So Where Do We Go From Here...?

It has been an amazing experience being back in Kenya at Bethany Kids in Kijabe and Joytown in Thika. The purpose of this journey was to further connect our communities and continue our relationship with the doctors, nurses, administrators, counsellors, therapists, teachers, and most importantly; the children at both. Bethany Kids is expanding its reach throughout Eastern Africa and its capacity at Bethany Kids at Kijabe Hospital.

So much has changed since my last visit at both Joytown and Bethany. Let's look at Bethany first, and then Joytown.

Bethany Kids - A little over a year ago, the board of Bethany Kids was in a very different and worrisome situation than they are now. Dr. Pineiro was heading home to Canada for a year for furlough (a Missionary term meaning heading home to raise funds and support to continue the mission) and Dr. Bransford was retiring as he turns 70. After starting Bethany Kids to continue to care for the children of east Africa - Bethany is the name of Dr. Bransford's oldest daughter - he is retiring from his hands-on work at Bethany. They were facing a crisis in terms of surgeons. What a difference a year has made however. Since then, 5 surgeons have committed themselves to Bethany as mission work because they have felt called to get involved, with another newly graduated surgeon about to join in the summer! It is amazing to have so many talented physicians commit themselves to the work at Bethany.

Bethany Kids continues as a teaching institution for pediatric surgery and two current residents who are completing their work at Bethany will be heading home t0 Ethiopia and Madagascar respectively (as mentioned in a prior post) where they will be tasked with continuing Bethany's mission to serve the medical needs of children in those areas. Bethany Kids is partnering with a hospital in Ethiopia and Madagascar to allow these surgeons to set up new locations for Bethany Kids and hopefully to grow what is happening at Kijabe to other locations. Also, because of the new surgeons who are now at Bethany Kids at Kijabe, Dr. Pineiro finds himself more available and willing to assist with the start up in Ethiopia. It is staggering to think that in Ethiopia there are currently only 2 pediatric surgeons for the entire population of 80 million according to Dr. Pineiro. Their plans to expand to Ethiopia is obviously very needed as their work continues to reach more children.

At Kijabe, plans for expansion of the existing facility are well underway. I was fortunate to be part of the meeting with the architects recently and it was interesting to see the plans for the new facility. You have seen the photos of beds in the hallway and placed side by side throughout the hospital. This new facility will increase the bed capacity from 68 beds to over 100. As Mercy mentioned to me when I was there - that may not be enough! The needs are obviously enormous.

Medical teams continue to serve throughout Kenya, Tanzania, and Somaliland as mentioned in a previous post as they get out to places where there is little to no medical care.

So Bethany Kids is in the midst of expansion to other parts of eastern Africa, renovation and expansion of the exisiting facility at Kijabe, teaching of pediatric surgery at Kijabe, and supporting remote clinics throughout east Africa.

Joytown - The increase in therapists was enormously important at Joytown as they were without for a year and now have 5 qualified therapists, 3 assistants, and a counselor/mentor in Francisca. This has been the biggest change from a staffing perspective. From a facilities perspective, the laundry is being renovated right now increasing the capacity for maintaining cleanliness for all students to maintain dignity and the library has been updated. More books are needed for the library and they will continue to require things such as playdough, crayons, colouring books, lego blocks, etc. for play therapy. Plans to renovate the current dormatories and washroom facilities are next on the list.

I kept writing the same thing over and over again with these posts: there has been so much progress over the past two years to recognize and celebrate, but there is so much that remains to be done. I hope you have read these posts each day and felt a sense of pride in yourselves and your accomplishments which have helped to make these changes happen. Financial support is so necessary to make any changes. The fact that you have done what you have done these past few years has also provided such encouragement to everyone as you have placed the needs of others before your own and lived out your responsibilty to serve and sacrifice for others.

I write this from London this morning and am now half way home. I look forward to seeing you all soon and appreciate your support while I have been away.

I had an amazing day yesterday in Kibera, the world's most famous slum in Nairobi. I posted about it below. I also posted videos from Joytown, videos from Kibera, and photos and stories from Kibera - 5 posts in total. I encourage you to read on below...

See you all soon!

