Greetings from Phan Rang. All is well after our long trip and our first day of work. We saw more than 50 patients in clinic today and set up our preliminary operative schedule. The people are lovely, warm and appreciative. Many cleft lip/palate cases, congenital hand deformities and severe burn scar contractures. Almost no signs around the hospital or town are bilingual; the only good one was at the radiology department, which was called "Dept of Imaginal Studies."