I am just stepping out of the theatre. We are going to review another case where the rural doctor initiative becomes very vital a tool in enhancing health care in the rural area. The young man is 18years old. He had just climbed up a tree to pluck some leaves for his parent's livestock. They live in a far away village kilometers away from the one I live in. Done with gathering enough for the animals, he made to climb down and in the process got stabbed in the stomach by a dry sharp short branch. It created a hole through his navel and into the abdominal cavity.
Ofcourse the guts were happy to visit outside for the first time since their existence. They made the best of the freedom. He was first rushed to some kiosk in his village where the quack attempted to force them in but he couldn't. Then he sort for help and he was directed here after 10hours of the injury. Here we checked the vitals, started fluid, ran some investigations and decided to go in. On the table, I realized he actually has an umbilical hernia. I did a longitudinal incision across the umbilicus to coincide with the stab wound and opened up there. Luckily the guts weren't injured. I quickly returned them, did what I had to do, repaired the excess peritoneal sac, repaired the defect with a keel procedure. I closed him up and sent him to the ward. A scan and an X-ray will be done tomorrow to be doubly sure. There is no way the young man would have gotten a qualified doctor in his village to help and probably this would have led to some sepsis and peritonitis. On getting here, we didn't request for a dime from them. As I write this they haven't deposited a dime for the surgery. This can never be the case in say a TH. They wouldn't have been able to afford the cost. The RDI isn't about profit but the consciousness that every life that walks God's earth has an equal opportunity to good basic health care. I don't think this is too much to ask. Do you? We are working on a framework that would enable us recruit more doctors to the rural areas even for a contract of 6months to a maximum of 2 years for starters. Thank you for making it a date with us again!
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