Praise that Debbie’s Oregon medical license was renewed for 2018-2019. Praise also that she can use vacation time to return to the US on November 15 for much-needed rest and reconnection with family and supporters. Pray for the ongoing needs of Mbingo hospital and for three new surgical residents (chosen out of 80 applicants) as they adjust to their life and training there, beginning January 1. Pray for a replacement for a plastic surgeon and for a family practice doctor who have returned to the US to prepare for long-term service with SIM. Pray also that adequate funding can be found for the hospital chaplain’s ministry.