Another interesting day in Ilula. Lisa Michael and I went to a well baby clinic outsidside of town. Children wedge all charming and dressed in their Sunday best. Actually two fathers came in with their kids though mom was outside. She would drape the child on her back wrap the child in a shall hope on the back of the motorcycle and off they would go on the motorcycle. By the way accidents are the second most reason to go to the hospital after malaria. All the 60 or so children looked healthy though you wonder the unhealthy ones don't come because of neglect.
I saw a case of Ramsey Hunt Syndrome today that I may not have seen in my 40 years of practice. This syndrome is facial nerve paralysysis associated with herpes zoster infection. It had occurred in unfortunately has AIDS and thus are reluctant to treat her with steroids. Apparently it is not uncommon here. This case was one of a number over which a lively dioscussion occurred after clinics. Randy is a great teacher and very enthusiastic about the program here.
Monsoon season has started here over the past three days with a vengeance. Must rain inches an hour. Subsistence farming is common here and they are out hoeing their small fields by hand. Actually where the well baby clinic is also is a storage shed for fertilizer and seeds. Despite it being in the tropics it's cool tonight probably because of the rain. Jill and I served red wine and cheese for appetizers tonight and everyone is in a good mood. So long from Tanzania.
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