Your Own Future In Africa – Angola Day 29

July 27th, 2014 by Nicholas Comninellis | Comments Off

angola-flagToday I’m thinking of all you back home as I pack for return to Kansas City. I am an extremely fortunate man be colleagues with the Angolans and to play a small part in their concerns. But I’m not the only one who is blessed. Many of you have interests and resources you too would like to share. This month I’ve received a number of messages inquiring about how people like you can become involved in challenging situations like Angola, using your gifts in public health, nursing, administration, medicine, and rehabilitation. This the reason why we created INMED. We exist to assist well-intended people in the health care fields with the skills, experience, and relationships to thrive in serving our world’s most disadvantaged. Please invest a moment to look over how INMED can facilitate your dreams, and just maybe you will join me in Angola again July 2015.

Prison Is Such A Joy – Angola Day 27

July 25th, 2014 by Nicholas Comninellis | Comments Off

angola-prison“I tried to visit the prisoners, but the guards would never let me in.” Pastor Cassicula was panting with excitement an Steve Foster evaluated his malnutrition and dysentery. “But then I was arrested for leading a church and imprisoned at the jail where I was trying so hard to go!” The year was 1984 and the communist-oriented leaders in Angola were bent on eliminating any vestiges of faith. “The guards put me into cells with ten other prisoners. The joy of Jesus overcame me as I explained to them the power of redemption. One by one, each of my cell mates trusted Jesus. The guards were so upset. They put me in a different cell, and soon all those fellow prisoners put their faith in Jesus as well.” Pastor Cassicula concluded, “My walk with Jesus and my impact on the world was never more rich than when I was imprisoned.” I can think of no better illustration of James 1:2-4 than that of Pastor Cassicula: “Consider it pure joy, my brothers and sisters, whenever you face trials of many kinds, because you know that the testing of your faith produces perseverance. Let perseverance finish its work so that you may be mature and complete, not lacking anything.”

 

A Daniel For Today – Angola Day 25

July 23rd, 2014 by Nicholas Comninellis | Comments Off

cesario-sapaloIn the 1990s I moved to the war besieged city of Huambo, in central Angola, to assist churches in starting up a health ministry. My Angolan counterpart was Cesário Sapolo, pictured here in front of the house where I lived. Cesário distinguished himself as a model human: intelligent, social, and devoted to his family and to his Lord. After only two years I had to evacuate just days before the city was overrun by the opposing military force. But Cesário continued to medical service we began together, even amid the hunger and death accompanying the occupation.

 

This week took the rugged road to Huambo, where I discovered that Cesário has risen to the position of Vice-Director of Health for the entire province. Remember the account described in the biblical book of Daniel, Chapter 6? This is real history from the Babylonian Empire of 538 B.C. “Now Daniel so distinguished himself among the administrators and the satraps by his exceptional qualities that the king planned to set him over the whole kingdom. At this, the administrators and the satraps tried to find grounds for charges against Daniel in his conduct of government affairs, but they were unable to do so.” Indeed, people of such quality still live among us, including Cesário Sapolo.

Two Week Follow Up – Angola Day 23

July 21st, 2014 by Nicholas Comninellis | Comments Off

elbow-lateration-follow-upBack on July 6 I introduced Feliciano, struck by a truck and left with an open, dislocated elbow joint filled with dirt and gravel. Please see “Trauma & Hope – Angola Day 7″ and the original photo of his injury below. Since that day, Feliciano has been receiving the antibiotic ceftriaxone and, more importantly, bravely enduring daily wound debridement accompanied by no analgesic but Tylenol. Notice how his elbow joint is now covered over with new tissue.  The extensor muscles of the wrist and fingers, here completely exposed, are also creating new attachments, and Feliciano can now indeed move his fingers again!

 

elbow-lateration

Hope Present And Future – Angola Day 21

July 19th, 2014 by Nicholas Comninellis | Comments Off

steve-foster-petra-kalukembeSteve Foster, left, has lived and served in Angola since 1978. A fully Board Certified Canadian surgeon, Foster and his classy wife Peggy over the last thirty-six years raised four children, save thousands from early death, and continue to inspire tomorrow’s healthcare personnel in this stark nation. Steve Foster was my mentor at Kalukembe Hospital when I first arrived in Angola in the 1990s. Today he and I are on site together back at Kalukembe, where Foster is mentoring Petra Schmid. A Swiss national, medical student, and earnest Christ-follower, Petra possesses those rare, Foster-like qualities of vision, faith, endurance, and social graces that should reassure us all that, as in a very dark hour Samwise Gamgee said to Frodo Baggins, “There’s still some good left in this world… and it’s worth fighting for!”

