Fifteen years ago a letter to me arrived from Ghana, Africa, from a young couple working in community service, who had extensive use of the Africanized edition of Where There is No Doctor. With their letter they sent the photograph of a baby, whom they had named Yaw Werner. Over the years they’ve sent me photos of Yaw Werner as he is growing up. And just a few weeks ago they sent me a few weeks ago the sent a photo of him, now 15.