Joytown Videos

I promised to put up some videos from Joytown earlier am have done so with this post. If you click on the link, you will find 7 short videos taken from Joytown when I was there on Thursday the 4th. The first is of Dr. Bransford checking out a student's gait after he worked on adjusting his brace and special shoe. The other videos are of the children gathering in front of the cafeteria for lunch time. I hope you find all of the videos interesting. Pay special attention to the last of the 7 videos - something I found amazing was how they helped one another. Students who are not in wheelchairs assist their classmates who are. Some of those pusing chairs have significant difficulty walking themselves, but they help one another as friends and classmates.

More Photos from Inside Kibera

Two Quick Videos of Driving Through Kibera

I took these while we were driving through Kibera in order to give you an idea of what it is like from the inside. Click on the photos and they will take you to another site on which you will be able to view these videos.

A Day in Kibera

Speaking of working in dangerous and difficult places...

I spent a portion of the day on Tuesday in Kibera in Nairobi. Kibera is perhaps the most famous slum in the world - over 1100 acres in the middle of Nairobi. It is nearly impossible to get an accurate account of how many people live there - unoffically 1million, though census reports say closer to 200,000 (difficult to get a census report in there).

We were in Nairobi on Tuesday meeting with the director of Afria Inland Mission who wanted to ask for help from Bethany Kids to set up a medical clinic on the Ngong road. I went with Dr. Stewart to the meeting to talk about details, whether or not it was feasible, and how it might work. The most interesting part was that the clinic would be serving the Kibera slum.

I have included a few photos from our time inside Kibera. I also have some video as well. I have seen poverty in Africa but I can honestly say Kibera was like nothing I have ever seen before. Houses are built on top of rubbish and mud and are made of tree trunks, odd lumber, and corrugated tin roofs. When the rains come, the makeshaft houses can be swept away in rivers of mud. Sewage runs along the streets outside of the markets and houses in open trenches. We had to be escorted through the slum as it would be far too dangerous for us to be inside Kibera unescorted. Crime, gangs, and extreme poverty are the reality in Kibera.

Tiny shops sell everything from illiegal videos to clothing to meat. As I showed you from my last visit, it is not like going to the grocery store to buy food. However, Kibera was something else entirely.

The needs inside Kibera are tremendous and I am posting about it because it was such a different experience, far beyond anything I had imagined I would experience in Kenya - since most of my time was in the mountains in Kijabe. There is a lot of interest in Kibera internationally as such a recognizable slum. The United Nations operates from within Kibera to try to help provide adequate sanitation. The government is also building affordable housing nearby with the hope of eventually clearing Kibera entirely. It has existed, however, since after the second World War when British soldiers where given vast amounts of land nearby and their servants began squatting at Kibera. Speaking of the land given to the British, there are huge houses literally two or three blocks away from Kibera and is perhaps the most glaring example of the difference between extreme poverty and incredible wealth that I have ever seen.

I will share more about this experience when I get back, but for now, here are a few photos from inside the Kibera slum in Nairobi and one looking down at the tin roofs from above.

Working in Difficult Places

One of the great things about being over here besides being at Bethany and Joytown with the children is meeting some amazing people doing incredible, if not dangerous things in order to serve others. They feel that they have been called to get involved with people no one wants to work with and in places no one wants to be. Still, they realize there are tremdous needs to they go anyway and serve.

Dr. Bransford left over the weekend to bring a team up to Somaliland for a week-long medical clinic. If you look on the map above, Somaliland is the small country sandwiched in between Somalia, Ethiopia and Eritria right across the water from Yemen. On this map is says "Dijbouti" (have you ever seen that Coke Zero commercial where the grandfather tries to prove he's still got his wits about him and says "What's the capital of Dijbouti? The capital of Dijbouti is Dijbouti!"? Well, it turns out he's no longer correct). Dijouti is now Somaliland - since 2007. It is considered a "closed" country as it is very volatile and especially closed non-muslims or westerners. Dr. Bransford has a team of physicians working up there this week at a clinic seeing anyone in need.

Dr. Bransford shared a story about their first time up there. They landed in Dijbouti and decided to take a bus to the clinic location (a university hospital) well outside of town. The bus driver asked where their guards were and they said they didn't have any. The driver almost refused to take them because he was fearful in case they were stopped. Dr. Bransford told him they were doctors and what they were doing and the driver only agreed if they would pull their jackets over their heads if the bus was stopped and hide behind the seats. If they were found by a gang or rebel group at one of the many checkpoints, they may have been killed. They made it to the clinic (after having to hide on several occasions as the bus was indeed stopped a few times). When they arrived, they didn't know who would be there but found hundreds if not a thousand people waiting for them. Word had gotten out that doctors would be performing a clinic and people came from all over Somaliland, Somalia, and Eritria. It was an enormous success.

