Yesterday and Today

Yesterday was a very busy day.  I assisted on 3 Cesarean Sections.  Unfortunately, the last one was a lady who delivered Twin A at a small rural clinic at 6PM.  She arrived here 3 hours later with the arm of Twin B delivered and no heart tones.  Twins are always a high risk delivery, especially at night in a developing country with no emergency care options.  Hopefully mom and Twin A will do well to ease some of the pain.
 
Today a lady was transferred from a small rural hospital 12 days after her auto accident.  She thankfully was alert and oriented despite her untreated depressed skull fracture, displaced arm and femur fractures.  Her Guardian Angel has been working overtime.  It has not been unusual to see cases like this appear in the OPD.  

You have to just move forward and do what you can for these patients.  It is gratifying to be here at St Martin de Porres Hospital where people are not turned away.