Blog May 17, 2017

The previous blog of May 7 somehow did not get sent.  
It has cooled down slightly but still no significant rain.
Some days are more busy than others.  The hospital census was 60 a few days ago but today was 45.  One day we had a prostatectomy, a typhoid perforation of small intestine, a hernia repair, an ectopic pregnancy, and a c-section all in same day.  Today we had a laparotomy for a twisted intestine which caused a small part to die which we had to take out and reanastomise and then a  c-section on a lady with a very small pelvis and a large baby that we thought was dead but we did the c-section anyway and the baby is surviving and looks ok..  really a miracle.   
Dolores has had spells of "heart racing" and "heart pounding" usually at night since her episode of a-fib April 8.  Usually the rate is 80-100 when her usual at night is about 60.  The sensation and rate have been fairly well controlled with deltiazem which we were finally able to get from NDJ (took 3 days).  She has an appointment with the chief cardiac electrophysiologist Dr. Mandipati at Loma Linda after we arrive there this next weekend May 26.  We were going to be at Loma Linda anyway for Rachel's graduation from Dental Hygiene school.  Nothing serious is found.   Dolores had a cardiac workup Feb 2015 for chest pain which was chest wall pain and the heart was fine.   
Danae and Olen left our pickup camper at Gloria's (Dolores sister in Riverside) so we will have wheels.  Hoping to spend a few days in the desert and mountains on the way to Denver and S. Dakota and finally back to Oklahoma.   Olen and Danae are now in the air on the way back to Chad.  
I think we will finish getting the new pump in the new well tomorrow as we have now waterproof splice for the electric wire going down into the well.  For the low voltage 195 instead of 220 we have some new wire that we hope to run from generator to the well shorter distance so hopefully increase the voltage somewhat.

   
Our emails are drbland42@gmail.com and dfbland01@gmail.com.

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

Blog May 7, 2017

It is still hot and no more rains have come.  The green that was beginning to come up has dried up.  The low in our bedroom has been 85-93F (30-34C).  It gives a different meaning to a hot steamy bedroom.  The humidity is up so now a free sauna.  So thankful for the A/C in the OR which cools it down to 85-90F.
We still don't have the new pump in the well yet as need waterproof splicing for the electric wire going down into the well to the pump.  The wire on the pump is not long enough to reach the top.  It is difficult to find waterproof splicing in this country.  The pump on the new well would greatly relieve the load on the present system that runs almost constantly.  We have the new tank on the tower built by the new well.  
Friday we had a lapartomy on a lady that had a c-section 3 weeks before in another hospital.   She had a semiacute abdomen so we opened her.  It was a terrible mess inside and a large abcess in her pelvis and left side abdomen with over a liter of purulence.  We washed her out and put in a drain.  We have had a few breech babies lately that amazingly have done pretty well except for those that come in with the body of the baby hanging out.  In two weeks Danae will be back so she can do the maternity cases.  
We will be going on our annual leave in two weeks first going to Loma Linda Univ. California for our oldest granddaughter's graduation from Dental Hygiene school.  Maybe spend a few days in the desert and mountains on our way to Denver to see my brother Reggie and his family and to S. Dakota. to see Duane Smith (a friend and classmate of college and med school.  He is not doing well then we have a bunch of appointments for medical and dental etc in Okla.

Our emails are drbland42@gmail.com and dfbland01@gmail.com.  

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