They brought some medical residents with them and one person introduced Dr. Bransford to a made who had two club feet - significantly deformed feet - and was seeking attention. Dr. Bransford says that the needs were so overwhelming he suggested putting off any surgery for the man until the next time they arrived. The medical resident said "Dr. Bransford, this man has been walking on these feet for 10 days to be here. You can see him now." The man was treated immediately.

When they go up on these trips now, they no longer take the bus and do indeed have to employ armed guards to make it there. However, everytime they arrive, the needs are overwhelming. They have worked out a deal with Safaricom - the largest cell phone and internet provider in east Africa - which sends out an automatic SMS text to all Safaricom users letting them know about an upcoming clinic. The word that used to travel by mouth, now gets around via mobile phones!

The trip each time is extremely dangerous as Somalia and Somaliland are two of the most lawless countries on the planet. Still, they go. They go because they are needed. Every time they go the numbers tell them so. They serve as many as they can and as Mercy shared with me the last time I was here - they leave knowing simply that the Christian doctors loved and cared for them.

I have had dinner with some people working up the Sudan also (see the map above) who are in dangerous places. One doctor was working up in the middle of the Sudan - what is now the disputed area - setting up a clinic. The area is disputed between Northern Sudan and Southern Sudan. In January there is going to be a referendum about the south breaking away and becoming independent from the north. The north is governed from Khartoum and the south from Juba. The difficulty is that most of the oil in the country which has been making the north very wealthy is in the disputed area which is technically the south. The feeling is that if the south vote to become independent, which they will almost inevitably do, the north will go to war to keep the oil rich disputed area. If the south does not vote to become independent (highly unlikely) groups will likely declare war on the north to do so militarily. This is looking like a very, very disturbing situation that is unfolding there. I'm sure many of you have heard of the Darfur region of Sudan which is in the north east part of the country. I'm sure you've heard of it because of the terrible things that happened in Darfur. One man we were having dinner with yesterday was working for Samaritan's Purse up in the area (Samaritan's Purse being the group we parnter with along with the Knight's of Columbus for the Christmas boxes) until Samaritan's Purse closed up shop up there in anticipation of the violence that is to come in the new year. He has picked up a new position now with the UN in Juba so despite being warned out of Sudan, he simply moved locations and stayed knowing there is a lot of work to be done. In fact, the new gig with the UN is in disaster relief so he will no doubt be busy. There were three abductions of westerners over this past weekend where he used to be in the north. It can be a very dangerous place, but those places are the most in need and it takes brave people to be there and serve despite the costs.

Please keep these workers in your thoughts and prayers, especially in the new year, that they will be safe during difficult times. Please also pray for the people of Sudan, that they might be spared from entering into a very bloody and costly civil war.

If they can do the things they are doing in these difficult places, I hope it inspires you to do what you can where you are. We don't have to go to places like that to serve. There are ways we can do that where you are as you have proven over the last three Lenten projects.

I posted 5 entries on my visit to Joytown yesterday as there were so many photos I wanted to share with you. I posted around midnight Kenyan time so it was about 4pm in Oakville. If you haven't read them, please read all five below now that you've finished this one. We are packing up and heading into Nairobi today. Please pray for a safe journey for Dr. Stewart and I. I am looking forward to seeing you all and I am especially looking forward to getting home to Sarah and Fiona!

I will post one more time for tomorrow (Wednesday morning - don't forget to check one more time tomorrow!) regarding next steps and where we go from here. Until then, have a great Tuesday everyone!

Joytown Team and Next Steps

It has been an amazing experience re-connecting here and seeing the changes that have occured in the past two years. The new library, renovated laundry facilities, and the revamping of the entire therapy unit are truly amazing accomplishments. As you can see from the photos however, there is still a lot of work to do. Part of today was strategizing and brainstorming next steps.

The tree you see is a view from just outside of the Joytown campus. The Salvation Army, who originally stated Joytown in the 1960s but no longer has anything to do with the school, still owns most of the land that you can see in the photograph. We had a walk around today to see what is possible in terms of additions to the facilities, improvements, or expansion. It was fun to simply throw ideas around based on all the information we have.

