Love Wins
One of the hardest things for me here is seeing sick patients get sicker or die despite our best efforts because we do not have first world scans, labs, or specialists. Every day I care for sick people who have wildly impressive findings on exam for which I can not give a definitive diagnosis. Is the paralysis from a brain tumor, tuberculoma, abscess, or stroke? Is the dilated heart from a congenital heart defect, past/current infection, or lung disease? Is the joint problem infectious, autoimmune, or simply overuse injury? Without all the fancy tools of first world medicine, I am left with the quality and competency of my physical exam skills, my interpretation of ultrasound and xray, and a few basics labs. More importantly, I have decades of medical missionary experience in my colleagues, who I riddle with 1,000 questions a day to ensure I give the best possible care to each patient. But even then, many patients are left without a clear diagnosis and treatment plan. Common things be...