It is hard to believe that my four weeks in Kijabe will be over tomorrow. It has been a wonderful trip- from the joys of getting to know a new culture and working alongside talented colleagues, to having the privilege to take care of the patients here in Kenya. I will carry many lessons home with me- how to accomplish much with limited resources, how to arrive at a diagnosis by means of a good physical exam and without the luxury of advanced imaging, and a new appreciation for the necessity of balancing cost of health care with benefit. For the many ways the delivery of medical care is different in Kenya- what treatments are available, how disease present, and the populations affected, so much is the same. Healthcare providers striving daily to improve their practice and provide the best care possible, the look of gratitude on a mother’s face when I tell her we can help her child, the concern on a family member’s face when a relative is ill in the ICU. My time in Kenya has been a privilege and an honor, and I am changed for the better.