Saturday, April 13, 2013

Home Sweet Home!!!
At our gate in Frankfurt. Had cheese and strawberries, coffee and chocolate croissants in Weisbaden. It was a lovely day. Green everywhere and daffodils!
Uneventful flight to Frankfurt, took train to Weisbaden. Walked through Farmer's market. Now sitting in sun drinking coffee before going back to airport!

Friday, April 12, 2013

In my seat on the plane. Hard to believe two weeks is over already. Going to take a nice nap! It was a busy, productive, good trip. I will be glad to be home!

April 12 photos







April 12


Friday April 12
It is hard to believe my two weeks are almost complete.
Today was a quieter day and we had time to relax and say our goodbyes.  Several of us went to Cure where we had two urology cases.  We also picked up equipment and saw a few patients and checked on patients from yesterday.  The audiologists went to the School for the Deaf for the morning.  Six of us are leaving today, the rest tomorrow.  I had time for a swim and then most of us had an early dinner by the pool before leaving for the airport.
It has been a great week and we are grateful to all those who supported us:  family, friends, the hospitals and medical professionals who helped us, Ethiopians who encourage and help us, the owner of the Sheraton for donating the cost of our stay.
We are already tentatively planning our next trip for October.

Thursday, April 11, 2013

April 11


Thursday April 11, 2013
Today the urologists and I went to Black Lion Hospital.  There were two patients that they knew about and one other that was scheduled.  The second one was a complex patient who had had several previous surgeries and needed a complex revision.  There were numerous surgical and anesthesia providers present.  There were also three other US anesthesia resident volunteers who were there working with CRNA students.  I had talked to one from Boston before coming and I talked to another one yesterday on the phone.  Our first two cases went fine.  By the time we were ready for the third, they decided they didn’t have any solution left to sterilize the instruments, so we didn’t do the third case.  They often do not want to work past about 3 pm because most people have second jobs – most at private clinics or hospitals, and they don’t want to stay late at the government hospital.  There have definitely been improvements in Black Lion since I started going there, but it is still a difficult place to work and is unpredictable.  The availability of monitors, drugs, equipment and expertise is quite different from Cure.  The urologists and I walked back to the Sheraton and I had time for a swim and to start packing.
The ENT team was at Cure with about seven cases, many with complicated airway or medical issues.  T

here was one orthopedic case also.  The audiologists saw patients as well.
I had dinner with Dr. Mary, anesthesiologist from Cure and her family.  It was great to be able to talk in a more leisurely fashion and see her husband and children for a few minutes.  Some went to a restaurant with traditional Ethiopian dancing and others stayed at the hotel.








April 10


Wednesday April 10
This was our busiest OR day ever and probably the busiest day Cure has ever had.
They have four Operating rooms, but usually don’t use them all at once.  All are equipped but depending on their need and staff, they use some or alternate between rooms.  There were no orthopedic cases, so we were able to use all of the rooms.  We had 3 tonsillectomies, a set of ear tubes, three sinus surgeries, two facial tumors, and three urology cases.  Everything went smoothly and we were finished at a reasonable time.  There was no scheduled clinic, but the surgeons saw a few patients and set up surgical cases for Thursday.  The audiology team was at the school for the deaf evaluating all of the children there.
After we got back to the hotel, I had time for a swim.  The pool is outdoors and is heated, and the view as the sunset was beautiful.  Most of us had dinner in groups throughout the hotel.
The hotel has been busy this week.  Sometimes there doesn’t seem to be much going on, but this week must be a big meeting of the African Union.  The headquarters are in Addis, and there are dignitaries from all over Africa at the hotel.  The most obvious are men from Qatar who have distinctive long white robes with head dresses and black rope ties.  Pictures haven’t been appropriate, but they look quite impressive.  Last night the King of Qatar, I think also sometimes referred to as the Emir arrived and there was a motorcade, video cameras, security and a high energy level.
Thursday’s activities include urology OR cases at Black Lion Hospital where I will be going, many complex ENT/airway OR cases at Cure and ENT and audiology clinic at Cure.  Our days are full but we definitely feel like we have accomplished some good work this week.








Tuesday, April 9, 2013

April 9


Tuesday April 9, 2013
Things were in full swing today.  We had clinic, audiology evaluations, surgery at Black Lion hospital, surgery at Cure and lots of requests to see patients.  There were 4 ENT OR cases and about 6 orthopedic cases at Cure, and one at Black Lion.  We had requests to see several patients who heard our team was in town, and there will be more later in the week.  One of our ENT surgeons and Dr. Mary, anesthesiologist at Cure saw several ENT patients at Black Lion hospital to evaluate for possible surgery later this week.
A few team members have been feeling sick, and that is never fun.  We try to look out for each other because it is often hard to figure out why one person gets sick and others don’t.  We so much take for granted in the US that our food and water are safe.  You can’t do that in Ethiopia.  Some people had dinner in the Indian restaurant in the hotel tonight; others of us went to the regular restaurant which had an Asian theme tonight.
It was warm and sunny this afternoon; I don’t think we had rain today.
Tomorrow we have a full OR schedule using all four of Cure’s Operating rooms.  The audiology team will go to the school for the deaf to evaluate patients.  It is hard to believe that tomorrow is Wednesday.  I am trying to learn a few words in Amharic.  Every day I try to learn one more.  I am sure that I am providing comic relief to those who hear me try to say a few words!