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Mission to Guatemala Fall 2008 (Page 2)



Monday November 17th. We had another 10 cases with more of them being bigger hernias or bilateral. I have enjoyed the assistance of a number of Guatemalan medical students (one shown here) and a Guatemalan scrub nurse. We all learn from each other.



This was the first case of the day. She had the large hernia I showed on the previous page. This is how it looked at the conclusion of the operation.


Becky helped out in many capacities including helping to corral preoperative patients. One function she enjoyed was reading to the children. She had brought some classic children's books in Spanish.



She had an official function as our pharmacist. She dispensed the medications to the patients at discharge from the recovery room.


Betty also got to do some teaching.



I took a brief break to meet Dr. Herrera, the founder of the medical school and this clinic. He has interests in a large sugar mill that I think provided the funds.


There were a few Guatemalan student nurses that tended any patients we left in recovery overnight. The Guatemalans are a small people as a rule.



The patients stayed in an adjacent dormitory. I would make rounds there a couple times per day to check on their progress. This is the dining hall. The men and women are separated to opposite sides for sleeping but I don't know why they maintain the separation for dining.


Tuesday November 18th. This is the ear lesion (from the previous page) after the excisions. We did another 10 cases today including this one.



It's nice to relax by the fire at the end of a long day.


Wednesday November 19th. We did only 9 patients today but three of them were bilateral hernias. This little girl is Anna, a medical student interested in surgery who has been a big help to me. She is 23 years old and weighs less than 80 lbs. but holds her own. The other one is Joe Leier - our biomed tech and general McGuyver.



We ate together as a team each evening.


The Scrabble board came out later in the week.



Thursday November 20th. We did another 9 procedures this day. We made rounds a couple times per day in the adjacent building where the patients stayed.


Here I am conferring with the medical students as to whether a patient is ready for discharge.



One of our favorite patients was 6 year old Fredy. Like all the patients, he had to wait from Saturday until the day of his surgery. Chris was a team member who was there for construction. He took an instant liking to Fredy and found activities to get him involved.


When it came time for Fredy's surgery, Chris was right with him.


And he was there when Fredy woke up after a successful operation.


He bounced right back from his surgery...


...and was his normal self in a couple of hours.


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