Many years ago together with colleagues I helped write a scientific paper about drugs that carers need in their fight against AIDS in Africa. It was aimed both at charitable organisations to guide choices, and the clinics and hospitals who use them. It was evident at the time that AIDS was devastating lives and families in Africa – a disease that lays waste. One of the common complications is Pneumocysitis pneumonia (PCP). During the research it was discovered that for practical and financial reasons patients who could walk to a clinic or were nursed at home should be treated aggressively, but those who had been admitted to hospital (usually very late) should receive only palliative treatment. It was a hard decision, but funds were always limited and needed to be directed to where they would be the most useful.
The X-ray comes from a man with PCP. This picture reminds me of bush-fires that sweep through leaving the land blackened with burning stumps that smoulder for days, ash and smoke puthering around. It is made up of a hollow tree stump overlying African kitenge skirt material. Small stars of hope begin to emerge through the darkness on the left.