11/28/2016

LAGOS

Lagos is a city in the Nigerian state of Lagos. The city, with its adjoining conurbation, is the largest in Nigeria, as well as on the African continent. It is one of the fastest growing cities in the world [and also one of the most populous urban agglomerations in the world. Eight million people are crammed into the city



11/05/2016

CONDITIONS

Many have asked about living conditions and working conditions. Here are some pics. For people interested, I also blog on Facebook. https://web.facebook.com/Earthwide-Surgical-Foundation-134981946573355/?_rdr



10/28/2016

PATHOLOGY

Without a diagnosis we know nothing!.

DESPERATE NEED FOR PATHOLOGY SERVICES
Earthwide Surgical Foundation is a non-profit 501(c)(3) organization dedicated to providing care to the poor of the world. Every other month for 4 weeks, Dr. Camazine goes to the Nigerian Christian Hospital to do surgery. The cases are often advanced and difficult. Proper pathologic diagnosis is critical so the patients can get appropriate postoperative treatment such as chemo or radiation. For the past 8 years, the Brigham and Women's Hospital has been graciously performing our pathology but this has come to an end. We are in DESPERATE need of pathological assistance. The work would involve 10-30 specimens every other month. There would be no rush as long as we could get results within one month. Getting involved would be lifesaving and a chance to be a teleconsultant on fascinating cases. If you can help, contact me-Brian Camazine, MD 254-718-0659, briancamazine@gmail.com.








10/02/2016

Terrible

This is not hidradenitis suppurativa! This man had this condition for 5 years before seeing us. We performed a radical debridedment and found that there was pyomyositis. In addition, pus tracked under the inguinal ligament into the pelvis-probably necrotic lymph nodes. After the debridement, simple dressing changes with honey cleared all the infection. He will be skin grafted in November. By the way, the same procedure was necessary on his right buttocks.




9/24/2016

PECTORALIS MAJOR FLAP FOLLOWING RADICAL PAROTIDECTOMY

This man required a radical parotidectomy for mucoepidermoid carcinoma. A pectoralis major myocutaneous flap was tthen used to close the defect. He is now receiving radiation.



9/17/2016

RETINOBLASTOMA






 This little child had a fast growing mass in the left orbit. We did an enucleation and the pathology showed retinoblastoma. The child is about to start chemotherapy and later, perhaps, radiation as well. Charlotte Jacobs, MD, at Stanford University, has been helping with post surgical treatment recommendation.


TRAM FLAP FOR FUNGATING BREAST CANCER

This delightful lady had a fungating breast cancer. She received 3 courses of chemotherapy followed by radical mastectomy. Ten days after surgery, Dr. Mishack Akunekwe and I performed a TRAM Flap. She is discharged home and doing well. Of course, she probably is not cured but her quality of life is astonishingly better. She will no longer have the smelly mass attached to her and be a pariah in her village.