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Showing posts from October, 2018

Cleft Lip & Palate Week

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Jambo!! Chase finished up at Tenwek this past Sunday (10/28) working right up until the SP van arrived.  She is now over at Kijabe/AIC Cure Hospital for the Cleft Lip & Palate surgeries this week.  She doesn't have any WiFi at that location, therefore no updates - so here goes: Please pray for a baby girl named Susan.  She didn't wake up from surgery and they had to transport her to the ICU at the hospital up the road.  As it turned out, there was a malfunction in the anesthesia equipment and instead of breathing in oxygen her air was getting recirculated so she was breathing back carbon dioxide.  Thankfully, they figured it out and all is well with the equipment.  Baby Susan has been improving, too!! Please keep Chase in your prayers for strength and endurance and for her patients to heal well after these long surgeries.  Please also pray for sleep for Chase!! I've remained at Tenwek continuing with the water filter distribution, moving ENT equipment, delivering

Week 2

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Isaiah 59:1  "Surely the arm of the Lord is not too short to save, nor his ear too dull to hear." The Lord has heard my cries for mercy both for me and my patients.  Baby of Faith (the name of all kenyan baby girls that have not been named yet) has made it through several surgeries and is now off the ventilator.  She is the newborn seen last week with a large anterior lateral tongue mass.  Pathology has returned and she has a rare myofibroblastic tumor. here she is preop.  she underwent resection of the tumor successfully but needed to be on the ventilator post op.  the ventilator is to the right. I have never seen one like this! looks like an iron lung!  fortunately she is off the ventilator and breathing on her own now.  I anticipate her beginning oral feeds soon! We rushed to the operating theater one morning with a 3 year old in respiratory distress.  Xray revealed a light bulb in her airway! We were able to remove this with some creative tools.  Thank the Lord!

Water filtration 'up and running'!

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October 25th, 2018 Water filtration is up and running! 10/22/18:   Monday was a day of setting up appointments and greeting some old friends, but I was still able to hand out 5 filter sets to an Anglican Priest from Pittsburgh, PA who is at Tenwek with his wife who is a general surgeon.  He and I had lots to talk about being from the Pittsburgh area.  He'll be traveling some more in Uganda with his wife, so I set them up with filters. 10/23/18:   This morning I hit the road and went to Umoja orphanage.  I had been here three years ago and they have grown with more children and needed some filter upgrades.  We purchased a large tank and some smaller containers for clean water and got them all hooked up. 10/24/18:   Today was a day for new things!!  Boda Boda ride (motorcycle ride) through the back hills and villages around Tenwek and Bomet.  At one point, I had no idea where I was and I'm pretty good with directions!  Yeeehaaaaaa!!   I had lots of looks!  &q

First Week

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This photo is a typical view of the Kenyan landscape.  I love walking down the dirt road with the cows next to me.  Young children laughing and playing with sticks in the nearby grass.  The gentle breeze cooling us from the African heat.  Such a simple quiet life. It has been a different kind of trip so far this October.  With our clinical officer Peter gone I have had to struggle through clinic without all the language assistance that is so needed.  Fortunately, my general surgeon resident has been full of energy and although he does not know the local tribal language he is able to converse with most using Swahili.  There has been a parade of patients again now that the word has gotten out that I am here.  Because Peter was not here to line up surgery for me I have seen many more patients in clinic than in the operating theater. This is Paul who is a 16 year old child referred for cleft palate repair.  he had his lip repaired when he was younger but ne

a long day

Today was a busy day.  God did a miracle with my luggage it arrived tonight intact, nothing missing and no taxes needed to be paid! I am very grateful. We did a Thyoidectomy for a very large thyroid goiter today.  All went well and patient is recovering without issues.  Thank you God Clinic this afternoon was very busy.  I saw many patients.   Several with large head and neck tumors. We are in the process of evaluating them. unfortunately the CT scan is broken so we need to make decisions like the old days!  I am enjoying working with my general surgery resident who is so enthusiastic to learn.  He enjoys spending time with the patients and praying with them so we are working well together. tomorrow we have a small biopsy in a child and no other surgery lined up  yet.  we will see what casualty brings in today. thank you for continued prayers for the patients and strength for me. chase miller

first day

God is in the business of miracles and I am sure He is at work now.  my bags of equipment have been held up in customs and I have been working with them.  I received word tonight that I did not fill out the proper paper work to transport this kind of equipment but they will be sending my bags to the local town (Bomet) near me.  praying there will be no taxes to pay at pick up. the enemy is busy trying to destroy the ENT service at tenwek but we know who is in charge. my PA has left the hospital.  he was key to organizing patient visits and surgeries.  Today I saw about 6 patients which is quit a short list compared to the usual 20-30.  the registration desk has been referring out all ENT services.  I am praying that the Lord will bring the patients in despite this obstacle. thank you for your faithful prayers chase miller

I arrived safely

It has been an interesting journey again.  1 missed my second flight but arrived in Nairobi as planned.  unfortunately my bags did not make it.  this is concerning as when they do arrive they are fair game for anyone interested.  Customs may also be an issue without me to defend the contents.  then there is the question of transporting them up to a a rural area.  I would appreciate your prayers on that issue. On the way today there were "demonstrations" on the main road.  It was unclear what these were about but my driver assured me that it has been peaceful recently.  After 2 hours standing still in the hot African sun on a dirt road we were glad to get moving again! I am thanking God that he is freeing me up from "excess" baggage this trip.  I guess he is going to take care of all the details again!  I have come a long way from our first trip here in 2011 where we arrived carrying 10 bags! Matthew 10:9 "Do not take along any gold or silver or copper in