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burns Medical thyroid disease trauma Uncategorized

An expression of our daily life in Ethiopia.

For those of you who work exclusively in a hospital with everything, our hospital only had one X-ray box which was in the X-ray department – a long way from the ward. So our x-rays were viewed holding them up to a window. Bu if you look carefully you can see the cervical spine and a huge intrathoracic extension of a goitre.
And here you can see the specimen still in the neck but having been brought out of the superior mediastinum. In the late 90’s I wrote a paper on 300 thyroidectomies. The average weight was 500Gm. There were a lot more after that!
And a couple more above to let you judge the sizes!
The three pictures above are a series from a man who had been critically ill at home and left lying on his side. He recovered but was with a huge bedsore. Eventually he went home well. Often we had to take our grafts with a razor blade.
The next three are to show several more quite large areas. The last is an electrical burn. As you can see his arm has been amputated as was his leg. I am going through my slides and still have a long way to go but I have already over 100 slides of burns.

Barry Hicks

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Medical Surgical thyroid disease trauma Uncategorized

Thyroids in all shapes and sizes

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 cases. In the following 25 years I saw many more.

male large goitre
This man’s specimen weighed in at 2kg. The depigmented area was due to previously applied local herbs, which didn’t cure the condition but had caused a lot of fibrosis down to the thyroid gland itself, increasing the difficulty in what is usually an easy plane of dissection.