Itigi: Day 4 September 22, 2015

The boxes set off by van for the 11 hour trip to us from Dar es Salaam to Itigi (pronounced “Itiggy”). We delay the start of surgery for one day. The hospital uses different anesthetics and anesthesia machines, and in all of our team choices, patient safety is a priority.
The ReSurge team is here to provide training and education for the physicians who staff St. Gaspar’s Teaching and Referral Hospital. Five surgeons and one anesthesiologist from Tanzania have come here. The surgeons and anesthesiologists spend the day discussing cases with the physicians here. The intern, head nurse and I discuss the management of a girl who was recently diagnosed with diabetes.
The 8 missing boxes are delivered after dinner and we return to the operating room and post-operative area to inventory supplies and finish setting up. 


About Lisa M. Asta, MD

Lisa M. Asta, M.D. is board-certified by the American Board of Pediatrics and is a Fellow of the American Academy of Pediatrics, for which she is also a Media Representative (she has been interviewed for “Kids Health” on Health Radio, and quoted in Parenting Magazine, USA Today, and the New York Times, among other publications). She is a Clinical Professor of Pediatrics at the University of California at San Francisco and past pediatric chair at John Muir Medical Center in Walnut Creek. She graduated from Temple University School of Medicine and the Johns Hopkins University. Dr. Asta is also a writer whose fiction has appeared in Inkwell, Philadelphia Stories, Schuylkill, and Zeniada. Her essays have appeared in the Journal of the American Medical Association, Hippocrates, the San Jose Mercury News, and The New Physician Magazine. She is an occasional contributor to KQED public radio’s Perspectives series, and has written articles for Bay Area Parent, Valley Parent, Parents’ Press, and Parents Express, as well as online at,, and She wrote a chapter in The Field Guide to the Normal Newborn, ed. Gary Emmet, M.D. currently has two how-to videos for parents in production which feature Dr. Asta. For more on Dr. Asta’s writing, visit
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