Friday, March 7, 2014

March 5, 2014




Less than five weeks from now we will be seeing some of you at the Union College alumni weekend. I notice it is being extremely cold in Lincoln, Nebraska lately. Where we are now it is cold if it gets down in the 60’s F. 

For the first time in several weeks or months our surgery backlog is caught up. Dec was 145, Jan was 202, Feb was 174 procedures. That is including some minor procedures. Hopefully it slows down at least after March so Danae does not have it too rough while we are gone on annual leave. The numbers have been increasing each year over the previous year.

We had to amputate a little 8 yr old boy’s arm at the shoulder because it was dead from the mid humerus down. It apparently had had a tourniquet tight around the arm; I’m not sure what the initial injury was. The same day as the boy came in we had a lady come in with a dead baby with only the head out. It had been dead some time as it was smelly and material oozing out of its head. Danae was able to manibulate while I pushed etc and we finally got it out. We have another man with severe infection and lots of dead tissue of a hand and forearm after a fish bite a few days before. He may need an amputation at least part of his hand or mid forearm. I’m not sure yet. It had pumping artery from a finger which I had to ligate. We had another bladder stone and another cancer of bladder. Another man had severe infection of scrotum and necrosed testicle that had to be removed. We had a large abcess of liver that presented as an acute abdomen after it had ruptured. We cleaned it out and drained the abdomen; it is doing well one week post op. We had two perforated terminal iliums from typhoid this past week but they are doing ok except one has a wound infection which is not very surprising.

There is a lady in a village way out in the bush that has some strange neurologic problems but not sure what. Our German neurosurgeon was here in December and thought maybe related to Parkinsonism or some other basal ganglia problem. She has problems with balance and twitching and getting into grotesque positions. We have tried some l-dopa not max dosage yet but no change yet. The med was brought from Germany as it is not available here. The lady was found by Gary Roberts on one of his outreach trips. Danae did a nice story about Moses while we were at the village. They had questions about a few Bible names. They did not know who the first woman was, nor who the mother of Jesus was, nor His father. One person knew that Jesus was the Son of God.

Many people are very needy physically and spiritually. Pray that somehow the knowledge of Jesus as Saviour and soon coming King and Redeemer can be spread into all the world so that Matt 24:14 can be fulfilled.

Our emails are drbland@sbcglobal.net and dfbland01@gmail.com
Our phone 235 91453226
Love Rollin and Dolores

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