Dr Francesca

Description: There Is Always Something We Can Do

Transcript
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I always think that without borders just not

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only means geographical borders but it's also about

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never confining your way of thinking about the

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patient as a disease or as some sort

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of medical condition that needs to be solved.

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Always think in a holistic approach and try

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to get them the best care possible, the

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best aid that we can give them.

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The most majority of our patients comes at

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our facility very advanced stage.

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Our main challenges are early recognition, early diagnosis

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and prompt treatment for them.

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This is not always possible because a lot

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of them comes in a very advanced stage.

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It doesn't stop us from giving them the

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best treatment we can.

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We recently had a case of a mum

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and his child, both HIV positive.

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They were both very sick with metabolic acidosis,

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a lot of vomiting in the area.

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It was very sad because of course social

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problems previous to this admission, not very not

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good adherence to the ARV so they came

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at a very very advanced HIV stage.

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Unfortunately the kid passed away last night and

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the mum was still admitted in the hospital.

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Yeah it was very hard with the breaking

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the news with the mum and the family

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as well.

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So this was one of the hardest cases

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we have.

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At least even though we were not able

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to save this kid, we managed to help

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him with the pain relief, like helping with

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no distress, like with this very hard distress

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on the respiratory side and so at least

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I hope we did something on the palliative

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care side for him.

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There is always something we can do for

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our patients even though they're at a very

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advanced stage, there is always something that can

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be done.