We have been in Lubango since Thursday night. I was in the OR at CEML on Friday with Dr. Steve Foster and Dr. Steve Duncan (from Cape Cod). I did 4 spinals: 2 gentlemen for left ankle skin grafts, melanoma excisions from a lady's heel and left groin, and a fistula repair (which turned out to be 2 fistulas and the second was with an abdominal approach). She required additional sedation and I was able to use some of the propafol that was donated. PRAISE GOD that all the medications arrived safely. She did quite well and is in the hospital recovering. Fistulas are a major problem here but we don't really see them in the US. I was called to the ward to intubate a gentleman who had apparently had a pulmonary embolus a few days earlier and was quite ill. I was able to intubate with ease, but he didn't survive. Oh, the little things we take for granted at the hospitals at home......masks, suction, personnel that know how the equipment works....did I mention suction?

It is amazing to see God's hand in everything. From the trials to the joy, He is ever present and He always provides. We are reminded daily, or should I say hourly, that we must always depend on Him. Nothing is too big or small for Him to take care of. We are thankful for this time in Africa and our passion for the ministry here is greatly increasing!

We leave tomorrow morning for Cavango, which is where Shelley and Peter will be building their home. I will be in the clinic there with Dr. Steve Foster on Tues. and Wed. We will return to Lubango on Thursday and I will be with Dr. Foster in the OR at CEML again on Friday.

Thank you, everyone, for your support and your prayers. We feel them everyday. I will try to post some photos soon so you all can appreciate the beauty and the needs. Blessings to you all!!

Grace and Peace,

April