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Running a clinic in a township environment like Thokoza requires understanding how healthcare actually works on the ground here. Patients often arrive with multiple health concerns layered together — malnutrition, hypertension, respiratory issues from indoor cooking, and the mental health weight of economic stress. The clinic has to function as a triage point where nurses assess who needs emergency referral versus who can be managed locally, all while managing stock shortages that are part of the South African healthcare reality. Staff navigate load shedding affecting refrigerated vaccine storage, unreliable municipal water supply, and the practical reality that many patients travel long distances using minibuses to get there. Documentation matters — chronic disease registers, immunisation records, referral letters — because the next facility a patient reaches depends on accurate handover. It's intensive, procedural work that demands both clinical skill and the ability to problem-solve within real constraints.
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