Wednesday, April 27, 2016

April 26, 2016

My thoughts about rainy season arriving a bit early have diminished as it has not rained more and it is still hot although humidity has been up part of the time. 

Some have been concerned that they heard that I was ill and vomiting and could not do surgeries. I did have vomiting one day, secondary to severe labrynthine dysfunction which makes you feel as if the world won't stop spinning. It is improved some, but improves with rest. It is probably the variant called BPPV (benign paroxysmal positional vertigo). If I don't move my head much it is much better. Some positions are much worse than others. This condition sometimes can last a month or more but hopefully will clear soon as it is improved already. Don't have any meclizine (Antivert) for it but Benedryl seems to help a little. Basically we are all healthy. Danae has had to take up some of the slack in OR.

We had an unusual case yesterday with a 1 year boy presented with intestine contents coming from his umbilicus and very foul odor for the past week yet he was not vomiting and was eating some. We did a laparotoomy removing his umbilicus which was a strangulated hernia with a strangulated Meckel's diverticulum that had necrosed and sloughed through the skin. Inside his abdomen was clear. Another patient we did an AKA (above knee amputation) for a leg cancer of bone today. Sabbath was a long day in the OR with an OB case previous c-section and bleeding a lot. Lots of scarring and the bladder was in the abdominal wall almost to the umbilicus so the dead baby was delivered "through the bladder" which was later repaired. The uterus would not contract down and had much bleeding and partial rupture so a hysterectomy was done. She had an abruptio placenta so dead baby and lots of blood lost. 

Dolores has been freezing and drying and canning mangoes besides taking care of the grandkids.
Our emails are drbland@sbcglobal.net and dfbland01@gmail.com

Rollin
Hopital Adventiste de Bere
Boite Postal 52
Kelo, Tandjile, Chad, Afrique
Blog www.weareamissionarybland.blogspot.com

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