What did you do today?

Both of us were busy.Barbara prepared a talk to the Gaborone city clinics about TB law.She had been asked to speak by the medical director of the clinic based on problems with non-compliant TB patients and TB control laws in Gabarone. She found a rather blank group until she decided to switch to more practical information: she discussed a similar legal case in Maine with a non-compliant TB patient and the many problems with the adequacy of the laws this case uncovered. This account resonated with the group and created an interchange that kept the group engaged.
I was kept fully occupied at the hospital. I did an echo on a 14 year-old girl with a congenital heart disease who I recommended to undergo ASD repair. I tried to explain to the parents that a hospital that is experienced and that has high volumes of this type of surgery would be the best choice for closure. I encouraged them to go to Johannesburg despite the potential costs.
I also encountered a woman in her mid-fifties who had a 5.9 cm ascending aortic aneurysm with aortic regurgitation-- a perfect case for aortic repair and aortic valve resuspension. I hope the doctors here refer her to Johannesburg for surgery. I also found a patient with severe heart failure, likely due to hypertensive cardiomyopathy. The unique finding was that he also had sever tricuspid regurgitation likely related to a congenital problem, Ebstein's anomaly.
We are planning trips for the remainder of our stay. This week we are off for Chobe and Victoria Falls in Zimbabwe. We are also planning trips to the Okovanga Delta and Kalahari desert. At Easter, we'll do Cape Town and the wine district. Barbara told me there's golf at Victoria Falls, so be prepared for more details in this vital subject!