Arrived in Accra after an eleven hour flight from Atlanta. Chaotic airport, but fortunately we were met by the local armed forces who got us through customs without too much bother. Immediately went to the 37th Military Hospital to see patients. I met the local plastic surgeon, Dr. Kwame Abrokwaa-Yankyera, who has arranged some of the cases. So far it is a mix of adults and children, mostly burn scar releases and old traumatic wound revisions. On my first day in the OR I was able to use some of the supplies that were so kindly donated by HVHC. The operating rooms are clean and well maintained which makes a great difference, especially with the good lighting. Have some time off tomorrow afternoon, but in the AM I am going to help the Urologist perform some congenital reconstructions.
It's really hot here and there are enormous fruit bats flying around trying to eat our food (I resisted feeding them). My very best to everyone at HVHC.
Keep in touch with Dr. Koch on the HVHC Facebook page.