Greetings everyone! It is a lazy Friday here, and no patients are scheduled. There is always a doctor and nurse on call over the weekends, so help is available, just not scheduled.
I have finished my report on the Goats for Widows program, but unfortunately it is too large a file for the servers etc. so I can not send it as an attachment. The word is that it will be sent to the States and printed...does this count as a publication?
I also spent time yesterday with the lead nurse discussing issues like confidentiality, standardization of procedures and charting. They have an interesting way of documenting medications ie. if the patient is to be given 25 mg of prednisone, in the record of administration it is shown as 5 pills of 5 mg to be given. We both agreed that it is better to indicate the dose to be given along with use of standard time indicators (another issue) such as bid, tid, qd etc. We shall see. He is very aware of wanting this to be different so perhaps...
We also standardized the 3 scales using Neaga's luggage "scale". Interestingly the one most accurate was their digital, not the new one we were sent to bring with our luggage.
Last night we had a beautiful butterfly get into our room --the object of much photography and this morning we helped it out. Of course, the butterfly just joined the menagerie which is usually there :>)
A first: One of the Indonesian docs. here "Willie" also does acupuncture. And we were able to watch him give a treatment to a woman who is slowly recovering from a stroke which affected her right side. This was her 2 or 3rd treatment, and he feels that she has had some positive response. He is very balanced in his understanding of when acupuncture and when western medicine is probably going to be most effective. How interesting for us Westerners!
Lauri
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To add to Lauri's report of acupuncture, we had a motorcycle crash victim here last week with both R upper chest pain and R hip pain -- we were concerned about a fract. pelvis. Since he was stable, the family wanted the "bone shaman" called and Kinari had said he was very good. So...I watched him manipulate the hip, heard a snap, and I suspect he relocated a subluxed him. We do not have x-ray, so we ended-up shipping him anyway, but it was fun to watch.
Jim
Jim
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