Stinky…

There are so many smells in a hospital.  Most of them are not pleasant.  Oh, there’s the occasional waft of baby powder from a newborn;  A fleeting whiff of rich coffee from the Doctor’s lounge;  or the rare aroma of something tasty from the cafeteria.  But by and large, most odors in a hospital are repulsive. Continue reading

House call…

The roads have never been worse since we’ve been living in Honduras.  Potholes filled with mud vandalize the dirt roads just outside the hospital.  The rainy season has taken it’s toll on them, and the pothole-fixin’-fairy hasn’t been to this part of the jungle in many months.  Traveling anywhere right now requires a mental and physical preparation.   It’s like punching yourself in the gut over and over.  I have to perform a ritual of calisthenics to stretch my neck and back, arms and wrists, as I physically ready myself for the jostling, jarring, combat of a truck ride to town. Continue reading

Blisters…

So, this post is way overdue…

Let me tell you about another horrible disease.  There are not too many “Dermatology Emergencies.”  When you’re at the hospital, you never hear an urgent page overhead screaming, “We need a dermatologist in the ER, STAT, dammit!”   Continue reading

Missing a hole…

You may not be aware of some of the strange pathology that exists in the world.  For instance, who would of thought that babies can be born without an anus?  Well unfortunately, “imperforate anus” is a not-so-uncommon diagnosis, and we see more than our fair share of these children, mainly because we can care for them—word gets out in Honduras when you are able to offer specialty care for certain conditions (if I had a Lempira for every enlarged prostate I’ve cared for…). Continue reading

Donny V

There’s a couple patients that stand out to me lately.  I’ve been meaning to write about Donny V for awhile.

Donny V is a friendly gentleman who came to us with a severe foot and lower leg infection.  He had Osteomyelitis, which means the infection actually extended into the bone.  It didn’t take Dr. Jeff long to determine he needed an amputation. Continue reading