Monday, February 13, 2017

Blog Feb 10, 2017
Kermit and Ronnalee (Olen's folks) left yesterday to return to the USA after being here about 2 weeks.  Kermit was doing some auditing and Ronnalee taught some in the new nursing school.  They had brought Toby (their grandson) with them.   He was sick yesterday probable malaria but seemed better when they left.  Olen went with them to NDJ to be sure they were all ok.   Olen and Danae and family will be leaving here March 14 to go on their annual leave and get back in time for Danae's 20 yr high school class reunion at Ozark Adventist Academy then they will drive our pickup camper to Colorado for a week of snow skiing then on to Oregon and the western US and will leave our pickup at Riverside, California at Gloria's (Dolores' sister) where we will get it when we fly to Rachel's (our oldest granddaughter) graduation Dental Hygiene from Loma Linda University May 27 weekend.  They have a week in Hawaii (a friend gave them free use of a condo).  Olen and Danae will be at Andrews University in Michigan May 6-7 weekend for graduation and to receive their honorary PhD then they have a wedding to go to May 14 weekend then they return to Chad.   We will be leaving about the time they return on our annual leave with maybe a few days in France on our way to LAX and Riverside.   After that we will spend a few days in the western US on our way back to Oklahoma.   We plan to return to Chad in July after Oklahoma campmeeting.   We are extending our time here from May to next Feb as the need is great and there is no replacement yet.   We have said that Feb 15 is our final date and will return to USA permanently more or less.   It is possible that I might do some short term relief work some place after that.  My 50 year LLU medical school class reunion will be about March 3, 2018 and I hope to be there.  
We have been busy with surgery with about 50 cases last week but the backlog has diminished a lot so now we are almost caught up with minimal waiting.   We had another typhoid perforation of intestine last week which did well also had one with appendiceal abcess.   We had a man with multiple stab wounds all over his body including by his rectum.  We did surgery and found a small hole  in a loop of intestine which we repaired.  He died a few days after the incident possibly a pulmonary embolus??.  The man had refused to give or loan 1000 cfa (about USD 1.65) and another man got angry and stabbed this man much.   Danae and I have done some repairs of vessico-vaginal fistulas lately.   They can be VERY challenging.  Sometimes we do it trans aabdominally and sometimes vaginal or both.   We have also had several urinary retentions that needed prostatectomies and /or urethra dilation.  
The first skin graft using our dermatome is doing well but the next two don't seem to be sticking.   Maybe I need some pointers on making the graft take or something.   Thanks for the new blades for the dermatome that got sent over here.   Initially it would not work so took it apart and soaked it in WD40 and finally got it functional.  
Our emails are drbland42@gmail.com and dfbland01@gmail.com.

Rollin and  Dolores Bland 
Hopital Adventiste de Bere
Boite Postal 52
Kelo, Tandjile,  Chad,  Afrique
Blog  www.weareamissionarybland.blogspot.com  

Wednesday, January 25, 2017

Blog Jan 21, 2017
    We are in the midst of the busiest part of the busy season and lots of elective surgeries have come in to be done but the maternity business is more now also.   There have been a lot of c-sections for various indications and a lot of ectopic pregnancies.   Keeping Danae busy.   She has had several c-section hysterectomies for different reasons.   We had another "torsion dermoid cyst" with hair and teeth a few days ago.  We had a strangulated internal hernia with about 2 meters (7 feet) of dead intestine that we had to take out.  We had a hemangioma of a child'[s hand that we did.  Had to remove her 5th ray (finger and metacarpal).  So far it looks ok.   Thanks to someone that sent blades for our dermatome so now we hope to do some skin grafts.   We have done one so far.   Today a woman came in with part of her lip bit off during a fight with another woman.
   It is beginning to warm up again but only to approximately 100F and 70'sF lows.  The dust is not as bad as it was so the sun can get through more.   We are getting quite a few papayas from our trees that we planted by our house.  The mangoes are in full bloom.  
Juniper likes to eat from "papa's" plate whatever he is eating.   She eats a lot.
  The 17 year daughter of one our local church leaders died this past week with widespread cancer.   She had almost died 3 weeks ago as her ereters were blocked but a percutaneous nephrostomy and some cyclophosmide et. prolonged her life a little.
  Pray for the newly baptized ones and the ones in some of the outlying villages that want to learn more about the love of Jesus. 
Our email are drbland42@gmail.com   and dfbland01@gmail.com.
Continue to remember us in your prayers.
Love,  
Rollin and  Dolores Bland 
Hopital Adventiste de Bere
Boite Postal 52
Kelo, Tandjile,  Chad,  Afrique
Blog  www.weareamissionarybland.blogspot.com  

