As I arrived at the Evangelical Med Center of Lubango today I was immediately summoned to the ER to see a child, Miguel, who’d just arrived. On first glance, the four-year old boy was swollen across his face – a sure sign of pellagra, a nutritional disease unknown in the US. But what startled me was what I discovered when I unwrapped his abdomen: an abscess that laid open his entire skin from the navel to the pubis. Infection ate away the muscles down to his intestines. In the US, this kid would be immediately in intensive care with half a dozen consultants. But in this low-resource nation – call it abject poverty – this kid has only our most humble assets: transfusion, antibiotics and my limited surgical hands. Would you join me in praying for Miguel?