Friday, July 11, 2014

July 9

The headlight assemblies had been broken out for some time but the
lights kept working until the water got on the bulbs and "broke" them
out the other night. We had bought the assemblies to bring over here
just before we left home. One got partially broken and I repaired it
with “Gorilla glue” and some electric wire.  I took the old broken
ones out and put in the new ones Sunday afternoon. We have
headlights now that work maybe even in the rain and water. I also
repaired one taillight that was out and a front signal light. I
still have not figured out why the motor won’t run right. It won’t
accelerate when you push on the accelerator except very slowly just
sort of feathering it along. I had brought a OBD11 scan tool but
apparently I need an adapter for OBD1 for 1999 Toyota 4-runner so I
have not been able to use it yet to try to diagnose what is wrong such
as some sensor someplace or the electronic control module. Too bad
it is not like the old cars with carburetor and simple motor things.
This week we had two consecutive people with bladder stones. One was
a little 2 yr boy with a stone size of robin egg and other was a man
with small stones but one was obstructing his bladder outlet.
Another man had a severe stricture and scarring of most of his urethra
and an awful time reaming out a new urethra basically and hope to
leave his Foley at least a month for it to heal inside. The skin
graft we did a week looks good at 7 days post op. Did another vacuum
extraction of a dead baby. We have 3 others that need skin graft but
they don’t want to pay anything for it. We did one for free and I
guess they heard quickly. I know at least one of them has the money
to pay for it. For any surgery of whatever kind the most is about
$140.
One of our LLU medical students is sick with malaria even though they
all were taking prophylactic medicine to “prevent” malaria which in
our experience does not prevent it so most of us long termers don’t
take anything but just treat it when it comes. The medical students
are here for only a month and are going back to USA next week. They
have been good students and we have enjoyed having them here. We have
2 more medical students coming July 30 from Denmark and one from
Poland. They plan to stay about a month.
Our suction in OR is almost nonfunctioning but manage to get along
with it somewhat. Maybe someone will bring one over sometime. For
our air driven drills in orthopedic we have to bring over a compressor
from the shop or else use a hand drill. A gastroscope would be
helpful at times for lodged foreign bodies and of course for exams of
stomach and esophagus. Of course we would have to clean and maintain
it ourselves as none of our nurses knows anything at all about such
things. I take care of our dermatome myself. Also need a good
oximeter.
Some NGO (non governmental organization) has come in saying they want
to give training in OB to some health care workers. I don’t know
which NGO or who is paying but they are giving huge amounts of money
to people just for coming for two weeks. It has become a political
thing and not really related to who needs education but to certain
friends of certain officials. I don’t know what if anything is being
taught but a money making thing for their friends. They would
promise some that they could go they recant because some other friends
wanted to get the money even though they had been there before in a
previous year. So corrupt!!!. I think one of our nurses got to
go. Sometimes one can almost get discouraged when you see so much
corruption and thievery around. When some NGO doles out money that
way it does not help the situation. Instead of paying for extra
training they get paid in addition to their regular salary so of
course they want to go.
Zane is on IV quinine for malaria as he could not keep much down and
would not eat or drink enough. Danae stayed home with him today.
Pray that he recovers quickly. Lyol recently had it but was able to
get by on oral meds and is doing well now. They are all going back
to USA July 30 on annual leave
SDA hymnal #505 in English.
Love,  Rollin and Dolores

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