Over the years I have seen a number of diaphragm injuries. Four come to mind as very interestingly different. While I was doing a lot of chest surgery, I received an urgent call to come to the OR, where a an obstetrician friend was doing a Caesarian Section. The patient had been in a car […]
A few years ago I wrote a book, probably better called a booklet, for my students as they began their clinical surgical courses in fourth year of a six year course. It was relevant to their situation with lack of facilities and language difficulties. Their ability to read thick tomes was limited, so I tried […]
I wish that I had had better investigative equipment. I wish that I had had more energy and time to write things up on the spot. As we all know you cannot relive the past. So in my old age I dwell among memories. Some of them very special memories. And that includes this little […]
I’m not sure that I was ever really fit to be registered as a medical practitioner. In our junior resident’s year we were supposed to be placed under a variety of different specialties. As I remember I was only in three departments. Initially I did a surgical and a medical term each of three months […]
Working in Africa you were in competition with other forms of ‘medical practice’. There were witch doctors who sometimes caused us great difficulties. One case that I remember very clearly was a pregnant woman at term who presented in severe shock and bleeding heavily from a placenta praevia. After urgent resuscitation with IV saline as […]
I have seen a ‘spontaneous’ colostomy in a strangulated hernia which presented after days of pain. But even more unusual, shortly after that I had 3 cases of lumbar colostomies in children. One was in a boy who fell onto a sharp stick which went into his right lumbar area. Faeces began to discharge immediately […]
Some 25 years ago I wrote an article for presentation at the Ethiopian Medical Association meeting in Addis Ababa. I presented 300 cases of which the average weight was 500Gm. The incidence reported by the pathologist of cancer was 15%. The majority of malignant areas were very small and nothing further was done for those […]
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