I'm not on my computer, so I can't attempt to post pictures. Sorry.
I did an incision and debridement (I&D) the other day on a little girl. The girl screamed bloody murder for the whole thing. We have lidocaine here and ketamine, I don't remember why we didn't use ketamine, but from the sounds of her screams the local was doing nothing. People have a high pain tolerance here, sometimes yell, but this was bad. Dr. Faile held her hand through the whole thing, and I just felt miserable inflicting this pain.
I wanted to give her something, so I broke out a pack of crayons and a coloring book, thinking I just want to ease this kid's pain. Well the gesture was nice and all, except that she didn't know what crayons were. She also spoke a different language, so it basically took half the day to find someone to try to explain what crayons were and that they were hers. I demonstrated for her. I think she got it by the end, because the next day she had colored some of the pictures in the book. I'm not sure she realizes it's a gift for her, I get the feeling she's waiting for me to come back for them.
Christy and I were just talking about how something an American child would find so commonplace is foreign over here. A pen is something an adult is allowed to use, but not for a child's use. There are definitely no mounds of toys piled in a corner of a hut. When you do get a child to draw a picture, it's like a toddler drew it because they haven't had extra paper and pencils and things to just draw.
do the children there start any type pf schooling??? do they use chalk? branchville, diane
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