The sturdy grounding in basic skills is used

The sturdy grounding in basic skills is used
The sturdy grounding in basic skills is used
China aids the roof beam of medical team of Timor Leste and revitalizes in September of 2008 of country, I will join and help the third batch of medical teams in Timor Leste upon instruction, the two -year long beginning aids living outside. Timor Leste is a very small country, go through several flames of war, is seen everywhere in the dilapidated walls. Capital's emperor's strength city can not find out at all from the appearance of the city it is the capital on the seashore near the equator, like a piece of domestic villages and towns. The hospital is all one-storey houses, infect the inpatient area, serious disease to guard the inpatient area, woman of inpatient area, VIP and produce the inpatient area, inpatient area of pediatrics, emergency call inpatient area, and administrative area and radiating, examine, dispensary, clinic every subject and acupuncture and moxibustion massage area. The people here quite worship the acupuncture and moxibustion of Chinese medicine. There are more cataract patients here. The patient goes to the hospital to register first, and then go to the ophthalmology consulting room to go to a doctor. Get it filled after I check, diagnose, finish recording and prescription of the case history, the nurse explains the usage according to the doctor's order. If want the operation, is registered the time of making an appointment by the nurse. This course is free of charge to locals, and foreigners will pay 20 dollars in the registration office soon. If should include the medical ward in hospital. The operation makes an appointment it generally all take more than one month. It is ophthalmology operation day every Monday, in the three afternoons, other time are the clinic. Only there are two operating rooms in the whole institute, I just do the minor operation in the clinic. Operation patient come hospital day, go home by oneself while being postoperative, time clinic check in the last few days, take ophthalmic medicine. There are patients in need of infusion of small quantity ' Postoperative tumour under socket of the eye, the intersection of eyeball and traumatism break postoperative) Accept for medical treatment in the medical ward. There are relatively more ophthalmology patients, Japan's clinic amount is 20- 50 persons. The local operation apparatus is very simple and crude, the aseptic idea is relatively backward too. The whole institute is only an oculist of my, although go to work from every Monday to Friday at present, in fact it is in waiting to pay a home visit state in 24 hours of every day. Fortunately there is sturdy grounding in basic skills acquainted at home in training, deal with ophthalmology medical treatment these complicated situations still have few pressure. When just been here and do the cataract operation of first, open the operation to wrap up after appearing on the stage, the apparatus is only a handful of micro- form tooth tweezers, and already curved 90 degrees on one side. Only there is the only handful of blood vessel pincers in the bag. Fortunately the tunnel knife loves health, work well very much. Plant in this bag into the tweezers and close and can not close, have to revise on one temporarily. It is at all unable to use that the membrane of bag is cut, it is overdone one to just meet this example, front bag can only cut replacing to deal with with the cornea. After overcoming all sorts of difficulties, finished the cataract operation of first smoothly at last. The second is a tumour in the socket of the eye, I show resourcefulness in an emergency, turn the micro- tweezers around to strip and use, also finished this operation smoothly. While taking out stitches and leaving hospital in 9 days, a hole of location of this patient is played and shifts inside and returned to the straight location, eyesight is returned to 1.0 while leaving hospital from the first 0.6 skills. In the job of nearly two months, several times are all that four or five sets of cataract operation is finished within two and a half hours, there is not a complication. There was one that day only baby of 21 days was in hospital, red swelling of right eyeball was outstanding. I suspect it is the eye socket honeycomb that organizes inflammation, call their intravenous antibiotic, check the leucocyte, protect the cornea. The next morning, two doctors led the infant to look for me to say, it was tumour, not inflammation, it is of no use to use antibiotic. It is not tumour that I insist on. The infant is just 3 weeks, covet swollenly to stress that is just less than one week in right, and red swelling is outstanding and very serious, should consider inflammation in the eye socket first, secondly consider tumour. Must check the leucocyte first, ask the nose department to hold a consultation if necessary, exclude from sifting sinus inflammation (because have no CT) . At 6:30 in the afternoon, I go to the neonatal ward to hold a consultation again, an Australian surgeon has been already there. I see infant right eyeball dash for ward like lose lantern that go out of cry and scream, then I enter needle by lower dome with empty needle, take yellowish-white suppuration out to come. This has just proved my diagnosis is accurate, then determine the operation is guided. Our mostly spending in the bedroom after coming off duty, read, watch TV. The wireless network here is exerted a tremendous influence by the weather, it is very difficult to open the webpage. It is not the enjoyment to go window-shopping here, should only do shopping to force to go shopping. The trade needn't be weighed, sell according to the piece already divided. There are few local vegetables varieties, fish and vegetables are all very expensive. We feel the biggest difficulty is the language obstacle. The hospital worker's language has English, Portuguese, Spanish, Germany's language once, Indonesian,etc.. The local patient speaks Germany's language once mostly, so need a nurse to translate nearby while working. Army of the United Nations accredited here by a plurality of countries keeps order, the army and police ready for an emergency are seen everywhere. The locality because it is hot, in addition, the sewage disposal system in the town lags behind, there are more mosquitoes. Check the blood in the hospital, it is necessary that malaria is checked. Infectious diseases are basically all tuberculosis. This aids it with time for our medical worker outside, finish a political task with medical technology, as to this I am full of confidence. This column is by The Department of International Cooperation of Ministry of Public Health Centre of international exchange and cooperation of Ministry of Public Health Do jointly


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