Training in Tanzania - part two

          I am back from my second visit to Tanzania and feel very hopeful about the future of their burn program.  There are so many dedicated and hard working staff that I have grown to love and admire and I look forward to visiting them again next month.  This group here are the future faces of a successful program - Jackson, PT, Mwanahamisi, RN, and Ester, Burn Rehab Director.  It is only through their vision and hard work that progress is being made.  I am super proud of this team and can not wait to see what happens in the future there.
            When you support the work of BCI, you are investing in future burn victims who will have the opportunity to receive a true rehabilitation program to heal properly.  While there are so many variables that come into play as the skin heals, specific things that can be taught; proper skin grafting, frequent dressing changes, supplemental nutrition, proper positioning, aggressive physical therapy, and custom made pressure garments are some of the main aspecits.  When these areas are weak, potential for poor results increase.  However, when each area is done properly, potential for a good outcome is normal.   
          Patients can suffer from so many complications and the process can last anywhere from 12 - 24 months so patience and consistent hard work are a major part of healing.  One negative complication is when a patient develops one or more contractures.    Contractures, (photo left) are the norm in most countries. Contractures occur when the burn scar matures, thickens, and tightens, preventing movement. This can become permanent.  But with education and hard work, they are generally 100% preventable.  Money and resources help but education and knowledge are the key to improved burn healing!!  
           

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This precious little boy has lots of old burn scars and a small contracture on his neck - he is in the hospital to have a surgical release done on his neck.  He is the sweetest and funniest little one, full of life and unconcerned about all of his scars.  He greeted us each day practicing his English and following us around - especially Noah and his camera.  I can only pray that as he grows older he will continue to be unconcerned about all his scars and just love life as he does now!  
          Thank you for taking the time to keep up with what is happening in BCI, it is sincerely a blessing knowing that so many of you love and support this work. 
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