Roads are beyond horrible and this passage has been tedious and painful.  We are four hours outside Port au Prince and just received word that Pastor Devarese's wife is dying at the UN hospital in Port au Prince due to complications from her compound fracture of her leg.  She has maggots (can be good because it keeps the wound clean) but she is having renal failure.  We are praying and driving while we are trying to make calls to get his wife air lifted. 
[Update] 
Pastor Devarese's wife has an open pelvis fracture. There are no operating rooms. There are surgeons at UN hospital but no place to operate. We are scrambling to get something  up that is structurally safe.  Biggest problem is there is no place for post-operative care.  These conditions are bad!
Dan