Another satisfied candy customer.
Kari: “There is always clinic.”
Indeed, clinic seems to pop up anywhere and everywhere, so we always keep a handful of dumdums and a notebook handy. There is no lack of spinal pathology in Mbarara, and the pathology here is often far from the adult degenerative disease seen commonly in the U.S. Tuberculous osteomyelitis, bodaboda trauma, and a wide variety of untreated spinal deformity are unfortunately plentiful.
The last surgical case was an operation to relieve compression of the nerves in the low back. The surgery went very smoothly, then it was back to the hallway for another impromptu clinic.
One of our patients presented with leg pain due to a herniated disc in her lower back. She wasn’t quite ready to have surgery, so we treated her pain by injecting steroids and anesthetic near the compressed nerve to relieve the inflammation and treat her pain.
At the end of another day, we had some extra time and decided to walk around the hospital grounds to browse the avocados and other fruits and vegetables for sale at a nearby roadside market.
Dinner was at a wonderful little restaurant just a few miles away – Agip – where most of the team ordered a variation on their favorite food. This would be tilapia kabobs.
Dr. Lieberman also arrived late tonight, arriving on the bus from Entebbe at 1:30 a.m. with a huge number of totes carrying the supplies needed to keep the spine machine going for a while longer. We all got some rest, excited to start the next day with Dr. Lieberman on board.