Showing posts with label mti. Show all posts
Showing posts with label mti. Show all posts

Thursday, August 16, 2012

HIV in Galmi

This woman has HIV and is very ill. She has become too weak to walk. She came to the hospital to be seen for a painful rectal tear. Examination revealed fluid in her lungs, which suggests pneumonia. On top of her tear, and HIV, AND pneumonia, she also has tuberculosis. She was admitted to the hospital for treatment.

Snake Bite


This young man was bitten by a snake. The wound became very infected. He needs surgery, but has been staying at the hospital being treated with antibiotics and quinine (anti-malaria med) to get him healthy enough to have surgery. They will remove the infected tissue today in the operating room, and perform a skin graft as well.

Maternity Patients with Esther

Esther, a French gynecologist, has been here for many years
Esther with a newborn baby


Wednesday, August 15, 2012

Malaria in Galmi


This 16-month-old has malaria. He needs a blood transfusion, but he has O-negative, a rare blood type that is in short supply at the hospital. The blood bank here survives by asking for a blood donation, usually by a relative, when a patient receives a blood donation. But any number of blood payments will not help this little boy because we have no O-neg to give him.

Blood is so precious here that transfusions cannot be approved unless the patient has a hematocrit of 18% or below. (Hematocrits are a measure of the percentage of red blood cells in the blood. Normal levels are 35-50.) Even a patient hovering around 19-20, which is less than half the normal amount already, cannot receive a transfusion. This little boy has a hematocrit of 10.

His exhaustion, which is obvious from this photo, is a symptom of his low RBC count and oxygen, and malnutrition. Niger has a heavy load of malaria cases. It is the leading cause of death in this country, and a major contributor to the fact that nearly 2 in 5 children will die before the age of five.

EDIT: A donor was found for this boy!

Pictures from the Hospital







Tuesday, August 14, 2012

Brad's Day 2

Tues eve Aug 14, 2012
Today was very full with All my patients are getting better in the hospital.  Two went home and two new ones were admitted by me from a busy clinic.  I also had my first c-section.  It was a routine repeat.  Things are a little different here such as they always do vertical midline incisions.  The baby woke up and did well.

Katy went to the little community co-op market.  She got supplies and cooked a spaghetti dinner tonight which was delicious.

Brad
Joe n Brad in the new wing under construction


5 dy old baby with congenital ichthyosis a very grave condition 



youngster with malaria. treated as an outpatient 


Inside the hospital!




Much of the hospital was built in the '50s, making it something
like 60 years old

A new wing for the hospital is being built. Construction here is just starting
but other portions have been built as well. The project has taken more than
7 years.

Katy's First Day

Yesterday I started work at the hospital's pharmacy in the morning. Dr. Starke gave my dad and I a tour earlier and warned us that sometimes people get woozy walking around the hospital. I understood why. There are only 100 beds in the hospital, but they are admitting 20-25 people a day with the disease. They are lining up mattresses end to end down a hallway where patients lay, splayed out, too weak to move. 

I cut and counted pills yesterday morning for several hours. The powder of medication being cut sort of hangs in the air and there's a certain scent of it that is familiar to me because of the Dominican. I felt right at home there. Then I shadowed Dr. Starke, who was working in the surgery exam rooms. 

The first patient was a man who had a serious head injury five or six inches long up his forehead into his hair. Nothing had grown back together again, although he had two sutures. He had gauze plugs in the wound, which was not necrotic and did not bleed much. That was the first case I saw. There was a man with swollen fingers - possibly a tumor. Then a girl I thought must be pregnant. Couldn’t have been more than 13 or 14. When she lifted her dress I saw that she was pregnant not with child, but with a large tumor that made her appear as though she could be ready to deliver a baby any day. After that was a man with one leg. Then a man who’d broken his arm nine months ago, but the bones had never knit back together. His arm above the elbow was all noodly…like a joint that could move any direction.
After that was a  patient, maybe 10 years old, with a swollen chest and abdomen. An ultrasound showed massive cysts throughout his abdomen, eating up his liver. The doctors discussed whether or not the boy had cancer or a parasite, and how to treat him. They were all pouring over medical textbooks and discussing possible treatment plans. They finally decided to treat with antiparasitic meds and then drain the cysts as well. 
Then a woman with a wide, wobbly 12-inch scar down her belly. She had had cysts drained too and was there for a post-op exam. Then an elderly man with open wounds on his foot. His foot was swollen, and his wound oozed blood and puss, which was smeared along the floor as he dragged himself to his seat. Dozens of flies followed him, feasting on the rotting foot. I got a paper fan and insisted on fanning his foot. Flies carry diseases. They shouldn’t be eating a man alive.
It took just an hour to see more serious injuries and sicknesses than I've ever seen in my life. I'll give you today's report later. Gotta get back to the hospital. Much love to you all

