I am often amazed at what comes through our doors. Today, 2 cute 5 yo girls came through the door with one of their moms. One of the girls had a hat on, but neither looked sick. I was told the girl with the hat was the patient, she removed her hat, but still looked okay, until she turned to the side. Initially, I wondered if it was just her hair that was sticking out about 6cm from her head, but quickly confirmed it wasn't. She has had this large swelling of the back of her head her whole life, and despite living within 30 minutes of the hospital, she has never been to the doctor. Thankfully, she is a normal kids who walks and talks and plays. Not having seen anything like this before, I consult Bill. He too hasn't seen this before, but we go to our handy ultrasound machine, which patients feel can diagnose and fix anything, to try and help us. It didn't really help, just confirmed it looked like fluid, and an Xray confirmed that the skull was intact. So we are sending her to get a surgery consult to see if this is something that should be removed. We do have one neurosurgeon in Port Morseby who maybe able to help her.
On another note, you may remember Baby Brian. He was born a few months ago and came into the hospital while I was on call with an imperforate anus. Dr. Jim took him to surgery and temporarily fixed the problem with a colostomy. This picture is him on a followup, when he was doing quite well. Unfortunately, he passed away today from sepsis. Thankfully, the Bible reminds us that death isn't the end. John 11:25-26 "Jesus said to her, 'I am the resurrection and the life. He who believes in me will live, even though he dies; and whoever lives and believes in me will never die.'" I am thankful for the hope we can have in Christ.