‘On Boxing Day, I was invited to a friend’s house for a meal that included rice, potatoes, different meats, and a salad. We enjoyed the food while watching a soccer game. The English Premier League is super popular here.
My Swahili is coming along. I can understand 10% of the conversation, which is encouraging and much better than where I started. I’m really hoping to be conversational in Swahili by the time I leave.
This week had few challenging cases. The one that stands out is a 14 year old boy with a developmental brain injury. He presented with marked spasticity in all four limbs and recently lost his ability to walk, which was not great to begin with. The children I’ve seen with brain injuries leading to spasticity have poor balance and a poor ability respond to challenges in the environment (rocks, hills, steps, etc). As you might imagine, when the build environment is not accommodating, it becomes really tough for these kids to engage in society.
What really stood out in this boy were the multiple non-healing sores on his hands and face. They appeared to be there for a while and in the week I saw him were unchanged. He also had dry gangrene on the tip of one of his fingers. It’s tough seeing that level of deterioration. I gave the family some simple exercises for the spasticity. For the other conditions, we referred him for other management.
Merry Christmas! Thank you for the update; I love hearing and seeing a glimpse of what is happening in a world so different than mine. Keep up the baking practice, you’ll only get better!