Is this just a freak coincidence?

     Last week on Thursday we had a young lady come into the clinic in labor. She came at 11:45 so we were expecting to have a late lunch. But her delivery was amazing! We got her up on the table and  checked her and it was time to push. We did start an IV for a few minutes but didn't need it for long because at 12:15 we left for lunch. The baby was born and taken care of and we had the mess all cleaned up already.  I did catch this baby, Githane didn't quite have her gloves all the way on! Everything went very smoothly and there was very little bleeding. We did have the mom lie down though while we ate just in case there were problems. We were going to check her after we ate then probably send her home. I got back before Githane  and they called me in there right away, the lady had stood up a few minutes before and was now losing a lot of blood. They had her on the table already so I checked her. There was definitely something going wrong. It was like her uterus was full of blood.  Finally I got most of it out then checked her again. Something didn't feel right. It didn't feel like more blood clots I was feeling, it felt like it was intestine! Then I could feel that my fingers had gone through a hole. Surely this lady didn't have a hole in her uterus too! She is only 19 years old but this is her third child. I started another IV and got some fluids running then called Todd to come and double check my diagnosis. Githane was back now too so she used the ultrasound machine to see if she could see a problem. She found a black hole right about the place where I thought there was a problem. So... I call Keith and tell him I have a patient that needs to go down to the hospital now for a surgery. That day it was Candace's birthday and we had a small party planned for that evening. He finally got one of the unit guys from Savann Mouton to agree to drive her down. One interesting thing we noticed about this baby, his ears were two tone. Both ears were dark until the earlobe then they changed to a lighter color. I have never seen that before. The patient got to the hospital okay but we haven't heard anything since. We are all very curious to know though, seems very strange that we would have a patient with this same problem so soon again. I guess the difference was that she had her baby at the clinic so we realized her problem several hours earlier than the lady the other week.
     Friday morning the whole family left for Port-au-Prince. We were supposed to pick April up at the airport that afternoon then we were planning to go to a beach resort for the night and part of the next day. On the way down we were stopped in the road because there was a vehicle coming from the other direction that was trying not to fall off the side of the mountain. It was a Land Rover or something like that so wasn't a small vehicle but the driver's side wheels were completely off the road. The driver was still in the vehicle but all the passengers had gotten out. If the driver would have gotten out he would have had to crawl out the passenger side. There was a kamyon there that they were trying to hook up some ropes to so they could pull it out. They got the ropes hooked up and started to pull... And one of the ropes broke and suddenly we could see the whole underside of the vehicle. The kamyon had stopped by then but the force of the one rope breaking was tipping the vehicle over. A bunch of guys who were standing there watching ran up and grabbed ahold and pulled the vehicle back right side up then they pulled again with all the guys there to help steady it. It worked this time so when they got back up on the road about twenty people were running to get in the land rover... So apparently it was a pretty full vehicle. Then we could continue on our way.
   When we were almost all the way down the mountain Keith got a phone call from April that there had been a flight cancelled so she wouldn't come in until the next day so we headed out for the beach several hours earlier than we expected. We went to a resort called Moulin Sur Mer. It was pretty
windy that evening so we didn't really swim in the ocean but swam in the pool. The next morning was beautiful so to the beach we went. After lunch we went to a museum on the resort then headed back to Port for Sallie's wedding the next day. We met April before supper then her and I spent night with the orphanage girls. It was an enjoyable evening with the girls. I grossed some of them out with a video of the cheek abscess we dealt with a little over a week ago. Right now the orphanage has twin
 boys that are one and a half months old then the little girl who is nine months old that we sent down from up here. The other orphanage workers are there on duty 24/7 so the girls had been keeping the babies at their house for night. That night they had the nine month old too because they were going to take all three babies with them to the wedding the next day. They don't have air conditioning down there and only sporadic electricity for their one fan. They run their fan at night so hopefully they can get some sleep in between the heat and taking care of three babies. Half way through the night the electricity went off but it does cool down a little at night. The babies were up at 6:00 so we got up too. Actually, April and I didn't get out of bed until 7:00 but the other girls each had a child to tend to.
The wedding was nice but long. It lasted about three hours and started about thirty minutes late because the bus bringing the choir had broken down. It was a very warm day and the babies got really hot. The amount of people that can sit on one church bench really increases over here. The ushers just keep bringing people in and we would all try to move a little closer so one more could sit but soon they would be there again with someone else. I helped with one song and the minute I got up someone came and took my place on the bench. I decided I didn't need to sit that bad so went to the back of the church and stood. Then I could at least feel a little breeze.  The reception was outside at a hotel by the ocean. It was breezy and beautiful.
    FYI- we just got a phone call saying that the man with the broken back died this afternoon. He is so much better off now.
    We came back up the mountain Sunday evening. We would have been back in good time but had some problems with the machine so we didn't even get started back up until after 7pm.
 Ok, that's all for now... Waiting to see what this week holds.