When the Flying Doctors’ Citation jet landed, the immigration officials escorted our Landcruiser onto the tarmac just to stay involved in the day’s excitement.  The crisply dressed Kenyan doctor and her male nurse introduced themselves, asked some questions then examined our patient before we began the transfer.  We gently unloaded her onto the tarmac as they pulled out their state of the art total body vacuum splint for spinal immobilization, their spanking new orange foam head bed and their collapsible “scoop” for the transfer.  Comparing our makeshift gear to theirs embarrassed me briefly, but then I thought ours worked just fine.  David jokingly said he knew they wanted our equipment but we absolutely weren’t parting with it.  Just then they began putting on the “head bed” which was equipped with elaborate Velcro straps.  As we watched in raised eyebrow silence it became obvious that the straps had been put on wrong and wouldn’t close properly.  The doctor and nurse glanced at each other, fiddled with the straps then managed to improvise an arrangement that seemed to work.  Otherwise they were the picture of professionalism and efficiency, and soon they were loading our patient’s stretcher through the tiny door of the jet.  In a few moments the jet was climbing towards Johannesburg and “proper medical care.”