Just returned after 8 weeks in Tanzania and what I would call a growing experience. Many TIA moments (This Is Africa) and a few AWA (Africa Wins Again). Kilema was stable, Shirati new, Mwanza probably the most developmental and Ukerewe--fantastic. I am feeling much more comfortable in the areas that I would not call my self expert. Did 3 amputations, several sequestrectomies, numerous hysterectomies and uterine suspensions and for the first time 2 eye eneucleations. I taught surgery and in the Masters of Public Heath at Bugando. Did a number of emergency surgeries, including a laparotomy for bowel obstruction caused by Ascaris! Yes that horrible wriggly thing above. Thanks to donna for taking the photo.

I have yet to finish working out how developmental different parts of what I do there are.

I do know that I will be back in April to teach the CNIS essential surgical skills course at Bugando. Also know that surgery on Ukerewe is safer now with monitoring and the use of the Oxygen concentrator.

My next big task is to work out how I can combine this work with moving to Montreal and getting an appointment at McGill.