Dawn in Kigali

Now that the sidewalks are paved and there are streetlights, it is possible to run up Nyamirambo hill before daybreak. I headed out at 5:30 and there were many other runners. It's amazing how many people are up and about at that hour. By the time I got to the top of the hill, dawn had come and there was a beautiful view of Kigali. The best part was the chorus of bird calls.

The days at CHK are not easy. I feel for everyone having to work in such a tough environment when so often the equipment doesn't work. I am doing my best to encourage a systematic and orderly approach. There has been clear progress but still much more to do. We are working to prepare a conference to introduce the WHO surgical checklist to Rwanda. I hope this will strengthen the notion of team work, which is so essential to patient safety.

We finished our day early and have been swimming every day after work.

I know we haven't put up any pictures but we promise to fix this soon. We are heading up to Ruhengeri this weekend so Shannon can see the gorillas and next week we are off to Butare.