We all make mistakes

Her gnarled hands lay in her lap, looking painful. The knuckles were swollen, the fingers distorted and the palm muscles which controlled her thumbs were wasted. I made a diagnosis of long standing, “burnt out” rheumatoid arthritis. No fancy finger joint replacement for her, too late for physiotherapy, all I could do was to prescribe… Continue reading We all make mistakes


The pharmacists at Central Medical Stores in Mbabane must have been surprised last month when they looked at the expiry date on their stocks of the anti-HIV drug, nevirapine (NVP). It was May 2015. They put in an emergency order, but the supplier had “production problems”. Swaziland was in danger of running out, so existing… Continue reading Substitution