It has threatened rain but still no than a few sprinkles and higher humidity with the hot air. If rainy season does begin soon it will be worrisome for the local people and their crops. Usually they are already planting by now. Dry season began earlier than usual this time also.
We had another ruptured spleen but did not have to remove the spleen. We also had another intussisseption with a mass in the mid intestine that pulled the intestine down inside the part more distal. We removed about 1 m (about 3 ft) of mid small intestine. She is doing well 2 days post op eating and walking well. All our vessicovaginal fistulas are doing well except one that has redeveloped a leak. I saw one boy with a huge cancer of his leg but his father refused any surgery as it needed AKA amputation so they went home with his huge leg. Had another incarcerated inguinal hernia and another that I thought was a strangulated epigastric hernia but was actually a large nonresectable stomach cancer with nodules throughout the abdomen.
Danae is busy trying to get together her case load for a year until June 30 to present for OB-GYN oral boards that she hopes to take sometime this winter. She has previously passed the written part. I'm glad I don't have to do that.
Our emails are drbland@sbcglobal.net and dfbland01@gmail.com.
Love. Rollin and Dolores
Rollin
Hopital Adventiste de Bere
Boite Postal 52
Kelo, Tandjile, Chad, Afrique
Love. Rollin and Dolores
Rollin
Hopital Adventiste de Bere
Boite Postal 52
Kelo, Tandjile, Chad, Afrique
The one who manages the blog was out of internet this past week.
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