I've never had one of my procedures video taped, however below you can see me delivering a baby via c-section. I just wanted to give a special thanks to Carlos for filming the c-section video on the last post.

Picture of Carlos at the bird sanctuary:



Our Anesthesia team: (John, Carlos, Roberto, and Gary)


Roberto and Dr. Julio (both from Cuba) with Carlos:




Dan and Carmen (scrub nurse in the c-section video):

C-section Video in Puerto Lempira

Honduras: International Health Service

This is the Puerto Limpira Surgical Team from IHS 2009. [Front Row Jon (CRNA), Gary (CRNA), Jim (General Helper); Middle Row Dr. Brown, Joan (RN), Kyla, Dan (Paramedic), Carlos (Translator), Back Row: Ben (MS4)

The map of Honduras:
La Mosquitia (also spelled La Moskitia) is the far eastern part of the the country. We stayed in Puerto Lempira. You can only get there along the coast by boat or by plane. There were three other medical teams that were flown or shipped upriver to more remote areas. These teams sent us patients for surgical consults.




Pictures:
We didn't get out of the OR much so I have just a few pictures of the area. Here are some typical houses:


Usually the houses are up off the ground if they are by the water:


The park:


The beach:



The compound where we stayed (big dorm rooms):



The Hospital:
Below are pictures of the Puerto Lempira Hospital (Top photo from Dr. Banegas).





I didn't take many pictures of the hospital wards. There are 4 medical wards: a pediatric ward, a maternity ward, a woman's ward and a men's ward. Each ward was a bunch of beds in a big room without curtains or privacy. The hospital was pretty busy but had limited supplies (no working x-ray).

Newborn preemie twins (34 wks):



(The twins weren't our patients. I just thought it was a sweet picture.)


The hospital had 2 operating rooms:



Carlos and Dan in the OR:

Jon in the main OR:



Pre-op area:
(Notice patients sharing a bed)



Post-op area:
Notice that there are no monitors. Also, notice two of the local surgeons (in blue scrubs) resting in the beds next to the patients.


Our referral system:
Patients were sent to us from outlying villages by other IHS teams with a note in a plastic bag attached via safety pin:




OR pictures:
We did 46 cases in 8 days. Nineteen of the cases were laproscopic. I did 38 cases (of which 7 cases were with the Honduran docs).


Removing breast cancer:

Circumcision with Dr. Everett:



Dr. Wood (green scrub hat), Dr. Banegas and I doing a hysterectomy:

WARNING: DON'T LOOK AT THE PICTURES BELOW IF BLOOD UPSETS YOU

Oophorectomy:





Cystic ovary after removal:




Advanced breast cancer (removal wasn't curative, but hopefully we improved her quality of life).


The amount of tissue we removed:

The mass after removal:


Post-op:



That's just a sampling of my pictures. Thank you to Carlos for taking many of the photos while I was operating. If you want to find out more about IHS check out the website:

http://www.ihsofmn.org/