Sunday, January 1, 2017

Dec 31 2016
New Years Eve and the drums are beating, probably will be most of the night.   It is dusty and has been since the "harmattan" blew in Christmas day.  "Harmattan" is the north wind and dust that comes in about this time of year from the Sahara.  Visibility was less than 1 km (about 1/2 mile)) although it is better today.  The dust shields out some of the sun's heat so temperatures are only about 60F (15C) low and 80+F (27C) high but the locals feel this is cold.   The mangoes and kapok are blooming.   We are getting several papayas from the trees by our house.  
Christmas was very dusty.  We had a while elephant gift exchange here on the compound and of course there were gifts for the grandkids.  We also ate very well Christmas afternoon but the meal was delayed because of a surgery for an acute abdomen. (Sound familiar you medical people?)
We had two unusual cases Friday yesterday.   One was a 13 yr girl that presented with a few days of severe abdominal pain and no menses yet and had a mass in her abdomen.  At surgery a 6-7 cm lobulated mass that was twisted on a pedicle.  When the mass was opened we found hair and cartilage, bone and teeth so a "torsion of a dermoid or teratoma".  The same day we had a lady that came in with severe abd pain for several days and "constipation" for a week.   It was an intussisseption of mid small small intestine with ruptured dead intestine with much bowel contents in the abdomen.  Had to do a bowel resection and reanastamosis.  Both look ok so far.   We also had a Fulana lady that had been bit on her foot by a donkey that she was trying to separate from another in a fight.   The lady's foot was badly mangled with a lot of skin missing and bare bones visible.  She needs amputation but refused and left to go to the local "traditional healer" (witch doctor).
Pray that the love of Jesus can spread and bring peace and that we will be ready for His coming that is one year closer than before.
  
Our emails are drbland42@gmail.com and  dfbland01@gmail.com
Continue to remember us in your prayers.

Love,
Rollin and  Dolores Bland 
Hopital Adventiste de Bere
Boite Postal 52
Kelo, Tandjile,  Chad,  Afrique
Blog  www.weareamissionarybland.blogspot.com  

Monday, December 26, 2016

Dec 25, 2016

Merry Christmas to one and all.   Hope each has had plenty of good family time and great feasting.   
Today we had a laparotomy for a man that had been stabbed two times in back and flank so lunch maybe waited a little then we had a white elephant gift exchange which was interesting and fun.   Olen got Danae a donkey which she wanted.   I hope she likes it when it does its morning braying at 4 am.  The camel is at least quiet.  .   Also got a little hedge hog which is quite cute.   I hope it survives the dogs and cats and kids.  Two days ago we also had a man stabbed in flank which we examined under anesthesia and his wound just went through a lot of muscle but not enter the peritoneum.  The one today went just posterior to the colon and along the edge of kidney and did not penetrate any intestine or stomach or spleen.   Possibly could have injured the tail of pancreas not sure.   Both are doing ok so far.   
Have recently started another group in a farther out village Moundala that has a good group of adults and children that are attentive and interested in the Bible stories and studies.   Some of them can read and want a Bible so hoping to get a few for them by next week.   Pray for them that the interest will continue.   
Yesterday there was a campmeeting at Bendele and also a baptism for 43 at the river.   One was a Fulani man and also two of his nephews  He has been through a lot to become a Christian including being ostracized from his family.   It is difficult for a Moslem to become a Christian but some take that step anyway.  He is strong and energetic and will be a good worker for God.  
We need to be thankful for the freedoms that we still enjoy as many do not have them and even in America many are being lost.   Pray for our country and for those that want to become a follower of Jesus.  
Have a happy and prosperous New Year as we are one more year closer to Jesus soon coming.  
Our emails are  drbland42@gmail.com and dfbland01@gmail.com.

Rollin and  Dolores Bland 
Hopital Adventiste de Bere
Boite Postal 52
Kelo, Tandjile,  Chad,  Afrique
Blog  www.weareamissionarybland.blogspot.com  
Dec 22

Dolores has been busy baking and cooking different things for this coming weekend to try to make a little Christmas cheer for all of us especially the grandkids.   We are not traveling anywhere (no where to go to)  as many of you will be doing.  
Danae and i have done 2 vessico-vaginal fisutula repairs this week.  We have had a few other minor surgeries and some usual things such as hernias and hydroceles.   I did a flap reconstruction covering for a penis  that appears to be doing ok.  He had lost almost all of the skin of his penis and most of scrotum from a severe necrotizing infection.  We also did a pinch skin graft to a leg that had been severely burned on an exhaust pipe of a motorcycle.  Overall it has been slow lately as far as surgery is concerned but probably will pick up in a week or two.  
We are all well..  The camel and dogs and cats are well also.  The grandkids of course are excited about Christmas gifts that they might get.   
Out here there is almost no commercialization of Christmas as there is back in the USA.  There is more to do about New Years than Christmas.   Many people know nothing about Jesus and the plan of salvation.  
Our other children and grandchildren are getting together today at Janelle's in Oklahoma City.   At least last year we were all together for our 50th wedding anniversary.
Our emails are  drbland42@gmail.com  and  dfbland01@gmail.com.  

