I have no good excuse for not writing every day, except that we have been very busy working and I have been very tired at night. We have had some interesting cases, and some real challenges which have made the trip interesting and fun. We have been challenged by a number of abdominal cases in particular: one last week was a 19 year old with abdominal pain which progressed to an acute abdomen. His abdomen with distended and very tender; Emery and I had no clue what to expect, other than he needed surgery sooner rather than later.On opening his abdomen he had bowel twisted around itself; this is called a volvulus. What made him unusual was the part of his colon (sigmoid) was twisted, and we think that process brought in small intesting which also twisted. Twisting cuts off the blood supply to the affected bowel and it dies; we ended up removing about half of his small bowel and 1/3 of his colon. He is doing well at this point, so I continue to be optimistic.
Saturday night Masmina took us to the Mamba Point Hotel for sushi. We had a great time! Then Sunday we went to Libassa, the eco-resort about an hour drive from Monrovia that we have visited on previous trips. It is situated in jungle next to the ocean, has a lazy river as well as several pools, and it provided a most pleasant day off.
This week we have been busy, and we are running up against the usual difficulty of have more to do than we can do in the tome available.
No comments:
Post a Comment