Ghana Trip to Study Tuberculosis: Day 29

Ghana 29.1
One of our favorite memories was visiting King Otumfuo Nana Osei Tutu II of the Asante region (left to right: Salim, Jason Grosz, David Pontoriero, Kaila Helm, Hope McMahon, Dr. David Issadore, Danielle Tsougarakis, Ethan Zhao, Kathleen Givan, Dr. Miriam Wattenbarger, Katharine Cocherl, Kate Panzer).

David Issadore, a faculty member in the Department of Bioengineering at the University of Pennsylvania teaches an engineering course ENGR566 – Appropriate Point of Care Diagnostics. As part of this course, he and Miriam Wattenberger from CBE, have taken nine Penn students, most of them majoring in Bioengineering, to Kumasi, Ghana, to study the diagnosis of pediatric tuberculosis. While in Ghana, these students are blogging daily on their experiences.

As we woke up early to prepare for the nine-hour flight ahead of us, we all acknowledged that time really does fly. Arriving at the Accra airport, we had to say goodbye to our Ghanaian friends Salim, Uncle Ebo, and Nana Yaa. The month has come and gone. It feels like the trip went quickly, but we have learned so much and gained many valuable experiences along the way. From our hospital and clinic visits, to our interactions with an herbalist and a fetish priestess, we were exposed to many healthcare settings found in Ghana. We had the opportunity to present our pediatric tuberculosis diagnostic ideas to a room filled with researchers and clinicians, getting invaluable feedback from multiple experts. Along with our academic pursuits, we also got to explore the Ghanaian culture and learn about customs, traditions, food, and much more. We met many friendly people along the way. These aspects are the memories that we will remember for years to come. As we move beyond this course, we are excited to continue pursuing our interests in biomedical diagnostics and problem solving that can be applied globally. We would like to thank everyone who helped make this unforgettable experience possible.

Ghana Trip to Study Tuberculosis: Day 28

Ghana 28.2
Students enjoy their last dinner in Ghana at Buka, a Ghanaian and Nigerian restaurant in Accra (left to right: Jason Grosz, Ethan Zhao, Danielle Tsougarakis, Hope McMahon, Salim, Uncle Ebo, Kaila Helm, Kate Panzer, Katharine Cocherl, Kathleen Givan).

David Issadore, a faculty member in the Department of Bioengineering at the University of Pennsylvania teaches an engineering course ENGR566 – Appropriate Point of Care Diagnostics. As part of this course, he and Miriam Wattenberger from CBE, have taken nine Penn students, most of them majoring in Bioengineering, to Kumasi, Ghana, to study the diagnosis of pediatric tuberculosis. While in Ghana, these students are blogging daily on their experiences.

Today marked our last full day in Ghana. In the morning, we set off rather early to start our day in Accra. But first, we had to drop one of our students, Dave, at the airport so he could make his way to Rwanda to visit a college friend. As we traveled to the airport, we had the opportunity to get a better picture of what life is like in Ghana’s capital. It was nice to go back to Accra and see how different it was from Kumasi. It is a much larger city, with various government buildings, people walking about, and large advertising signs every few yards.

Ghana 28.1
Kwame Nkrumah stands with past Vice Provost Roy Nichols in front of the Benjamin Franklin statue on College Green.

Our first stop was the Kwame Nkrumah Memorial Park. Kwame Nkrumah was the first president of Ghana when the country gained independence in 1957. Interestingly, he went to Penn to earn a Master of Arts in philosophy and a Master of Science in education. The mausoleum in Accra contains his and his wife’s bodies. It is surrounded by various water fountains, which are a symbol of life to provide a sense of immortality for Nkrumah. Many Ghanaians want to continue the work that Nkrumah did not get to finish by helping Ghana to continue developing as an independent country. In addition, there is a museum that contains many of his clothes and pictures of him as he met with various world leaders. We even saw a picture of him on Penn’s campus, shaking the hand of then Vice Provost Roy Nichols.

After the tour, we met Dr. Ellis from KCCR for lunch at a nice open-air restaurant, called Buka. Many of us stuck to our favorites of chicken and fried plantains, but some ventured out to try guinea fowl and snails. After lunch, we walked around the area to some nearby vendors, where we were able to shop for last minute gifts. We soon realized how much more expensive Accra was, compared to Kumasi.

