Outside of my area of expertise

As a pediatrician, the majority of my experience is with infants and children. However, in the DR Congo, I find myself assisting with adults.

Last evening, the resident doctor asked for help with 30 year-old patient in the ICU. She tried to terminate her pregnancy and the non-medical provider unintentionally perforated (made holes) her uterus and intestines. Our surgeons operated on her but she now had a severe infection and very low blood pressure (50/20).

We worked on her aggressively for hours and, after starting her on a continuous infusion of medicine to increase her blood pressure, got her minimally stable.

I really enjoyed helping with this “elderly” patient. The case was outside of my comfort zone, but we just stuck to the basics of medicine and helped her survive the night.

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