urgently needed medical supplies (antibiotics, pain medications, sutures, gloves, Drugs), which is held back by a week of duty at the Ghana Airport this afternoon finally arrived in the BMC. The joy and gratitude can not be described ...
Monday, January 31, 2011
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Finally: Medical material has arrived
urgently needed medical supplies (antibiotics, pain medications, sutures, gloves, Drugs), which is held back by a week of duty at the Ghana Airport this afternoon finally arrived in the BMC. The joy and gratitude can not be described ...
urgently needed medical supplies (antibiotics, pain medications, sutures, gloves, Drugs), which is held back by a week of duty at the Ghana Airport this afternoon finally arrived in the BMC. The joy and gratitude can not be described ...
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Dieticians in Koko Duu
Many babies are malnourished. Because their mothers are starving, no more breast milk, they usually only feed their babies with a mixture of water and grain flour.
Duu in Koko, a rehabilitation center for nutrition at BMC, is trying to help malnourished children and mothers. Will the preparation of "Koo Duu", a high protein porridge, gezeigt, der aus lokal verfügbaren Nahrungsbestandteilen besteht. Diese können die Familien mit wenigen Mitteln hinter ihrer Hütte selbst anbauen.
Many babies are malnourished. Because their mothers are starving, no more breast milk, they usually only feed their babies with a mixture of water and grain flour.
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Angekommen
sodala ... So now I am finally arrived in Leipzig.
sodala ... So now I am finally arrived in Leipzig. 'm looking forward to the city and the people ... the long time in the province is over ... Juhhuuu
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Sunday, January 30, 2011
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vehicles at the edge of the Sahel
Fortbewegung zu Fuß oder mit dem Fahrrad.
Wenn jemand Geld übrig hat, kauft er sich ein gebrauchtes Motorrad aus Indien oder China.
Wenn jemand viel Geld übrig hat, dann wird ein 40 Jahre alter deutscher Bus angeschafft, der möglichst viele Leute transportieren kann. Bei uns Schrott, hier Gold wert.
Wenn jemand nicht weiß, was er mit dem Geld anstellen soll, dann ist der Traum eine Mercedes-Benz S-Klasse aus den 70er Jahren.
Fortbewegung zu Fuß oder mit dem Fahrrad.
Wenn jemand Geld übrig hat, kauft er sich ein gebrauchtes Motorrad aus Indien oder China.
Wenn jemand viel Geld übrig hat, dann wird ein 40 Jahre alter deutscher Bus angeschafft, der möglichst viele Leute transportieren kann. Bei uns Schrott, hier Gold wert.
Wenn jemand nicht weiß, was er mit dem Geld anstellen soll, dann ist der Traum eine Mercedes-Benz S-Klasse aus den 70er Jahren.
Saturday, January 29, 2011
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Tongo Hills and Tengzu shrine
Ungefähr 1,5 Stunden Autofahrt von Nalerigu entfernt erreichen wir über sandige, mit Schlaglöchern übersäte Wellblechpisten die Tongo Hills, ein Hochplateau aus bizarren, schwarzen Steinen in der Steppe. Zu Füßen der Tongo Hills covers the northern savanna of Ghana.
There are about 300 people, led by a tribal leader, the "chief". Once we have the "chief" obtained the permission, it goes past the meeting place of the actual village to a small hill. Pointed cones are used to store in the village of offerings and fetishes.
To Tengzu Shrine, we have to climb the hill, and divest ourselves so far that the upper body and knees are bare. In one corner of the cave, which is accessible only through a low gap, is the offering box, a large pile of animal bones and feathers. On the other side of the cave sits the priest who accepts the sacrifice and mediator between the spirits of the shrine, victims and people. Photography is up there prohibited.
Ungefähr 1,5 Stunden Autofahrt von Nalerigu entfernt erreichen wir über sandige, mit Schlaglöchern übersäte Wellblechpisten die Tongo Hills, ein Hochplateau aus bizarren, schwarzen Steinen in der Steppe. Zu Füßen der Tongo Hills covers the northern savanna of Ghana.
