Surgery in a place like South Sudan, with barebones technology, intense heat and undertrained local staff is not only impressive but simply heroic. The surgeon, Carmen Orlotti, occasionally assisted by Dr. Philip D. Almeida, could deal with everything from fractures, amputations, spear wounds, general trauma to complicated obstetric cases. Most cases also involved facing the skepticism that comes with doing highly technical medicine in a place like South Sudan. An inspiring and very rare example of true humanitarian work. There's nothing gruesome but some are graphic so proceed with caution.