WEEK 2 KIJABE HOSPITAL

By -



Operating Theater Staff

My second week I definitely felt more comfortable with how the system worked at Kijabe and in the operating theater.  The anesthesia team and surgical techs were a huge help.  They knew their equipment well and were amazing at improvising when needed.  Although the instruments were not what I am used to I honestly don't think it affected the surgical results at all.

I spent my time in the operating room each day.  We performed a bilateral cleft lip, several sinus surgeries, cleft palate repairs, tracheostomy and even a fat graft to the left cheek.  Several of the cases I will always remember.  

Alex was a 17 year old boy who presented with a large sphenoid sinus mass. the sphenoid sinus is in the back near the skull base. The mass had eroded all the walls of the sinus and he had become blind in 2019.  He had debilitating headaches in addition.  The plan was to biopsy the mass.  His brother of 23 was caring for him and was informed that the surgery would not restore his sight and would likely not improve his headaches.  We would try to get a diagnosis for him.

Ct scan of large sphenoid mass

I was concerned about bleeding and cerebral spinal fluid leak.  The lighting was poor and the bleeding was enough to make it difficult to see well.  Another danger factor!  But I perservered and entered into the region of what I thought was going to be slow growing tumor.  But praise God he had a massive mucocele.  These can form in the sinuses and cause slow expansion and pressure on surrounding structures.  The cyst was widely opened and drained.  This would cure his headaches and prevent any further damage to his brain.  The day after surgery Alex was headache free and going home with his brother.  What I learned- "Trust in the Lord with all your heart and lean not in your own understanding.  In all your ways submit to him and he will make your paths straight." The Lord drew him to Kijabe not for a biopsy complicated by bleeding or CSF leak but for a healing.  I had the opportunity to share with Alex and his brother how the Lord was providing for him.  Although he is still blind I know that God is watching over him.

Below is one of the precious cleft lip children we operated on.  He has a bilateral cleft which involves both sides of his lip.  These are much more challenging to reconstruct. This family traveled 5 hours for surgery.  He had a long surgery but is recovering well


On my last day, we rounded on a 34 year old female who had arrived hours earlier.  She had a large thyroid mass compressing her trachea and making it difficult for her to breath.  She has been seen at another hospital several weeks before where a CT scan showed a highly malignant thyroid cancer.  She would die without a tracheostomy (breathing tube in the neck).  This would not be easy with this large mass obstructing her trachea.  We prayed that God would have mercy on her.  We were able to get the tube in place and do biopsies to help us determine if she would be a candidate for further surgery.  God proved faithful again despite our fears of the difficult situation.

I am ending my week in awe of God's faithfulness.  He will never leave us nor forsake us.  He makes a way for us. 

"So do not fear, for I am with you;  do not be dismayed, for I am your God.  I will strengthen you and help you;  I will uphold you with my righteous right hand."

Thank you for your faithful prayers- They worked!!
Chase

Popular posts from this blog

Arrived home

By -
Image
 We arrived back home safely for Easter!  Thank you for all your prayers.  This trip was a tough one but God proved Himself faithful as always.  God answered prayers in so many ways. 1. He poured forth rain from heaven.  The drought has ended and the people are rejoicing in the plentiful rains on the country. Compare this to week one photo of the waterfall at Tenwek.  The rains have allowed the hydroelectric plant to run again.  The fields are green again! 2. He healed His people physically!  This patient has TB of the spine.  She was paralyzed from the waist down and unable to sit up in bed.  Her arms were weak.  She underwent incision and drainage of a soft tissue abscess and spine stabilization.  I helped with the access in the neck for the neurosurgery team. She is now able to sit up in a wheel chair and strength is returning to her arms.  This is beyond what we could have hoped.  God is working His miracles. 3. He is healing His people spiritually.  This patient came in through ca
Read more

First Week

By -
Image
 I arrived safely after an arduous journey.  I did get questioned at customs again and needed to pay a Tarif but it was a reasonable rate this time.  I have been without internet until yesterday so I apologize for a late update. My first week was quite busy in clinic as I screened patients for upcoming surgeries.  We has some late nights but it is great to be back serving the Kenyans.  I have performed multiple biopsies on various tumors.  Unfortunately there is no pathologist here so the biopsies can take up to 3 weeks for results.  We will make daily calls to try to move up the cases urgently. This patient was ecstatic!  He was diagnosed with severe hearing loss in both ears.  I fit him with a digital hearing aid and he was able to hear clear for the first time in years!  They live 5 hours away and were so blessed! This is a typical thyroid goiter for this region.  She underwent evaluation of her vocal cords in preparation for upcoming surgery.  This will be a tough one to be done al
Read more

Chebonei Girls High School

By -
Image
Classrooms at Chebonei Girls High School We were recently invited to the Chebonei Girls High School to see if we could help them with water filtration.  We set up (2) 100 liter tanks (25-gallons each) and put two filters in each tank and then drilled another 5 pails that will collect the clean water with faucets.  They've been purchasing cases upon cases of bottled water, which gets very expensive, for their drinking water.  They have 2 large rain tanks that are currently empty, but they do have some water that is tapped in from the hospital, but the volume is not adequate and it is not always safe to drink.  They will now transport some water up from the river and use the filters to clean it. The school houses up to 507 high school girls ages 14-18 years old.  Hunter has visited them for games and was part of a devotional team that brought a message and did praise and worship music for them.  It is a Christian School, but not all are necessarily 'Believers' - they
Read more