As a Senior Consultant, the reason I haven't raised my voice is simple:
When the interns are gone, I will gladly show up at 5AM, clerk 80 patients, draw the blood, and run the night calls myself.
I am superhuman. Obviously.
As a Senior Nursing Officer, the reason I am silent is obvious:
I have no problem running three wards alone, fixing lines, tracking vitals, delivering babies, doing the paperwork.
I don't need hands. I have dedication.
As a Policymaker, the reason I haven't spoken is elegant:
The interns are a budget problem I solved by terming the students.
My children are not doing internship in Uganda, after all.
As a Patient, the reason I haven't complained is clear:
Even if the doctor cutting me open has worked 36 hours without food, just cut me open and take the baby out.
Hunger sharpens the hands. Everyone knows this.
As a Citizen, the reason I am unbothered is rational:
None of my children is a medic.
I have my pastor.
The system runs on miracles. Always has.
This policy is brilliant.
Let's all stay quiet and watch the magic happen.
Intern doctors are not students.
Unpaid medical internship is modern-day slavery.
Hungry and angry interns are a danger to the patients.
The @MinofHealthUG should consider proper renumeration of ALL interns under the new National Education and Training for Health Policy.
To every medical student about to enter internship:
Your silence is compliance.
To every senior doctor who went through internship with an allowance:
Your silence is betrayal.
To every Senior doctor waiting to supervise hungry interns:
Your silence is sadistic.
To every Ugandan who has ever received care from an intern:
Your silence is ingratitude.
This policy requires a collective response.
Not a quiet acceptance.
Patients remember two things:
How long they waited.
And whether you looked them in the eye.
Everything else; your brilliant diagnosis, your perfect treatment.
Forgotten.
Medicine is the only job where competence is expected but kindness is remembered.
The doctor treating you might be:
• Grieving
• Divorcing
• Depressed
• In debt
• Burnt out
And expected to perform perfectly anyway.
Because the white coat hides everything.
My Internship Story
5 years ago I did my Medical internship at 4 sites (Kigtum, Kiruddu, Mulago and Kawempe).
At Kiruddu NRH, mostly, an intern is assigned to a ward eg Neurology ward (one of the many I was assigned to)
In this ward you have both male and female side and you are responsible for all. At a particular time, there are at least 20-30 patients everyday both very critically ill and requiring close monitoring such as 2-4 hourly vital signs, measuring glucose levels and making sure the patients get enough oxygen, functional IV line and so on (ofcourse the glucometer would be shared by many other wards and you have to look for it from different floors of the hospital)
In addition to this, you have to do award round everyday 1) see every patient 2) do full physical examination 3) take off blood sample and take to the lab on a different floor 4) help wheel the patient for CT head scans 5) write notes in their files 6) write discharge notes for those stable enough to go home.
If it so happens that the senior/consultant is coming for a ward round which would be on Monday and Wednesday and there is a patient you do not have all the above on, you are in big big trouble.
This means you have to be on ward as early as 6am and most times leave by 7 or 8 pm.
Breakfast and Lunch were optional and without doing all the above you can not pass you internship and get a full license.
For the Ministry of Health to come up to scrap the policy paying Intern Doctors is such a big joke considering the fact that they used to pay 500k ugx until my time 2021 when we faught and the pay was raised to a gross of 2.5M (about $500)
We reject the new internship policy in its totality and categorically stand firm on evidence that this will cripple our health sector.
For God and my Country 🇺🇬
@MulagoReferral doctors have successfully done a parasitic twin surgery. A surgical procedure was done to remove an underdeveloped, parasitic twin from a living host twin.
The surgery was successfully done and the viable twin is doing well.
A Parasitic twin surgery is usually a life-saving procedure to remove an underdeveloped, dependent twin (parasite) from a fully formed, healthy twin (autosite). It is necessary to eliminate risks like infection, heart failure, or organ damage caused by the parasitic tissues.