First Week

It has been a good first week here at Tenwek, some of this post will give you a flavor of the experience so far. The overall impression is that the PAACS surgeons are faced with varied and numerous urologic cases that are often at advanced stages. To give you an idea, some of the cases we did this week included a radical nephrectomy, TURBT, TUR bladder neck, cysto DVIU, orchiectomy and orchidopexy. This coming week there is a urethroplasty scheduled among the rest of the cases. Teaching the PAACS resident, Mesh Mwanzia, has gone well with a lot of discussion of the work up of urinary retention, hematuria. She is well versed in SP tube and foley placement. We had an opportunity to introduce her to the use of filaforms and followers, and thorough hand irrigation of a patient in clot retention (not the same patient :). She is learning the components of the endoscopic instruments and the technique of cystoscopy. General instruction of the staff will include 2 didactic lectures this week: urologic emergencies and prostate disorders. With regard to discipling we pray before every operative case and with every patient in clinic along with participating in weekly staff devotions and evening bible study. I am impressed with the aptitude and willingness to learn of the PAACS residents. Dr Okorie arrived here this week and is getting settled in but has not gotten started on clinical activites yet. I am looking forward to working with him and getting to know him better. Overall I am encouraged by the experience so far. Thank you again for your prayers and encouragement.