I'm not sure if I can fully articulate this place. As you walk in, the first thing to notice is every bed is full. It is simply an open room with rows of beds filled with sick people. I'm not exactly sure, but criteria for admission is pretty high tolerance with respect to our U.S. hospitals. We also visited the ER where I got the impression that patients who can be treated a few days or less simply stay down there, receive treatment, then leave. The ER is more like a ward. The Gen Med ward is more like our equivalent to an ICU or intermediate bed. Everyone is terribly ill. On the ward, some patients are even on ventilators and vasopressors because the MICU simply cannot contain that many patients requiring this level of care.
Physicians scramble and do their best to keep up with a too demanding pace in a hospital with limited resources. Despite their best efforts, as we walked by, we noticed a patient who's O2 saturation was 70% for well over 30 minutes before anyone could get to him. That isn't to say people are just standing around. Almost all the patients in the ward need immediate intervention. Due to the ward being so busy and chaotic, there was no teaching done. I was disappointed by this since I was really hoping to be exposed to different pathology than the US, however, I nonetheless appreciated the opportunity to view the ward.
Physicians scramble and do their best to keep up with a too demanding pace in a hospital with limited resources. Despite their best efforts, as we walked by, we noticed a patient who's O2 saturation was 70% for well over 30 minutes before anyone could get to him. That isn't to say people are just standing around. Almost all the patients in the ward need immediate intervention. Due to the ward being so busy and chaotic, there was no teaching done. I was disappointed by this since I was really hoping to be exposed to different pathology than the US, however, I nonetheless appreciated the opportunity to view the ward.
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