03.02.2009 94 °F
Before I tell y'all about the wonderful trip we had to the mekong Delta, I wanted to mention something about the hospital in Vinh.
In case anyone was wondering why I never mentioned us diagnosing kids with AOM (middle ear infection, one of the most commonly diagnosed pediatric problems in the States), the reason is clear and simple. Our hospital and most hospitals (per our doctors) do not have otoscopes. They have nothing to look into the ear canal besides a normal handheld flashlight, so they obviously cannot see if the tympanic membrane is red, inflamed, angry or dull. Since they cant see these, likely febrile, kids' ear drums, then it must be the lungs that are infected! Maybe that's why everyone gets diagnosed with pneumonia.
Anyway, I know this is a random post, but this weekend I was thinking about the overdiagnosing of pneumonias in kids in Vinh, and I was comparing it to AOM. In the states or at least the hospitals I have worked in, too many kids are put on antibiotics for AOM.