         Operating Theatre @ 0830

     Thursday: Morning Report by Interns on Admissions @0730
                      Clinic Firm Two (Team 2) 0900 till 1300
                      Ward Rounds with Professor and Med.Students "Firm ONE" @ 0900
                      Then Elective Surgery Scheduling @1300

      Friday:  Morning Report @0730
                   Operating Theatre @0830

Ward rounds on Tuesday or Thursday: 

      Esophageal Carcinoma: 5 patients
      Obstructive Jaundice: 4 - most pancreatic CA
      Breast Cancer: 6
      Colon/Rectal/Anal cancer: 4
      Thyroid Cancer: 2
      Skin Cancer: 4
      Cutaneous apocrine carcinoma of scalp, Melanoma,Marjolin's ulcers
      Hepatoma: 3
      Lung Abscess: 2
      Mediastinal Tumor:2
      Sarcoma:  5
      Acalasia;, esophageal stricture: 2
      Splenomegaly: 1
      Chest tube/splenectomy for Trauma 2
      No hernias, no gallbladders.

Clinic on Tuesday/Thursday mornings:

      Thyroid disease - cancers and hyperthyroidism
      Diabetic gangrene
      GERDS
      Kaposi Sarcoma
      Fibrous histiocytoma,
      Post op care: amputations, SBOs, Breast Cancers
      Ganglion cysts
      Adrenal tumor - 6 cm
      Nipple discharge
      Skin cancers: albino
      Popliteal aneurysm