I came up with this solution for a broken bed at about 4 AM while we were getting ready to do a cesarean section for a patient with placenta previa who was having a hemorrhage. Patients with placenta previa have the placenta down low in the uterus so that it is covering the cervix. That means that the placenta is between the baby and the exit. When the cervix begins to open and the baby wants to come out, the placenta begins to bleed so that both the mother and the baby are at risk of death. It is a medical emergency in obstetrics. This case was complicated by the fact that she was only 33 weeks pregnant when she started to hemorrhage (2 months early), and she had a history of three previous cesarean sections. Even in the absence of the emergency, doing a cesarean section on a patient who has 3 previous lower uterine scars makes me nervous. These patients often have lots of scarring which can make the surgery very difficult. In addition, in the case of placenta previa, the placenta is often stuck to and growing into the previous scars which can lead to different type of surgical emergency in which the patient ends up with a hysterectomy. I pray a lot when I am standing next to patients like this. We have scriptures up on the walls in lot of the operating rooms. This room in particular has a scripture hanging right in front of me when I am standing by the patient’s side getting ready to begin. I will look up at it, and I will pray for my patient and for myself. And when all is over, I will look up at it again and thank God that his promises are true. She did great!
Outside of good medical care I think the biggest mission we have at Kijabe Hospital is medical education. We have some many nursing students, clinical officer interns, medical officer interns, and residents roaming our halls it can make your head spin. There is no way to keep track of everybody. It is such an important part of what we do, training the next generation of doctors and medical workers to provide excellent, thorough, compassionate, and hopefully Christian care to the under-served areas of the world.
I took these from the AIC Kijabe Hospital Facebook page. I think they are good demonstrations of the work going on in the hospital ranging from showing compassion and Christian friendship, caring for the weakest, medical education, and research. Please pray for our hospital as we continue to strive for excellence.
The WhatsApp message went out over the hospital group, “We have a desperate need for O negative blood for a postpartum mother!” A patient was being brought in by ambulance with a reported hemoglobin (blood level) of 1.7. That is very low. Normal is around 15. We needed blood urgently. After a few phone calls to some of our special donors, two brave men, one working at Naomi’s village, and the other working at RVA came when asked to give blood to save that young mother’s life. One of the two is an experienced donor, the other definitely had the look of how in the world did I find myself here. (You can guess which is which from the picture.) However they were similar in that they knew that what they were giving was going to save a young girl’s life! Thank you Mark and Robert.
“Come, you who are blessed by my Father; take your inheritance, the kingdom prepared for you since the creation of the world. For I was hungry and you gave me something to eat, I was thirsty and you gave me something to drink, I was a stranger and you invited me in, I needed clothes and you clothed me, I was sick and you looked after me, I was in prison and you came to visit me.”
Then the righteous will answer him, “Lord, when did we see you hungry and feed you, or thirsty and give you something to drink? When did we see you a stranger and invite you in, or needing clothes and clothe you? When did we see you sick or in prison and go to visit you?”
The King will reply, “Truly I tell you, whatever you did for one of the least of these brothers and sisters of mine, you did for me.”
This is what happens when there are not enough lockers for all the workers in the operating rooms of the hospital.