Well another wonderful day in Arusha, Tanzania. Today at 0800 we attended a session on GI Bleeding given by our Dr. David. It was attended by the Doctors, residents, and nurses of Mt Meru. It was a full house. It was quite informative for both sides.

Then I and Dr Chandry went with Dr. Mekule to his Hiv clinic and saw 2 patients in 2 or so hrs. He is quite informative and thorough. He loves to teach. We learned his clinical thinking process as he examines his complicated patients. Since they cannot order Ct Scans,MRI’s, 2D ECHOS ,CXR, and Venous Duplex all on the same day or at all,,,he uses strong assessment skills, history and extensive physical exam to determine the problem. If that fails,he will order labs,cxr, and maybe ultrasound which is available to them. Alot of paperwork for each patient, including the use of carbon paper.!
I learned alot and had a great day.