Dinner with cranio-facial surgeon

We invited the cranio-facial surgeon who referred his cleft palate patient to me to dinner.  He said that he is practicing surgery the way it was done 20 years ago out of necessity.  I asked about hygiene and he said they do the best they can.  He has had doctors volunteer their time, and when they arrive, they decide they cannot work under these conditions and leave. 

I mentioned to him that I had seen this locked wooden drug cabinet in the nursing station.   He said "oh yes, we do that so no one can get to the morphine and Demerol ".  (Uh, huh, except all the staff)

Then I told him about our Pyxis machines (standard equipment for years) which are a computerized drug cabinet which records names of patient and nurse who withdraws the drug and when.  When it's administered to the patient, the patient's bar code is scanned.   He had no idea that was being done. He's been working in Africa for 22 years.