Ghana Update

I know that my first email was heart wrenching and sad. I wrote it trying to mirror life, death, and the medical care available in third world countries in general and Ghana inparticular. And remember, this is an oasis of health care in a very underserved area of the world. Working here would drive one crazy if one did not focus on successes rather than what could have been done in the States.

Just a quick update on the medical problems that we see here. I have seen two cases of tetanus. Unfortunately, both died. However, it gives impetus to the need for immunization even at home. It is easy to become complacent about getting our "shots." Even adults need the tetanus immunization.

We have now had three cases of bowel perforation from typhoid. I had never even heard of such a complication from typhoid. All three underwent surgery and survived. If BMC were not here, all three would have died from peritonitis.

Two more teenagers had retroperitoneal abscesses. Again, both did well and would have died otherwise.

Right now, a four year old boy is in surgery for a ruptured spleen. Of course it was diagnosed at laparotomy (no CT available).

We have had five or six cases of meningococcal meningitis. All but one survived.

Dr. Faile repairs about eight to ten hernias a week. Yesterday, we had one that was incarcerated and strangulated--a certain death sentence without surgery.

Currently, there is a Dutch urologist here. He has done many surgeries. His main goal here is to repair vesico-vaginal fistulas (bladder leaking into the vagina). He has done several this week already. He has made the lives of these women so much better. If BMC were not here, they would continue to be shunned.

Everyday, children are admitted with malaria, anemia, and dehydration. Almost everyday, one dies. However, many more survive because they received IV or oral fluids, antimalarial drugs, and supportive treatment.

There has been a c-section almost every day since I have been here. They are mostly for prolonged labor at home. There is no such thing as fetal distress since fetal monitors are not widely used. To my knowledge, all have survived except ones including a set of triplets and a set of twins.

Many more people receive treatment giving comfort and relief for less severe problems in the clinics. Much suffering has been relieved here.

I hope that the above sheds some light on the successes of BMC. No, everything cannot be done here. In fact, a lot of things cannot be done. X-rays are of poor quality. Certainly, there is no CT scanner or MRI. Sonogram is pretty good done by the three MD's who work here permanently. Lab consists of hematocrit, malaria test, urinalysis, and stool test. Blood is transfused directly from donor to patient after undergoing HIV and hepatitis screening. Surgical capabilities are limited to a general surgeon. There are no codes, ICU's, specialty hospitals, etc.

There are many things that you can pray for.

Praise God for the physicians and their families, the pharmacist, the Ghanaian employees of the hospital (nurses, translators, lab techs, pharmacy personnel, clinic personnel, maintenance people, custodians, guards, drivers, and many more).

Thank him for the many volunteers who come here each year. Ask him to send experienced volunteers in many areas of medicine. Ask for wisdom and clinical discernment as everyone here cares for patients with minimal information.

Thank God for those who had the foresight to found this facility. Ask God to send physicians and a surgeon in particular to staff BMC on a permanent basis. Pray for the patients here that they will hear the Word and answer the call of the Holy Spirit. Thank Him for all who have received salvation!

I will be leaving in sixty hours. Ask God that I have a safe trip home and a joyful renewal with my family. I thank each of you for your prayers while I have been away.

Jim Howard