Toiletry Containers Checked Bag

drugs of the German military in pharmacy

As in a previous blog reported, received the Schweitzer Hospital mid-December, three drug charges by the German military, as this retired after the elections in the Congo. The whole load again due to Germany was obviously more difficult than having them sent a hospital. And as containing all leaflets are written in German, was offered to the Schweitzer Hospital. Overall, some
tons, was stowed the whole freight at first once in the side rooms of Pharmacy and since then heap on the floor as distributed before the drug frames (each course in the wrong place). Occasionally, they would reach quite interesting and important medicines. Because it is the pharmacist (which is actually a nurse) at least as organizing skills in German as well as to Elan on drug-missing (by drug name could indeed they look up what goes where), the drugs were holding after a month still quite chaotic around on the floor . Meanwhile, new patients arrived with candidiasis, toxoplasmosis, etc. in the coupling, for which often lacked the appropriate drugs. So I set to work and began to hold themselves all the beige boxes convert to arrange to label. The person or that patients could indeed be helped by a drug may be excavated.
After many many in the pharmaceutical and probably hundreds of kilometers traveled around towed drug kilos is the roughest times now sorted by subject. In the next few days, I will classify the drugs even after impact areas and label. For the translation afterwards has Eric, offered to the other Swiss. Initially, the Organisiererei was quite fun, but now stands with me to the neck. But at least there is now some order.

Yamaha Nytro Turbo Or Supercharger

C'est le Gabon ...

... if each of the trunk lid of the taxi on and slam if over the threshold on a bridge moves (because the trunk-lid broken)
... a taxi without cobwebs windshield (broken) is at least as rare as the cleaning lady to clean our Bouka on Monday of the bath appears
... if a car is made at least 5 different other cars: this is all taken apart and reassembled (shops, "vente of Spare Parts"
... if you notice after weeks time, that the dispensers for surgical hand disinfection ordinary dish-washing agents
comes out ... if it smells like vomit, it may well be that someone cooked cassava
... if it stinks in one evening in the Bouka of dead animal (because ate the cat is poisoned with rat poison rat from the Réfectoire has) and next evening penetrating of gasoline (because they have not poured over the spot where the dead cat, was further away by the smell lured animals)
... If patients declare that dizzying blood pressure values in the consultation, their blood pressure Medis had stopped because they went to church every morning to ask for lowering blood pressure
... if you instead change may well also get Maggi cube
... when you either permanently antriffst your patients in the city or get you there slowly all know when you return to Switzerland return back or what size shoe do you have worn the last time, when you first enter the store or just a woman (former patient?) anhaut shopping before the cooler, if she can feed her baby already Joghourt
... often in the hospital when nothing is running when it's not either own or makes all like children every day to their same duties always reminds
... if ever have any soeurs frères and be introduced to your consultations, occasionally if possible so that they do not pay the consultation must
... when you are constantly asked by patients to your phone number (preferably from those that appear conspicuously in uniform)
... when patients often times simply run away from the hospital to pay to not have to - and when they appear the next time because of illness their patients' records "lost" and still have "never were there" - because you would otherwise noted, yes, that they still owe money. This, however, the whole medical history somewhere in the archives and you will repeat all the tests have ever made - which are most likely then also do not pay back (unfortunately not very rare for patients to pay could actually)
... if all always want to change (especially the taxi drivers), but it is a constant shortage of small change
... when in the liner Lambarene Port Gentil at least twice as many passengers transported are as actually intended for the ship - the people are almost stacked on each other because one simply loads into it from above into the belly of the ship
... when children everywhere teeming
... as contraception is a foreign word rather
... when trying to drive many young women with all possible: any herbal bleach, ... - Lea and then in surgery to remove the remains must
... and was approved several years ago did not prevent, the government promoted children's wealth, although in every corner of infrastructure for such an abundance of children lack
... if anything frère and soeur calls. If there are indeed times "real" siblings, which is also said explicitly: "nous sommes frères - même mère, père même" - which is indeed a rarity but
... when the age of 38 may well be Grandmother
... and also as a man can have 26 children
... whenever everyone is ready for a chat and have an open house
... when children wear school uniforms colors depending on the school
... every few days when the hair is changed
... if the butter is melted or almost rock hard either, but certainly nothing in between
... if you like the air conditioning in the consultation room are all drowned auscultation
.. if you to "bonjour" someone "oui" to the answer is
... when the river is not to go swimming, because an otherwise Krokis in the A. .. Biting
... if in addition to student soon to become a secretary, pharmacist, ...
is ... the drinking water often times the color and taste changes
... if you can order in a restaurant Đino
... if à tout à l'heure up in 2 minutes 2 hours, possibly even can warm up in 2 days
... if you can buy roasted peanuts instead of almonds
... the tailor an offering of himself to come along on fabric buying trip, so I will not get ripped off
... senn you in a speedboat when passing a Pirogue kindly on the brake pedal must
... if it is almost normal for a student railed about the nasty teacher, whilst she is holding her 1-2 year old child in her arms
... if not a bit mosquitoes care about European anti-insect repellent or long dress, but blithely stand - especially me

... I pretty much give me skill to bring this all down here because it has become so normal that it no longer strikes me.

