Weekend at the Lake, Start of 2nd week

Jeff and I spent the weekend relaxing on the shores of Lake Malawi at an area called Senga Bay. It was a nice relaxing weekend after a busy week of travel, work, and getting over jet-lag. The trip to and from the Lake was extremely interesting to say the least. Public transit here in Malawi is an, adventure, a huge one.  We over came the odds, police road blocks, crazy pick up truck drivers, bicycle taxis, hitch hiking, and managent to have a good time. Some pics are below, the cottage we had on the beach was 25 USD a night and slept 4 people.

Today was our first day rounding in the mens ward. The ward consists of ~ 30 beds in a small corridor lined up next two each other in rows two. They also have a isolated TB ward which has about 6 beds in there. The team consisted of myself, Jeff,  Dr. Kiromera, the director of the hospital, an ID Fellow and Ilene, that family doctor from Toronto. We had some simple patients,  bee stings, simple PNAs, likely over diuresis but had some other, more interesting/complex patients  patients that are hard to diagnose, TB adenitis, HIV myelopathy etc....

We are giving a lecture this afternoon on anti-fungals and the management of crypto meningitis, highlighting the recent article by Nussbaum et al in CID:2010;50. Should be very interesting....

This afternoon we will round the palliative care team and prepare for the ART clinic tomorrow AM. The goal is to have all of the patients enrolled in the intervention arm by Thursday.

Pics of the pharmacies, the wards, the out patient clinic, the ART clinic will be coming shortly.

Corking view from our room, not bad. about 15 paces from the water.

Amazing flowers here.

Dusk view of the bar.