Meet Dumpoko and Tinaba.
They aren’t related, but you would never know. Because of their nephrotic syndrome, they look very similar. Nephrotic syndrome is a nonspecific disoder that can result from various other ailments – in their case, it was likely hepatitis or malaria. In nephrotic syndrome, the kidneys are damaged, and protein is excreted in the urine. Decreased protein in the serum causes water to accumulate all over the body, as you can see here. It’s hard to believe, but this picture was taken after we drained 7 liters from each of them individually through a paracentesis.


Meet Arijatu.
I think this may be his name, but I’m absolutely not certain. This kid is one of the healthier ones. He is here for intermittent acute leg pain that, when present, prevents him from walking. Though we are treating him for osteomyelitis, the leg pain still comes and goes. His legs are non edematous but warm to the touch. He will probably be discharged soon, though I wish we could promise that the pain would disappear. He does not have sickle cell, and has so far been treated for every infection we could think of. Suggestions are welcome as to what could be causing this pain. He definitely is a cute one though, and has been fun to see on rounds.

Meet Muhammed.
Muhammed was admitted from the outpatient clinic yesterday. He was carried in by his parents and several others who kept repeating, “Doktor, the child is very weak.” Indeed, he was. Unable to walk, difficult to rouse, and does not respond to painful stimuli – these signs among others indicate central nervous system involvement. We have been treating him for both cerebral malaria and meningitis, but he shows no sign of improvement thus far. His spinal tap was clear, without an elevated WBC count, and we continue to be stumped. We now suspect that he may have African Sleeping Sickness, although there is no way to diagnose that definitively with the resources at hand. Please be praying that he is healed by the One who can truly heal. I continue to pray that I will see this child awake and happy soon.

Meet the twins.
Premie twins – one is 2 lb and the other is 3 lb. They are not named yet. The parents here often wait to name their children to first see if they will survive. In my opinion, they are definitely survivors. They are some of the highlights of my day to see them in the maternity ward. Although they definitely require detailed care, so far they are responding well.

Well, though these are only a few of my patients, I wanted to introduce you to some of them while I had good internet connection. I have told many of the parents that I have good friends in America that are praying spefically for them and their children. The Ghanians are so grateful, and so am I. Hopefully in a weeks time, these children are all home and healthy.