Blog Oct 15, 2017

Today we did a long surgery a laparotomy for a strangulated internal hernia with necrotic sigmoid colon and a necrotic terminal ilium (about a meter) that had to be resected.   Last week in the same day we had two cancers that were not resectable.  One was to be a bladder stone but turned out to be a large cancer  and the other was a nonresectable cancer of the cecum already too far spread.  Both patients were teen agers.  I amputated the first toe and metatarsal for a dead toe a few days ago.  Tomorrow we have another amputation for cancer of the lower leg.  We had a huge molar pregnancy that was about size of 5 month pregnancy 3 weeks ago but now the uterus has not decreased as  much as it should so she probably needs a hysterectomy.   She already has 5 kids./  
Yesterday was a long day.   I got up at 0600 to go pick up some people for baptism from a group that was only 17 km away but took at least an hour each way.   Of course they were not ready to go when I got there.  Here in Bere they were having a district meeting for several churches and groups around here.   They had a baptism (we had to transport to the river) and Sabbath School and church in the morning (Olen was preaching for church) and also pastor appreciation day and food and cash etc were brought for the pastor.   I hauled it to his house during the "lunch break" then there was foot washing and communion in the afternoon which usually takes about 2 hours.   Then I took those people back to Delbian another hour each way.  It is peanut (groundnut) harvest time so pastor got lots of that.  
We finished mowing the "lawn" a few days ago.  It probably won't need it again before next June or July as dry season seems to have begun in earnest although did get 0.4 inches a few days ago.   It will take a while longer before the water holes in the "roads" dry up.
Events are transpiring all around the world.   Huge shooting massacre in Las Vegas, Nevada.  Huge wild fires with lots of deaths in California.  Russia is moving tanks and artillery into Serbia (we were there last year).  Venezuela is talking war with the USA.  North Korea keeps threatening with its nuclear capability.   Syria, Iran and Israel are on the edge.   Saudia Arabia is getting "defense material" from Russia.  A large truck bomb in Somalia.  A large hurricane heading to Ireland!!!   Who knows what President Trump0 will do besides twitter.   
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