Katy

Brad's First Night On Call

Tues *AM Aug 14
Last night was my first nite of medical call.
I admitted four children with severe malaria.  Three of them were having seizures and were critically ill with cerebral malaria, that is when the parasites are in the brain.  One young man came in yesterday but before the meds could reverse things he had a stroke.  It was a very sad case.  I hope my patients made it through.  We give blood transfusions, quinine and IV fluids.  When I was at a hospital in Ghana in 1995 many times we didn't have any meds to help people it was unbearable so this is much better to have some very effective tools, not everything we would have in the States but still some great resources.

I am cutting this short because I am eager to go in do pre-rounds to see how my patients did.

Thank you for your prayers and support
I can feel Gods hand in what we are doing
blessings to you
Brad

Sunday, August 12, 2012

Niamey and Flight to Galmi

SUNDAY, AUG 12
6:30 A.M. NEVADA TIME...
POSTED BY ROBIN GRANATH

A few more pictures...and click on "Older Post" at bottom of this page to read Katy's latest post right before this one!

Brad & Katy spent a little more time than expected at the guesthouse in the capital city of Niamey

Guesthouse kitchen

Brad sits on guesthouse patio

Looks like Niger and Nevada have some flora in common!

Guesthouse bedroom - good way to fight malaria: sleep under a mosquito net !

A hazy sky and thunderstorms kept them grounded in Niamey for an extra day


Niamey Airport, ready for departure to Galmi Hospital

SIM-AIR is the aviation branch of Serving In Mission

Pilot, Kevin, checks the plane before takeoff

Ha! Brad is checking for cell service in the air! Hmmm...or listening to music perhaps?


Destination!  A birds eye view of Galmi
                                        

Leaving Niamey

Dad in front of the Niamey SIM Guesthouse

Kevin, our pilot, checks out the plane before take off

The view. Beautiful :)


Finally in Galmi!

At last! Radio silence is being broken! Er- internet silence. We've been stranded in the capitol of Niger, Niamey, for an extra day due to a large storm that kept our little plane from being able to safely fly all the way to Galmi. The storm passed and we made the flight today, thank goodness!

We came into the Niamey airport on Friday afternoon. The large plane we flew in on towered over the one-story airport. We descended a large set of stairs to the tarmac and were driven to a small driveway by bus. Everyone unloaded and jostled to form lines for Customs. Officers chained the doors shut behind us. The line was slow since all ten sweating phalanges of each sweating traveler are fingerprinted by Customs officers. All of our luggage made it through to the one baggage belt. A porter helped us with our luggage and loaded it into a massive (and possibly ancient) x-ray machine. The belt was too short and luggage fell out of the x-ray machine onto the floor if no one caught it fast enough. We are very fast.

The guesthouse was wonderful, and I very much enjoyed meeting some of the missionaries who are in Niamey. Everyone was incredibly kind and welcoming. There were no awkward silences due to strangers - my dad and I - joining them to hang out. Everyone told stories and laughed like old friends. We chuckled especially at the Olympic speed walking and rhythmic gymnastics on the television.

I have been reading a book my friend Liz gave me called A Thousand Sisters. It is a true story, a book about victims of violence in Congo, particularly women. Congo has been called "The worst place on earth. And the most ignored" by Journalist Lisa Lang. In the book author Lisa Shannon travels to Congo to interview women victims of violence and rape. At one point a Congolese woman who has survived incredible trauma, injustice, and violence, says to Shannon, "It is as if we are the same." To me it is incredible that the Congolese woman, who had been so abused and traumatized, could find even the slightest of similarities between her and the author. But the two women connected and called each other sister.

There is something so beautiful, and so important, in connecting with people, in identifying with one another. In recognizing humanity in each other. Without that, we are lost, and our efforts are meaningless. Connecting with people who are different from us can be difficult. But I don't think we are so different.

