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March 9, 2008

March 09, 2008

We've Done it Again!!

We have just completed our first day of surgery in Kumasi, Ghana. It is amazing to work with such experienced colleagues, and have such positive outcomes! This is my second mission with the Hearts and Minds of Ghana Team and I am more amazed each day and with each mission at what we can accomplish with team work in a third-world hospital.

Dsc_6915 Our first patient today was an 11-year-old boy named David. He was a very dehydrated transitional AV canal with aplastic anemia and active conjunctivitis. Because he had been on steroids and was anemic, we had to manage him without the normal IV access we would have in Boston. He was extubated within two hours of arrival in the ICU despite his elevated blood pressure and heart rate. This is a huge accomplishment for both the patient and the team. We are rapidly moving these patients through their post-operative course in a safe, controlled environment. This is the ultimate ICU nursing experience, and nothing I have ever done in my career will compare to this!

Dsc_6879Our second patient was a beautiful 10-year-old girl named Favour, who was admitted with a ventricular septal defect. She was extubated one hour after arrival to the ICU. Again, as her nurse I am both amazed and thrilled to be part of her recovery period. Nothing compares to the sense of satisfaction I feel after an exhausting day spent caring for critically ill patients, in the heat of Ghana. These were the first two patients I have had contact with on this mission, and I am amazed by their strength, bravery  and resiliency.

Tomorrow, I have the privilege of delivering the donations from my daughter's school to the Trede Roman Catholic School. I can't wait!

Mary Eisenhaur, RN in the Cardiac ICU

The first surgery is complete

The first patient of the day was an 11-year-old boy named David. Francis and Isaac reparied his atrial septal defect, ventricular septal defect and cleft mitral valve. He's recovering now, and everything seems to have gone very well.

In the OR, the surgeons and nurses were a well-oiled machine, and when they brought David out of the OR and into the ICU, the rest of the team swept into motion. Each person knew their role and their spot at the bed exactly, and worked quickly and efficiently to stabilize David and make him as comfortable as possible as quickly as possible. The Ghanaian staff pitched in and got great on-the-job training from the Children's staff. It was amazing to watch the whole process up close.

I'll check back in later with some details from the second surgery (a beautiful little girl named Favour) and hopefully upload some pictures from the day.

- Matt Cyr

First day of surgery

It's hot this morning as the team eats breakfast and gets ready to head to the hospital for the second day of clinic and the first day of surgery. I'll check back in later with an update on who is having surgery and how things went.

Also, I was finally able to upload a few photos to a gallery. They're a bit distorted for some reason, but they'll give you a sense of what things are like here. I'll add more as soon as I can.

- Matt Cyr