Thursday, January 4, 2018

Thursday

Morning report as usual and amazingly only one trauma case last night.  This gave me an opportunity to ask questions regarding how all of our operated patients were doing and amazingly some very difficult surgeries thus far are all doing well.

After rounds I demonstrated the use of a lot of the surgical equipment that I brought this year.  One of the items is an electric drill with many bits for drilling burr holes, turning a skull flap, and carrying out spinal surgery.  It currently takes an hour or two to open the skull and finally get to the brain problem.  This should shorten this to 15-30 minutes.  Actually the chief asked if I would scrub next week and show them how to, in essence, get to the meat of the case much quicker.

Our surgical case this morning was a three year old with an enormous tumor, probably a low grade and potentially curable cystic astrocytoma.





They have asked me to give two lectures to medical students next Tuesday and Wednesday, which I always enjoy.

We left a little early this morning to have an early lunch before a very special afternoon.  Dr. Medoff, his wife Debi, and their son Sar from Greensboro, NC picked us up and we all went to the world famous Hamlin Fistula Hospital.  Their son Sar is in the last year of an Emergency Medicine residency at Emory in Atlanta, and has a one month elective rotation in the emergency room at The Black Lion where i am working.

The Fistula Hospital is a remarkable place.  Google it, or read "The Hospital by the River" by Cathrine Hamlin, or go to YouTube and search for "Oprah and Hamlin".


On the way back to our guest house they dropped me at the Telecom office.  I am running low on data on my cell phone and could not figure out how to add more.

Tomorrow I will be giving a conference, along with one of the residents,  to neurologists and neurosurgeons on trigeminal neuralgia, after our morning conference.  We are then leaving early to fly to Harar for the weekend.

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