26.04.2020 Exploring

Its been a very relaxing weekend and I've finally had time to catch up on my blog.

Today Patrick and I had a chance to go on an extended hike into the surroundings.  We traversed some rice fields and passed through some small villages on our way to one of the mountains in the area.  The peaks are not super high because we are living already in the highlands at an altitude of 1300 meters.  All in all we did a 5 hour hike in flip flops :)  We were glad because as always, going through the rice fields tends to end sooner or later in slipping into some muddy areas.  That is usually quickly recovered in flip flops but tends to be a pain when wearing any other sturdy shoe.  And yes we managed to get muddy. Here some pictures from our day out and about:

Panorama from the way up the mountain 

Our day trip goal

Local village along the way with outdoor gaming

Rooftops and tree

 

The rice field we traversed and managed to get muddy in

Church on the hilltop

View towards where we came from this morning (top left in picture)

View towards the quarry

Moving rocks at the quarry

Yesterday I did have to go in for one of our patients with a stagnated delivery and finally wish to have a C-section after hours and hours of laboring to no avail.  Given the unchanged cervical dilation despite help with oxytocin and active working with the patient this was a sensible decision. My resident Dr. Joselitto did the operation and I took on the teaching role once again.  He really operated precisely and applied all the tips I've given him along the way.  It is really rewarding when you see the progress of those you teach.  All went well.

Case #22 Baby girl 3255g

This picture rounds off the weekend with a

 beautiful night sky over Ambovo, Madagaskar