Mentors

Even before I started med school, I knew that I would need a good support system. And I knew that was going to be a little complicated, because I was moving to a country where I knew nobody at all. I have good friends, but the closest to me geographically, are still in the next country. It's 4hrs away, so it turned out ok and I get to see them on a somewhat regular basis (money and time being short and all.)

I also knew I'd need mentors. I had never actually had a mentor, so I didn't know where/how to find one.

Then I went to Africa and worked with Dr. Scott. Before I went, I had no idea if we'd get along, I was even a little aprehensive. But we got along great, he taught me a lot, trusted me, and told me to come back any time. So I went back, and learned even more. I know he'll be there for me if I need help or encouragement, and I'm lucky to have him.

Last year, I had also contacted a Neurosurgeon from the US about an article he wrote, and to my greatest surprise, he wrote me back, gave me his phone number and told me if I ever had any questions, to feel free to contact him. I am planning on working with him in the near future, so we've emailed a few times, and even though we haven't met yet, I feel like he's also becoming a mentor, and I'm grateful for that.

To finish, I recently went to a neurosurgery congress and met another great neurosurgeon. It was a small congress, and I ended up talking one-on-one with him on numerous occasions, about medicine, but also about philosophy, injustice and traveling. He gave me some great advice and also invited me to do a rotation with him when the time comes (I'm still an MS2).

I can't believe how lucky I am, that without even trying to, I have found myself 3 mentors. Three great surgeons and great human beings, to look up to, ask advice from, and generally have "in my corner," should I ever need help or get discouraged.

To all of you pre-med, med students and residents out there, find a mentor. At least one. Someone you can trust and who can help keep you motivated, inspired and give you a little push once in a while. We all need it. :) 

Infection

You know all the advances made in medicine when we discovered sterilization and the concept of keeping things not only clean, but actually sterile? Well, that phase in human history skipped Chad entirely. 

We do our best to sterilize instruments, but there are flies *inside* the OR. They're not quite as cooperative as interns when you yell at them to keep their hands off the sterile field. 

Yesterday, a lady who had a tib-fib fracture was getting septic, so the only thing to do was to cut her leg off. The infection had spread far above the fracture site, so it was an above-knee amputation. 

Another discovery that skipped Chad entirely was the concept of full-narcosis. We don't have a ventilator (or the appropriate drugs) so the amputation (and all other surgeries) are done under ketamine, but the patients are awake and moving around. Talking. Watching. 

The lady with the amputated leg had an abcess going even further up from the amputation site, so today we had to unwrap her, poke around and wash it out. Our only desinfectant is a preparation of water and 25% bleach. 

The only pain killer is Tylenol. 

Take a few moments to digest that last phrase... 

I did the dressing change on her today. We have sterile gauze, but the patients actually have to go buy it at the pharmacy, because we don't have enough funding to give them all the gauze they need. So as a family member went to buy more gauze, I was standing by the bed to keep the flies off her wound and trying not to look at her face. 

I washed it as best I could, with an audience, as all the other patients (there are 16 beds per ward, we have 2 wards) watched. Tomorrow, I will do the same thing, and pray that the infection can be kept under control so that we can eventually close her wound and she won't die of sepsis. 

I took a picture, so you can have a better idea of what I'm talking about, but you might not want to look if you have a weak stomach... 

...and just in case you were wondering, no, that basin is not sterile, neither were my gloves or the instruments I used (we keep those strictly for surgeries).

If you got this far and you're horrified, welcome to the club. Unfortunately, this is the best we can do. The hospital runs entirely on donations, and we have barely any equipment at all. Stuff that the hospitals in the US and Europe throw away, we would be over the moon to get. A surgery runs somewhere between $30-$50 dollars. If anybody feels inclined to help, ANYTHING helps. $5 dollars would buy enough sterile gauze for one patient for a week. Might not seem much, but that could be the difference between life and daeth from sepsis... and some patients literally cannot even afford that... 

Alright, I'll stop talking, but please, please, please: HELP! 

Here's a link where you can donate: http://www.ahiglobal.org/main/donate-now/

(Just make sure you specify that your donation it is for the Surgical Center of Moundou, Chad). 

Thank you.