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| Tongo Hills in the savanna |
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| "chief" obtaining the permission of the |
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| to achieve assembly of "chiefs" from the Northern Region |
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| tip cone for offerings and fetishes |
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| entrance to Tengzu shrine |
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OP-Magazine-organized chaos
Our magazine, from which we materials such as sutures, drag nets and medicines, is like an organized chaos. Much has been left behind by previous surgical team and some of them already expired, just do not have much. A system we have not yet recognized, but does the supply at the table.
Our magazine, from which we materials such as sutures, drag nets and medicines, is like an organized chaos. Much has been left behind by previous surgical team and some of them already expired, just do not have much. A system we have not yet recognized, but does the supply at the table.
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resuscitation after cesarean section Baby is doing well
The baby, we have resuscitated after cesarean section in the operating room at the next table goes,'s very good. It drinks, and is already the mother was discharged home.
The baby, we have resuscitated after cesarean section in the operating room at the next table goes,'s very good. It drinks, and is already the mother was discharged home.
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| Newborn 2 hours after resuscitation in the incubator |
Friday, January 28, 2011
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living and shopping in Nalerigu
The people of Nalerigu live each in several mud huts, each of which is built to function round or square and functionally related. Most of the huts with thatched roof. Who has more money can afford, an aluminum roof.
The people of Nalerigu live each in several mud huts, each of which is built to function round or square and functionally related. Most of the huts with thatched roof. Who has more money can afford, an aluminum roof.
are purchased either in one of these huts or on the market that takes place every 3 days.
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| round and square huts in Nalerigu |
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| center of Nalerigu |
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| stand with cosmetics |
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visit to the ground stations
All stations are always occupied. Many patients simply lie on the tile floor mat is usually only a blanket. All patients must be on a blue tarpaulin, which is to keep the maintenance costs low, but which will be bought by anyone, for two Ghana cedis (about 1 EUR) has.
basic income per month is about 3 Ghana cedis (about 1.50 EUR).
All stations are always occupied. Many patients simply lie on the tile floor mat is usually only a blanket. All patients must be on a blue tarpaulin, which is to keep the maintenance costs low, but which will be bought by anyone, for two Ghana cedis (about 1 EUR) has.
basic income per month is about 3 Ghana cedis (about 1.50 EUR).
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| morning rounds; 70-year-old patient, 1 day after emergency laparotomy |
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three men's room with up to 13 beds, 2 females with up to 12 Beds and 1 children with 30 beds are always occupied. Additionally, there is an isolation ward for infectious cases (typhoid, tuberculosis, malaria, ascarids, etc.) and private TB village on the edge of the BMC, in which patients who are already subsided clinically, can live together with their families before they completely dismissed be. This is especially important for small children and babies.
spite of all the medicines dies but still a child per day in the BMC of malaria.
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| path in front of the stations |
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| nursery |
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| men Station |
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| men Station |
Thursday, January 27, 2011
Letters Of Ira Contribution
first Open incisional hernia repair in-sublay technology in BMC BMC
Since 2 days BMC also provides open incisional hernia in sublay technique and anesthesia.
In the past, these findings only in onlay technique had surgery, which led to a high incidence of seroma and infection. or abdominal drains are not binding here. All doctors the BMC have therefore the applications of networks in inguinal and incisional hernias previously rejected.
On Wednesday, we were able to the operating room staff on the basis of an extensive scar continued fraction for the first time the technique of tension-free, retro-muscular implantation demonstrate a macroporous polypropylene mesh impressive. Our goal is to be installed permanently in the next few days, this procedure through individual training and the success of the postoperative results.
Since 2 days BMC also provides open incisional hernia in sublay technique and anesthesia.
In the past, these findings only in onlay technique had surgery, which led to a high incidence of seroma and infection. or abdominal drains are not binding here. All doctors the BMC have therefore the applications of networks in inguinal and incisional hernias previously rejected.
