4/26/2016

GIANT CYSTIC KIDNEY

This poor baby came to us after 3 years of a gradually increasing abdominal mass. She was having difficulty eating and even breathing because of the mass size. At surgery, we found what we suspected-a giant cystic kidney.







HOW TO OPERATE WITH A RUPTURED ACHILLES TENDON

The March/April trip went well. We did 147 cases in 4 weeks. We used some innovation to get around my having to stand for 16 hrs/day.





The VACOcast Pro Achilles orthopedic boot was very effective in stabilizing my ankle.




3/21/2016

TAKEOFF

I am ready to go tomorrow. Patients are already being admitted and some are coming from as far away as Kenya!!! My leg is slowly healing and I can walk hobble without crutches.



3/15/2016

Next Trip

My next trip was scheduled for March 23 but it may be delayed a little-I ruptured my achilles tendon on March 10 and had surgery last night by Dr. Roger Sessions in Henderson, TX.  I am getting a VACOcast Pro/Achilles boot tomorrow.This may slow me down some-but not much.






12/27/2015

RARE AND DIFFICULT TO GET

                                         This was difficult to obtain but I am proud of it

11/08/2015

RHABDOMYOSARCOMA

I returned to Nigeria September and October and saw my little patient. She is doing VERY well. Unfortunately, she has rhabdomyosarcoma. We have started chemotherapy and hope to reconstruct her face in the future. However, this is an advanced case with a poor prognosis.

9/14/2015

RESECTABLE?

Last trip on Aug 1, 2015,  I encountered an incredible case. A poor little girl with a horrific tumor of the face. I do not know why it was not treated earlier. She came on the last day of the trip and I decided to just examiner her under anesthesia in order to plan to do the surgery the following trip, September 17, 2015. We gave her a small does of Ketamine and after examining her,  I immediately realized the surgery was possible-so we did it!.

Eric our nurse anesthetist (probably the best in the world), cautiously intubated her and the surgery began. Then miraculously, it was over. I must have been in in a trance or the "zone" because I do not remember doing the surgery. It went very well. 

I have consulted with several specialists in nasal reconstruction. As you can see, she has many problems in order to reconstruct her face-missing nasal skin, missing cheek skin, open maxilla with loss of bulk and cheek support and missing upper lip. reconstruction is possible but will tax my skills. We will let her heal and improve her nutrition before we do more surgery. the pathology is pending.






One week following surgery