This photo is of the hospital pastor. Every morning before clinic we have a time of singing and a short message from either a staff member or the pastor. The pastor is then available all day to pray with patients and families or share the gospel. He is fluent in both Spanish and Quechua and thus can share with them in their native language.
We thought we would tell you about some more of the interesting patients we have seen in clinic lately. This photo is a picture of Angela obtaining a skin scraping. This 8 year old girl came in with a diffuse pruritic hyperpigmented rash over her entire body after taking a trip to the Amazon jungle. We scraped her skin to look for a fungal infection, but instead found that she had diffuse scabies after looking under the microscope. Apparently (per some of the doctors here) it is not uncommon to see severe scabies infections even in immunocompetent patients.
This next photo is a chest CT of a patient we saw with Alex Brunner. This is a 30 year old woman who came in a few months ago complaining of cough and fever. She had been told she had pneumonia about 10 years ago, but was otherwise healthy since. On physical exam she had significant crackles with inspiration. A chest xray was concerning so we got a chest CT scan. Her CT scan is quite abnormal and it is currently being read by a radiologist in Germany.
This last picture is of an elderly lady who came in with complaints of abdominal pain. She then mentioned that she was diagnosed with Addison´s disease in Lima a year ago. She was started on prednisone at that time. Thankfully she had continued to take it on a daily basis, but she had very little understanding as to why she was on the medicine or for how long she would need it. The concept of chronic medical problems is not well understood by people here. They often ask for a cure and they frequently need education about continuing to take medications and their importance.
This photo is of the hospital pastor. Every morning before clinic we have a time of singing and a short message from either a staff member or the pastor. The pastor is then available all day to pray with patients and families or share the gospel. He is fluent in both Spanish and Quechua and thus can share with them in their native language.
We thought we would tell you about some more of the interesting patients we have seen in clinic lately. This photo is a picture of Angela obtaining a skin scraping. This 8 year old girl came in with a diffuse pruritic hyperpigmented rash over her entire body after taking a trip to the Amazon jungle. We scraped her skin to look for a fungal infection, but instead found that she had diffuse scabies after looking under the microscope. Apparently (per some of the doctors here) it is not uncommon to see severe scabies infections even in immunocompetent patients.
This next photo is a chest CT of a patient we saw with Alex Brunner. This is a 30 year old woman who came in a few months ago complaining of cough and fever. She had been told she had pneumonia about 10 years ago, but was otherwise healthy since. On physical exam she had significant crackles with inspiration. A chest xray was concerning so we got a chest CT scan. Her CT scan is quite abnormal and it is currently being read by a radiologist in Germany.
This last picture is of an elderly lady who came in with complaints of abdominal pain. She then mentioned that she was diagnosed with Addison´s disease in Lima a year ago. She was started on prednisone at that time. Thankfully she had continued to take it on a daily basis, but she had very little understanding as to why she was on the medicine or for how long she would need it. The concept of chronic medical problems is not well understood by people here. They often ask for a cure and they frequently need education about continuing to take medications and their importance.
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