When you work in a developing country, you hear all sorts of things. You also have to come up with custom-made solutions.
When I was doing my housemanship in Nigeria, we were just beginning to see cases of AIDS being admitted.
So when she was being discharged, this lady with HIV/AIDS, was being educated during the ward round. The consultant was trying to educate her on how to prevent the spread of the disease of spread. To our shock, she says, “Was it not someone that gave it to me? I plan to spread it around,” spoken in pidgin English. The woman was not well educated.
We walked away and the consultant called over the ward sister and told her to start a conversation with that patient and let it slip that if she has unprotected sex with another person with HIV, her own HIV will become stronger and she will die sooner.
Taking the stupidity of that patient, we are sure she bought it.
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