Wednesday, February 19, 2014

C/Section for Beginners



Our time in Papua New Guinea has offered many “firsts”. This past week I had the opportunity of assisting Scot in a c/section delivery. This was a “first” for me. It was a wonderful experience to be on the front line with Scot during a surgery. The woman that was operated on had given birth to the first of twins by vaginal delivery; however, the second baby was foot first and needed to be delivered by c/section.  I had mentioned to Scot prior to this that I was interested in assisting him on a surgery. He called the house in the afternoon and told me to get up to the hospital quickly.
Upon arriving at the surgical suite, I put on scrubs, shoe covers, a mask and a head covering. Then Scot showed me how to wash my hands and arms. We went into the surgery room and the patient was lying on the table with a spinal anesthetic. The scrub tech helped us gown and glove.
Next, we placed sterile drapes on the patient, and then Scot asked her name and a prayer was said for her and her baby. After this, he used an electric scalpel for the incision. It wasn’t working very well, so he asked for a regular scalpel. My job was to sponge and wipe the blood away. After he cut through the layers to the uterus, I had to hold the edges on the incision open wide and use a suction to remove pooling blood.
The uterus was opened. The baby was delivered and the cord cut. The baby was then transferred to the “baby catcher”, a nurse from D Ward. She took the baby and left for the nursery. I continued suctioning blood out of the way as Scot cleared the incision site of clots. Scot reached into the uterus and pulled out the placenta. It was huge because there were twins. When everything looked clean, I held the uterus out of the way and he began suturing. (The uterus was hard and about the size of a small cantaloupe.) There were three layers of tissue and lining that he sutured together to close the uterus. Once that was completed he pushed the uterus back in place and closed the peritoneum and fascia. After that, I was allowed to staple the skin closed and dress the wound. 

It was all very interesting and I would be happy to assist Scot again. I didn’t faint or vomit. (I think Scot expected me to.) I found it to be a very interesting and an amazing experience. I had two c/sections of my own and found being on this side of the table preferable.

Tyronza

PS. Yes, the count for sponges and instruments was done.
PS 2. Both babies were “pikinini mons”, baby boys.
PS 3. Thank you, Scot for assisting with medical terminology.

Wednesday, February 12, 2014

Back in PNG 2014



Saturday, February 8, 2014
Dear Friends,
It has been more than nine months since I last penned a blog article. I have been very busy with home and family responsibilities (and duck hunting/ added by Tyronza), but now I find myself at home again in Papua New Guinea and ready to expound.
Tyronza and I found safe passage around the world to our second home. This time we took 13 days to get here. We spent four days at a vacation spot in Thailand for some R&R and then a week of scuba diving off the coast of Thailand. The scenery both above and below the ocean was spectacular. Thanks for all your prayers for safe travel.
This year we plan to spend February – May 1st in Papua New Guinea and then be at home (or at least in the states) for the summer. We will return to PNG for September and October. (Scot is needed to help cover the furlough of medical missionary, Dr. Jim Radcliffe.) We will return home for duck season. This sounds pretty ambitious for a couple of 60 year olds, but with God’s help we will get much accomplished.
At this moment, Tyronza is busy preparing supper. We are having four friends from here on the station over for supper and an evening of “Zilch” (dice game). She is making moussaka (Greek eggplant casserole) and, of course, a pineapple and plantain fruit crumble. After 40 years of marriage, she has really turned into an accomplished chef. Her “made from scratch” dishes are very good.
I have come back to medicine in a hurry. I have been in PNG for less than a week and have already performed 4 major gynecologic surgeries, 3 tubals, an ectopic surgery, 2 c/sections and 2 deliveries. I will be on call again tomorrow, so that number will likely go up before the week is over. One of the c/sections was for cord prolapse and I am happy to report both a healthy baby and mom. This year my clinic work is blessed with a full-time interpreter, Sophi. I am able to see nearly twice as many patients. The interpreter is a good thing since my pidgin has not improved.

This year, we have one new missionary doctor, Mark Crouch, but I am sorry to say, we also have one less, Stephanie Doenges. Stephanie has gone back to the U.S. to get married. The rest of our station friends are much the same, just a year older. It is good to be back to a slower lifestyle and simpler life. We look forward to a productive time on the mission field. We do miss our friends back in America, but with all your prayers and God’s help, we will soon see you again.
Please pray for us.
Scot & Tyronza