April 3, 2016

They say there is a "strike" among the health care workers in this country now because some doctor was fired because of something he did but I don't know the alledged offense. Anyway now we have had a lot of maternity cases the past few days. One was a lady that came with a prolapsed cord for several miles from another facility but the baby was still alive. It was also a hand presentation that maybe prevented the cord from having the circulation stopped. We have had some stillbirths and a ruptured uterus. We had an above knee amputation for a dead foot and leg but had to pack the stump open because of a huge abcess around the femur which will need some time to get rid of the infection before it is closed. Yesterday we had another strangulated hernia but surgery was soon enough so no intestine had to be removed. 

 
The shower that we had only cooled us for a short time and now it is back to 100F to 110F (39C to 43C) in the house in the day time. It cools down to 85-90F by early morning . Of course April is usually the hottest month here. 

 
It is mango season now and mangoes are falling on the ground which means there are more flies now. Dolores is cutting some up to dry now that the humidity is less than 10%. The humidity in NDJ is 2% today. 

Everyone has recovered from their malaria now. Danae had it last week but is back to work now. 

Our emails are drbland@sbcglobal.net and dfbland01@gmail.coim.

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