July 2008, my return

If there are actually people anxiously waiting to read my next blog, I apologize for the long wait....you can finally rest easy. Hmmm, where exactly should I start. I'm currently in Kunming....which is in China (in case you forgot). Ashkon Akesheh (a 1st year med student at UCI), Jessie Guilmette (a recreational therapist/humanitarian worker/golden flower), and I (prospective med student) arrived in Kunming on the 22nd of July. We spent our first night in Dr. Detrano's apartment and early the next morning hopped on a bus for a long 7 hour ride to Dali. Our destination was a county called Eryuan which was just northwest of Dali. Bob (the doc) had never been to Eryuan before and was interested in it as a future location for conducting research. We spent three days in Eryuan running hypertension clinics for roughly 7 hours a day. The local doctors would gain general information from each patient like age, past medical history, chief complaint (etc.) and then Jessie and I would take blood pressure measurements and calculate BMI's (body mass index). After acquiring this necessary information Bob and Ashkon would run through a full physical check up. This generally consisted of (depending on the complaint) palpating around the neck, back, and abdomen, then listening to the lungs and heart. Because we were being advertised as a hypertension clinic, you can imagine the number of people we saw with high blood pressure. I actually measured somebody as high as 276/115 and surprisingly this woman was in relatively good shape. Even after being advised by Bob to go to the local hospital she adamantly refused, took her free dosage of beta-blocker and walked home. Most of our patients were older women ranging from 70-90 years of age. We were only in Eryuan for 3 days so we had a lot of patients eagerly waiting to see us. The tension in the waiting room was clearly visible. Jessie and I on a number of occasions watched an old woman try to cheat her way in front of the line. One woman was ostracized from the group after she unsuccessfully tried to place her medical information on top of an already organized pile. We didn't know quite what they were saying to each other, but we could tell by the tone of their voices that they weren't exactly exchanging pleasantries. We're in Kunming just for one night and then we're off to Wenshan (southeast Yunnan) to do research for around 10 days. I don't know what the internet situation will be like but I'll try to write as soon as I have a chance. Enjoy the pictures and stories and I hope everyone is well.