Former head department of medicine, Regional Hospital, Francistown, Botswana (b British Honduras 1949; q Edinburgh 1973; MRCP, DTM&H), died from a brain tumour on 21 February 2004.
Figure 1.

After a short spell learning a little obstetrics, I went to Zambia to work in the largest rural hospital in the country. I ran the paediatric ward and undertook anaesthetics and operated on elective and emergency cases. Road injuries, obstetric emergencies, falls from mango trees, and extensive peritonitis were common. After some 12 years there I took a post in an oil-rich Gulf country, followed by one and a half years in a small general hospital on Taiwan. From 1989 I became head of the department of medicine at the Regional Hospital in Francistown, Botswana, where the HIV epidemic was just beginning. I started a prototype programme treating patients with advanced disease with combinations of highly active antiretroviral therapy. (An unedited version of this self written obituary and tributes from friends are available on bmj.com)
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