|Morning tea with Kira|
Sunrise – Recently I’ve been waking up in the pre-dawn twilight. Once my mind starts going, sleep is an impossibility, so I read my devotional, check email, news, etc until my alarm goes off.
Breakfast – Currently I’m in a strawberry-banana smoothie and banana bread phase. I get a handful of strawberries from my garden each week and there are ample supplies of ripe bananas.
|Chapel on far left and Hospital|
Most days, work at the hospital starts at 8am, but on Mondays and Fridays we start early for Chapel and Doctor’s Meeting (continuing education), respectively.
|Road to the Hospital|
The walk to the hospital only takes about 5 minutes along a gravel road lined with staff houses.
|Surgical ward rounds|
Ward Rounds – Rounds on the surgical ward are usually fairly concise. We grab our rolling stools, start at bed 1 and roll our way around the large open ward all the way to bed 29. Charts and medication sheets are placed out on each bed for our review, new orders, and discharges.
|Dr. Jim on surgical ward rounds|
After Surgical Ward, we make quick rounds through the medical and pediatric wards to see any surgical consults.
|Surgery clinic waiting room|
Clinic, OT and Minor Procedures – Monday and Wednesday are surgery clinic days. Tuesday and Thursday are Operating Theatre days. Wednesday and Friday are Minor Procedure days. But, urgent or emergent surgeries can happen any day of the week.
As a team, we typically see 30-40 patients on an average clinic day—mostly referrals from the medical doctors, post-operative follow-ups or pre-operative admissions. During the day, the medical doctors will find us if they have urgent surgical consults in the Emergency Room or a mother on Labor and Delivery who needs a C-section.
|Operating Theatre staff|
Operative days usually average 6-8 cases split between 2 operating rooms. Frequently, we have a Rural Registrar training in surgery who assists or performs portions of the procedure as appropriate for their skill level. We also have nursing students who learn to first assist.
Lunch – Usually, I walk home for lunch, but the surgery schedule can be unpredictable. For some reason the lunch hour seems to be a popular time for emergent C-sections.
|Dr. Jim and Dr. Rebecca, rural|
registrar, reviewing a chapter
in Primary Surgery text.
|Dr. Cindy, rural registrar in|
Afternoons – Most afternoons, we continue the morning schedule wherever we left off – in clinic or OT. When we finish work early, we try to help with minor procedures or casting in the ER. Once or twice a week, we will review educational topics with our Rural Registrar.
|Balance beam day in gymnastics|
Evenings - Each week varies, but typically one or two nights a week I will invite someone over for dinner or be invited to dinner, which is always a nice time to visit with the other families or volunteers on station. Occasionally, we'll plan a game night or movie night. Thursday nights are prayer meeting. The rest of the evenings I enjoy time to read, catch up on correspondence, or work on craft projects.
Weekends are a mix of work, rest and play. This past Saturday was a busy day on-call with 3 surgeries, an early morning chest tube after a stabbing, and a post-op patient needing some attention.
|All dressed up for church|
in our meri blouses
This week, Sunday was my day of rest which included calling my parents, going to church, and relaxing. I often work in the garden, go for a walk or enjoy a meal with friends. Even though the weeks have a nice routine, each day is new and different, and I see God working through the hospital and staff each and every day.