Good evening!

We have completed our first full day of work at the hospital. We were expecting a full day with inpatient rounds and clinic, but when we got to the hospital we realized clinic was closed due to the observance of Good Friday. It was just as well, as we were rounding slowly due to our unfamiliarity with the charts, the staff, the patients, and formulary. Fortunately, the hospital has a protocol for new doctors that has been extremely helpful. A list of some things if saw today I've never seen before: malaria, typhoid fever, snake bite, adult primary varicella infection, and shigella. We are all very good at treating snake bites by this point, and consequently terrified of coming across a snake on the way home from the hospital.
Unfortunately, one of my sicker patients I rounded on this morning had already died by the time we returned for evening rounds. We still don't know what really made him so sick. In the US, he would've have been CT'ed, pan cultured, placed in an ICU, and eventually ventilated. None of that is available here. You have to take your best guess with what you have available and treat might be curable.
 I will have to post more later, since we need to get up early for  morning rounds at 7:30. Good night!