Monday, November 27, 2017

One Last Caesarean before I go



 
Yes I did one last caesarean this morning.  Nothing exciting really, she was stuck in labour, and she had had a previous caesarean, and we didn’t want to push our luck with a ruptured uterus.  There is a new Surgeon here right now and he decided to scrub in to get used to the surgery again.  He works in Newfoundland now, but he is from Edmonton originally and has spent time up north in Inuvik.  He even knows my former Senior Resident that was on call the day that Sean was born – Cal Green.  It’s a small world!  I said Goodbye to all the Midwives today, and they asked me to pray at the daily devotions, but I did it in English.  The two little premature babies are still hanging in there which is truly a miracle.  God is good.  Some of the docs from Ireland left today, and everyone was sad to see them go.  The number of docs drops precipitously around Christmas time – I guess everyone wants to be home with their families.



The clinic was pretty much the same as always.  The Interpreter I had today speaks English and Hausa, but not French.  I had to keep interrupting myself and switching back to English because I have gotten used to doing the clinic in French.  He was a bit upset that I was leaving as he had just said goodbye to the other group that left today.  There was one interesting case today.  There was a lady who was pregnant with a terrible productive cough that was coughing up blood.  Her Chest Xray showed her heart to be slightly enlarged, but I was wondering if she had TB (which is unfortunately very common around here).  The Internal Medicine docs will have a look at her and see what they think.



Well I am mostly packed, and I will try to do my online check in tonight.  My travel time is apparently over 30 hours (there is an 8 hour layover in Paris).  I start in Niamey at 00:30 and because of the time changes I arrive in Vancouver a little after 10 pm.  My dad said he wanted to pick me up so we will see.  It has been an interesting time full of unique moments.  I hope you were able to enjoy some of them as well.



Ecclesiastes 3:1  ESV
For everything there is a season, and a time for every matter under heaven

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