Not an exciting Monday

Morning report had exactly one cardiac patient, and the consult was quick and echo revealing. He had an ischemic cardiomyopathy with an apical mural thrombus and needed a cardiologist from US to recognize the problem and initiate appropriate therapy. I have a Penn med student with me for the next 2 days, and spent the off-time delivering extemporaneous lectures on heart failure and arrhythmias to him. I gave the 4pm Residents' lecture on heart-failure stages, pathophysiology,and guidelines for diagnosis and therapy, This subject was in part stimulated by the "grand rounds" delivered by a local cardiologist of questionable reputation who basically blew smoke and gave a polished, if somewhat inaccurate, review of drug therapy last week.
Barbara has been working on a review of TB statutes in the US to review with concerned persons at the Gaborone TB Clinic tomorrow. Her talk appears to be well prepared, but she needs to find out where exactly to deliver it!