Two more children with esophageal strictures from drinking lye solution underwent endoscopy today: one had no identifiable passage thru the stricture, and therefore it was not possible to pass the wire with balloon attached. The other one was successfully dilated, so hopefully he will be able to swallow better now. Our 4 year old patient from yesterday vomited after he was allowed to drink milk this morning, but that was not entirely unexpected after his surgery. I think he will get better over the next few days.
We have had another busy day operating and seeing patients to schedule them for the 10 days we have left on this trip. Other cases included a colostomy takedown, a partial thyroidectomy, and a couple of hernias, including one man with most of his small bowel and his right colon in a left inguinal hernia. He also turned out to have Fournier’s gangrene involving his huge pendulous scrotum so he also had to have that debrided. There was also a woman who m we saw early in the week with a thyroid mass which we anticipated removing, but she turned out to have other more pressing issues including significant anemia and widespread adenopathy. She also complained of not being able to eat much, so today she had an upper endoscopy and a lymph node biopsy. I think her thyroid mass is the least of her worries at this point.
We had good involvement by the Liberian residents with our work today. Gbozee and Konneh were eager to participate as usual; we also had Dr. Que in the big hernia case and other residents were in and out.
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