The hospital routine was not unusual. A 30 year old woman presented with cardiac enlargement and hypertension. I did a consult, with unusual heart sounds suggesting a continuous murmur only to find on echo that she had a pericardial effusion (and therefore what I heard was a pericardial friction rub), aortic arch enlargement, and mildly impaired cardiac function. She is a bit of a conundrum, and I suggested we look beyond the usual to work up to unusual diseases like SLE. Whether or not this will be possible I have no idea. I appealed to the director of the pharmacy to order a supply of IV metoprolol (common in the US but not a choice here) and IV adenosine, and to the biomedical engineer to provide boards for the male and female medical wards to allow effective CPR. We'll see if my inquiries are given attention.
Barbara and I hit the swimming pool on my return this afternoon, a great relief from the heat of the day!
Barbara's turn
Ok - I am making a little linguistic progress and have moved on to short phrases
Today's first phrase
Ke a huhula - I am sweating - a frequent occurrence here!
and
ke ya gotuma - I am going swimming!
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