Broaden your mind, narrow your chances? Reflections on short-term medical work in the developing world.

Broaden your mind, narrow your chances? Reflections on short-term medical work in the developing world.
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DOI:
10.1136/bmj.282.6274.1454
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发表时间:
1981-05
期刊:
British Medical Journal (Clinical research ed.)
影响因子:
--
通讯作者:
J. Fairclough;S. A. Spencer
J. Fairclough;S. A. Spencer
中科院分区:
其他
文献类型:
--
作者:
J. Fairclough;S. A. Spencer

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这是一个潮湿和多云的星期一上午在乌干达南部的高地。尽管下着暴雨,病人们还是成群结队地去看Musungo(来自海外的医生),看他们各种各样的疾病。在一间昏暗的房间的中央,医生和他的同事坐在一张桌子旁,病人们在等待的人群面前展示他们的症状。“实际上,我得了淋病,医生,”戴着红色帽子的高大非洲青年低声说,他知道大多数人群不会说英语。他有点尴尬,但并不害怕去教堂医院寻求治疗。下一个病人是一位上了年纪的农村妇女,她抱怨说她的全身都在给她带来麻烦。她是不是工作过度而累了?骨关节炎疼痛?她有肺结核或疟疾吗?由于病人的病史在翻译中变得模糊不清,因此寻求调查的途径毫无结果。
It is a wet and cloudy Monday morning in the highlands of southern Uganda. Despite the torrential rain the patients flock to see the Musungo (doctor from overseas) about their many and varied ailments. In the centre of a dingy room the doctor and his colleague sit at a desk while patients parade their symptoms before the waiting crowd." Actually I've got gonorrhoea, Doctor," whispers the tall African youth in a red cap, knowing that most of the crowd do not speak English. He is slightly embarrassed but not frightened to seek treatment in a church hospital. The next patient, an elderly village woman, complains that her whole body is giving her trouble. Is she tired from overwork? Pained with osteoarthritis? Does she have tuberculosis or malaria? Fruitless avenues of inquiry are pursued as patient histories become obscured in translation.