There are things we take for granted that were obvious when we first arrived: Latex gloves, disposable gowns, IV tubing, and even needles. But consider a regional trauma center without a functioning CT scanner, where most of the drugs have already expired (within the past month, if you're lucky), and blood products that have to be brought from the bank (on the other side of town.)
|The ICU: We were rounding at the other end with Surgery setting up for a gastrostomy; Physical therapists assist a patient at the bed next to us.|
|The ENT Resident, supervised by his Attending, placing final touches on a tracheostomy.|
ON the right, Leeda evaluates a patient who had returned for evaluation of a swollen and painful right foot. Kabul traffic is crazy; pedestrians and cars blend into a medley at major intersections. A car had run over her foot many weeks ago. Her foot had been plastered twice, but she continue to have pain and swelling over the dorsum of the foot. She had been waiting for the second day here, outside the main orthopedic emergency department.