(this excerpt is cross-posted from Dr. Khare’s blogsite, found here )
Here are a few of the patients we saw:
Severe head trauma status post motor cycle accident. GCS of 7, Left sided neglet, obtunded and clearly had aspirated, and large laceration over forehead. Patient has a very small likelihood of survival, due to no CT scanner, no neurosurgeon, and poor GCS score. He died later that evening.
Motor vehicle crash with right shoulder and tib fib lacerations and pain with severe tenderness. Since patient did not have the $15 for his x-ray, he opted to not get the x-ray. The patient had severe tenderness to those areas, but he could not afford it. I did repair his laceration with 6 stitches. We gave him a script to get the x-ray, but I’m not sure he’ll get it. Made me think about our system… We get the tests we want…
Motorcycle accident (get the theme). He had a clear clavicle fracture that was easily palpated. I talked with the resident and asked him for an x-ray. He looked at me oddly and asked why? Did I not think it looked like a clavicular fracture? – Well, I did, but I saw his point. Clinically, the patient had a clavicle fracture. He had not have other concerning findings on exam. Whoops, Western medical mentality. He was right. Sling, return to orthopedic clinic in 2 weeks. The nurse sewed up the laceration, which I might say, did an excellent job.
That’s it for now. It’s been a good trip. I’ll write more later.