On Wednesday, we were able to the operating room staff on the basis of an extensive scar continued fraction for the first time the technique of tension-free, retro-muscular implantation demonstrate a macroporous polypropylene mesh impressive. Our goal is to be installed permanently in the next few days, this procedure through individual training and the success of the postoperative results.
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| Open abdomen before closure the posterior rectus sheath |
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cleanliness is very important in the BMC. All surgical gowns and towels are first cleaned in 2 large washing machines, then hung at 40 ° C in the sun and grunddesinfiziert. When everything is dry, the sterilization takes place in an autoclave. As it happens sometimes that remain sterile after autoclaving a few nits.
In our daily operating mammoth program are eventually used up the gowns and caps. Then we have to wait as long as, comes to supplies.
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| cleaning unit |
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| pre-wash in 2 washing machines (40 years old) |
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| drying in the sun |
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| autoclave unit |
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| radicals after sterilization - on it just leave! |
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disinfection in medical supplies from Ghana Customs at Airport retained
Unbelievable! Our entire medical supplies (sutures, nets, gowns, gloves, drugs), we wanted to bring a "Donation" or poison "into the BMC is retained still at Ghana airport by customs. Upon arrival on Sunday are all 14 been sealed shipping boxes retained initially. We had been promised, which would at least be the next working day a permit to import by the Health Ministry.
Slowly we are sitting on dry land. Both drugs and supplies which are anyway only scanty exist or have expired, are urgently needed. Customs wants to As of noon today, collect the equivalent of just under 700 EUR for the import of our goods.
Unbelievable! Our entire medical supplies (sutures, nets, gowns, gloves, drugs), we wanted to bring a "Donation" or poison "into the BMC is retained still at Ghana airport by customs. Upon arrival on Sunday are all 14 been sealed shipping boxes retained initially. We had been promised, which would at least be the next working day a permit to import by the Health Ministry.
Slowly we are sitting on dry land. Both drugs and supplies which are anyway only scanty exist or have expired, are urgently needed. Customs wants to As of noon today, collect the equivalent of just under 700 EUR for the import of our goods.
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| all 14 crates are retained |
Wednesday, January 26, 2011
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Skrotalhernie in local anesthesia
Monstrous Skrotalhernien - is plenty for up to the knee joint - an operation under local or spinal anesthesia . Directly from the operating table, the patients usually go home - without pain.
Monstrous Skrotalhernien - is plenty for up to the knee joint - an operation under local or spinal anesthesia . Directly from the operating table, the patients usually go home - without pain.
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| 61-year-old patient with hydrocele after ascaris infection |
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| 61-jähriger Patient vor Entlassung, 3 Minuten nach OP-Ende |
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anesthesia ventilator - Instrument table
Das Narkose-Beatmungsgerät ist schätzungsweise 60 Jahre alt, komplett undicht und wird mit High-Flow über den Halothan-Bedampfer ohne Absaugung und ohne Kreisteil betrieben. Alle im Raum verspüren nach einer Vollnarkose ein seltsame Schwere. Das Gute ist, dass die Messung von Gas-Konzentrationen generell nicht möglich ist - auch nicht in der Raumluft.
The instrument table is organized chaos dar. for obstetrics, is accident or abdominal surgery, it only a standard set. After a short time but we have become accustomed to the content - nobody knows Metzenbaum scissors or a Kelly clamp - everything is easy.
Das Narkose-Beatmungsgerät ist schätzungsweise 60 Jahre alt, komplett undicht und wird mit High-Flow über den Halothan-Bedampfer ohne Absaugung und ohne Kreisteil betrieben. Alle im Raum verspüren nach einer Vollnarkose ein seltsame Schwere. Das Gute ist, dass die Messung von Gas-Konzentrationen generell nicht möglich ist - auch nicht in der Raumluft.
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| Penlon ventilator with halothane operated |
The instrument table is organized chaos dar. for obstetrics, is accident or abdominal surgery, it only a standard set. After a short time but we have become accustomed to the content - nobody knows Metzenbaum scissors or a Kelly clamp - everything is easy.
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| standard instrument table |
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