To Medevac. To Not Medevac.
Last year we had a trend going on here in Sentani, Papua. Every time our expatriate doctor stepped away from being “in town”, we (the nurses) ended up with a critical case in our lap. Every time. We threated to not let our Doctor leave EVER again. But in all reality, this was not realistic or practical or healthy …… So she went and we learnt. Fortunately, that trend seems to have been broken. However, when our doctor leaves we use the skills and resources that we have, and we proceed to provide care, to the best of our ability. Fortunately, it doesn’t take a doctor to diagnose “we are in trouble” and “this patient needs hospitalization or a specialist referral”. Gratefully, we are not an island unto ourselves, as long as the phone and internet are working (one month last year, we had 95% of the time, no internet). There are doctors with their ears to the ground, and will help give advice. For this we are indebted a...