Weds: First day actually working in the ward and we had three admissions. All around 10 to 12 years old and all taking ART. One came in with diffuser joint pain. Another with a groin abscess. And the third with outer ear infection. Her ear had swollen to its normal size. Fortunately, their last CD 4 count were high and vital load was low. However, the little 12 year old boy with the joint pain barely weight 18 kg, putting him little above the fifth percentile.
Thursday: I checked in with our three patients in the morning. The abscess was drained and the little girl now feels much better. The boy with the joint pain feels about the same, even with scheduled Tylenol and Ibuprofen. The girl with the ear infection has improved. The swelling has decreased, but it was still still painful to touch.
After rounding on the patients, I went to clinic. And there I met two brothers, about 5 years apart. The oldest has been taking ART since he was 9, about 5 years ago, and his brother, 8 years old, had been taking it since he was 3.
Friday: It's my last day in this unit and I'm back with PMTCT. New babies were brought for HIV testing and preventative medications. Some have already been confirmed as being positive for HIV, while others are still waiting for their results.
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