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Reisverslag Plastic surgery, paediatrics and ... ants
10 mei 2015
Plastic surgery, paediatrics and ... ants
Since my interest also in plastic surgery, one of the doctors asked me to join his operation day. We performed several skin grafts for secondary closing some lacerated road traffic wounds that I debrided some days before. We excised some ugly big scars of a young lady to make ‘nice’ scars. Also, we performed hand surgery for a young man whose hand got cut by a machete, I managed to re-attach several tendons from his fingers hoping it will let him regain some function, as we all know how important our hands are! Regardless of the lack of proper materials, I really enjoyed this surgery.
I also assisted in the evening+weekend shifts to gain experience when doctors were ´on call´, in which I helped women deliver more babies to this world, both by normal delivery as well as with caesarean section, of which one complicated by tears in the uterus and subsequent blood loss, but we managed to stop the bleeding and the mother and baby (4kg) are fine now.
When ´on call´ the operating crew is picked up by a driver, and consists of the operating doctor, operation assistant, anaesthetist, theatre nurse, and last but not least, me. Several times no operation assistant was available, and my presence was very appreciated/necessary to assist the operating doctor. Since no ventilation machines are available, we cannot induce full narcosis with muscle relaxants, thus general anaesthesia consists of (sometimes referred to as ‘partydrug’) ketamine infusion and diazepam, a combination I know from my research, but haven’t seen in the Dutch clinics. I’ve seen several patients being quite resilient to its effects, allowing some movements during surgery every now and then. Luckily they keep the patient sedated. Afterwards, the driver gives us a ride back home.
During the evening and nightshift I experienced an interesting annual phenomenon. As night draws closer and the sun sets behind the horizon, my fellow doctors and I join for dinner in the guesthouse. Suddenly, I hear soft taps on all the windows. As it gets darker, the taps become louder and more frequent. During dinner we are called for an emergency in the hospital. We finish our bites, drink the fresh mango juice (which is lovely!) and step to the door. As I open the door, an enormous amount of flying termites rushes inside! These so called ‘white ants’ are everywhere outside flying around, drawn to the light of our windows and lamps. While we walk to the car, I look around and look at the sky. Even though it is completely dark, the full moon and stars with all its constellations shine brilliantly, lighting our way to the car and showing me the thousands of termites flying around, a wonderful sight!
While we enter the hospital terrain, all attendants and even patients are busy outside tapping the walls and lightbulbs. When we come closer I see they carry bins, cups and bags, filled with little things crawling inside. My colleagues explain they are now massively picking the white ants, so they can eat them the upcoming days! Apparently, the white ants are a delicacy when roasted and salted… the next day I try them, since the family of the landladies had performed the same ant-picking ritual. The taste is hard to describe, I don’t enjoy it, the structure on the other hand is what I expected from a fried exoskeleton, crispy and crunchy, it reminds me of Mexican fried grasshoppers, another delicacy I will not add to my favourite list.
I am happy to have experienced this phenomenon, because the next day I hear these ants only come flying in these amounts once a year!
Foto's bij verslag (2)
23 mei 2015 11:32 | Door: Wim de Vrij
Vliegende mieren die bij elkaar komen voor hun jaarlijkse reünie en vervolgens worden opgegeten door onze Ugandese medemens. Ik lees dit opmerkelijke verhaal terwijl ik een gevulde koek naar binnen werk.
Net een telefoontje gekregen dat jij en Susana per 1 juli een huurhuis hebben gekregen in Groningen. Gefeliciteerd! Nu kan er een nieuwe fase voor jullie beginnen. Echt fijn.
Morgen komen Mark, Monique, Yinthe, Rense en Susana naar ons toe. Wordt dus bere gezellig.
Hou je haaks en bedankt voor al je updates.
25 mei 2015 12:06 | Door: Fokko
Bij MacDonalds noemen ze dit een Happy Meal.
Wel bijzonder om dit mee te maken/eten. En geweldig hoe je kunt assisteren bij het chirurgisch werk e.d. We wensen je hier vanuit Kommerzijl, all the best for the coming week.
God bless Uganda.
oom Fokko /tante Wietske
28 mei 2015 18:03 | Door: Rob
Raar spul dat ketamine. Ik kan me nog patiënten herinneren die totaal onder zeil waren, maar je toch constant aan liggen te kijken. Beetje diazepam als spierverslapper; echt feest is echter de combi met rohypnol. Dubbel party.... Veel medisch plezier, eet- en reisgenot.
1 juni 2015 21:02 | Door: Genaro
haha, for sure they are a delicatessen!! We (Mexicans) eat the grasshoppers with lemon and salt, they take such a nice taste!! I would lie if I don´t accept I miss them once in a while (only always remember to remove the legs).
For sure this is what you were meant to learn, things that are taken for granted in some places and work also in a different way with good results.
My father used to go to some communities back home and always told us histories of bad experiences with machetes, some for work, some for social disagreements... but always with a tragic end.
In other matters... I would like to try that nice sedative cocktail :P
4 juni 2015 13:53 | Door: Tamara Smit
Leuk verhaal! Een hele ervaring, is wel anders opereren als in Nederland of hier in Duitsland.
Dapper dat je de lokale delicatessen uitprobeerd. Houd het denk ik tot liever bij de Duitse Schnitzel ;-)...
Groetjes vanuit Heidelberg.