Currently we have between 60 and 70 patients on the surgical service here at the hospital. As I was making my rounds the other day, I realized how very different the surgical diseases are here in Africa. Presently we have one patient who was attacked by an elephant with a tusk injury through his back. Another was stepped on by a water buffalo. One who was bitten by a donkey. Another gored by a bull. We have patients with rabies and tetanus, malaria and typhoid and tapeworms . During all my years in surgical practice in the U.S., I don’t recall treating any patients with these conditions. But the one thing that IS the same is that each and every one of these very sick patients respond to the compassionate care given by the men and women here who are doing their best to be the hands and heart of Jesus.