Before embarking on this trip to Africa I spent a couple of days at a Christian kids camp. Many of the campers this year were sponsored to attend because they didn't have the money themselves since they were from a local homeless shelter. Part of the camp budget this year went to buying shoes for kids who didn't have any. I remember one of our staff telling me that he'd reminded a kid with loose laces to tie his shoes. The child replied, "I don't know how, I've never had shoes."

Children living in poverty around the world are not so different. It is as if they are the same.
 

Saturday, August 11, 2012

A DELAY...

Saturday 8/11/12 10am  Posted by Robin Granath

Brad texted that he and Katy are still in Niamey, the capital city of Niger.  They were supposed to fly out to Galmi Hospital hours ago but have been delayed by thunderstorms. For this final leg of the journey, they will be flying about 2 hours in a very small plane--the distance, I think,  is approximately 150 miles.  The weather is forcast to clear up however they were told "no flights, except emergencies, on the Sabbath".  Another day for them to acclimate and recover from jet lag!  Frustrating, I'm sure, but good to know that God is in control.  Please take a moment to post a prayer of encouragement in the comments.  And you can learn more about Galmi Hospital by clicking the link.  Brad and Katy will be visiting with our good friends, Joe & Mame Starke (friends from medical school days) and you can learn more about them by going to YouTube and searching "Joe Starke Galmi Hospital".

Friday, August 10, 2012

Update from around the world 8-10-12

10:15 pm,  Friday night, the 10th of August, 2012

I just spoke with my Father and my sister, Katy, who called all the way from the capital in Niger, where they stayed the night at a guesthouse. They said it was 6 in the morning and that soon they would be boarding a small plane bound for Galmi to begin work at the hospital there. Both of them are in high spirits and send their regards to everyone reading and waiting for updates. Katy said the airport was very small and that all the buildings in the city are reddish-orange, either because they are built that way, or because they're covered in the reddish-orange dirt that seems to be everywhere. They asked for continued prayer on their behalf and said they'll write on the blog here soon and that hopefully they can get a good picture of their little airplane.

Godspeed, Dr Granath, and a Katy too.

Keep them in your thoughts and prayers.


- Peter

Update by Robin

Update posted by Robin Granath:  I did get a text this morning (Friday 8/10) that Brad & Katy have arrived safely in Niger and all the luggage was there too!  Thank you, Jesus for answered prayer!

Paris Stop

we have a 2 hour stopover in paris.
waiting at the gate to go to Niamey
everything is going smoothly.

Last night was a good time of family and friends giving us a wonderful send off and a strong covering of prayer.

Please keep up the petitions on our behalf.

I have been asked maybe 100 times why I am going to Niger.
The shortest answer is because I think it is God's will for me to go.
One reason I believe this is that I have an unrelenting sense of obligation to serve those who have the least in this world and to care about and do something about those who the bible call "the least of these":  that is the hungry, the poor, the oppressed, the sick the suffering.

Also, I see this as a wonderful opportunity to be closer to God:  to learn and grow in the areas of trust, prayer, and sensitivity to others less fortunate than me.  I believe that being in the center of God's will is the safest and the best place to be.

more later

Brad

Thursday, August 9, 2012

Katy with our 250 lbs medical suppies.

Mostly suture orthopedic surgery supplies textbooks and computer networking gear

Leavin on a Jet Plane

Aug 9
Here we go!
Leavin on a jet plane!
It is a long journey: 15 hours in the air plus a lay over of a few hours in Paris
We get to Niamey: the capitol of Niger on Fri 3pm local time.  It will be 8hours earlier here that is Fri 7am.  So we will have a time adjustment.

We have 5 suitcases exactly 50lbs each.  All of our personal things are in our carry-ons
It is possible that bringing in the 250lbs of medical supplies may be the most significant impact we have on the Galmi mission.  I know that God will be with us and we will learn a ton.

Please ask God to help us with making all of our flights with our luggage intact

Cheers

Brad

2:30am August 9

Everything I am taking with me to Africa fits in a carry on roller. My checked baggage is full of medical supplies for the hospital in Galmi. 

Started my malaria meds today.

Packed today.

Said goodbye today.

I miss everyone already.

We leave for the airport in 8 hours.

Am I ready?

"If we wait until we're ready, we'll be waiting for the rest of our lives." -Lemony Snicket


Katy