Written by one of our super trainees who was recently with us at St. George’s Hospital, currently on OOP in Malawi. Ellen has kindly given us an insight into her experience, and has provided her email address incase anyone wants to get in touch if you are planning a similar trip.
Do make sure you have a look at the lovely picture attached.
Attached is a picture of my ugly mug post 24 hour on call. This 3 year old boy came in with generalised lymphadenopathy causing such bad upper airway obstruction he had to sit with his neck extended. Biopsy of an inguinal lymph node showed Kaposi’s Sarcoma, although the child is HIV negative (African endemic KS – which is rare). He was started on chemotherapy and now only a couple of weeks later is much better, off oxygen and has a very good prognosis! Mum has provided written consent for publication here.
Side note: the other day he came running up the corridor to hug me – it was only after I picked him up that I realised he was holding a dead sparrow in each hand! I looked at Mum questioningly (my Chichewa skills not enough to ask her about it), she just laughed, so I smiled and put him back down – very random!