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Malawi, Queen Elizabeth Hospital in Blantyre

I went to Queen Elizabeth Hospital in Blantyre, Malawi. This was the
largest hospital in Malawi with medical, surgical, paediatric and obs and
gynae departments. Most of the consultants were either Dutch or British.

Over 95% of medical patients were HIV positive and most of these also
had TB.

Good points
- very interesting elective.
- Able to learn about a whole host of conditions that you rarely see in
the UK
- able to get involved as much or as little as you want to
- they were happy for us not to take bloods or do LPs etc. but
opportunities would be available for students that were keen
- able to attend palliative care clinics and outreach clinics at more
rural hopsitals
- opportunities to learn about research the hopsital was conducting into
malaria and bacterial meningitis
- able to arrange pleasant accomodation for 10 dollars per night at a
guest house adjacent to the hospital
- able to arrange to visit a local orphanage at weekends
- opportunities for teaching the Malawian students
- Blantye is one of the largest cities in Blantyre with access to
cashpoints and western style restaurants so you don’t really feel isolated
or homesick
- I went to victoria falls and the mozambique coast


Bad points
- distressing sights of patients dying in pain, fitting etc. Patients
often died unecessarily.
- few patients spoke enough english to be able to take a history from them
although this does give u an advantage to develop other communication
skills and experience using interpreters.


Problems
- none really


If people want any further info they can contact me at
- sjenks@doctors.org.uk