Week one has been full of surgeries and clinic visits. I am always amazed how the hospital staff have no idea I am coming yet within two hours of starting my work the word is out and a line is forming. The need for ENT services is so great here it is hard to walk from one end of the compound to the other without getting stopped several times to diagnose a staff member's problem.
On Monday, my the surgical team had prepared a patient with a large salivary gland neoplasm. This had previously been partially removed but recurred soon after her last surgery 4 years ago. It was steadily growing and there was concern for malignancy.