another tests positive even though the 2nd one was wearing the
protective gear when treating the first one. We also hear about
West Nile virus and now Enterovirus D-68 that is killing some and
several having paralysis from it like the old polio and several
hundred being infected with it from coast to coast. Also the
Chikungunya virus is causing “growing concerns.” Maybe the countries
should not take flights from the USA to them. Maybe you should come
to Chad. We don’t have any of those that we know of and malaria is
at least treatable. Have even heard rumors that the US is about to
declare martial law in force doing away with most freedoms.
Our surgery patients are starting to increase in how many we operate
on. Perhaps doing more hernias but also have had several leg
amputations for necrossed foot or cancer. Also have had several
orchiectomies for pyocele (pus filled testicle). I am amazed what
can be done without x-ray. We do have an echo ultrasound machine
that is helpful sometimes especially for the OB-Gyn cases.
Sunday we had a typhoid perforation of terminal ilium then had a
intestinal obstruction secondary to a Meckel’s diverticulum band and
some adhesions.
Monday we had an intussisseption of cecum and terminal ilium into the
transverse colon in a 6 year old. Also had another BKA amputation for
a rotten foot. Also did a scrotal reconstruction. (His testicles
were in the open after losing much of his scrotum from an infection),
also a hernia in a 3 yrs old boy.
Tuesday we took off a huge (about 10 cm) keloid from a man’s ear that
involved taking off part of his external ear.
Wednesday we had a lady with a mass in her right lower abdomen that
was mildly painful but had been there for years. She had a history
of surgery in 2008 and in 2004 including a hysterectomy and “cancer
metastasized all over.” She was in with probable malaria but a mass
palpable in her abdomen. We did surgery and found a walled off
abcess that was able to be dissected out although had to repair some
intestine. We opened the mass after it was removed and found that it
was a walled off abcess around a sponge that had been left in the
abdomen from a previous surgery. Each day we have had hernias and
hydroceles to do. We have also had three pyoceles that involved the
cord all the way up into the abdomen so did an orchiectomy through an
inguinal incision.
Wednesday Oct 8 was Olen and Danae’s 8th wedding anniversary
celebrated by working all day and having fruit jello for dessert that
Dolores made for them.
Thur we did a SIGN intramedullary nail on a fracture femur from Jan
2011 that was plated Jan 2011 but the femur had refractured and the
screws of the 2 plates had come loose although the screws were not
what they should have been. It had been broken loose apparently not
too long after it had been plated. There was lots of scarring and
was quite difficult to ream out the bone but we were finally
successful. He is doing well so far. The SIGN that we did last
week is slow to get moving. Maybe was not very active before.
Friday about midnight we had a man brought in with his penis skin
completely avulsed including the glans. Also the scrotum was
avulsed. They said the belt from some sort of thrasher had broken
when he was near by and the belt somehow caught him between his legs.
We reconstructed his urethra and penis and scrotum with the skin that
was still hanging on and seemed viable. Hopefully it will all
survive. We will leave his Foley in for at least a month. Almost a
Bobbet procedure done!!!
Sabbath I went out to the branch Sab School at 7:00, as usual taught
English SS class then preached for the 11:00 service on “Are we the
devils helpers?” Then Sab evening we had a motorcycle accident brought
that had been in a head on. One had a fracture arm, clavicle and
rib, another had a fx of a femur and a tibia/fibula fx. Two others
had abrasions and superficial lacerations. We hope to put in SIGN
nails if they don’t go to the traditional healers.
Addison has had malaria but also an abcess on her behind the past week
but she remains happy most of the time. Had to drain the abcess so
it should be getting better. Otherwise we are all healthy.
We welcome volunteers or visitors. It just might be safer here than
you think. We all look forward when there will be no more death or
deadly viruses when Jesus returns to take his friends and children
home with Him.
Our emails are drbland@sbcglobal.net and dfbland01@gmail.com.
Love, Rollin and Dolores
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