One week from today, Lauren, Terri and I will fly to Rwanda.  This will be my fourth visit to teach anesthesia and help support the improvement of anesthesia care in Rwanda.  I am very excited about seeing my many friends again.  It will be the first trip to Rwanda for Lauren and Terri.  Lauren spent a month in Uganda as a medical student, working in a busy and severely resource challenged obstetrical hospital.  Terri has worked in pain management in Southern India.  Both are seasoned travellers and delightful people.  
I have so many goals for the trip it is hard to know where to begin.  Probably my greatest hope is that by returning to Rwanda I can show how much I care about my friends, colleagues and the Rwandan people.  I want to share my certainty that they can be truly excellent.  As always, I want to learn from them.  How can people who have lived though so much and continue to experience such challenges every day be so warm and open-hearted?  The learning goes both ways.