Day 1
Arrived in Riobamba (aka friobamba) around 2pm, after a 5hr bus ride from Quito. Lunch, then to hospital to unpack (most of the 46 participants had two 30-50lb bags of equipment) and to hold clinic. Had time for 8 patients, with a thirty-something American expat translator living in Bogota with no medical background but a Spanish for health providers book, and eyes wide open as we delved into gynecologic issues. Every one presented with incontinence. I haven't done vaginal incontinence surgery in too many years, so turned most away (and felt bad about it since some had travelled from Guayaquil, a 5-6 hr bus ride away. However, two also had symptomatic bladder prolapse and I scheduled them for surgery tomorrow. I'll have to think about resuming incontinence surgery for future overseas projects.
Chimborazoso from downtown Riobamba. This is earth's tallest mountain as measured from the center of the earth, given the earth's equatorial bulge. In other words, the closest you can get to the sun, while still standing on earth. 20,565 feet above sea level (compare Everest's 29,029 and Mt Rainier's 14,411).
Arrived in Riobamba (aka friobamba) around 2pm, after a 5hr bus ride from Quito. Lunch, then to hospital to unpack (most of the 46 participants had two 30-50lb bags of equipment) and to hold clinic. Had time for 8 patients, with a thirty-something American expat translator living in Bogota with no medical background but a Spanish for health providers book, and eyes wide open as we delved into gynecologic issues. Every one presented with incontinence. I haven't done vaginal incontinence surgery in too many years, so turned most away (and felt bad about it since some had travelled from Guayaquil, a 5-6 hr bus ride away. However, two also had symptomatic bladder prolapse and I scheduled them for surgery tomorrow. I'll have to think about resuming incontinence surgery for future overseas projects.
Chimborazoso from downtown Riobamba. This is earth's tallest mountain as measured from the center of the earth, given the earth's equatorial bulge. In other words, the closest you can get to the sun, while still standing on earth. 20,565 feet above sea level (compare Everest's 29,029 and Mt Rainier's 14,411).
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