Healing The Children - Guayaquil,Ecuador 2008

Working Together

2008-03-16T17:02:00.001-07:00

The Wards and Morning Rounds

2008-03-16T10:42:00.001-07:00

The Postop unit - PACU

2008-03-16T08:41:00.000-07:00

The Preop - Prep and Hold area

2008-03-16T08:26:00.001-07:00

More to Come...

2008-03-11T19:37:00.000-07:00

Still going through all the photos. Enjoy todays posts and I should get more stuff up in the next few days. SL

Interesting Case of the Week!!!!

2008-03-11T19:12:00.000-07:00

This little boy had something very few have seen before. Even Dr. Packer, a seasoned veteran pediatric urologist, makes it clear on the video how rare this is.

If you are still not sure he has essentially a double bladder.

Week in Review - Cases Performed

2008-03-11T18:56:00.000-07:00

In all we participated in 18 cases this week.
We performed two cases never performed in this country. We performed the Mace and Monti procedures on one patient. These allow for catheterization of the bladder and cecum for emptying and irrigation. We also performed the first Mitrofinoff and ACE using a single split appendix. Other cases included: Pyeloplasty(3), Nephrectomy (1), Hypospadius (4), Orchidopexy (5), Cystoscopy (3). The cases were all recorded so that in the future these procedures can be performed by the established surgeons in the region. In 2005 Dr Dean performed the first appendico-vesicostomy in Ecuador. Since that time Dr. Ocanea had performed the procedure 12 times, without any major complications. The surgeons, resident, and staff all have a strong desire to learn and try new things in order to improve the healthcare in this country.

The Children - Part 2

2008-03-11T18:36:00.001-07:00

Wenesday Night - Patricia's House

2008-03-11T17:23:00.000-07:00

Wednesday night was Patricia Hollstein (pediatric surgical fellow) father's birthday. They welcomed all of us into thier home and the party.

The Team - Ecuador 2008

2008-03-11T14:55:00.000-07:00

Top: From Left to Right: Tommy, Cindy, Jane, Pamella, Kathline, Kim, Betty, Mike, Kay, Ocanea
Bottom: From, Left to Right: Gina, Nancy, Greg, Diana, Todd, Denise, Ed, Steve

More to come!

2008-03-09T06:13:00.000-07:00

I know that the web site has not been updated much in the last few days but there was so much to see and do. The week is almost through and many have gone home. This has been one of the most amazing experieces and I will share all of it in the next few days, so stay tuned to the website.

Wecome to Sunny Ecuador

2008-03-05T16:30:00.000-08:00

Forecast: Chance of Rain.. 100%.. So far everyday.

The sun started to shine on Friday.

Old pictures First

2008-03-05T15:29:00.000-08:00

I'm getting some pictures from everyone else, so I'll back track some of the first few days and then put up some of the yesterday and todays stuff..

Sundays Clinic Pictures:

News around the region.

2008-03-05T15:14:00.000-08:00

Just figured I'd put up some links to current events in the region:

Colombian Raid of FARC in Ecuador Escalates Conflict -http://www.npr.org/templates/story/story.php?storyId=87922264

White House: Colombia and Ecuador should work out tensions -http://www.reuters.com/article/worldNews/idUSWAT00907020080305

So far so good. No evacutaion plan yet. But dont worry the US embasy knows where we are. SL

Monday Night Dinner

2008-03-03T23:34:00.000-08:00

Some were entertained tonight by the host rotary association.

The rest of us went to..

In downtown Guayaquil.

The food was great, the drinks were stiff, but the service was as slow as a ....

On to tomorrow.

Teaching

2008-03-03T23:11:00.001-08:00

One of the goals of our the trip is to potentially improve the local urologic care by teaching the local pediatric urologics the techniques we use.

The Children

2008-03-03T22:51:00.001-08:00

Some were happy to meet us and hopefully we made a positive difference in their lives.

While some of the children were not as thrilled or impressed.

Todays Cases - Monday

2008-03-03T22:37:00.000-08:00

Our day started at 8am and ended at 8 pm.

We operated on 5 children today.

1. Left nephrectomy for a nonfunctioning kidney due to obstruction in a 2 month old child. - Dr Packer and me.

2. Left Ureteropelvic Junction repair - (IVP below) -Dr Packer and me

3) Hypospadias repair with chordee. Dr. Dean

4) Mild Distal Hypospadias repair - Dr. Dean

5)1st Stage Hypospadias repair - Dr Packer and me.

Operating Rooms

2008-03-03T22:33:00.000-08:00

The ORs are not that different but luckily we

brought our own equipment.

The Doctors Are In!

2008-03-03T22:27:00.001-08:00

This was the line at 7:30 am Monday morning at
the children's hospital. Not all were there to see us.
Health care in the US seems pretty good right about
now.

Authentic Italian in Ecuador

2008-03-02T19:42:00.001-08:00

After a long day in the clinic we had dinner at Tratorria da Enrico in Urdesa, Guayaquil..

Yes that is a fish tank above us and around us..

Its late and we have scheduled many cases for tomorrow. I will post pics from todays clinic and tomorrow events from John's camera sometime tomorrow.

Hotel Change

2008-03-02T15:16:00.000-08:00

We are now staying at a marvelous hotel!
Changed over this morning to Hampton Inn by Hilton
Ave 9 de Octubre 432 y B Moreno
Tel (593)4 25667000-2566701
www.guayaquil.hampton.com

Day 1: Let the healing begin!

2008-03-02T05:32:00.001-08:00

Travel Day. Most left for Ecuador yesterday and I'm about to hop on the plane. I will post pictures of todays clinic from Guayaquil later tonight...

Welcome!

2008-02-28T19:13:00.000-08:00

This website was set up for all the members of this trip, our friends and families.

Our bags our packed...

See you in Ecuador!