Fun time at the Credo Hotel and Multimodal Wake UP Management

Hi to everyone!

We are in Butare again , with 80 degree temps, sunny sky and plenty of activity, Our driver Joseph and the hotel staff welcomed us back as if we were long lost friends. Hotel Credo, ( Jennifer writes)- is a special hotel-possibly 0.5 stars, with one very frightened black rodent cowering in a corner after Lynn let out an amazing cry when encountering it in a hallway-I now carry my umbrella as a weapon. A notice in the bathroom reads as follows: Notice: Credo Hotel Management would like to remind its esteemed guests that it is strictly forbidden to use towels to clean shoes or dirty legs. Musungo ( a white person) have been known to have seizures in the bathroom due to the flickering neon light. However the goat brochettes are excellent! We have 2 towels for three people as one is stuffed under the door as a bunger for rat invasion as well as mosquitos. Louise has chosen to sleep with Lynn-(I am upset-Jennifer again).

However now that I see Louise wearing her nasal expanders to prevent snoring I am somewhat mollified by this. (again Jennifer)) Terry you lucky man you.

Patients and staff at the hospital stop to extend their hands , ask our names introduce themselves and find words of welcome in a mix of French, English and Kinyanrwandan .

Our work has included teaching pain assessment to surgical nurses and a dinner journal club for the residents hosted by Jennifer pool side at the Credo Hotel.

The residents are very engaged, working hard on English, supportive of each other , interesting and varied backgrounds.

Our message of multi modal pain therapy has an interesting echo in the Butare style of wake up call .At 4 AM the adjacent mosque calls believers to prayer on a PA system, repeated at 5 AM for stragglers. Not to be outdone the now wide awake rooster starts his unrelenting serenade, then the cell phone alarm sounds at 630..to the strains of the Mission Impossible scheme . By the time our coffee receptors are saturated we have been awake for hours.

We say good bye to Butare tomorrow afternoon and will head for Akagera game reserve on Saturday. By Monday Louise, Jennifer and I are all heading separate ways with community hospice, hospital based teaching and committees, OR and preparing for a public lecture. We are into the home stretch and see you all soon.

Love Lynn, Louise and Jennifer