
He does not look like he was heeding my advice, in fact he looks a little too gleeful for my liking.

The end product. I am very impressed, maybe Marc will give up medicine and become a stylist.


for those who are not familiar with peripheral blood smear analysis i will tell you that this picture is supposed to be full of little red life boats, with the odd purple round thing in every other field. the lifeboats in this picture have lysed over time, but the little purple things are lymphocytes (infection fighting cells) and when there are this many of them it is called overwhelming lymphocytic leukemia. basically this cheerful little girl's bone marrow is making lymphocytes and nothing else. we sent her to our referral centre for treatment but i havent heard anything back... most people cant even afford to be seen at moi referral, much less embark on a long and expensive treatment course.
it actually looks better today now that the huge pustules have burst (and looked even worse the day before i took this picture - you know those pimples that are huge and fat with a micron thin layer of epidermis overtop and are just quivering to burst and release their pus into the world? this looked like that except 1cm by 3cm), but these burns can last months and even create permanent scars, so i think i will be sporting this facial exclamation mark for a while. we actually determined that kylie's rash of 2 months ago was due to the nairobi fly as well, and her lesion is as red as ever, although hers was much larger than mine.


biking the other day i found some sweet singletrack... not particularly technical, but fast and fun. reminiscent of the coulees except for the views and the crazy kenyan kids. i think i mentioned before that if i am not going fast enough (read uphill) i tend to gather groups of kids behind me. these guys were total goofballs. they actually spoke english fairly well so gilgal (the local primary school) must be pretty good. we had some deep discussions about the fact that the footpath i was following turned into a maize field and that there was no trail into the valley where i wanted to go.













last weekend i was supposed to be on call, but paul requested a trade so that he could attend the wedding of our nurse anesthetist, hosea (a slick anesthetist BTW - he can put in a spinal as fast as i can throw a dart in a dartboard). at the time i joyfully accepted, although i was a little jealous when i heard that he slept through 2 out of 3 nights. during the week however, it slowly dawned on me that he was not the only doctor going to the wedding. all the docs at the hospital, including our surgeon, where planning to attend. also, our new sudanese interns had not yet arrived and our 2 current medical students had both been on call with paul. this critical concatenation left me running the entire hospital by myself.
imagine 10-14 wounded patients and 8 staff in this room - occupied in this picture by kylie, our surgeon bill, a new sudanese intern named moses, wilson the OR guru and several unidentified patients

• These banana bran muffins are great and so are these cream puffs. I just make pudding and have that as filling.
• We have chai tea and a travel mug! (No I did not cook these but they are food related and this is exciting news for Kapsowar!) Kari (an oh so fun nurse from the US who left this week and I really miss her) gave us her travel mug and some chai tea. All tea here is called chai but it is regular tea. She brought some actual chai tea with her and gave me her left overs. Here I am with my tea bag! (While I was taking this picture my milk boiled over on the stove. Oops!)
• I made my first curry the other night. It was coconut chicken curry and it was amazing! I am excited to try more when we get back to Canada. Last night I made a mango salsa with onions, tomatoes, avocadoes, pineapples, mangoes, corn and some spices. It was great wrapped in chapatti. We had some graduates from the local children’s home over for supper and we had a wonderful time. We showed them photo booth on our computer and while they were amused by their warped faces they were also very scared. Here are some pictures from last night.



