We have been back in Bere a little over 2 weeks. All seems quiet and safe around here although a few days ago there was another Boko Harem attack north of Ndjamena by Lake Chad that killed one person. We are a long way from that. The main problem has been the rats that seem to have tried to take over our house while we were gone. They chewed through the mesh that was supposed to let in air ventilation along the roof which they somehow managed to get to. They don't seem to be eating the poison very much yet and they are pretty smart about traps although we have caught two or three. 

 
Halloween which celebrates the Devil's day was a busy night here. We had a strangulated hernia in a 2 year old, a urinary retention, a c-section for a very small pelvis. Then they brought in a boy that had an open fracture femur for 9 days that was infected and he had tetanus. We put in a pin in his leg for traction to try to stretch out his thigh muscles but the tetanus prevented that working very well. It was difficult to get enough diazepam and anti-toxin given so he still had tetany much of the time. Unfortunately the family decided to take him back home after 2 days and let him die there. Two nights ago was similar with a breech delivery at 2200 then a difficult forceps delivery at 0130 then an ectopic pregnancy with lots of blood in abdomen that came in and we did surgery at 0300. Actually these 2 early am patients were referred from another hospital. Another day we had a lady with preeclampsia that the 4 month fetus died so tried to induce delivery. She had some pain and also wanted a tubal ligation or hysterectomy. She was not progressing at all so opened her and found a ruptured uterus so a c-section and hysterectomy was done and she has done well post op. We had a bowel resection for dead bowel about 1 meter from the volvulus that was doing well next day then suddenly short of breath and died maybe from a pulmonary embolus or ? So not everything goes well. We have lots of hernias and prostatectomies.

We don't have any student missionaries or other volunteers since the US State Dept advisory in Sept that US citizens should evacuate from Chad because of increased danger but this changed after 3 weeks to the same advisory as before, to "avoid high population areas and markets," etc. We think it is as safe here as a lot of other big cities. We are hoping for some volunteers to come and do some plumbing and electric work. 

 
Pray that Matt 24:14 will be fulfilled here as well as the rest of the world so that Jesus can come and take His children home. 

 
Our emails are drbland@sbcglobal.net and dfbland01@gmail.com
Love
Rollin and Dolores Bland
Hopital Adventiste de Bere
Boite Postal 52
Kelo, Tandjile, Chad, Afrique