The first baby I delivered by c-section this trip.
Did a total of 9 c-sections this year.
This baby has meconium stains on his forehead. He died about a week after birth from pneumonia.
A typical bladder stone in a young woman. As you know, there is a very high incidence of urinary calculi in Nepal.
Here's a renal pelvis stone extracted by Dr. Kim via nephrotomy.
This lady's uterus shows a locally invasive cervical cancer.
The ectopic pregnancy in this young woman was cause by this intussception of her falopian tube.
This prolapsing uterus had to be cleared maggots before being resected by a visiting gynecologist.
The distended belly of a 12 year old girl with Hirshsprung's Disease of the colon. She needed a decompressing colostomy.
The belly films of the girl with Hirshsrung's showing a markedly dilated distal colon.
You can see the large amount of retained and obstruction stool in her belly.
The Hirshsprung girl smiling along with her colostomy. A visiting pediatric surgeon this year will hopefully resect her diseased colon.
This 2 day old girl needed a colostomy for an imperforate anus.
The xray of the girl with an imperforate anus.
This young man vomited up this ascaris in the emergency room.
A boy just burned my a kerosene lamp.
The boy being bathed on the balcony.
The boy making an excellent recovery about 1 1/2 weeks after burn.
Ready to go home tomorrow. He's a lucky one. His hands were spared and no joints were burned. He'll not develop any range-of-motion-limiting contractures.
A boy burned while climbing a tree. The grass surrounding the tree caught fire. Two boys were trapped. We initially thought both would die. They didn't.
On the burn ward, just after his bath.
The escharotomy on the second boy-in-the-tree's leg done to allow blood to perfuse his leg.
The escharotomy on the boy-in-the-tree's arm.
Another boy burned by getting too close to the on-the-ground wood stove.
A 70 year old man with an obstructing unresectable gastric cancer. He was taken home a week post op and would likely die, mercifully, another week later.
A 19 year old boy's strange ileostomy created in an Indian hospital while he was visiting. He perforated something a month before, and we're in the process of draining a 150cc pelvic abscess.
An untreated radial-ulnar fracture.
How i taught the residents to drain the appendiceal and intra-abdominal abcesses, using the cut edge of the gloves we operated with. Saves money and is safer than the rigid plastic tube drains they were accustomed to using.
A lady fell out of a tree and is having trouble breathing. Can you see the collapsed lung and hemothorax?
The bulge of the 15 cm hydatid cyst in the left lobe of the liver in a 39 year old man. He likely developed this from ingesting the eggs left on unwashed vegetables.
Opening of the hydatid cyst after instilling silver nitrate to kill the scolices.
The germinal layer from the second hydatid (ecchinoccocal) cyst i treated in Nepal.
The shrapel entry from a metal shard flung from an ax hitting a stone. He nearly cut his (main) superficial femoral artery.
This lady was runover by a revering bus late at night, de-gloving the skin from her entire thigh. She eventually was transferred to Kathmandu for better care and eventual skin grafting.
The wound from a misadventure with an ax.
Nearly a liter of pus from an 11 year old boy's tubercular psoas abscess.
The boy feeling great after his psoas abscess was drained.
The boy's unquestionably positive TB skin test.
This is the biggest TB skin reaction i've ever seen.