Ended up doing 3 cases after being bumped for emergencies. Femoral nail, bridging knee external fixator for bad infected/open supra/inter condylar femur fracture, ex fix/ carpal tunnel release for distal radius with traumatic CTR, all without fluoro or X-ray. Lots of cases that had to wait including open femur fracture, intertroch fracture we will try to fix with what they have here, another we'll treat in traction, open patella with ipsilateral acteabular fx (fix patella), and saw lots of cases I can't do much for due to our technical limitations. 
 
Need prayer for the young patient with the infected open humerus fracture that was ex fixed - bad infection, hopefully will get better with the treatments we are giving. Also for all the people I can't help.

Had dinner with two docs from the US, who both used to work together in Michigan. Rick is a pathologist (lots of pathology here) who lives here with his wife, a nurse who works on the HIV ward. They've been here 2 years and are planning to stay forever. They both were medical missionaries in Nigeria in the 90's with International Mission Board, went back home, now are here to stay. Dan and Elaine Metzger are family practice docs from Michigan who have been here for a month and are leaving Sunday. Their group is a Christian multi-specialty  group that encourages its partners to do mission work. Very cool. They worked on a medical ship called the Mercy Ship in Sierra Leone in the 90's and also lived there caring for the sick for a couple years, kids and all. Kind hearted people who I've eaten dinner with each night. Please pray for safe travel. Lots of doctors and nurses here and elsewhere doing good work, often for months and years at a time, sacrificing for the welfare of others, whom I as a physician never even knew existed before coming here.

Bob