On Backup For Hell – Angola Day 19

July 17th, 2014 by Nicholas Comninellis | Comments Off

annelise-olsenOn call for emergencies one evening, I cared for a elderly man with acute bleeding into his bladder. This caused obstruction of urine outflow, a huge bladder, and extreme pain. Simply placing a Foley catheter thru the penis or directly through the abdominal into the bladder was no solution, since the clots obstructed any hope of outflow. I was at the end of my expertise, and considered, “When it all goes to hell, who ya gonna call?” I called Annelise Olsen, Lubango Evangelical Medical Center’s newest surgeon extraordinaire. That evening Annelise walked me through my first transvesical postatectomy, and here’s my mentor showing off the 300 gram prostate we shelled out of his bladder neck. What’s this, a general surgeon performing urological surgery? Yes, and far more. Everyday Annelise performs grueling orthopedic, ENT, and gynecological procedures – utilizing Angola’s extremely limited resources – that would make any surgical sub-specialist have second thoughts. The field of general surgery in North American has become so compressed by surgical sub-specialists that there’s relatively little remaining for the generalist. But out here, a truly general surgeon can enjoy the entire spectrum. And when family physician like myself confronts a hellacious situation, I’m grateful that uniquely a talented surgeon like Annelise Olsen is on back up.

I’m In Stitches – Angola Day 17

July 15th, 2014 by Nicholas Comninellis | Comments Off

iv-bag

Here’s a story that will make you smile… Steve Foster, my mentor and Angola’s surgeon extraordinaire, came home tonight describing how that he saw a dehydrated child in clinic this morning. “Give him Ringer’s Lactate, one liter each 5 hours,” instructed Foster, in his deep, declarative voice.

 

Ten hours latter Foster returned, and found the child looking much better. However, there was no IV line in the child’s arm. So Foster quizzed the staff, “Didn’t you give him the Ringer’s Lactate?”

 

The personnel replied immediately and with all sincerity, “Certainly! We just popped the top off of that clear plastic bag, poured the Ringer’s Lactate into a cup, and gave it to the child to drink. Just like you said, Dr. Foster.”

World’s Most Life Saving Drug – Angola Day 15

July 13th, 2014 by Nicholas Comninellis | Comments Off

tb-drugsWhat is the world’s most life-saving drug? Penicillin against infections? Quinine against malaria? Furosemide against heart failure? Hydrochorothiazide against hypertension? My nomination I hold here in my hand. João Manuel has been coughing blood and loosing weight for six months. His chest X-ray shows white out of both lungs and he requires 5 liters of oxygen each minute to sustain his life. What was the leading cause of death in North America just 100 years ago? Tuberculosis. And TB remains among the top three kills in today’s most disadvantaged nations, attacking people like João Manuel. Anti-tuberculosis medications, taken correctly and in combination, are extremely effective. Here is João Manuel life-saving drug: a combination pill with isoniazid, rifampin, ethambutol and pyrazinamide.

Physician, Heal Yourself – Angola Day 13

July 11th, 2014 by Nicholas Comninellis | Comments Off

malaria-test-positiveYesterday I cared for three young people with rapid onset coma and hemiplegia. They were also all malaria test positive. Malaria can cause a plethora of neurological signs, and no confirmatory brain imaging is available out here. So I started IV quinine and today – miraculously- all three patients resolved their deficits and woke up. Astounding! But next I was suddenly struck with extreme fatigue and chills. Sure enough, though it has not rained here in four months and I’ve seen not one mosquito, I too was malaria positive. Coartem is the first-line drug of choice. Tragically, our hospital Coartem supply has entirely run out. I drove to a private South African pharmacy and paid $13 for this drug, reflecting how few Angolans enjoy to such lifesaving privilege as I.

“Who Is My Neighbor?” – Angola Day 11

July 10th, 2014 by Nicholas Comninellis | Comments Off

good-samaritanThis morning the staff of our small medical center met together as Pastor Moses opened his Bible to Luke chapter 10 and read, “On one occasion an expert in the law stood up to test Jesus. ‘Teacher,’ he asked, ‘what must I do to inherit eternal life?’ ‘What is written in the Law?’ replied Jesus. ‘How do you read it?’ The expert answered, ‘”Love the Lord your God with all your heart and with all your soul and with all your strength and with all your mind” and, “Love your neighbor as yourself.’” ‘You have answered correctly,’ Jesus replied. ‘Do this and you will live.’ But he wanted to justify himself, so he asked Jesus, ‘And who is my neighbor?’” Pastor Moses motioned just outside the door, where some 100 people awaited their medical consultations. He then pointed to the hospital ward and maternity, where 50 more were already receiving life-saving attention. “Today,” declared Pastor Moses, “we enjoy the privilege of compassionate care for these, our neighbors.”