First Day at the Hospital: Dr. Michael Gayle’s Experience

On Monday morning after getting only a few hours sleep, I went with the rest of the group to the National Center for Maternal and Child Health. At the hospital, we met with the lead physician there who will be in charge of our visit. In that meeting we received an overview of how pediatric care was delivered in the city and the other hospitals such as the cardiac, trauma, cancer and neurosurgery hospitals where children also received care.

After this meeting, the group was split up by speciality and we were taken to our respective areas in the hospital. Naturally, I was taken to the pediatric intensive care area. Adam who sometimes work in the PICU, also came with me. In the PICU we were met by the head of the  PICU who introduced us to the other ICU physicians. I gave them the several critical care supply items I took for them and they were all very grateful to receive them.


In the PICU, I was struck by the open floor plan with patients very closely situated beside each other. I was told that this unit which was half the size of the unit we have at WCH, admitted about the same number of patients as we did in our PICU in Jacksonville which was twice the size. I then asked to do rounds on the 9 patients who were currently in the ICU. The patients in the unit at that time ranged in age from 3 months to 14 years. They all had diagnoses which we have seen in our PICU at WCH. After rounding I made the following observations and conclusions:

1. The doctors and nurses all appeared very dedicated and committed to their patients.
2. Families of critically ill patients were very grateful and appreciative of the care their children received in the unit.
3. Critically ill patients are similar across the world in spite of geography or ethnicity
4. The unit was lacking many of the modern high – tech equipment and devices we have at WCH for our ICU patients
5. We are very fortunate and blessed to have the resources we have and enjoy at our institution and the USA in general
6. It is important for physicians like myself to travel and share our expertise to developing countries



I look forward to the sharing whatever information I have with the staff in the unit. I will be giving the first of several lectures on Tuesday.

-Dr. Michael Gayle

Leave a comment


  1. Terry Humphrey

     /  August 27, 2013

    🙏Thank you Dr. Gayle for sharing.

  2. Thabata

     /  August 27, 2013

    It looks like you are having a great time! I am glad to see that you are learning something new and are able to share your knowledge with them. You all are in my prayers.

  3. they re so lucky to have you and your team Dr Gayle

  4. Jennifer Southall

     /  August 28, 2013

    What an amazing team from WCH on an incredible journey! Thank you for the update.

  5. Fern Hannigan

     /  August 28, 2013

    Dr Gayle, Thank you for sharing you experiences on your trip; it is fascinating. Makes me very grateful for all of our resources and great staff.


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