Update from Daniel Patton

I’m tired. Wrist fracture. 2 ex fix removals for infected pins. Girl with anterior dislocated hip for 5 weeks (wow!) was scheduled for surgical reduction but her surgical incision from previous ruptured doudenal ulcer was full of pus. General surgery washed her abdomen. I hope she survives.

I worked in the ER for much of the afternoon. I diagnosed and managed UTI, Malaria, Uterine bleeding after D&C. It has been a while since I thought about gynecological problems.

A 67 yo lady with A pelvic fracture from the quake came in and I worked her up. I had a great discussion with Haiti radiology technician about the merits of cross table lateral versus judet xrays.

A good translator makes all the difference. I am trying to learn some creol.