Weds. July 22

Ups and downs today. Last night we were able to get a vial of heparin in Monrovia. There was only one place that had it and it was 25 dollars US. Unfortunatly, we showed up to do the big aneurism case this morning and the anesthetist told me he was low on oxygen and would not be able to get any until tomorrow, so we postponed. We were able to remove a very large ovarian tumor today. I'll try to post pics tomorrow. We also did a huge thyroid goiter.

I may have mentioned there are only 4 residency trained surgeons and one urologist in the country, so things have started showing up at the clinic. I see prostate after prostate, but also unusual cases, like a large recurrent sarcoma on the back of a young woman's leg. This will require skin grafting. I also saw a 7 month old with a meningeocele coming off the back of his head, this is as big as his head.

Overall, more challenges than I can meet, but we are really enjoying it.

Mark and Mary

This is a sarcoma we removed from a young man the first week.