The hospital keeps busy with the malaria and typhoid and occ snake bite and occ tetanus. The lady with the ruptured uterus that got severely infected that we have had to pack her abdomen open is now beginning to progress and look better and probably will live. The man with the gunshot to his mandible is doing ok and taking food and liquids and looks as if he is going to live, however there is a different story now as compared to last week. Instead of being he defending his wife from rape, now the story is that he was a thief and a policeman shot him. However the policeman had said that he would pay for everything and also that it was said that the policeman was going to prison makes me think the first story was probably more nearly correct but probably some money changed hands so who knows what the real story was. Here it is who you know and there is little system of justice and women have almost no rights. Maybe the policeman was trying to steal the woman…
We have had two strangulated hernias lately including today. Both did not require bowel resection. We had a c-section Fri night and again Sun night. Fri night was previous c-section and suspect uterine rupture but was not ruptured but baby was dead but very small pelvis and minimal dilation. Sun night was for ecclampsia with seizures and edema and increased blood pressure but the twin babies are doing ok so far. Today we did a cystostomy on a severely tight bladder that was hemorrhagic and severe urethra stricture especially in the prostatic portion with lots of scarring that we were able to open and put in a large Foley.
Both of the SIGN nail patients were sent for x-rays but they were able to walk and have not returned with x-rays so that I can report them to the SIGN people. It is about 3 or 4 hours especially now with the bad roads to the nearest x-ray unit. Hopefully someday we will have some sort of x-ray capability so that does not happen and so we can better serve the patients. The one with a ovarian mass probably cancer that involved a loop of bowel that had to be resected did well and was discharged. Not sure if it was really a cancer as it was quite well encapsulated and somewhat cystic almost like an old ectopic. Our supply of misoprostol apparently got stolen recently. Maybe someone is doing their own abortion clinic or ? We were keeping it in the office as it would disappear from some other places but still happened. We recently had an incident of a Foley coming out (somehow the bulb deflated)of a man then the nurse putting another one only part way then inflating the 30 cc bulb which caused severe pain and bleeding and obstruction. I was able to get one in with a guide wire and it is functioning well now. I hope the nurse got the point of my remarks that a foley should always be put in all the way before the bulb is inflated
We got the freezer lid straightened up using some clamps and hammer etc so now it seals and is working. It was actually amazing that it came through the rough treatment on the way here as well as it did. The electric lights are all in our house now but waiting for some things to be brought from USA by Olen and Danae when they come back next week. We are planning to drive up to N’Djamena (about 8 hrs from here)to pick them up from the airport on Wed. We will stay overnight in N’Djamena then come back to Bere on Thurs
The devil is working overtime. Our school here needs your prayers to deal with a principal and a pastor.
Several of the expats have been sick lately with malaria or typhoid but so far Dolores and I are well now.
Continue to pray for us and the work here.
Love, Rollin and Dolores
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