Gondhla Clinic

After working hard indoors all day you tend to forget where you are and exactly what you are doing. Then you walk outside and you see this view... and remember that you are helping people in a truly amazing place. The triage tent is on the bottom right and the building behind that is the hospital.
This clinic was about 14 kmn from our campsite near Sissu. Instead of using all tents like we did in Kaksur we used the local hospital for several of our clinic rooms. I began the day in OB/GYN and finished the day in the Ophtho clinic. There were not many OB/GYN patients so many of our pts were general medicine pts taken to relieve the burden on their tents. One pt that I had was complaining of arm pain and a couple other things. On examination I noted limited range of elbow flexion and extension as well as limited ROM at her shoulder. Apparently she had dislocated her shoulder and broken her distal humerus 20 years and had never gotten them fixed. Her arm had healed improperly and her shoulder muscles atrophied. We had an Indian doctor who was a Orthopedist with us who said that even if we reduced the shoulder now it would not help her b/c she wouldn't be able to move her arm. He said a shoulder prosthesis would be possible but was not probable b/c it wouldn't benefit her much either. The picture to the right is the Ophthalmology clinic. The clinic today was set up in the hallway right next to the two medicine clinics. Having a clinic this visibly open is not the best idea because everyone who walks by thinks they need to have there eyes examined, not just the people who really need it. This was one of the busiest afternoons the optho clinic had. In the picture from top to bottom are Vipul, Dustin, Sarika, and then our translator/driver.

Outside the clinic site there was a cool 800 year old fort. After clinic I walked around it and tried to pier inside, but I couldn't see much. There was a couple young boys who were also playing around the fort and trying to throw rocks into the higher open windows. There was a rock on one side that the kids would surf/slide down. I gave it a try and busted my butt. They enjoyed that very much.