March16, 5:15pm Nigeria

This is my first attempt to post on my blog so bear with me.
First day in clinic started at 8am with a black pastor speaking for 30 minutes with alot of emotion and gestures and amens. and walking all over the meeting area. They call this devotions!!! I have never heard someone speak so fast and for so long extemporanously and yet say the same thing over and over with different words. The ending prayer was also spontaneous and went on for over 7 minutes , with his voice rising higher and louder, esp the last 2 minutes.
Patients are encouraged to come to this, but they also are seen an a first come basis so that gets them there. Even Muslim women come to this ,but are the least interested.
The 2nd pt. was in early shock with a BP of 80/40 and a pulse of 140. Her HIV test was +. Her husband left her in Jan. and just before he left he told her to get an HIV test. She also is breast feeding her 8 mo old , so the baby prob is also + for HIV. We wanted to send her to a hospital but she had no money and they wouldn't accept her. So we sent her home to return tom . to start ART for AIDS. IV fluids do wonders .
In a 12X12 room 3 diffent doctors with 3 diferent pts would all be working together with no privacy. No wonder they don't do much for physical exams. Nurses and other admin. people are coming in and out of the room, cell phones are going off and Christian music is played in the background. Total chaos. They have alot of doctors here at FA, but not near enough examining rooms. Can you imagine an American being told he has HIV with many other people in the room that the pt. doesn't know? Where is HIPPA when you need her?
That is all for now.
Will