I had the good fortune of getting just 4 hours sleep before my first day which was also my birthday. Well worth it though -
Ward rounds start at 7am which makes sense given how hot it gets here.
The hospital was much like a district hospital in the UK, with excellent availability of drugs including most antiretrovirals which are all free.
My ward round had a heavy Toxoplasmosis theme to it - very common out here and usually treated with septrin as it's hard to get hold of sulfadiazine and pyrimethamine.
CMV is also something far commoner here and readily treated if suspected.
It's amazing how with more and more patients on HAART we are seeing very little CNS related admissions in the UK compared with when I started as an FY2.
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