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

1 comment:

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