Monday, October 6, 2008

Don't read this if you don't like medical stories

While I was working in CO back in February I took care of a baby that I noticed had a swollen, bruised cheek. It looked like someone had punched her in the face. So I called the Dr to come look at it and she said in all the years she's been practicing she's only seen this two other times. It's very rare, but the baby had an infection in her parotid gland.
Yesterday, I went with the manager of the orphanage to bring several babies to their Dr appointments. As we were driving there the manager told me that one of the babies has lumps in her cheeks and she asked me if I knew what could cause that. I said there might be something wrong with her parotid gland; maybe an infection. When we arrived at the clinic the Dr said "Oh, it's her parotid gland; maybe an infection." So he stuck a needle in her cheek and he had me pull back with a syringe to see if there was any pus inside. Nothing came out. So he had me take the baby for an ultrasound and said if I see fluid inside I should pull it out while guided by the ultrasound. By the way, in the US this is something the doctors would perform. But this is Africa. Anyway, the lumps were solid. The manager asked me what could be solid inside her cheeks and I said a tumor. After the doctor had reviewed the ultrasound results he came out saying the baby has a tumor in her parotid gland, a dermoid. It'll have to be removed when she's a little older unless it grows too rapidly. I measured it so the staff will know if it changes any.
Another baby I had been taking care of just last month in HI had hydrocephalus which is too much spinal fluid building up in the brain. He had an access device inserted into his head that the doctors would use to pull extra fluid off each day. They would take out 10ml a day to help relieve the pressure in his head.
Here in Africa, one of the other babies we brought to the clinic has hydrocephalus with an access device in her head to pull off extra fluid. When we brought her into see the doctor he said he had a really bad cold and didn't want to touch the baby. So he handed me the needle. I performed the procedure, inserted the needle into her head while he held the syringe and pulled the fluid off. Her head is really big and he pulled off 100ml. Again, that's something the doctors would do in the US, but it was exciting for me!

1 comment:

keone said...

Aloha Kristi,

Hope all is good. Sounds like your days are filled and that your having a wonderful time. Thank you for serving and stretching yourself. After reading your blog, it made me realize why I work with software, no blood, no emotions, no physical pain well unless I cut my fingers on the keypad.
praying for you and your friends
keone