This morning I flew to Ghanzi. along the Western frontier of the country where we taught and rounded with the M.O.'s there. The level of enthusiasm was eager and earnest and the level of medicine was of the standard one might expect in a rural hospital. The building was new and very spread out, a lot like a new elementary school in some sunny clime in the States. The nurses are enthusiastic which separates them from the staff at Marina. The patients represented a spectrum of rural problems: an elderly woman with a hemoglobin of 1(!!, normal is 13-15) who probably was losing blood slowly over time so she could actually stand upright, a child with probable slipped capital femoral epiphysis (a problem with the thigh bone), a woman with dysfunctional uterine bleeding, and the like. Truly bread and butter family medicine.
And one of the most amazing things about this place (800km from Gabs) is that the staff was just giddy about the Obama victory! It really is infectious and kept things light and fun. He'll need time to be sure but to have that level of enthusiasm at that place at this moment is time is incredible.
Thanks for the comments and letters, they make my day.
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So interesting to get the international perspective on our election. We watched BBC after it became apparent that Obama would win, and it is truly gratifying to hear positive things being said about our country, the direction we appear to be heading, and our democratic process. Perhaps after 232 years, capped by the last 8 years of juvenile, petty politics (on both sides) and downright idiotic regression thanks principally to a complete lack of competent leadership, we're finally growing up a little?
(And these are my public comments; over a couple of beers or an hour long drive down 84 after a meet I'd be happy to shsre my true thoughts) :)
Bill
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