Wednesday, March 11, 2015

A Week with No New Ebola Cases in Lunsar ETC and the Meteneh ETC in Makeni

It has been eight days since we last have a new Ebola case in the Lunsar ETC.  Many of suspected cases turned out just to be that suspected, which is a good thing.  Yesterday afternoon a 7-month-old baby was admitted with some symptoms and her mother who is not a patient stayed with her.  The negative Ebola patients have been discharged back to their community.  This morning we will transfer two more Ebola-negative patients to Port Loko Government Hospital, one for scrotal abscess and malaria and the other for anemia and hepatomegaly.  RK will be transferred to MSF facility in Freetown for termination of her pregnancy which is rather sad.

Ishmael continues to refuse to eat and pulls out his naso-gastric tube, his persistent diarrhea dictates continuing his IV fluid.  He is our sickest patient.  Last night the ETC had a movie night.  A screen was set up at the back of the three wards and patients could watch it from the backyard.  My Temne nurse and I donned around 11 pm, by then most patients were in bed except Aminata, Ishmael’s young mother who curled up in a chair watching the movie.  In the wards, while patients were trying to sleep or already deep asleep a few patients had their radio music turned up at full blast.  Surprisingly none of the other patients complained.  I had to turn it down so I could talk to them.

For the rest of the night, all was quiet.  We were able to take a nap on cots or mattresses placed on the floor, a sleeping arrangement far more superior than that of Bong ETU.

The Meteneh ETC
My one day off is now after a night shift which really should be a day to catch up on my sleep but a colleague and I wanted to go to the beach, however as always we could not find a vehicle early enough so we drove to Makeni, an hour away in the Bombali District.  There we paid a visit to the 100-bed Mateneh ETC built by the UK military.  This was where a resurgence of cases came and many of the staff form Lunsar ETC was moved here.  So it was nice to be welcome by many familiar faces.  We could really feel the impact of the full sun here without the shade of the corridor that we have in Lunsar.  The very friendly person that took us around evidently is very proud of the center.  Many of the confirmed patients who were on the road to recovery sat outside in the covered corridors waving.   Today they have a total of 34 patients, 15 in Confirmed, 11 in Concalescent, 5 in Suspected and 3 in Probable.  Because of the bigger patient load, the medical staff split up their duties.  Their mortality rate is about 50% and like us, lately they are seeing a lot more hemorrhagic cases.  They also had 5 births, one of whom was from an Ebola-infected woman but the baby who initially tested negative but then became positive, eventually passed away at a few days of age.

Celebration with Hand Print on the Wall
Today also they celebrated 2 discharges; we were able to witness the happy discharge of a young man who proudly planted his hand print on the wall signaling a new beginning for him.  Then they all marched out of the ETC to the psychosocial tent, with singing, dancing and drumming.  There he would receive his Ebola-free certificate.


Market in Makeni
Downtown Makeni was abuzz with outdoor markets selling slippers, cell phones, and clothing but I did not see fresh fruits.  We stopped at the supermarkets and right outside I bought some mangoes from a young girl and from St. Mary supermarket which only had a few pineapples and corossoliers; I bought a corossolier for a treat and to remind me of home in Malaysia.

A Corossolier
March is reputed to be the hottest month here and the sun’s ray has been so intense that my clothes get dry in less than two hours! In Bai-Suba where the generator is turned off during the day, those of us who have the day off try to cat nap rather fitfully, sweating all the while.

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