RARE AND DIFFICULT TO GET

                                         This was difficult to obtain but I am proud of it

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.

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

NEW POST!!!

Aseptico Portable Dental Unit

It has been awhile since I have posted but the Humanitarian work in Nigeria has continue full speed. i am now going 4 times per year for a total of 4 months. We have progressed at the Nigerian Christian Hospital  by adding consultants in Urology (Dr. Achor), Orthopedic Surgery (Dr. Nottidge), Plastic Surgery (Dr. Akunikwe), and Dentistry (Dr. Nyerovwo). Specialties already present are Pediatric Surgery (Dr. Emem), OBGYN (Dr. Oje), General/Thoracic/Head and Neck (Dr. Camazine) and Oncology (Dr. Jombo).

I recently purchased a portable dental unit which is now in Lagos waiting to be carried to NCH. In addition, I purchased a beautiful portable bronchoscope from Pentax which will be invaluable

Pentax Bronchoscope