Work started at 7am with report of 9 cases from the weekend . . All trauma. Two sounded strange so after rounds went to OPD (no hospital beds available .. This is a small room with about 30 beds 2 ft apart) with resident and sure enough my diagnosis and proposed treatment was quite different from theirs.
Next to O.R. They have 6 patients scheduled and waiting for surgery in the holding area. We all know they cannot do more than 2-3 at most and sure enough they propose that we choose two of the easy cases. I veto that idea and choose a huge low grade tumor and they are willing. I propose a position, incision, and approach that they have never done and are anxious to try. I help for a while and then leave it to them preferring to teach five med students who are watching. Teach them to read MRI's and CT and then proceed to some neuroanatomy and pathology. One in particular is a quick study. Tells me she is half ethioian, raised in England and now lives in Germany. I am fascinated and intrigued by the amazing diversity of the people I am meeting.
I leave o.r. After first case as this is last day in addis for Lynn and Rachel. Meet them getting their hair done at the Boston spa and Rachel wants her hair braided in ethiopiano style -- very cute.
Walk to lunch at combination art gallery/Italian restaurant with rachel's companion, Naomi and with one of Rick's kids who has been helping us. Great lunch and we bought a painting.
Few last minute errands and back to Sheraton for L/R to shower and pack for the long trip home. I go to airport to sadly see them off. Tomorrow I move into my apartment near the hospital and begin much more intensive work.
That's all for now.
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