We were joined today by James, a representative from Joni and Friends, a Christian organization who run a program called "Wheels for the World". We had met with him on Friday as well and did a tour of Bethany with him. The organization was looking to support the work Bethany Kids is doing at Joytown. Through the Wheels for the World program, they provide wheelchairs for those who need them. We did an quick assessment of the needs today with him while walking around and while many of the wheelchairs need to be updated as you know well from the past few years, an even bigger need is working with the therapists and mechanics on fitting the wheelchairs appropriately for each child so it is supporting their needs in the best possible way. We have worked on a plan that will have a team come to Joytown through the Wheels for the World program and work with the team here at Joytown fitting, fixing, and updating the current wheelchair situation. While simply bringing over new wheelchairs may sound great, it is more important to work on fitting them well and learning how to properly maintain and adjust them. This connection to Wheels for the World was made through Bethany Kids and is another way in which we are trying to support the students at Joytown. We hope this team provides knowledge and skills as well as equipment and perhaps an on-going relationship.

The second photo is one of the students - a Gr. 2 student - working on his new colouring book. This student was quite a bright light and we had a great conversation about how his studies are going this year at Joytown.

The third photo is of the deputy headmistress at Joytown. I brought two bibles in Swahili over with me and gave one to Mercy at Bethany Kids and one to Joytown on behalf of the staff, students, and parents of St. Vincent. This bible, along with many of the other books we have contributed to the school, will be housed in the refurbished library for student use.
This last photo is of the team at Joytown today - the therapists and assistants, the headmistress of Joytown, Nial, Dr. Stewart, David from Bethany Kids and Justice - the new director of Bethany Kids Africa, James from Joni and Friends on the far right, and I'm in the back in the brown shirt just above Dr. Stewart's shoulder. It was a great group of people to get to know and we are optimistic about the future at Joytown with our partnership.

There were a lot of photos I wanted to share with you about Joytown so it has resulted in 5 posts this evening! Read on below...

Your Contributions to Joytown

The school supplies you sent with me were a big hit! It truly is amazing to see how things we take for granted can make such an impact on so many students. When were were unpacking the bag together in the therapy room, we were sorting out the crayons, colouring books, reading books, etc. The students were getting quite obviously excited about all the materials you donated so, with the therapists' permission, they took a break from their work and had some fun with everything! The first, second, and fourth pictures are of the students using the books and crayons (and proudly showing off their work in the fourth photo!).

The third is of Dr. Stewart and Carol as we were sorting through everything. You can see the piles on the bench in between them. Thanks so much for your support! Your contirubtions made a huge difference today for so many children at Joytown.

The Amazing Therapy Team at Joytown

One of the biggest changes at Joytown since Bethany has become involved is the therapy available to the students. As I noted in an earlier post, the last time I was here there was one therapist who later quit leaving the school without one for an entire year. One therapist for over 300 very high needs children is simply not enough. To make matters worse, when the therapists were government appointed as in the past, Joytown was a place where not many wanted to be. As you can tell from my stories and the photos, it takes very special people to work there. Now that the therapy department has been completely taken over by Bethany and all staff are paid by Bethany Kids, not the government, the result is caring, passionate OTs, PTs, and assistants who really care about the children and are committed to their success.

The change in attitude and the optimistic, caring atmosphere is obvious. The staff are very engaged with the students and with each other, making for a positive place for the children to be. These photos are of Francesca (who I introduced to you in an earlier post) who is a mentor and counselor, Carol, Janet, and Carlton. They are energetic and full of optimism, a huge change - perhaps even a 180 degree about face - from the situation when I was here last time. I felt so good about being there with them today that I wanted to write this special post about them particularly and make sure I posted some photos of them for you to see.

Photos from Joytown on Monday

I am including some more Joytown photos so you can get a good sense of what it is like there. As you can see, the needs are still tremendous and there is a lot of work yet to do. I just read a comment from Mrs. Becker's class on the blog which said that they also recognize the changes that have been made at Bethany and Joytown. There is more to do, but it is so encouraging to know that a difference is being made and there are wonderful signs of positive progess in that direction.

