Little Service our two week old with the dead leg when he came in. See Will to Live II.
The leg
His would is closed, the swelling in the penis and scrotum have gone away.
His iatrogenic (Scott caused) wound on the right hip is by the grace of God healing nicely.
The abdominal wound of Clemence (Will to Live Part I), with her stoma bag.
Doing the spinal on Yassine
Yassine’s infected broken leg with the dead bone.
What was under the dressing.
Just after putting on the ex-fix on Koudma and trying to get the fracture covered.
Doing a dressing change on Koudma’s leg
Just before removing the ex-fix from Koudma.
Just after removing the ex-fix from Koudma, he slept through it.
Mass on the palm
Turned out to be just a lipoma, from the palm.
After removal
We have started doing ophthalmology, this patient presented with a tumor in his eye.
The tumor on the eye.
Doing the enucleation
Congenital atrophy of a baby’s foot, amniotic band?
A complex foot abscess, that eventually got better.
He fell from the second story of a construction project.
Osteomyelitis, after debridement with a very good involucrum
The sequestrum
Another Squamous Cell carcinoma this time it has deformed the hand.
This little baby was burned at one month old and her foot healed in this position and we were able to release it.
A Burkitt’s Lymphoma case
After his treatment with Cyclophosphamide.
This man came in with what appeared to be bilateral hydroceles. The left side was just a hydrocele, but the right side had a dead testicle and old hematoma.
He came in with a dental abscess and crepitance in his neck. He had necrotizing fasciitis, and this is his neck after debridement.
Unfortunately he also had crepitance on his chest, and necrosis down to his abdomen. He lived about 4 days before succumbing to the infection.
This little boy suffered for four months with a dental abscess, which then went into his neck and down onto his chest.
Large skin Cancer on the elbow.
One day old baby with a gastroschisis, much of his intestines are outside his abdomen. His family took him home to die.
Prolapsed rectum, it had been prolapsed for eight days.
14 y/o with a large goiter
Said goiter, he did great after a rocky first day when I had to reintubate him because of airway edema.
My first IM rod using the sign nail technique for a recent femur fracture. Before
After
My second sign nail, a two month old femur fracture that I had to break apart first. Before
After
This was the giant hernia, with most of the small intestine in his scrotum.
The hernia sac is open, showing all the intestine.
Teenager with the femur fracture, and bone sticking out of the back of his knee with the pus fountain shooting out of the front of his knee.
Giant fungating breast cancer.
Little boy with malnutrition and worms. He was just miserable. We started treatment but within 36 hours he died.
Our lady with the large ovarian cancer, referenced in “Three Days in May”
The tumor. It is always bad when the Tchadiens are taking pictures too.
Little baby with a severe burn on her arm and hand and chest.
Putting on the Silvadene
Another giant fungating breast cancer, I think this is the fourth one so far.
They are so big and deep I cannot get them off without leaving a giant wound that will soon have more cancer growing in it. So we give them diclofenac, tylenol and doxycycline for the odor.
This guy had seven fragments of bone covering a 6 cm span of his tibia, so after it was clean, I put a long plate across the proximal and distal ends and wired the fragments together. I also plated his fibula to add some extra support, We will see.
Giant Breast Cancer in a young woman, I think probably a Cystosarcoma Phylloides.
Post Mastectomy
Seven year history of increasing ulcer at the top of the gluteal cleft. Now a giant invasive cancer that has eroded the tissue down to and including the spinous processes.
Man who came in with an arrow in his butt.
Young man run over by a huge truck, destroyed the inside of his arm.
After a 6 weeks
After 10 weeks
Mummified fingers with an abscess in the palm and forearm.
Splint with what you have in the field, which is literally in the field.
Well padded splint.
Open Fracture
Typical Open Fracture
After plating
Gardners Under The African Son 
Scott, I worked with you in Tillamook…would have never guessed you had this in you! Am amazed and impressed with what you are doing! Truly sharing your gifts! Carol Hogue
Oh my goodness — looking at the pictures — so sad. They are so blessed you and Bekki are there! Looking at the pictures, makes one realize how truly fortunate we are to live in the U.S. and have modern medicine. Many nurses and physicians I work with have gone on mission trips and everyone said it is the saddest, most rewarding thing they have done. I know they don’t see anything as graphic as you guys have encountered. You guys are doing a good thing!!! Georgianne Mayer 🙂
Oh heaven! Your detailed summaries are impressive. Needless to say, they are VERY blessed to you and your team. How can people donate?
I found your website via Graham Johnstone whom I had met and assisted in surgery in Galmi/ Niger. I thought i had seen already quite a bit of terrible things as a scrub nurse but looking at your pictures i am just overwhelmed! May God encourage you continuously to keep on the good work!!
Kind regards Susanne from Switzerland