{"id":1883,"date":"2010-12-24T17:39:53","date_gmt":"2010-12-24T17:39:53","guid":{"rendered":"https:\/\/aimint.org\/au\/2010\/12\/24\/all-in-a-days-work-for-a-surgeon-in-africa\/"},"modified":"2010-12-24T17:39:53","modified_gmt":"2010-12-24T17:39:53","slug":"all-in-a-days-work-for-a-surgeon-in-africa","status":"publish","type":"post","link":"https:\/\/aimint.org\/ap\/2010\/12\/24\/all-in-a-days-work-for-a-surgeon-in-africa\/","title":{"rendered":"All in a days work for a surgeon in Africa!"},"content":{"rendered":"<p><span style=\"font-size: medium;\">Australian Surgeon at Africa Inland Church Kijabe Hospital in Kenya, Dr Peter Bird, reports life is never dull in Africa!<\/p>\n<p>\u201cA few weeks ago I was called urgently to casualty to see a patient who\u2019d been stabbed in the chest.<\/p>\n<p>\u201cThese kinds of calls make me nervous, so I walked down briskly, wondering what I would find.<\/p>\n<p>\u201cTwo drunk men had been arguing over a woman, and in the ensuing fight one had been stabbed in the middle of the left chest close to the sternum.<\/p>\n<p>\u201cHe was stable but a chest x-ray revealed a worryingly large heart shadow. An ultra sound of the heart showed me some fluid inside the heart sac or pericardium.<\/p>\n<p>\u201cNot being too eager to do cardiac surgery at 1 am, (or actually not being too eager to do it at all!), I decided to observe him closely overnight in the ICU.<\/span><\/p>\n<p>  <!--more-->  <\/p>\n<p><span style=\"font-size: medium;\">\u201cAlthough he was slowly bleeding through his wound, he showed no signs of massive blood loss from an injury to the heart wall itself.<\/p>\n<p>\u201cSleep did not come easily. Next morning I rang a thoracic surgeon working in a large mission hospital \u2013 Tenwek \u2013 hoping he\u2019d agree that a conservative approach would be OK. His helpful comment was that there was likely to be an injury to the right ventricle, currently clotted off, but with a high likelihood of a catastrophic re-bleed.<\/p>\n<p>\u201cOut here, over-the-phone advice and text books are really helpful. After a revision of cardiac anatomy and suturing techniques of the wall of the beating heart \u2018\u2026if bleeding is profuse, place a finger in the hole and suture around it carefully\u2026\u2019, another surgeon and I took him to theatre, opened the front of his chest and exposed the beating heart. There is nothing quite like it. Mine was beating faster than his, I can tell you!<\/p>\n<p>\u201cAs we looked at the injury, actually at the more powerful left ventricle, we marvelled at how the attack knife had damaged the heart wall in between the two important coronary vessels. Hitting them would have given him an instant heart attack and probable death.<\/p>\n<p>\u201cBy God\u2019s grace he survived and was discharged a week later, the whole episode making him seriously stop and consider his eternal destiny.\u201d<\/p>\n<p>Medical ministry is a powerful tool in showing God\u2019s love and reaching the unreached in Africa. For more information on opportunties in medical ministry contact AIM Australia. For more stories from AIM Australia, select the Resource tab at top of the home page.<\/span><\/p>\n<p><span style=\"font-size: medium;\">December 2010<\/span><\/p>\n<p><a href=\"explore\/stories\"><img loading=\"lazy\" decoding=\"async\" class=\" alignright size-full wp-image-1881\" src=\"https:\/\/aimint.org\/au\/wp-content\/uploads\/sites\/18\/2010\/12\/back-to-stories.jpg\" border=\"0\" alt=\"Back to Stories\" title=\"More Stories\" width=\"150\" height=\"50\" style=\"float: right; border: 0pt none; padding-bottom: 20px;\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Australian Surgeon at Africa Inland Church Kijabe Hospital in Kenya, Dr Peter Bird, reports life is never dull in Africa! \u201cA few weeks ago I was called urgently to casualty to see a patient who\u2019d been stabbed in the chest. \u201cThese kinds of calls make me nervous, so I walked down briskly, wondering what I [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1881,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[27],"tags":[],"class_list":["post-1883","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-stories-media"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>All in a days work for a surgeon in Africa! 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