A thank you to Borland Groover Clinic from Sihanok Hospital

After several days of doing therapeutic endoscopic procedures , and  helping to establish the first ERCP program in Cambodia, Borland Groover Clinic of Florida, where presented a plaque thanking Dr. Groover and all the partners and nurses and staff of the Borland Groover clinic for allowing this to happen. 

Dr. Tek , the true teacher!!

Dr. Tek has yet again proved to be the true teacher. Upon his arrival, the doctors at the hospital swarmed into his operating room to listen to his careful and interactive teaching. 

Another difficult case

We had a 42-year-old male who had an unexplained stricture of the proximal esophagus, Prior attempts at getting through the stricture had failed, a PEG tube had been placed surgically. Prior biopsies of the area were negative. All that we had was a small 30 mm dilating balloon. No dilating balloon gun was available, so this had to be done with physical pressure by the physician while another physician used the EGD scope to ensure proper placement, Thereafter, dilation was successful with direct visualization with a scope since there was no radiology availability.

OR schedule room # 2

On the way to work today

Our second day at Sihanok

Today we had our second  day of endoscopic procedures. The first procedure of the day was an ERCP, In a gentleman who had HIV and tuberculosis. He had a common bile duct stone which require removal.

The second case of the day, and many thereafter were common upper and lower endoscopy's. The majority of the cases today where for weight loss and unexplained diarrhea. For the ERCP, Tiffany and Angie were of great help, since the nurses and technicians at the hospital had never seen the ERCP's performed before. Three years ago though, we had trained the nurses and technicians on routine endoscopy, and for the majority of the cases done today, the nurses in and technicians at the hospital did an outstanding job. They did not require the help of our support team.

Street Life In Cambodia