Return From a Visit to the US

Right mastoiditis for twenty-five years with hearing loss, facial paralysis and epidural abscess.

I recently returned to Ghana, accompanied by my wife, after a 45-day home emergency visit to the US because our son ruptured his appendix. He is now fine.
On arrival at the house in Tamale, the refrigerator, air conditioner and washing machine did not work. These problems have now been partially corrected.
The hospital staff warmly welcomed me back and asked about my son. There were no major failures in the ear, nose and throat clinic and our clinical conferences had continued successfully. During my first day back, a 40 year-old woman patient presented with a chronic ear infection, facial paralysis, sensorineural deafness and a frontal headache which required mastoid surgery. Her facial nerve was three times normal size, but intact and responded to stimulation, which indicates it may work again. During surgery, a tear in the middle fossa occurred requiring repair by the new neurosurgeon. The cautery machine did not coagulate, only cut, and this has to be looked into. More probes for the cautery and bits for the drill are needed for future cases.
There is a ton of work.