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The patient shown dislocated his left shoulder for the 5th time. Standard US treatment would be an elastic restraint (called a Velpo) that holds the upper arm tightly to the side of the chest and the wrist to the front of the chest for a few weeks. This allows the damaged ligaments and joint capsule to tighten up. Afte the 3rd dislocation, surgery is used to prevent further episodes. The Velpo technique frequently fails since this injury occurs in teenage boys, and they are notoriously non-compliant with the treatment. So, I hope this Afghan version works. It's a plaster cast and will truly immobilize the shoulder involved until removed. I bet it will get quite uncomfortable in a hurry.
The docs invited me to lunch with them today; we had them over to our side for American cuisine a few days ago (they loved the Baskin Robbins ice cream). Shown is a typical lunch of stewed beef, a potato dish, a milk pudding, naan (bread), fresh fruit and half a pound of rice. I did not eat it all so they were concerned I didn't like it; I can't eat that much!
BTW, Happy Birthday to Sanjoy and my "baby" brother Dave. Sanjoy, thank you, thank you for the unexpected wonderful treats from the famous Mike's Pastry Shop of Boston. Also, it finally got above freezing yesterday. Should be 40's soon.
3 comments:
Thank you for the birthday wishes.
I see some tasty looking beef there. I wonder if normal Afghan people can afford to eat meat on a regular basis.
They use just about bit of beef. I've seen the butchers at work: ain't pretty. They chop up the meat into 2" cubes then stew until it's tender. Not unusual to pick bits of spine out of the stew. Since herding is the major legal industry (opium is more prevalent but illegal) every village has meat available as cattle, goats or sheep. The wealthy can afford camel meat.
A belated thank you for the well wishes! The best gift was a birthday card from Janessa with "DADDY" on the front and "I love you" and "Janessa" on the inside. Mommy helped with the spelling but the writing was all hers. Hurrah!
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