As mentioned in my
previous post, I had quite the travelling experience in the life of a Fijian. Dr.
Lavinesh and Dr. Vishal were at the airport to welcome us to Labasa. Finally it
was time to see the hospital! =)
I quickly started noticing some differences during my orientation of the hospital. EKG machines were interesting; they used little suction cups held on with ultrasound gel. Medications choice here is a bit different. There’s no Zofran, no Tylenol, and no need for extensive antibiotic coverage (minimal resistant strains here). Additionally, there are rarely patients that come in asking for “that one drug that starts with D” and they don’t see GSWs here.
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| EKG |
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| Some of the common medications |
I continued to learn more about the system on Day 1.
- Chest Pain:
cardiac enzymes here are: LDH, AST, and CK total (no troponins, no CK-MB)
and the consultant makes the decision to push lytics or not
- Suprapubic pain/vaginal bleeding: there is no UPT in the hospital, no B-Hcg;
patients are sent for ultrasound for dx of pregnancy vs ectopic
I have to say, regardless of the difference in resources
here, these are definitely some of the hardest working doctors that I have ever met;
there is often just one resident running the entire emergency department and
outpatient area with no supervising attending physician… IMPRESSIVE! =)
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| View from the hospital |
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| Labasa Hospital |
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