Starting night shift tonight. My buddy Erik was on nights last pm when they brought in a 16 yr old with diptheria. He was very sick with secretions and inflamation all over his throat and airway requiring intubation.(tube in the windpipe). Challenge is that this is a very communicable disease and concern for outbreak is high. Not so much among us-we’re all immunized-but among the Haitians the concern is high.
I’m still amazed at the level of tallent here with respect to medical knowledge and effort. There is a harvard infectious disease md -meagan coffee – who put her fellowship on hold and has been here near continuously since the earthquake. She singlehandedly manages over a hundred patients in the TB tents and is also avail 24 hours to help with any crazy Id issue.
Overall I’m eating fine, doing a better job of staying hydrated and getting a better since of the people and their suffering. Sometimes all we can do is treat them with respect and communicate that there is nothing further that could have been done. It is saddening to see the way the family members experience death. It may at first seem detached and remote but I think it’s just blunted from having seen so much allready. Well we’ll do our best tonight.