This is turning out to be a great mission  We have done five cases so far; two yesterday and three today.  All of the children that we have operated on have spina bifida; the surgeries have been a combination of closing the spinal defects and placement of shunts that go from the brain to the abdomen to drain cerebrospinal fluid [to treat hydrocephalus].  This is not nearly the number of surgeries that we would do on a cleft mission, but these surgeries are much more complicated and take longer  The children are all doing great thanks to everyones hard work  The Souska Clinic is a very nice hospital and their staff are very well trained and competent, and they are a big part of our success.