|This is not THE exact Mélange ice cream, but it's close to what it looked like!|
It's still one of my favorite French words to say and it seemed appropriate to describe the past few months in 'A Ward' as a Mélange. For the first 6 months of the year, I worked in 'B Ward' but in January, I moved to A Ward to fill a gap. The wards are basically all the same except for which type of surgical patients are housed there. A Ward is home to General surgery, however, the 'general' ward also gets a piece of whatever else needs space at the moment. This is something I had not experienced during my time in B Ward where the patients had been almost exclusively from plastic or orthopedic surgery. Here's a taste of what the mélange of A Ward is like:
When I first arrived in my new home, we had a combination of the last few plastic surgery patients (the ones who have complications, infections or multiple surgeries can stay up to 2 or 3 months) and a surgeon who specialized in goiters, or enlarged thyroid glands. The thyroid is a gland located in the front of your neck and is important in many hormone functions. For many reasons, including genetics, disease or poor nutrition, the thyroid can start to grow too much creating a large tumor-like mass that is often not working properly. Occasionally this causes hormone issues, but mostly it is a benign issue until it grows so large that it puts pressure on the airway and suffocates the patient. The physical deformity can also cause the patients to hide away and become outcasts, many times losing jobs or being abandoned by their family. While the surgery to correct the problem is not too difficult, damaging or removing parts of the gland can cause lifelong health problems if not done properly. Without the hormones from the thyroid gland, some patients will have to go on medication for the rest of their lives or followup with blood tests occasionally for monitoring. The doctors on the ship have developed a good technique for avoiding this problem but it is one of the risks of this type of surgery - the alternative, though, is to not perform these surgeries and risk many patients suffocating from this deformity.
|Some of the A Ward nurses gather in the hall with the last few plastic surgery patients.|
|Several goiter ladies during screening.|
|Mama Adiza had the largest goiter we'd ever seen. She had difficulty eating, sleeping and even breathing.|
|She had a new lease on life after a very difficult surgery to remove her enlarged thyroid!|
|Cleft lip patients recovering on A ward after their surgeries.|
|Anna and Dorcas with their mother at the final eye checkup.|
Finally, at the beginning of April, our general surgeon gap ended! Once again, A Ward is full of hernia and lipoma patients. While these surgeries are minor, the benefits are great. Us nurses try to have a lot of fun in the midst of the chaos - sometimes 6-10 patients coming and going each day! And it's such a privilege to see the relief on each patient's face as they realize this problem that has plagued them for so long has now been removed and they can go on with their lives again.
|Hernia patients ready for discharge with the General Team Leader, Jane (left) and my friend Mary (right).|