Isaac, 38 year old with coma and intermittent right-sided seizures of uncertain etiology.
Negative past medical history, except for alcoholism.
Taking Isaac across town to the CT scanner via the “ambulance”
Emergency entrance to
Korlebu Teaching Hospital in Accra
Patient expired
Autopsy showed cerebral malaria
Mr. Lawani, 58 year old male presents with shortness of breath and decreased right-sided breath sounds.
Chest x-ray obtained two days after admission.
Thoracentesis on Mr. Lawani
One quart of pure pus
Forgot the mask.
OOPS!(Now for my PPD)
Post Chest Tube
Drs. Mitch and Rosie
Post abscess drainage
Ebenezer Boadu, recovering from sepsis and pneumonia
Endured the pneumonia and the trombone concert
The Pied Piper at Manna Mission on Sunday
Sunday services at Manna Mission Church
The Band
The
Anastasis
in Cotonou,
Benin
West
Africa
Docked at Cotonou harbor, Benin
Session on the aft deck with Colin from South Africa and Dave from New Orleans.
Monument to the slaves taken from Benin to the new world
A day on the beach with Ian McColl, missionary surgeon from Guys Hospital, London. Ian is also in the House of Lords, Great Britain.
another slave monument with Jim, a dentist from Ireland, and my cabin-mate from the mercy ship.
“Man Down”
A mock drill onboard the Anatasis
First patient on the Mercy Ship
Prudence, a six-month old
with an encephalocele
Child in moribund condition
Notice eye findings on the patient
Brigette (on my left), age 12, post surgical tumor removal.
Small child (on my right) recovering from malaria
Brigette arrived at the ship’s screening at near death with airway compromise.
Procedure took 14 hours.
Facial X-rays of Brigette
Brigette on my right
Patient on my left undergoing skin grafts for severe neck burns
Cavilla was found in Avagbodji, a stilt village.
Tumor was believed to be either retinoblastoma or rhabdomyosarcoma.
Initially the patient did well post-surgery and after chemo.
Later was treated for cerebral malaria and recovered
However, patient fell from her bed in the early morning and was found comotose.
In surgery receiving Burr holes in the cranium to look for a subdural hematoma
No subdural was found
Post procedure, patient had a cardiac arrest and expired.
Cause of death was felt to be pseudomonal sepsis and/or recurrence of malaria
Man with massive goiter of the thyroid gland
Thyroid specimen
Jelili Wahali, 22 years old, with infected burn grafts and encephalopathic, bizarre behavior
Recurrent episodes of dystonia and opisthothonus felt to be from tetanus.
Patient believed illness resulted from a curse put on him by the village witchdoctor.
Child with cancrum oris post-surgery for lip and nose grafts.
Pre-op evaluation for a cleft palate
Six month old Muslim child from Sister’s of Charity, severely ill with tender, firm, distended abdomen felt to be typhoid fever. Patient had a full recovery.
Examination on a former voodoo witch
A voodoo fetish by the road on the way to Hevier, an internationally well known voodoo village (Benin)
The Yovo (white people) fetish on the road to Hevier
The airplane fetish
A little bit of Paris in Africa
A hut in the voodoo village, Hevier
My tour guide in the voodoo village
Illicit photo of a fetish
Public health lecture to villagers, Hevier
Public health clinic
The clinic in Hevier
Child with supraorbital abscess
Incision and drainage of abscess
Patient with clinical diagnosis of small bowel obstruction. Abdominal incisions from treatment by voodoo doctor.
One-year old twins. The one I am holding is moribund from nutritional deficiency and probably malaria.
Concert after the clinic
Welcoming ceremony from tribal chiefs in the remote, mountainous village, Amedzofe in Ghana
Market place in Amedzofe with chief’s palace and Mt. Gemi in the background.
View from outside guest quarters in Amedzofe
View from the Roper House of downtown Amedzofe
Downtown Amedzofe
Cemetery for 19th century German missionaries, Amedzofe
Open air cathedral in Amedzofe
The Presbyterian Church, Amedzofe
The ACM Clinic, Amedzofe
Calling in the patients
Clinic waiting room
Young girl with a one year history of skin lesion
Follow up visit for a 10 year old girl.
Seen in clinic a few days earlier with severe acute undifferentiated febrile illness.
Physical findings included loud systolic heart murmur and a very large spleen.