September 25

Busy day today. Lots of little problems. Had a woman who was screaming with pain and looked pale that I thought she had either ruptured appendicitis or ruptured ectopic pregnancy. In the end I think it’s another cancer. Then we had a leprosy guy who came in with a gangrenous toe. I learned how to amputate a toe from Dr.Scottt. Actually it’s not that hard as the toe is already dead.

The oil company helicopter landed on hospital site yesterday bringing a lady with three weeks history of bloody diarrhoea with mucous and blood—prob amoebic dysentery. She was also pregnant. Turned out this morning she delivered the baby. They called me for delayed second stage labor and thought we need to do vacuum (air pressure to pull baby out). I was not looking forward to it. So I made the woman push harder and pop the baby came. Phew!