February 12 - 26
The first trip of 2005 was February 12th to 26th. The first week Shane Woolf, a senior resident from the Medical University of South Carolina, Charleston, Joe Thompson and Jerry Shealy along with Frantz Codio, Morio Florestal and Rudolph Richeme helped do more work than usual.
Dr. Richeme is now in his first year of residency at Bonne Fin. He is a family practice resident under the teaching and preceptorship of Dr. Jim Wilkins. Rudolph has made great advances in his skill and knowledge as a doctor since the beginning of the year. Rudolph will get married July the 9th and his wife who is a nurse will join him in Bonne Fin
Dr. Woolf enjoyed teaching the students and staff while he had a full load of work. He presented a lecture on fracture care and took care of patients on the ward, in the clinic and in surgery. He will finish his residency this spring and begin a sports medicine fellowship in Arizona this summer.
Dr. Shealy was able to take care of many complex hand and upper extremity problems that there is no one in Haiti who can take care of. His help has been invaluable.
We went shopping in the market in La
This patient had a large giant cell tumor of the radius that was painful and preventing him from using his hand. In February 2003 Dr. Shealy removed the tumor and used a fibula bone graft to fuse his wrist. February 2005 he showed up in clinic to ask if the "iron can come out". He is having no problems and is working as a farmer.
April 2 to May 6
The second trip of 2005 brought Rob Baker, Pastor Neal Mathias, Don Hoshaw, and myself from First Presbyterian Church, Columbia, together with Joe Thompson and Pastor Don Day from First Scotts Presbyterian Church, Charleston. While Joe and I saw patients and operated, the others worked on painting the operating rooms. The two pastors also preached and helped us to evaluate the effectiveness of the evangelism and out-reach of the hospital.
Neal and Don Day lead our devotional and spoke at the morning chapel service, while Don Hoshaw worked on sharpening the surgical instruments and Rob Baker coordinated the painting effort. The painting was HOT work.
In April, Ann and I were in Port au Prince studying Creole. We had 3 hours of instruction each day and spent the rest of the day doing home work. Above is a picture of our instructor, Ronald John Louis, also the author of the book we used. The course was very helpful, enabling us to talk with the patients.
While in Port, I had the opportunity to lecture to the second year class at Lumiere Medical School. Rodolph Richeme, the class president was my interpreter.
July 8 to August 12
In July, Joe and I had clinic at City Lumiere. Frankel and Dirk and Karen Martin run the "Disadvantaged Program" that was started and managed by June Hanks from Chattanooga, Tenn. We saw a lot of children with congenital injuries and adults with trauma.
Three patients with untreated tumors came in through the clinic. There is virtually no treatment of cancer or tumors in patients and the end stages are very painful and disabling. Surgical ablation for comfort and pain control are common means of treatment in the end stage.
This little boy has a congenital pseudarthrosis of the tibia, a deformity of the growth of the leg bone. W,e were able to resect his periosteium, straighten the bone and stabilize it with a pin. Getting the bone to heal is a problem and can lead to amputation.
Sept 22 to Oct 13
In September, Glenn Searcy from Camden, South Carolina went with Ann and me. Glenn is a Biomedical engineer who fixes medical electronic equipment. What a blessing to have him with us. He was able to fix equipment, and help us know what was not worth repairing.
This father walked 8 hours one way with his 5 week old baby that has club feet. He had heard we were at the hospital and wanted us to see her. She will need casting of the feet every other week for six to eight weeks..
This little boy with club feet could not be helped with casts so we operated on both of his feet. Untreated club feet in young and adolescent children is common in Haiti.