I would testify that I am an example of how life and ministry don’t always turn out the way you expected! During my years of ministry at Tenwek Hospital, my surgical emphasis wasn’t on general surgery but primarily on orthopedic trauma surgery. My work at the hospital also wasn’t what I had planned or expected over most of my career (80 – 90% of my time was devoted to administration & leadership for the hospital and WGM Kenya mission leadership). BUT God's gifting and preparation and character development in our lives was not wasted. In 2015, Dr. David Stevens and Dr. Gene Rudd asked me to consider joining the executive leadership team at CMDA USA. Dr. Stevens was the Medical Director at Tenwek when I volunteered there as a medical student in 1988. He had a big influence on me to choose a career as a missionary surgeon there beginning in 1996. I have followed his journey of leadership, first with World Medical Mission and then CMDA as its CEO for many years. It is a great honor and exciting privilege to join the organization that has had the longest and deepest impact on my professional life as a Christian physician. Paul told Timothy in 2 Timothy 1:6,7 to “fan into flame the gift of God which