Can you hit my head some more?

“Can you hit my head some more, Dr Ian?” Last month, I diagnosed a young lady with cervical cancer. Her symptoms of lower abdominal pain, vaginal bleeding and an offensive discharge had been repeatedly treated “syndromically” – in other words, treating the common diseases which would cause these problems without making a specific diagnosis. She… Continue reading Can you hit my head some more?


Worldwide, rates of malaria are falling. Here in Kakumbi, they are rising. In May 2014, 870 patients had a positive blood film or rapid test for malaria, twice the figure for May 2013. We did not treat anyone for malaria “on clinical grounds”. These are proven cases. The health centre serves a population of just… Continue reading Malaria