Monday March 7

We arrived at 9 AM for Grand Rounds, and it was quite the joyful scene greeting our many friends. Adamah came in at the end with an ER doc and an ER nurse from his place in Georgia; it was great seeing him again. After that we went upstairs to see Precillar and everyone else in the OT, and that was another joyous reception. We then went down to the surgical ward to make rounds; many.
similar stories to what we have heard in the past of accidents and misadventures and neglect of the condition until it is really too late. We saw a number of adults, one of whom had a tree fall on him fracturing his pelvis; Another unfortunate man was riding a motorbike in a collision and he suffered severe perineal trauma. Both of them need to go to the OT for examination under anesthesia and possible surgery.
    The surgical faculty is strong and demanding, as they should be. There are now 2 years of residents with 5 surgical residents in school year; this is the beginning of Liberia being able to "grow their own" in terms of producing qualified physicians.Postgraduate training following medical school stopped around 2000 because of the civil war; it restarted in 2014 just before Ebola.
     In the afternoon we saw Adamah with an ER colleague from Georgia and a nurse from Georgia also. They will be here for the week.
     Santiago and I are staying at the Royal, and it is very pleasant having all of the modern comforts such as A/C, hot water, and wifi !! I'm puzzled that I can't connect to the Internet except by wifi; in years past we could always connect directly thru one of the carriers. It was expensive, but at least it orovided an alternative when wifi was not available. Anyway, we came back to the Royal and then went for dinner at Sajj followed by an early night as we were both travel-tired.