Merehilda is from Rio Platano, about 8 hours away from Ahuas by boat, and came to the clinic after being in latent labor on and off for the past week with no progress. According to her due date (given in her home village) she was 46 weeks pregnant!! (A month and a half past due!) While we are pretty sure she wasn’t actually 46 weeks, its almost certain that this baby was late. We were able to induce Merehilda’s labor and she delivered within a few hours. Her 10 pound baby boy might have been covered in poop when he was born (which can be a sign of distress, being over due, or both)- but was healthy, is doing well, and as cute as a button! Merehilda is one of the many women from villages all over La Mosquitia who rely on the CEM for care for obstetric emergencies and complications.
Options for prostate patients in La Mosquitia have historically been very limited. The closest hospitals that regularly do them are in La Ceiba or Puerto Cabezas, Nicaragua. Due to the long and rough travel to Honduras’ Interior or across the border, and prolonged hospitalization after the surgery for recovery, treatment is often prohibitively expensive. So, for the last four years, Norton has been having prostate problems, with very few options in how to manage them. In February Dr. Kenneth from Nicaragua came to train Dr. Ovelio and Dr. Benno in prostate surgery- and since then we have been open for prostate business- bringing hope and relief to many men like Norton in our region. This photo was taken on day 8 post op just after his catheter was removed. He is excited to go home and get back to work on his chicken farm!
This spunky tot came to us from Wampusirpi, a village about 6 hours upriver by boat. She had been suffering abdominal pain for several days. The family didn’t have money to continue on to Puerto Lempira or La Ceiba where there are more experienced pediatric surgeons and we are not especially eager to operate on such small patients here. After three days on antibiotics with no improvement however, we opened her up and found an appendix that had long since ruptured. While the surgery went well, the recovery was not so smooth. For over a week afterwards, Yanexi was vomiting, couldn’t pass gas or stool, and didn’t want to eat, drink, or do much of anything. Fortunately we had four resources that helped guide us in caring for Yanexi during her slow recovery. First, World Wide Lab Improvement had just come and fixed our lab equipment which allowed us to monitor her electrolytes and replace them as necessary. Second, Dr. Benno was able to consult with pediatric surgeon Dr. Chris Moir in the States who gave invaluable advice in determining a plan of care. Third, we and the Clinic staff prayed a LOT asking God to bring healing when we cannot. Fourth, we frequently consulted UpToDate website medical information. With those four things + time, Yanexi came around, finally regained her appetite, and after a very scary two weeks here was able to go home healthy and happy. Before leaving, her mom asked us to take this picture of Yanexi so she will be able show her what amazing things God has done in her young life..