Today, a staff meeting was scheduled for noon, but after several people showed up late and some not at all, the Chief of Staff rescheduled for 7am tomorrow morning, much to everyone's dismay. Most of those present were Cuban and the whole conversation took place in Spanish, and though much of what was said was fast and barely understandable to me, I did catch the "siete en la manana, manana" part. Because the Chief of Staff is frustrated about the lack of respect she gets from the doctors, she put in her letter of resignation weeks ago. However, the Ministry of Health is delaying the processing of it, because no one is willing to take her place.

On a positive note, this morning Dr. Lewis and I teleconferenced with Dr. Bernstein at Rochester General Hospital, for a consultation on a pediatric patient with post-infectious glomerulonephritis.

Sometimes in the mornings, the sea is calm and looks like glass. This was one of those mornings, so I went out at 6am on my housemate's kayak. I paddled alongside the beach, which eventually becomes a mangrove forest close to the mouth of the Sittee River, where the wildlife is very rich. The fish were jumping, and I saw parrots, pelicans, herons, and many other birds that I haven't had a chance to identify yet. Next time I'll bring my camera!