Congrat Phrases New Job

HIV and AIDS

HIV and AIDS, here such a common problem that I did not have written much about ... which must be completed.
On the day of my arrival in Libreville fell me the many posters that to make aware and educate on the disease. The PNL (National lutte contre le sida program) is working here with a 3-point slogan: 1 abstinence, 2 fidélité mutuelle, 3 préservatif. Since the first two points of access for the majority of Gabonese ere not, must be in practice probably begin before the same point in three.
In our HIV-positive patients for the prize en charge each open a special file, which is usually my job. In addition to the hard data such as laboratory values, personal data, and disease-indexing diseases and the risk factors discussed in each case - very few of these patients have ever used in her life Präservatif.
As an HIV-positive patient with Justin in the consultation did not know what a Präservatif, had never seen one and we demonstrated it to her, was with me exceeded the limit.
the Internet I found a fairly explicit Series, which explains the use of condoms for men. In large format prints I hung them up in the clinic, which initially provoked a small minor scandals at the Department's employees - I think it was rather out of duty, at least I was then asked by some to Flyers to them her "children" to show (resp. to read himself). As already hinted, the image series, I also reproduced as flyers, which has since rest in my office. The other two internal medicine although they are not, but at least are within reach in order to make risk patients. I do not care: I have been distributed to the 80 list - and thus perhaps prevent some infections. Also on the latent lack of condoms for selling and dispensing has not changed much. The few hundred that I brought from Switzerland, were shortly after my arrival to leave. As an educational center for sexually transmitted diseases, it is actually quite embarrassing and negligent, if not even more condoms is available here for the few responsible ones, they are now. Well, it is unfortunately not the only thing missing in here. We have just two example toxoplasmosis patients for whom there is simply no more medication. Even worse, the replacement drug is considered.
Despite the educational posters exist here in Gabon as everywhere in Africa a lot of stories and attitudes to AIDS. Many claim to traditional Practices (traditional medicine practitioners) can cure AIDS and consequently many HIV-positive patients are simply not in the controls because they receive treatment instead of somewhere in the boonies of a healer. They usually appear shortly before dying in a hospital setting but again - some with CD4 counts of 4 .. (500 above normal). Justin was of course on - both because it makes helpless and partly because it the reputation of the hospital course, not just better if people come here just to die, and then blame the hospital to their death.
more frequent, however, that a positive result, patients simply do not believe, do not accept it, it negligieren, and therefore also refuse any further treatment and disappear en brousse - probably further to infect an entire series. "A whole range of other" less because of the mostly elderly couples occurring polygamy, because more loyalty with many Gabonese is more of a foreign word. As Guillaume had said "comme chaqu'un a plusieures chaqu'unes et plusieurs chaqu'une a chaqu'uns ...". But there are also quite good patient when, unfortunately, more likely in the minority. Just today I had a pretty hefty conversation, in the morning hours I had a patient with herpes zoster (shingles) of the left upper side of the face. Because such a common occurrence in patients Immunkomprimitierten, I suggested him to take an HIV test (unfortunately a rather expensive test: 8,500 CFA, almost 15 CHF): the result was positive. I told him the result and the disease, and he seemed to understand well, even asking questions - a good sign. And he also asked me for his wife, perhaps even a positive one. I tried to encourage him to make it to tell her, offered him, they hereinzubitten and the whole thing both to explain again. He was afraid she was too fragile to prästieren to the result. And in my experience such people accepted it is usually the result anyway, affecting even the partner so that this treatment breaks off - at first very insightful patients, I have unfortunately already experienced this. After much hesitation, the patient came in, his wife and I explained the whole thing again. They barely reacted, but was willing to get tested. Was hurt, disappointed. Although I viewed the people, not the when, why, by whom look to the infection, as it currently does not have much, I can imagine what the result to the personal relationship between the two states. The result will be there on Monday, unfortunately I already almost certain to be read as it is.
few days ago, I compiled the statistics of the seropositive patients hospitalized in 2006. There were just 100 in the seropositive patients hospitalized Kopp - with many that you forgot to write some more secure. A few weeks ago I presented a statistic from 2004 - 2006 all together positive and negative tests of the entire hospital - Justin she needed to get the anti-retroviral drugs, for which he regularly has to personally go to Libreville.
are now all the drugs for free, already a significant achievement. However, all the tests in advance, which are necessary for treatment, paid for by the patient / patient (approximately 20,000 - 60,000 CFA) - an impossibility for many. The therapy would indeed be free, but the beginning of such a fail at the hurdle of the necessary investigations.
Next Wednesday is my turn to give a talk related I would like to introduce the statistics of the coupling, with a Rappel on HIV / AIDS - not a few of hospital employees are seropositive. On this occasion I would also like to take a new HIV information leaflets in the round, the old one of the many "copies of a copy of" barely legible. Guillaume, the young Gabonese of the studio des Arts et d'expression leads me to provide the illustrations, let's see obs works. Because, unfortunately, the stage will soon come to an end, time is always far too brief and be prepared with the presentation even more scarce, so I also apologize right here for my more rare items in the blog. And incidentally, the wife of my zoster patients was seronegative. Although in the first 3 months after a second test, a certain result, I was pleased the extraordinary.