The students were out of class today as many are preparing for national exams which being on Tuesday. The opportunities to interact with more students was fantastic today because many were out and about as you can see in these photos. The second photo is of the Gr. 8s studying in the library for exams. I included the photo below that because the yellow mobility device that the boy is sitting on has "ErinOak" written in marker on the back. ErinOak is the rehab provider in Halton (Erin Mills and Oakville) so it was really amazing and completely random to meet this young man and notice that the mobilty device he was sitting on was actually from Halton. It is a very small world indeed.

The last photo below is of a young girl who arrived at Joytown after the death of both of her parents. As an orphan, Joytown took her in. She is also being treated for HIV and when I first met her this morning, she was sitting by herself in the corner looking very lonely and sad. When I spoke with the therapists about her, they told me that she has continued to find the transition to Joytown - and perhaps moving beyond the death of her parents - very difficult indeed. We were sorting through many of the items that you sent with me and came across a sticker sheet. She became interested from across the room and came over to us and asked if she could have one. Carol, one of the therapists, joked with her about putting one on her forehead. She took the sticker and walked over the mirror and affixed the sticker to her forehead with a huge smile. Everyone started to have a laugh and then the other students wanted to put the stickers on their heads as well. It was a fun moment and one that highlights how small things like stickers can make a difference to someone during a difficult time. The stickers were fun and new and provided a great prop for a fun joke, but perhaps most importantly, they represent your care and best wishes from Canada. The fact that so many of you were so thoughtful to bring in school supplies and fun things for the students is so encouraging to so many. Thanks again!

More Pictures from Joytown

Here are some more photos from Joytown today. The students were out of class today as the Gr. 8s are studying for their big examinations which begin on Tuesday many of the students were out and about. They were supposed to be studying, but as you can tell from some of these shots, they were having a lot of fun being out of class for the day. We had a great day chatting with so many of them about their upcoming exams, what they hope for their next steps etc. I'll be posting multiple times from today so I can include as many photographs as possible since I can only put up four at a time. Enjoy!

Shots from the Ward with Your Gifts

As I noted in the previous post below, Mercy was so thrilled with everything we were able to contribute that she insisted that we head over to the ward and share some of the things with the mothers and children.

The first photo is of a Masi mother and her child and she was showing me her special copy of the bible in Masi - a very unique language.

The next couple of photos are just some of the children with the balls that were sent over. The first one with the happy face looks like she's intentionally showing the happy face. Many of the children have either traditional Masi names, Christian names such as Judah, Hosea, Samuel, and even one boy I met today was named Blessing (which he obviously was to his mother) or Muslim names if they are Somali such as Mohammed. The girl holding the pink ball with the happy face's name is...Brenda! We laughed when I told her my name. I didn't expect to hear an Irish name on the ward. She was great! The boy below's name is Dennis and as you can see, he has a fairly developed case of hydrocephalus but is in to have shunts put in.

In the last photo, I met this boy and his mother outside the unit and he was wailing away - I'm sure you can see the tear stains on his cheeks. I was unpacking the bag at the time and was able to produce a toy car which seemed to brighten things considerably at that moment. Nial was able to snap that shot.

I hope things are well back in Oakville and everyone remembered to turn the clocks back. As a result, I'm not 8 hours ahead of you here in Kenya. I'm writing this at 11:30pm but it is only 3:30pm back in Canada.

I'm off to Joytown again tomorrow and will be delivering the rest of the contents of the bags I brought over. For Joytown, I am bringing soccer balls, pencils, and reading books for the library which I noted was a big need based on my visit there last Thursday. I look forward to sharing your generosity with them.

Dr. Pinero is the surgeon you met in the spring when he visited us for an assembly at St. Vincent. His mother passed away on the day we arrived here in Kenya and so the funeral was conducted on Saturday. It was such a well attended funeral and was very African from the singing at church to the procession to the grave and the ceremony at the grave site. What was most striking, and what I thought you would be interested in, is how such an occasion is such a community focused event. Everyone in attendance walked by and sprinkled the red earth onto the casket and then most in attendance took turns completing the burial with the earth. The reason for this is that the culture here is very community oriented - everyone helps one another. When one family is grieving, the whole community grieves and no one is left to shoulder burdens alone. The sharing of the roles at the funeral was ceremonial, but a lovely way of paying tribute and doing so as a community. It was a very unique cultural experience which I was privileged to have the opportunity to participate in.

