We had a great day teaching with Antoine yesterday at CHUK in the maternity part of the hospital. We did 3 c-sections and all went well. Antoine demonstrated good organizational skills and a solid knowledge base. One of the patients was a Jehovah Witness patient with a low starting hemoglobin of 84 so it was quite a good case to do some teaching around. In the afternoon, Antoine was called to manage a patient 6 days post c-section who was not doing well. We had the opportunity to do a central line together and then talk about the management of a critically ill patient with complications of eclampsia.

Last night we met up with the Danish dermatologist we had met in Butare, and went out to dinner at Khana Khazana Indian restaurant. It was fabulous and would rank up there with some of the best Indian restaurants we have eaten at. We ate way too much food but couldn't help it because it was so good - the $60 bottle of wine also helped.

Today was spent at King Faisal Hospital with 3rd year resident Theoneste. We had planned to do a lobectomy on a patient with tuberculosis. Theoneste did a great job of getting everything prepared and assessing his patient. We were a little stressed about placing the double lumen tube because of equipment issues but all went well. Unfortunately, as we were trying to teach Theoneste about central line insertions, he hit the lung and had a pneumothorax. After much commotion and discussion, the patient was resuscitated but ultimately the case was cancelled. We felt really bad about all this, even though we know complications occur. We felt like we left King Faisal on a bad note.

Tonight we are trying to get everything ready for teaching tomorrow as well as pack. We are taking the residents out to dinner tomorrow night and then we fly out on Thursday evening. We can't believe our time has come to an end. It has been a great experience but we are looking forward to getting home.

Janice and Anita