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“The last two nights I have worked till 1 am (could be worse),” blogs a Médecins Sans Frontières (MSF) doctor. Drugs can be in short supply, and this doctor has adopted some unorthodox treatments. “Occasionally I have to improvise, but we manage—for example, sticking a patient’s head in a bucket of ice water for supraventricular tachycardia. I was very pleased that worked, but the patient did not look quite so happy.” Language barriers also become more apparent at the busiest times: “I am swamped, trying to figure out how to fit four adults and a mother and baby on to two beds and a stretcher while writing notes, giving drugs, asking the nurse for various things, and my poor translator trying to translate my 500 questions at once.” The doctors are also in charge of a weekly teaching programme: “Everyone is welcome—doctors, nurses, nurse aids, and anyone else free.