I hope everyone has enjoyed the weekend and looking forward to another week at school. I look forward to Joytown tomorrow and to sharing more with you. I feel like my time is running out here and I have so many more stories and experiences to share - hence my multiple postings each evening. I do look forward to seeing everyone later in the week back home.

I have posted twice again this evening. Please read on below and if you haven't followed over the weekend and are only tuning in on Monday morning at school, please continue reading below. I've got at least 6 new posts since Friday...

Sharing Your Gifts with Mercy and Bethany

It was a real thrill today to bring all of your generous donations into Bethany to share them with Mercy. As you saw from one of my first posts, I carried over three hockey bags filled with crayons, markers, colouring books, pencils, pencil crayons, balls, silly bands (very popular here too!), bibles, and even two very special bibles in Swahili. Though I was in on Friday, Mercy had to go up to Nairobi to tend to her sick mother so I had to put off the "official" presentation until today. It was worth it!

Nial and I carried two of the bags down to the hospital - no easy feet at almost 8000 ft above sea level - to meet Mercy. To say she was floored might be an understatement. She knew I had things for her from all of you at St. Vincent, but she was not prepared for the amount of love that was shown by all of you through your generous contributions. We took everything out of the bag and sorted it. When I pulled out the small bibles she was thrilled. When I pulled out the bible in Swahili, she was speechless.

"How did you get this?" she asked and I told her about one of our thoughtful parents who had ordered it especially for her. "I find it hard to get them here," she said. She was delighted, as you can see in these first two photos.

The biggest need and thankfully what I had the most of was crayons and colouring books. I posted a photo on an earlier blog of the broken crayons the children were using - it is a consumable expense and therefore always in need - to show you how welcome your contributions have been.

Mercy then invited Nial and I to join her for a walk around some of the wards and to give some of the things we brought away. We went onto the hydrocephalus ward and gave each mother and baby a new sleeper that they chose from what we brought over, and balls and stuffed animals for the children. The mothers loved the silly bands so thanks for adding those to the bag as well!

Nial was with me the last time I was here from Norway. He is a contributor to Bethany and on the board for the International Hydrocephalus and Spina Bifida Federation. His daughter is now 15 years old and has spina bifida. Though she experiences many of the difficulties that are associated with the disease, she is living a very happy and healthy life with friends and family in Norway. When Mercy was introducing us on the ward she talked about Sarah, Fiona, and I and then she talked about Nial. We both spoke to the group after speaking with everyone individually. When Nial spoke, he talked about having a daughter with spina bifida and how well she is doing. It was amazing to see the mothers listening to him as he spoke from the perspective of 15 years experience. Many of the mothers on the ward were dealing with this for the first time with their barely week old children. They asked him questions about whether she could walk, how she was doing intellectually, etc. He answered thoughtfully and consideratly knowing every situation is different. The mood in the room changed as if a cloud were lifted. By simply sharing a few words about his daughter, he gave some hope for the future for some of the mothers who were just coming to terms with their child's illness.


A couple of the mothers stood and addressed Nial and I, thanking us for visiting, for our prayers, and for caring for their children. The one mother said "You have come here and brought things for us and our children which makes us happy, but most importantly, you have come. Thank you for coming. Thank you for caring enough to do that." It was amazing. That same mother went on to tell us that her husband left her as soon as he found out their child had hydrocephalus but she was encouraged the care she was receiving and for the future of her child. When Mercy suggested her hope that she meet another good man, she laughed saying she wasn't interested. That got a big laugh around the ward.

Mercy prayed and then they broke into song again. The bottom photo is of them singing on the ward about putting their faith in the Lord. The voices and harmonies were amazing. Hopefully you remember the singing I shared with you on my last visit. I will be sure to share this with you as well when I return.

More Photos of the OR Renovations

As you can tell from my multiple posts on this matter, there is a lot to share and a lot ot be excited about. The second photo includes from left to right: Dr. Newton, Nial from the International Federation for Hydrocephalus and Spina Bifida, Dr. Bransford, and Dr. Stewart who you've met at our Bethany assemblies at St. Vincent.

The inclusion of the third sink photo is much like the neo-natal care unit photo from the other post - Dr. Newton and other colleagues physically installed the sinks and plumbed them to assist with the renovation and save costs wherever possible.

There are three other posts in addition to this one which I have added tonight below all about the changes in the operating rooms. I hope you'll read all four...