Topic: Website
I know this is very delayed, and my apologies, but the three latest newsletters are now on the website.



A man came in with a large left neck mass, and a previous biopsy done months ago that was read as adenocarcinoma. The search for a primary (original site of the cancer) has not been revealing. I recommended he go to Ibadan (a 10-12 hour drive away) where they have CT imaging capabilities, as well as the ability to treat cancers with chemotherapy and radiation therapy (our only option in Jos is surgery). Additionally, there are pathologists at Ibadan who might be able to find that he actually has something other than adenocarcinoma. But he says he has no money to go anywhere else. He accepts God's will and begs us to do whatever we can.

A baby came to the clinic with an encephalocele (brain tissue that is herniating through a defect in the skull of the forehead) in need of repair. There are no neurosurgeons or plastic surgeons here in Jos. So the missionary general surgeon and I are trying to figure out the best plan of action for this child.

A sixty year old man came to the clinic with a history of a lifelong swelling of the left cheek that had become larger and more tender in the previous week. The man actually had a rare congenital abnormality called a First Branchial Cleft Cyst that had become infected. Once the infection is cleared up with medicines, then I will remove the cyst with surgery.

A man drove over 16 hours to come to see the ENT doctor regarding his advanced maxillary tumor. Remember, we have no CT or MRI imaging capabilities here in Jos. Is his tumor resectable? What kind of tumor is it? The only place in town to send pathologic specimens for examination is the local federal medical school called JUTH (Jos University Teaching Hospital). In a normal situation it takes at least 3 to 4 weeks for the pathology results to be returned after surgery (it usually takes only 2-3 days to get results in the US). But we are in no ordinary situation currently. JUTH has been on strike for the last two weeks. That means there is no where in Jos to take surgical specimens for pathology. I took a small biopsy of his tumor and sent the patient to Zaria, six hours away, in hopes that the university there was not also on strike and could give us a pathologic diagnosis before considering further treatment options.

The strike at JUTH has affected many other patients as well. A sick child came to our hospital last week and was admitted to the pediatric service with a possible lymphoma. I took the child to the OR to biopsy the lymph nodes in the neck. But again, there is no where to send the specimen in Jos for pathologic evaluation because of the strike. We asked the family to try to take it to the Kano University Teaching Hospital for evaluation. It is difficult to watch a child grow closer to death each day while you await a pathology report that may never come.

A man who was a victim of the Muslim Christian crisis several hours drive to the south of Jos in May 2004 was brought to our hospital last week from another hospital. His throat had been cut and he had been left to die. Some good Samaritan had rescued him and taken him to the bush hospital where he was nursed back to life. But he was not able to talk and was only able to breath through a very small hole in his neck that remained from his wound.

I took him to the operating room this week and gave him a larger hole in the lower neck to breathe through called a tracheostomy. I also explored his larynx (voice box) which was the area of his injury, and reconstructed it and closed the laryngocutaneous fistula (the small hole he had previously been breathing through). Pray that the Lord would restore his voice and his normal breathing passage. Pray also that the Lord would heal him emotionally and spiritually. He doesn't know if any of his family is still alive.
A man came to the clinic with an old poorly healed jaw fracture. I was able to use a set of donated specialized mandible fracture instruments and plates that I had just brought back from the States with me in order to properly treat his injury.

And there are many other patients who come to the ENT clinic at Evangel hospital with conditions that range from nasal allergies to laryngeal tumors, from chronically draining ear infections to nasal polyps, from hearing loss to hoarseness.... Please pray that the Lord would continue to use us to extend the healing ministry of Jesus Christ here in northern Nigeria.