JUN-B-13
THE FINAL CLINIC MORNING IN SAGNAM,
PIN VALLEY,
BEFORE WE RIDE THE BUS TO KAZA
AND FORWARD TO A VISIT AT KIBBER,
THE WORLD’S HIGHEST YEAR-ROUND VILLAGE,
AND TO KI MONASTERY,
WHERE ALL SYSTEMS BREAKDOWN
IN PHOTOGRAPHY AND COMPUTER KEYBOARDS,
AS WE MAKE ROUNDS IN KAZA HOSPITAL
AND HOLD FINAL PROFESSOR’S TUTORIALS
FOR THOSE STUDENTS NOT TOO BUSY TO COME FOR EVALUATION
June 23 2002
The interesting feature of this morning’s clanks that we did not see as many patents as usually come rushing during the final day of our clanks presumably since a number of them could not get across the rising rivers with the snow melt that had swollen them as we had been worng here. The interesting thing about the evening activtes after we had made a quick vst to bber the highest year-round village on earth and the Monastery just below t s that we had made rounds at aza Hospital where we had worked n the last three Spt medical mesons had carried out. There we saw a group of fascinating very sc patnets including two that we had referred over from Tabo and Sagnam respectively as well as some new ones they had down a very good job of diagnosing and treating despite the lack of almost all “essential medical equipment” and a dearth of any really potent drugs. T would be le trying to carry out a rather sophisticated referral hospital on the American frontier at the turn of the last century.
Between the last clnc at Pin Valley and the npatnet rounds at aza we had two vests both at “a very high level” and a very intensive wrap up tutorial with at least one of the students revolting openly that “He sure did not need to now any of this.” This came as quite a surprise to Jam Blxen for one who had not heard too many students defining to their professor what they did or did not need to now and especially since the tem under question was one that Jam had brought up namely the venous drainages of the two gonads and how they differed n important ways that gave clinical signs that were helpful n diagnoses. Made the observation that at least one of our students who was rather smart had not been very ndly disposed to meeting anyone smarter—a problem he would carry forward from here since he certainly cannot learn much more f he assumes he knows most of t already. He was cocky when he was right but most alarmingly he was even cocker when he was wrong and reflected has anxiety about this not by the interest n learning more while t was available to him but by stranding up and withdrawing—“This interrogation s now over!” On the first day n Sangla had pointed out that this was not a democracy and they could not vote on what they would le to do such as attend the clunks or the tutorials. But when the post dinner session was about to begin the call went out to a number of them setting on the porch that the session would now begin and he had persuaded a few to “vote with their feet” a lethal characteristic come evaluation time when letters of support are requested.