Saturday, July 5, 2014
Monday, April 28, 2014
Schematic of the Side Elevation of the new Resident and Trainee Housing Project. This building will provide housing for about 25 residents, interns and medical students.
Visiting a patient with the ortho team andClaire.
Our outstanding and very talented general contractor, Kimay. He is employed by Tenwek to do most of the construction projects around the hospital.
Balancing act...gymnast in the making.
Saturday, March 8, 2014
Thursday, January 30, 2014
Dueling Weber grills - pork in one, chicken in the other. Why not?
We resuscitated her in theatre with several liters of fluids, and then began the arduous process of trying to put her back together. After thoroughly washing the protruding bone, which was dirty with soil and grass, I wired the two halves of the pelvis together using sternal wire (probably brought by my brother John for open heart surgery). Then, while Dr. Russ White and the surgical resident worked on reconstructing her soft tissue injuries, I supplemented the internal pelvic fixation with an external fixator, using 5mm diameter pins drilled deep into the iliac crests which were then connected by graphite rods. Not once during the entire procedure did she show any signs of crashing, and, in the end, we were all pleased with the reconstruction.
At first, during our post-op morning rounds, she would lay stoically while we examined her, likely traumatized by the horrific events in her life. But over time, as we explained how God was healing her, and had even spared her life, she began to come alive with the most beautiful smile, and we saw her true person: a beautiful woman loved by God! Amazingly, her postoperative course was entirely uncomplicated, and after about two weeks in the hospital, she was discharged. Just yesterday, I saw her in clinic, accompanied by her husband, actually standing (see pic), with completely healed wounds. I was overwhelmed with a sense of God’s grace and presence as we prayed, thanking Him for His healing in her life.
The World Health Organization has recognized that road traffic accidents are becoming a public health crisis, on par with HIV and tuberculosis, and has declared this “the decade of road safety.” As roads improve, and access to transportation increases (especially in our area via motorcycle taxis), the increase in injuries related to road traffic accidents is staggering. The orthopaedic service has grown exponentially, and is now one of the busiest at Tenwek, with currently more than 55 inpatients. And these patients' injuries are not simple, but complex, often with multiple open fractures, and challenging wounds that require multiple trips to the operating room. I have come to call this epidemic “the maiming of a generation.” But God has put Tenwek in this small part of the world (which also feels like the epicenter of this crisis) to stand as a testimony that Jesus loves His people, and that He has come to heal that which is broken, both body and soul.
Wednesday, December 11, 2013
Sunday, November 17, 2013
The symposium attendees from all over Kenya...love the i-Phone pano function!
The Tenwek Surgery Building auditorium...perfect venue for our symposium.
Sawbones workshop...Dr. Cabanela demonstrating how to do a total hip replacement using model bones.
Coolest part of the symposium...the live surgery demonstration where video and audio feed was piped live from the operating room to the auditorium. Here, Dr. Joe Cass is asking Dr. Ray Kim questions while Kim performed a total knee replacement.
Sawbones workshop...Dr. Kim demonstrating a total knee replacement on model bones.
During the days leading up to the symposium, the team operated on some patients with challenging problems!
28 year old young lady with a badly dysplastic hip, now with a brand new hip replacement.
At the close of the symposium, the team was thanked in typical Kenyan fashion, including the rungu, symbol of (orthopaedic) strength and power!
Each attendee was presented with an official "Certificate of Participation" and CME credit was given to attending physicians.
Left to right: Dr. Joe Cass, myself, Dr. Ray Kim and Dr. Mike Cabanela. Thanks team!
Saturday, October 26, 2013
Emmanuel, a 19 years young man, with a painful mass on the back of his leg.
X-ray showing this large osteochondroma growing off the top of his fibula, essentially filling the back 1/2 of his calf.
Emmanuel was shocked (as were we) at the size of this mass which he lived with, in pain, for several years.
Other evidences of "God with us." Dr. Dylan Nugent (left), who will join the ortho team (God-willing) in 2015 after he finishes residency, and Dr. Will Moore (right) who joined us 2 months ago, a stellar surgeon, team-member and friend. (Dr. Kiprono - absent as he was on well-deserved leave after several months of faithful service - often alone - while I was away.)
Will showing "the love" during a femoral nailing. He loves the big and bloody ortho procedures!
"God with us," as we continue to teach and train orthopaedic and surgical residents.
"God with us," as we continue to care for the myriad of patients who come to Tenwek for orthopaedic care - last week in Wednesday clinic, 137 patients...a new record.
"God with us," as our inventory grows. The inaugural use of our new Biomet distal femoral locking plates. Huge...
"God with us," as we continue to share the good news of Jesus Christ with our patients.