Sunday, March 2, 2008

Tim's Daily Nigerian Times (Day 8)

Feb 29, 2008 – Day 8

I have never eaten as many hearty breakfasts as I have on this trip….again with a large serving of scrambled eggs and toast. We can’t seem to get away from eating big meals at each sitting. We have a large lunch each day served by the staff at the hospital. All of us feel guilty if we don’t have it, not that Simon gives us a choice : ). I suspect that we will all put on a couple of pounds over these 2 weeks….when we return everyone will ask – did you leave any for the starving children? Obviously not.

We started the list as Tom joined Bill for his cysto list. He performed a cysto with dilation and DVIU for a proximal bulbar stricture. One of our VVF patients required a cysto for what we thought might be an ectopic ureter but it turned out to be a severe case of schistosomiasis. She had a large inflammatory mass in her bladder, with punctuate calcifications and a golf hole ureteric orifice. Very interesting!!!

We also performed our planned buccal mucosal augmented vaginoplasty without any problems. The harvested graft was a reasonable size and the graft looked good after being laid into place. We also performed a few more PV slings with facia lata which we demonstrated for the VVF team.

Continuing with the theme of overeating, we went out for a dinner with the VVF team. This was traditionally done towards the end of the trip, but with Catherine leaving tomorrow we decided to have it tonight. We went to the Elysar restaurant for a traditional Lebanese-Chinese fusion meal. It was a great meal (filled with kibbe, spring rolls, beef, shrimp, chicken) with the food seeming to go on and on. The company was very pleasant and we were sad for it to come to an end (although we were tired from the week’s work). We said farewell to the VVF team and retired to the guesthouse.

Tim’s Lesson of the Day:
“When you come to Africa, bring pants with elastic waistbands”

Tim “Blogman” Davies


~Catherine deVries

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