Yesterday, following the slow accumulation of death in our ICU and general realization that even with the best care we can offer many of our patients were not going to make, we (L from Claremont, Neil from Sloan Kettering) headed out for some of best Indian food I've had since Punjabi Dabi RIC in Inman square, which is the worth the trip if you are anywhere on the east coast. Really, really, damn good chicken tikka, and two other delicous little dishes.

After dinner, a huge thunderstorm rolled through, giant lightning bolts and thunderclaps roared throught the sky (I love silent it is when you see the lightning, and then the wait for the crash, rain came down hard and cooled everything down).

Today, our patients are improving, one small mtoto with meningitis, malaria and pneumonia looked much better this morning and was eating with his mom and crying, so he hopefully will do well. Two other little ones came, one with vary bad peritonitis and she had been operated on at a local hospital with a tiny midline incision and nothing was found. All the pediatric surgery is done my a Dr. Young from Korea, and he went in and found more puss, but still no definate source (i.e. appendicitis, abscess, etc) and she is looking much better now.

We also had a little one with complete opacifiction of ~80% of his lung fields from effusions, we drained it, and did an ultrasond, looks like a giant mediastinal mass, probably lymphoma, he is feeling better.

Now, a word to the wise for those travelling and using their debit cards, you need to have a found digit pin, i have this damn bank of america card and the pin is 6 digits and no ATM in Mwanza will accept it, complete pain in the ass.