Tuesday, January 30, 2018

Blog Jan 30, 2018

I was told Sabbath that some government employees had not been paid for a few months..  Also that all government employees salary would be cut to 45% of previous salary.  Most employed people seem to be on government payroll.  Not sure how that will affect us.   There are riots going on today.   Some have been killed in NDJ we hear.   One 12 yr girl was shot by police here in Bere today and she finally died after we spent a few hours in surgery trying to save her.  The bullet traversed her pelvis hitting (making holes) her artery, veins, bladder, small intestine, rectum
and out the other side through the bones.  The government teachers went on strike so school was let out.  But our church school was having school.  Students from the other schools came to ours and began to throw rocks and bricks at our students and buildings.   They also were throwing rocks at our compound gates and onto a roof or two inside the compound making some dents.   It was pretty noisy around here for awhile.   Police finally came to quiet it down but instead of running the others away and protecting our students and buildings they shut down our school as well.   No ones seems to know how long this will last.   All hospitals will basically shut down except ours.  Don't know how long we will have phone and internet I think they are private so hopefullly will continue.   Don't know how that will affect our planned trip to Zakouma National Park game park next week.   The government says they have no money.   They have announced that income tax will double from 10% to 20% and they are sending troops around to check to see if people have receipts to show they have paid their taxes.  Our hospital has kept their paper work so all working for the hospital should be ok on that point.   They found someone in a neighboring town that had not paid many millions of francs in a few years.  I would expect there will be more trouble in a few weeks after people begin to feel the full impact of all this.  So far I understand that the airport is not closed down hopefully.   The hospital business is less than usual for this time of year.   Also the rice crop was not as good as it should have been.   It is all a recipe for more problems ahead.   BUT they have been on strike before and it did not affect us very much other than increased business for the hospital esp OB.   Things always seem to work out.
Please keep us in your prayers!
   
Rollin and  Dolores Bland 
Hopital Adventiste de Bere
Boite Postal 52
Kelo, Tandjile,  Chad,  Afrique

Wednesday, January 3, 2018

Blog Jan 1, 2018

Happy New Year!
I watched the new year in by doing a c-section soon after midnight transverse presentation then another one today for CPD big baby.   She had come from Bao about 2 hours away on a motorcycle which is the most common ambulance service.   The first one was from another hospital as well.   The Chadian doctors apparently don't work Christmas and New Years and so the abnormal OB's come here.   Another patient came in after midnight with ecclampsia (convulsions and elevated blood pressure etc)  Baby was born with vacuum extraction soon after arriving.   The baby had a good heart beat but never made any respiratory effort.   I breathed for it over an hour and finally gave up.   Mother is doing ok now.  We had 6 c-sections over Christmas weekend patients referred from other hospitals.   Nearly all got here too late to save the baby.   Two had ruptured uterus.  
Yesterday we had a typhoid perforation intestine and she is doing ok today.    Also had a bowel obstruction secondary to large 6-7 cm polyp mass in descending colon and a 3 cm mass in small intestine and she had a 10 cm mass on ovary and multiple nodes in the mesentery.   We took out the masses from this 19 year girl.   Also the mesentery and peritoneum was hemorrhagic.   We knew she would die eventually but not as soon as today.   
We had a nice bon fire yesterday evening that we gathered around for awhile.   Most of the other expats stayed up until midnight or after watching a movie but I had gone to bed just barely asleep when was awakened to see the maternity cases.   
Christian (the Argintinian surgeon) is sick with malaria so not working yesterday or today.   
Dolores keeps busy with the kids and with cooking for Olen and the kids and us.   
Danae's oral Ob-Gyn boards is Jan 8 next monday so please pray that it goes very well there in Dallas then she will return to Chad.   
Love
Rollin and  Dolores Bland 
Hopital Adventiste de Bere
Boite Postal 52
Kelo, Tandjile,  Chad,  Afrique