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Showing posts from April, 2019

C’est la vie (au Chad)

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They pulled her out of a rusty old pickup truck. She was clearly of the more well to do class given she didn’t come in on an ox cart or motorcycle like the majority of our patients unable to walk. The family carried her out of the vehicle using a blanket as a stretcher and deposited her on the gurney. Since she looked only half cognizant, we brought her straight to the OR. I started barraging the sister with questions and leafing through the carnet as the nurses started IV lines. She was supposedly 8 months pregnant and was transferred from a hospital at least 4 hours away. The reason for referral was, according to the sister, that they did not have a cesarean kit available for the patient. As I looked through the carnet I saw she was admitted 17 days previous with a blood pressure of 210/120. And there she stayed for 17 days being treated with oral antihypertensives, some of which are known to be contraindicated in pregnancy. Then two days prior to her transfer, she was give