Thursday, January 22, 2009

An emotional goodbye

We started off the morning with neuroradiology rounds and visiting Professor Kaufman. What a kick! Actually three great cases with animated discussion.

Then went to Aga Khan Hospital to see postop patients. Truly a joyous experience with all three cured of their pain and gratitude like I am not sure I have ever experienced, both from the patients and doctors to whom I taught the procedure. Have a great photo of the first lady we treated but ridiculous internet service will not permit it to be uploaded. Suffice it to say this poor country woman had not been able to eat, smile, talk, wash her face, brush her teeth for weeks. This morning she smiled widely and handed me a gift. It was similar with the other two.

Teekra, our anesthesia/pain management specialist insisted I come see her office and treatment facilities. We really hit it off. A lovely, very bright woman from Jordan. At some point I told her she looked Jewish. Her grandparents are Muslim, Palestinian, and . . . . Jewish!

Went for first come of tea and a lovely goodbye to Moody. His last words were "you have made a difference in our country".

Took a cab back to my hotel to try to wind up travel arrangements. You can never imagine the havoc over such a simple affair. Everything from airline unwilling to fly their schedule because not enough passengers, an essential road closed, and beware of drunken rangers when you land at the airport who will have AK-47's and threaten you with jail until you pay them a phony "entrance fee" with which they will then buy more whisky so they can repeat the procedure all over again.

After hours of rearranging, replanning and haggling I have hired a taxi to drive me 2 hrs to Lake Navaisha where I will stay two nights. I will then take taxi back to Nairobi airport to fly to Masai Mara to a distant air strip so as to avoid the extortionists.

This afternoon I lectured to surgical grand rounds in a very large packed amphitheater on Spinal Cord Injury. Great questions and afterward one of the neurosurgeons who I had not met asked if I would be willing to come see some x-rays and problem patients that he had.

Back to hotel to do ironing (laundries are rare to non-existent and laundry service at the hotel is more expensive than the Waldorf Astoria ($8 for a shirt). This computer goes to its rightful owner tonite when I go to dinner at the home of Jetinder Singh's parents. No more news till at least next Wednesday when I get to Gondar.

Love to all. Wish you could see a few of today's pictures, but the internet is misbehaving.

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