How you know you are a general surgeon in Africa
#10 Your first case of the day is a prostatectomy
#9 Your second case is a hysterectomy
#8 Your third case is an open reduction & pinning of a wrist fracture
#7 Your fourth case is a tonsillectomy
#6 Your fifth case is a VP shunt
#5 You do the difficult OB ultrasounds because you’re the best radiologist
#4 You scrub out to donate your own blood to your patient because he’s bleeding
#3 An intra-abdominal ectopic viable pregnancy isn’t that exciting--you get one every couple years
#2 You scrub with dish soap and river water
#1 You are your own scrub nurse, at times circulating nurse and at times anesthetist.