Rollin and  Dolores Bland 
Hopital Adventiste de Bere
Boite Postal 52
Kelo, Tandjile,  Chad,  Afrique
Blog  www.weareamissionarybland.blogspot.com  

Monday, December 12, 2016

Blog 12 Dec 2016
It is cooling down here so only in the 90'sF highs and in the 60'sF lows.   It is somewhat dusty but will be more later when the "harmattan" moves in from the desert up north.
  
Danae is doing ok today but had severe vomiting and diarrhea a few days ago requiring a lot of IV fluids. (see Olen's blog   www.missionarydoctors.blogspot.com)    Her vision is about same and with dark glasses does not bother her very much in bright light.  Vision ok in dim light.   I think they came up with "Acute zonal ocult outer retinopathy" as her diagnosis from all her super specialists etc at the Univ of Maryland which they really don't know what it is or cause or treatment or prognosis.   It has not gotten any worse so far.   Several of us have had the gastrointestinal upset with nausea or diarrhea probably a virus but nothing like Danae had.   Dolores had the malaria last week but is ok now except for a headache today.   The kids are all fine now.   
We have been enjoying the papayas from our trees in our yard almost more than we can eat but goes good in fruit salads and for the kids also.   The mangoes are blooming a lot now.  The guavas are past.   They are still bringing us fresh tomatoes to buy which are quite good.  
The hospital census has been variable mostly 60-80.   The surgeries have not increased as much as normal for this time of year although had 22 the first 3 days of last week.  Had a large 2 cm perforation of intestine from typhoid last week that we had to repair but he is doing ok now.   Also had two appendectomies which is unusual especially one that was not ruptured yet.   Most have already formed an abces.  We had a fistula repair bladder to uterus-cervix.   We have one man that had a severe infection of penis and scrotum losing skin of penis and part of scrotum.   I plan to do a reconstruction of his penis with a flap of skin from scrotum and another flap to cover that area.  
We have no student missionaries this year.   I guess they are afraid of possible danger from Boko Harem although we think that is very minimal.   It is probably more dangerous in some of the most dangerous cities in the USA such as St. Louis, Kansas City, Springfield,Mo, Detroit, etc.
  
Our emails are drbland42@gmail.com and  dfbland01@gmail.com.   
Have a great Christmas and New Year!
  
Rollin and  Dolores Bland 
Hopital Adventiste de Bere
Boite Postal 52
Kelo, Tandjile,  Chad,  Afrique
Blog  www.weareamissionarybland.blogspot.com  

Wednesday, November 23, 2016

It is holiday time back in USA with Thanksgiving tomorrow and Christmas in a month but it does not feel like holiday time here.   It is about 100F in the daytime and dry and dusty although we had a 0.3 inch shower a few days ago which it is not supposed to do in dry season so for a few days humidity is high.   We are going to have a Thanksgiving meal about 1500 tomorrow with several local people invited.  
Danae and Juniper are back here now as is Zach Gately.   They all seem to be in good health.  Danae still cannot see part of visual field right eye in bright light but otherwise ok.   She did surgery today with no problems.  The problem affects only the cones of the lateral part of her right eye.    All the big specialists and tests in the University of Maryland in the US did not find a cause or treatment "possibly a virus".  Anyway we are glad it was not a tumor or aneurysm or anything real serious.   Not enough problem for disability.  Ha!!
Last week we had a ruptured spleen from a moto accident that we did a spleenectomy on but now is doing well in fact eating and drinking and walking on 2nd post op day.   He lost a lot of blood.  The man with two gun shot wounds through his left chest now has a severe infection draining lots of purulence but I think he will survive.   Today Danae and I had a hysterectomy also a myomectomy (taking out large fibroids from her uterus so hopefully she can have a baby being she has not had one).  We also had another mastectomy for cancer last week.   Today we had a child with severe respiratory problems with wheezing etc. that would not respond to steroids, ceftriaxone, magnesium, albuterol, oxygen, ketamine, IV fluids, etc.  Don't know if she will survive but appears doubtful.
  
Have a happy Thanksgiving and don't watch too much football or spend too much on "black Friday".   We do have a lot to be thankful for. 
 
Our emails are  drbland42@gmail.com and  dfbland01@gmailcom.  
Continue to remember us in your prayers.

Love,
Rollin and  Dolores Bland 
Hopital Adventiste de Bere
Boite Postal 52
Kelo, Tandjile,  Chad,  Afrique
Blog  www.weareamissionarybland.blogspot.com