Family and Friends,
It is much harder being here emotionally than I had imagined, even with my years of medical experience and trips to Ghana.This hospital is the "tertiary" care center for all of northern Ghana. Things work here. Medications are available here. Surgery is available here. Doctors are available here. The people and the equipment work. Yet, there are many things that we do not have. We do not have an ICU, ventilators or even oxygen. We do not have IVs at a constant rate--only slow, moderate or good rate. We do not have chemistry panels or even potassium levels for patients in ketoacidosis. There is no CT and only minimal xray. There are no code blues or even emergencies. This is the burn center, pediatric hospital, obstetric hospital, trauma hospital, cancer hospital, and any other kind of fancy whatever you can think of. There are three very dedicated men who are the physicians supported by equally dedicated wives. Two have children growing up here. Please, pray for all of these wonderful Christian men, women, and children as they dedicate their lives to His service. To date, we have had three pediatric deaths and at least that many adult deaths. They die from cancer and meningitis, liver disease and unknown causes since diagnostic capabilities are so limited. This kids have died from malnutrition, severe burns, and malaria anemia. The last one died as she was brought into my office today. I had written the admission orders and was preparing for transfusion (direct from family since there is no blood bank). She was bradycardic when I listened to here and her tiny heart stopped as I was doing the paperwork. I have a child in diabetic ketoacidosis right now. I cannot have a constant IV rate, an insulin drip, or even regular blood sugar levels or potassium levels. There is only one bottle of regular insulin available for entire complex. I tell you all of this, not to depress you, but to make you aware of life here.BUT, if this hospital were not here, many more would die. There have been two children with perforated bowel from typhoid and one with an intra-abdominal abscess who certainly would have died if they had not had surgery. I focus on what we CAN do, not on what we cannot do. We have had at least a dozen snake bites who have received antivenin. I doubt if they would have died but they would have suffered loss of function of their hand or foot. Baptist Medical Center is a true oasis in the desert of need. Pray for the future of BMC as it prepares to undergo transition over the coming years. Pray that a surgeon will be raised up to replace George Faile. May God bless each of you this night and always.
Jim Howard
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