Fillers A memorable patient

Self treatment, African style

BMJ 2005; 330 doi: (Published 28 April 2005) Cite this as: BMJ 2005;330:1015
  1. N Charavanapavan, surgeon
  1. Mission Medical Department, PO Box 61019, Livingstone, Zambia, Africa

    In my 22 years of medical and surgical work in Africa, this was a unique experience. A truck driver whose job involved long journeys in remote areas of Africa attended an outreach clinic that I was running with my friend and colleague Jack Gardner from the United States.

    The patient complained of a three year history of difficulty passing urine, being able to produce only a thin trickle of urine with straining. He had been to many …

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