Praying for Patients

Every Wednesday at 6:45 a.m. our G2 team gathers to pray for every patient in the hospital.

Most team members are Chadian.

In the photo below, we also had believers from Cameroon, the UK, Egypt, and the USA.

On the far right is Dr. Mina, a dentist from Egypt serving with DWAM
On the far left is Kalbassou Doubassou

Kalbassou Doubassou (far left in the photo above) will serve as the hospital director after we leave for ten weeks home assignment. We’ve known Kalbassou for 25 years. 

Influx of Patients, Exodus of Missionaries, All is Well

April was busy with 142 operations.

May brings many changes to the staff:

Emily (SIM-France) and  Dr. Schüle (Anesthesiologist from Germany) and family have left.

Bill Wright (USA) left May 6th.

Elise Grange, Physical Therapy, (SIM France) leaves May 8th. The PT dept she started is running well with Chadian staff.

Martin and Elaine Harrison are doing a great job in accounting and management. They leave May 11th.

Melanie, an independent nurse from Sweden, has helped a lot. She leaves May 18th.

Dr. Mina (Doctors With a Mission) the Egyptian dentist, has started the dental clinic. He leaves May 27th.

Debbie and I (CEF – USA) leave May 27th.

Many leaving. Almost everyone wants to return.

The new surgical center will be dedicated to the Lord this week. We will finally be able to do more than one operation at the same time.

Please continue to pray for another surgeon and expat administrator.


More Extreme Medical Cases

Surgeons can practice in the US or UK all their career and never see such extreme pathology.

The photo below is of two fibroids that had essentially replaced the uterus.

Fibroids are benign tumors of the uterus and one of the most common reasons hysterectomies are needed.

(Warning for the squeamish, from Jean, the blog manager: The photos below are not lovely and contain blood and internal organs — stuff only God and doctors usually see. Certainly not blog managers.)

Surgeons can practice in the US or UK all their career and never see such extreme pathology.

The smaller, lighter colored fibroid is the size of a large navel orange. It was attached to the larger redder one.

The larger fibroid was the size of a large Ruby Red grapefruit.

The huge spleen that I recently removed almost filled this same basin. (See below)

Speaking of that case, my advice is not to program a mega splenectomy with a challenging nephrectomy and three other cases including a missionary with a hernia in the same day.  (Interesting note, the woman with the splenectomy offered me ten camels.)




Our patients are very appreciative for such surgery. We are privileged to be in a position to give them hope again.

We tell them that Jesus sent us because He loves them.

Almost all my patients now are much younger than I am and some of them understand that such cases take a lot out of me. They call me “Papa”.



Welcome Million and family! Family Now Serving with Us from Ethiopia

Pastor Million and his wife now serve with us at G2.

They are supported by their church in Ethiopia and also affiliated with AIM.

They’ve studied Arabic but also have made friends here.

Both of them are committed evangelists. We welcome them to the G2 team.

Please pray for them.

The Little Nomad Boy Gets Medical Help and a Camel

Nomad father and son with Bert

This little Nomad boy, Younouss, had a tumor of his tongue.

It was unsightly when he opened his mouth. When I first saw him in surgery clinic his father wanted to haggle over our surgery fee.

Though I thought our charge of $50 was reasonable since he would have general anesthesia and the procedure would be performed in the OR, I did the operation for $35.

The father was not pleased as he wanted it done for $15!

Younouss was very brave and had almost no pain during or after the surgery.

Nomad father and son with Pastor Bernard
Nomad father and son with Pastor Bernard

The result was excellent. I expect the tumor to be benign. It was sent to the USA for a pathological exam. This is a free service for our patients provided by believers (the pathologists in SC and FL).

The father seemed very pleased. I was caught off guard when he told me now he wanted to give me a mother camel with a baby at her side!

I was told this would be a gift worth at least 500,000 cfas. What a difference in attitude?

I gently explained that I have no place for camels but I would accept the camels. I then, with Pastor Bernard as a witness, gave the animals to Younouss.

Both Younouss and his dad seemed to like this deal.

Nomad father and son with Pastor Bernard
Nomad father and son with Pastor Bernard

Though Bernard and I told the father how to be saved in front of Younouss in the clinic a few days ago, Bernard also followed up here.

I would label this family as “interested.” We will arrange to follow up where they are camped out through our data bank of missionary colleagues.


Bebe Fatime Needs Prayer

Baby Fatime needs prayer.

Bebe Fatime’s short life has been difficult so far.

She was born with a congenital disorder called “ situs inversus” as well intestinal malrotation. These disorders are not too common, but both in the same baby is quite rare.

Fatime vomited from day #1 and for the next eight days.

After seeking medical help elsewhere, she was finally brought here. At surgery, we found the right lobe located on Fatime’s left instead.

Her gallbladder is therefore located on the left rather than the right, which will be confusing to doctors if she has gallbladder trouble in the future.

She also has malrotation of the intestine, so the appendix is also on the wrong side.

But the reason she vomited everything was from the presence of abnormal adhesions or fibrotic bands (“Ladd’s bands”) that causes a blockage of the part of the duodenum. This is part of the malrotation.

We divided these bands and are now at post-op day #3.

She has stopped vomiting and is being given maternal milk orally by syringe. She was too weak to breastfeed normally.

Fatime’s parents are Muslim.

Please pray that the Lord would completely heal Fatime and that someday they will come to know Him as their Savior and Lord.

Thanks and blessings,

The Blessing of Brother Bernard

Brother Bernard (R) witnesses to a Nomad patient.

“The world is passing away and also it’s lusts but the one
who does the will of God abides forever.”
~ 1 John 2:17  

In the above photo, Bernard (on the right) is witnessing to a Nomad patient. 

Bernard completed three years in a four-year seminary then had to leave when his mother died to support the family.

He found work as a mason. He later felt called to serve the Lord in medicine, so he went to nursing school and has since practiced in a clinic in N’Djamena.

I met Bernard when he came to the hospital as an evangelist with his Lutheran Brethren Church to witness to our patients. This activity resulted in a church plant.

Bernard is one of the two pastors at the new church that meets in the G2 Christian school each Sunday.

He has served with me as my translator and assistant in our very busy surgical clinic as an unsalaried volunteer for six weeks.

He has an exceptional personal contact with patients and presents to them their need for Jesus as Savior better than anyone I know.

Most of our patients are Muslims. Several, in the short time he has been here, have put their faith in Jesus for salvation. He is very good at following up with these new believers.

I am happy to inform you that Brother Bernard will be given a position as clinic nurse starting in April. The Lord will be well represented in our outpatient department.

Lord,  please send more humble and obedient servants like Brother Bernard to us. Amen.