presented as a mass in an umbilical or incisional hernia and a hard
mass in an inguinal hernia. There was an abcess in the pelvis and
apparently the cecum had necrossed into the inguinal hernia. Almost
the entire abdomen contents were adhered to each other. It took a
long time to lyse the adhesions and figure out the anatomy and repair
the intestine and clean out the abcess. It was worse because I
developed a case of diarrhea so had to leave and then scrub back in in
the middle of the case. I did make it to the bathroom in time.
There are no bathrooms in the hospital OR or even nearby.
During 22 July we had a vessico-cervical fistula. She developed this tract
from her bladder to her cervix and vagina after a c-section at another
hospital. The transabdominal repair went real well so we hope she
will be normal again. She has had many pregnancies so a tubal
ligation was done. Also had a large mass in a man’s thigh that we
thought was a cancer but we thought was resectable. It turned out
to be a very large hematoma with a ruptured femoral artery. He
denied any trauma and he had had it for several months. Possibly a
femoral artery aneurysm that ruptured but remained contained under the
muscle next to the femur bone. It was removable quite easily but had
to tie off the artery that was not functioning anyway Today we had
another ruptured uterus. She came from another hospital then
demanded to come to Bere. They said that nurses at the other
hospital had pushed on her abdomen very hard when she was having some
contractions even though she was only 2-3 cm dilation. Of course the
baby boy was dead and the small mother lost a lot of blood but it
appears that she is going to be ok. We have another urinary retention
with a large stone lodged in his urethra at the base of his penis.
We are having problems with our electricity which makes the generator
shut down. Apparrently intermittent short someplace but not sure
where again not all the time . But maybe problem with the generator
itself not sure yet. Maybe problem in back room of Olen and Danae’s
house or maybe in the underground wire or cable from the generator
building to the OR building where the inverters and switches are. Or
? ? ?
from her bladder to her cervix and vagina after a c-section at another
hospital. The transabdominal repair went real well so we hope she
will be normal again. She has had many pregnancies so a tubal
ligation was done. Also had a large mass in a man’s thigh that we
thought was a cancer but we thought was resectable. It turned out
to be a very large hematoma with a ruptured femoral artery. He
denied any trauma and he had had it for several months. Possibly a
femoral artery aneurysm that ruptured but remained contained under the
muscle next to the femur bone. It was removable quite easily but had
to tie off the artery that was not functioning anyway Today we had
another ruptured uterus. She came from another hospital then
demanded to come to Bere. They said that nurses at the other
hospital had pushed on her abdomen very hard when she was having some
contractions even though she was only 2-3 cm dilation. Of course the
baby boy was dead and the small mother lost a lot of blood but it
appears that she is going to be ok. We have another urinary retention
with a large stone lodged in his urethra at the base of his penis.
We are having problems with our electricity which makes the generator
shut down. Apparrently intermittent short someplace but not sure
where again not all the time . But maybe problem with the generator
itself not sure yet. Maybe problem in back room of Olen and Danae’s
house or maybe in the underground wire or cable from the generator
building to the OR building where the inverters and switches are. Or
? ? ?
My car is having problems with something making the battery run down
when not being used a few days. The car runs better or faster since
a new fuel filter but still problem with acceleration if one tries to
push on the accelerator but will gradually increase speed if one sort
of feathers it along to 50 mph if one had smooth road. I took the
film crew to Kelo past evening. It was dry at this end but muddy and
slick the other half of the way. Had a rain yesterday that we did
not get. The film crew was meeting the vehicle from Moundou at Kelo.
It is raining here tonight but had a small shower this morning.
when not being used a few days. The car runs better or faster since
a new fuel filter but still problem with acceleration if one tries to
push on the accelerator but will gradually increase speed if one sort
of feathers it along to 50 mph if one had smooth road. I took the
film crew to Kelo past evening. It was dry at this end but muddy and
slick the other half of the way. Had a rain yesterday that we did
not get. The film crew was meeting the vehicle from Moundou at Kelo.
It is raining here tonight but had a small shower this morning.
Olen, Danae, Lyol, Zane, and Addison will be leaving next week on
their annual leave in USA. They will be greatly missed. Addison is walking
their annual leave in USA. They will be greatly missed. Addison is walking
some now and is so cute and intelligent of course! !
I am thankful for the McDowells that are here now. He does anesthesia
and Kim is helping a lot with malnutrition program etc.
Our emails are drbland@sbcglobal.net and dfbland01@gmail.com
Rollin and Dolores
Rollin and Dolores
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