Madura foot again.....

Wednesday
This morning's clinic was dominated by a 50 yo lady's foot. this foot had been a problem for the last 5 years but nobody had really got to the bottom of what was wrong with it. Some thought Leish, some though vascular, now we were thinking mycetoma. sadly all the notes had been appalling and no idea of treatments used were available...not that it matters really as if it is a mycetoma there's little to be done anyway. Photos sent to my tame dermatologist Steve at HTD for comments and bright ideas but none so far sadly. The next two patients were all about the bites. I have to mention at this point that we are not alone....we are being stalked by a man with a camera as Hillside HQ is having a fundraiser and we are to be immortalised on film - moving and still. Anyway the 6yo had bizarre pustules and scarring bites on his legs from playing the the long grass, stop it and they'll stop I reckon....but lets see what Steve has to say on them.... Next there is a lady from Charlton - yes I go halfway around the world and meet a lady from two roads away ! She has also got bites and is an amateur botanist. She describes pulling off the scabs of her bites and locating a thing growing inside, looks under a microscope and draws it. Bot flies I reckon from the picture but there are none there now thankfully. She has lived here for years and dosen't wear repellent or long trousers...mad woman!

Organise my flight back to BC on the way to do the HELPAGE talk with CherryMae which goes well, despite them bringing out high sugar squash and biscuits after a healthy living talk!! Lovely group of old ladies with their hats and tea dresses. One lady I chatted to had had a terrible stroke leaving her hemiplegic, but our physios and her good sense to follow our guidance had got her almost back to normal by 18 months...fantastic news.

The camera crew had held up Evert leaving us stranded on the pavement for the good part of an hour, so only Emma was in clinic! Frantic baking and doily making followed for the party tomorrow....