Lunch: Injera (made from Teff, a local grain) with vegetarian toppings.

The Swedish Embassy. Next to the Diabetes Clinic.

Monday Morning Diabetes Clinic: 82 patients seen by our team, which included Dr Helen Yifter Bitew, Dr Abdurazek Ahmed Abdela, 4 Medicine Residents, Dr Katy Brown and Dr Mike McDermott. Five Pharmacy Residents also present for Medication advice and discussions.

Dr. Yewondwossen Tadesse, Head of Department of Medicine.

Monday Morning after Morning Report: A break for coffee before clinic.

Week 1 Summary (March 24-28, 2014).

Six clinics (two diabetes clinics, one diabetes in pregnancy clinic, one diabetic foot clinic, two general endocrinology clinics) this week with total of 243 patients seen by our team (Helen Yifter Bitew, Abdurazek Ahmed Abdela, 4 Medicine Residents, Katy Brown, Mike McDermott). Among these were some severe Graves' disease cases, one severe Cushing's syndrome case in an 18 year old woman, congenital hypothyroidism and one case of a severe deforming metabolic bone disease in a 14 year old boy.

Two inpatient rounding sessions (one for Endocrinology and one for General Medicine). 22 patients were seen: many diabetic patients, several severe foot ulcers, one 80 year old woman with thyroid storm (storm score of 70), one diabetic patient in a prolonged coma from severe prolonged hypoglycemia, and several cases of leukemia and disseminated TB, and one case each of lung cancer, lymphoma, bacterial endocarditis, juvenile rheumatoid arthritis, hemophilia and one case of severe obesity with pulmonary hypertension in a 20 year old man.

Six education sessions (PowerPoint presentations) to fellows and residents by Mike McDermott.

I hope to see Lucy this weekend.

Cell phone stolen by a pickpocket today. No pictures today. Maybe again next week.

Friday Afternoon Endocrine Clinic. Saw 20 patients. The disorders these patients had included multiple cases of hyperthroidism (both Graves' disease and toxic multinodular goiter) with one patient being in the second trimester of pregnancy. All patients were treated with propylthiouracil (PTU) because neither Carbimazole nor Methimazole are available in Ethiopia. One 18 year old woman had severe, newly diagnosed (today) Cushing's syndrome.

Friday Morning inpatient Medicine Rounds. One day each week the two Endocrine fellows, Abdurazek Ahmed Abdela and Helen Yifter Bitew, serve as attendings for the General Medicine Inpatient Service. Katy Brown and Mike McDermott attended on these rounds today also. We saw 16 inpatients that were presented to us by the Medicine Interns and Residents. Among the cases that we saw were 3 with acute leukemia, 1with CLL and a blast crisis, 1with a lymphoma, one with hemophilia and a hemarthrosis, 1 with newly diagnosed lung cancer and a pleural effusion, 3 with disseminated TB, 1 with severe Juvenile Rheumatoid Arthritis, 1 with bacterial endocarditis, 1 (age 20 years old) with severe obesity and pulmonary hypertension and 1 type 1 diabetic in a coma from brain damage sustained during a severe hypoglycemic episode.

Friday Morning Teaching Session: Helen Yifter Bitew. Abdurazek Ahmed Abdela, Katy Brown, 2 Medicine Residents and Mike McDermott. My sixth Endocrine PowerPoint talk this week.

Friday Morning Diabetes foot clinic. Helen Yifter Bitew, Adurazek Ahmed Abdela, Katy Brown, Mike McDermott and 2 Medicine residents.

In case you didn't know, I have actually seen Elvis (before this trip to Addis Ababa).

Afternoon Teaching session: Tedla Kebede Geletew, Abdurazek Ahmed Abdela, Helen Yifter Bitew (taking the pictures), Katy Brown, 4 Medicine Residents, Mike McDermott.

Medicine Grand Rounds: Obesity.

Hospital Beds

Thursday morning inpatient endocrine rounds. Helen Yifter Bitew, Abdurazek Ahmed Abdela, Katy Brown, Mike McDermott and a lot of Medicine Residents.