Walked into the pediatrics ward at Ghana’s Baptist Medical Center this morning, where I almost collapsed from the gravity of suffering and stench of human waste. I’m contemplating the questions that plague us all who engage healthcare among the extreme poor: How to best adopt care for low resource setting? How to function in an unfamiliar culture and language? How to protect time amid health crises to address prevention? How to personally function in a totally foreign culture? And for me most compellingly, how to move a community from outside-reliant to self-reliant?