So after the floods in Cambodia some of the doctors who knew people in certain communities around Battambang decided it would be good to do clinics with people who had been displaced from their homes by floodwater. The first of these clinics was in a wat near Phnom Sampov.
We arrived on a Saturday morning and set up desks with
nurses taking vital signs and names, then sending the patient to the doctor who
would give a diagnosis and prescription and then to the makeshift pharmacy who
would fill the prescription and explain to the person what to do with the
medication.
I was with the nurses taking vital signs all day, there was
a constant stream of people (I think we saw almost 200 that day!) and so I felt
I hardly stopped or got to really interact (although my Khmer is so poor I couldn’t
have said much anyway). At one point I was presented with a teary baby and
realised that apart from the fact that we don’t have any BP cuffs small enough,
in my work as an adult nurse I have never had to assess kids or baby’s (not even
in english!) so I looked at the now crying baby and tried to get a heart rate
or resp rate but wasn’t having much luck… I asked my colleague (and generally
awesome dude) Tum if he could help me, he replied ‘sure’ and calmly asked the
mother to walk into the shade with the baby and to point up into the sky and
watch the leaves from the tree’s above… by doing this he distracted the child
and also got it to stretch out it’s abdomen making it easy to count the resp
rate, humbled, I said thank’s to Tum and went to see the next patient.
At lunch I saw a big hole in the ground with a web on the
inside like an Australian funnel-web but much larger, I assumed something lived
in it and thought I should tell people, as the hole was just behind one of our
doctors desk’s. I pointed this out to people and asked what it was, thinking
that they would tell me what animal it was and sensibly leave it alone…. That was my first mistake… Vichet (one of the
doctors) happily told me it was a king spider, (about the size of my
outstretched hand, highly poisonous, and apparently quite tasty). He then
started pouring water into its hole and poking a stick down trying to make the
giant poisonous scary hairy spider come out to kill us all! By this point of
course there are a crowd of interested barefoot onlookers crowding round the
hole, and I am standing well back having a little whitey conniption about the
whole situation. Eventually when everyone had seen the big spider and Vichet
had noticed that I was paling a bit, people lost interest and left it alone,
went back to seeing patients etc. Meanwhile a pig about the size of four of me
wanders out of the jungle and past the nurses desks and off into the camp J
We treated a lot of people for general illnesses, colds,
boils, a broken arm that had been wrapped in leaves, dog bite, gastro issues
etc, although sometimes I feel the diagnosis and prescription leave a little to
be desired… It was an interesting day. Afterwards we went to Kamping Pouy where
the people in the camp were from to see what had happened. Kamping pouy is a
huge man made dam built by khmer people in atrocious conditions under the khmer
rouge. During the flood it had been dangerously full and so the area had been
evacuated and the gates opened to let some water out, as the pressure of the
water was so high however the water ripped the gates out of the walls of the
dam and surged through where the town had been. The damage was scary, I’v never
seen water do so much damage, having been to kamping pouy weeks before to go
swimming, the changes were drastic and almost unbelievable.