Look out for horned bulls!

Thur Oct 31 we had our 2nd penile denuding (the skin being peeled off). This one was from a bull horn that caught the man in his scrotum and peeled the skin but the meatus still seems intact. The previous one lost all his skin and his meatus from his penis when it got caught in a belt to a rice thrasher. The skin all necrosed when we tried to save it but I think this one has a fair chance of living as we put it all back together. We hope to do some grafting on the first one before too long or maybe create a flap from his scrotum to cover at least part of his remaining penis. Would a full thickness graft or split thickness skin graft work best? 

 Also Danae and I did a perineal and anus reconstruction on a lady that had had a 4th degree vaginal tear from her first baby 7 years ago and amazingly she had two babies since then. Hopefully there was still a little muscle remaining so tht she can have some anal continence. We had a c-section for placenta previa (placenta over the cervix) which was bleeding a lot. Danae picked her up by herself and carried her in a hurry from the delivery room to the OR. Everyone is doing fine now. 

We had a lady that died in spite of all the medicines for the infection. Danae had paid for part of the medicines. They had no money to pay for transportation of the body back to her village so Dolores and I took the body out to her village about 35 km out in the bush with some of her family members. We had to buy some gasoline (which is very scarce but we found some) for 1250 cfa per liter (about $10 per gallon). It was a nice trip although we got back after dark. They seemed to appreciate it. Did not have time to do any birding or much picture taking along the way as we left Bere too late. The trail was pretty narrow but the water holes were pretty well dried up. It was only about 1 1/2 hours each way. 

It is getting drier and hotter in the day time usually about 95-98F in the day but cools down in the 70's at night. Humidity is down in the 40% range now.

Fuel is hard to get or very expensive so business is slower at the hospital. Much less vehicle traffic.

Our emails are:  drbland@sbcglobal.net and dfbland01@gmail.com.

Love Rollin and Dolores

Hopital Adventiste de Bere
Boite Postal 52
Kelo, Tandjile, Chad, Afrique