When monkeys attack...

 On very short notice Bona managed to gather together a group of about 50 surgeons, anesthetists, nurses, and technicians to discuss the implementation of the WHO Surgical Safety Checklist.  Bona spoke passionately about dreams and dedication being a powerful combination.  It is very inspiring to see him manifesting such leadership.
There was also a meeting of the Rwandan Pain Society today.  Paulin founded this organization about one year ago and they have accomplished so much.  We spoke about the need to begin educational programs this year.  Perpetua, the wonderful Director of Nursing, has arranged for me to meet with a small group of nurses from a variety of services on Friday to explore how they are implementing pain management strategies on their wards.

Mountain Monkey :)

Deep in the Nyungwe Forest

The Resident Rock

Gilbert and his ladies

Lauren and Terri have been doing some great teaching with the residents.  We have been working hard to promote non-technical skills like communication, planning and anticipation.  There is still a challenge transferring theory to good clinical practice.
Outside of work, we've been swimming at the Serena Hotel and relaxing by the pool.  I probably shouldn't tell you but Kigali has a near perfect climate! Lauren and Terri are knocking back some very large beers as I write.
We had a most wonderful day last Saturday.  We hiked to the waterfall near Gisakura Guest House.  After being told we were very unlikely to see any monkeys, about 5 minutes into the hike, we came across a large group with four different species of monkey.  They were leaping through the trees around us and one even threw a small branch at us.  After the hike we headed to the Nyungwe Forest Lodge for lunch in an most idyllic setting overlooking the tea plantations.

Tea plantations surrounding the Nyungwe Forest Lodge

The Kamiranzovo Waterfall

Coming up this weekend is a trip to Gisenyi and gorilla trekking for Lauren and Terri.  They have promised to post some photos tonight.
We have some very challenging peds cases tomorrow...
Love to you all.
Patty

More monkeys!!!

Relaxing poolside at the Serena