Daily Archives: July 6, 2014

Uma atualização de Porto Alegre

July 6

Olá and happy belated 4th of July! The three of us have had an amazing experience in Porto Alegre so far teaching the residents enrolled in our courses at Santa Casa de Misericórdia and Hospital de Clínicas and exploring the city during World Cup season. We had a busy schedule this past week that included many lectures and hands-on instruction at Santa Casa. A highlight of the course has been our lecture/instruction on ultrasound-guided procedures, including lumbar puncture, central and peripheral line placement in various areas, and local nerve blocks. The residents were very excited to learn how to apply their new knowledge in ultrasound to their day-to-day practice. It’s a testament to the strength of UCI’s ultrasound curriculum that even as M1s we are able to educate these residents and potentially improve patient care. Check out this blog to see us in action: http://ecoamos.tumblr.com/

We were fortunate to have a break in our schedule last weekend to enjoy some of the World Cup action that’s been a central focus of every Brazilian the past couple weeks. In full ‘Merica attire, we watched both the Mexico – Netherlands and Germany – Algeria games. Both were incredible matches and made for unforgettable experiences.

Tonight we have the privilege of enjoying a homemade churrasco prepared by Dra. Ana Claudia Tonelli — the director of the internal medicine residency programs at Santa Casa and Hospital de Clínicas. We are looking forward to course after course of delicious grilled meats. Please don’t laugh if we each come back to the States 15 lbs heavier than we were when we left Irvine.

Tchau,

Trévor

Asante Sana, Squashed Banana

Hello friends and family!

We are happy to report we have had another stimulating, educational and fun week here in Mwanza, Tanzania. Kate, Kevin, Megan, Mikey, Masha and Lauren the second (!) years feel very grateful for the opportunities we have already had here.

The MS2s are teaching an “Introduction to Ultrasound” course at Tandabui Institute of Health, Education, Science, and Technology. Our students have already been lectured on Knobology, Abdominal and Cardiac Ultrasound. The first quiz was held at the end of this week and we were thrilled with results. Our students are catching on very quickly and ask thoughtful, thorough questions that show their interest in learning. To our surprise Tandabui students are currently on a break from school but many have choose to stay near Mwanza in order to take our course. We are humbled to teach students that our so dedicated to our class and ultrasound.

In the mornings we rotate through several clinics here in Mwanza where we have felt welcomed by all of the medical staff and patients. We are working with an MS3, Kate Hom, at Buzuruga Clinic for women. The MS2s have had the opportunity to ultrasound more pregnant women than we can count with Kate and our translator’s help. We have been able to discover multiple women with babies in breeched position and refer them to a hospital for delivery. Excitingly, several of us have been able to participate in deliveries at the clinic. For some of us it was the first delivery we have ever witnessed and we loved it. We are hoping to see as many deliveries as possible this month.

The MS2s who are not at Buzuraga Clinic can be found at Mwananchi Hospital in the mornings. Everyday at Mwananchi brings interesting new patients and cases. We are able to shadow a local physician, Dr. Keto, on his rounds and assist with ultrasound as he requests. After rounds we shadow other hospital workers including in the laboratory, learning to draw blood. Kevin and Kate were lucky enough to be present on a day when a local ophthalmologist was performing 8 cataract surgeries. It was amazing to see the efficiency and skill of the surgeon using tools no longer used in the US. The cataracts removed were very advanced and it was exciting to think what a quick difference these surgeries would make for the patients.

The “Ultrasound Pathology” class being taught by our wonderful, dedicated MS3s is going very smoothly. Their students from last summer are very excited the MS3s have returned and we are happy to see they are still enthusiastic about learning ultrasound. Their course is being taught at three different locations over three weeks in Mwanza in order to reach the older clinical officer students working in the different hospitals. Their first course at Nyamagana Hospital was a great success. The MS3s were  able to go on rounds with the medical students and physicians at Nyamagana hospital in the morning before class. With the help of Dr. Boughton they were able to demonstrate first hand the utility of bedside ultrasound finding gallstones, a ruptured ectopic pregnancy, and ascites just to name a few instances. Today, our MS3s are teaching procedures using gelatin models at the second location, Magu Hospital.

One of their students, Nixon, was so happy to see the MS3s again he invited all of us on the trip into his home in Mwanza. His family was incredibly welcoming and friendly. We were served a delicious avocado and carrot juice, and none of us got sick!

In case you didn’t read this long blog post, hopefully these pictures give you a glimpse of our time so far!

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Our sweet ride for the month in a private Dala-Dala photo (7)

Mikey, Megan and Kevin try the local version of donuts, andazis.

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We took a boat ride on Lake Victoria during sunset to celebrate Brad’s birthday.

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Megan, Mikey and Lauren teaching Introduction to Ultrasound at Tandabui

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Kate Hom taking a selfie

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Kevin, ready to ultrasound outside of Mwananchi Hospital

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The ladies and a bored Mikey purchase beautiful, colorful fabrics at the local market.

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Brad, Lauren and Allison dancing with some children. We learned their version of Duck, Duck, Goose called Twiga, Twiga, Simba which translates to Giraffe, Giraffe, Lion.