We headed back to the hotel to relax a bit before dinner. For our last night in Ghana, we went out to a restaurant that had a live jazz band. We had our last taste of Ghanaian cuisine and had fun dancing to highlife music. Highlife is a genre of music that we only recently learned is popular in both Ghana and Nigeria. To end our last night in Ghana, we headed back to the hotel. After spending some time to prepare, we huddled in the hotel’s lobby for our talent show, and as night turned into morning, we reluctantly headed to our rooms to finish packing for our early departure.

Ghana 28.3
The APOC program began and ended in Accra, the capital of Ghana.

Ghana Trip to Study Tuberculosis: Day 27

by Ethan Zhao, Bioengineering ’19; and Jason Grosz, Bioengineering ’19

Ghana 27.1
The APOC team poses in front of the rooms at Coconut Grove, resembling huts on the outside and furnished with beds and a bathroom on the inside (left to right: Salim, Ethan Zhao, Jason Grosz, Dr. Ocek Eke, Dr. Miriam Wattenbarger, Hope McMahon, David Pontoriero, Kaila Helm, Kathleen Givan, Kate Panzer, Danielle Tsougarakis, Katharine Cocherl, Nana Yaa).

David Issadore, a faculty member in the Department of Bioengineering at the University of Pennsylvania teaches an engineering course ENGR566 – Appropriate Point of Care Diagnostics. As part of this course, he and Miriam Wattenberger from CBE, have taken nine Penn students, most of them majoring in Bioengineering, to Kumasi, Ghana, to study the diagnosis of pediatric tuberculosis. While in Ghana, these students are blogging daily on their experiences.

Today was the second day that we spent in the coastal city of Cape Coast. Many of us woke up earlier than usual to walk along the beach and explore the resort. While walking along the beach, we noticed large rowboats in the distance that were anchored to the shore by ropes. We originally thought that they were fishing boats, but it turned out that they were digging up sand from the ocean floor to restore sand erosion on the beach.

Ghana 27.2
Students (left to right) Kate Panzer, Hope McMahon, Katharine Cocherl, and Danielle Tsougarakis stand along the beachfront of Coconut Grove in Cape Coast, with the Atlantic Ocean in the background.

After breakfast, we traveled outside of Cape Coast to Kakum National Park, which is a dense tropical rainforest on the coast that is home to many wildlife species, including monkeys, leopards, elephants, and antelope. It is also the home of one of Africa’s largest canopy walkways, consisting of rope suspension bridges more than one hundred feet above the forest floor. The views from the bridges were amazing, as we could see for miles across the tops of the rainforest trees. While we were on the bridges, it started drizzling, which was refreshing given the heat. After leaving Kakum National Park, we drove back to Accra, the capital of Ghana, where we will stay for the remainder of our trip.

Ghana 27.3
The APOC students stand on a platform among the treetops of Kakum National Park, 100 feet above the ground (left to right: Salim, David Pontoriero, Kathleen Givan, Kate Panzer, Ethan Zhao, Danielle Tsougarakis, Jason Grosz, Hope McMahon, Katharine Cocherl)

Ghana Trip to Study Tuberculosis: Day 26

by Dave Pontoriero, Biotechnology MS ’18

Ghana 26.1
A Portuguese church found in the center of the Elmina Slave Castle.

David Issadore, a faculty member in the Department of Bioengineering at the University of Pennsylvania teaches an engineering course ENGR566 – Appropriate Point of Care Diagnostics. As part of this course, he and Miriam Wattenberger from CBE, have taken nine Penn students, most of them majoring in Bioengineering, to Kumasi, Ghana, to study the diagnosis of pediatric tuberculosis. While in Ghana, these students are blogging daily on their experiences.

Today, we said goodbye to our Kumasi friends and left the Ashanti region for the final leg of our trip. After our bonus night in the new student hostel (dormitory), we boarded the KNUST bus for a six-hour road trip to Cape Coast. The drive was pleasant, and the scenery became more coastal as we continued. Most people slept through it, but once the ocean became visible, everyone woke up in excitement because we knew we were getting close to Elmina, a beach town just west of Cape Coast.

As we drove through the town, we noticed that it resembled many of the beach towns back home. Our driver, Uncle Ebo, then parked in front of an enormous white castle. It was located on the edge of a peninsula, with a narrow beach to its left and crashing waves to its right. It had cannons situated all along its upper levels and a bustling group of locals hanging out in front of its entrance. It was the Elmina Slave Castle, also known as St. George’s Castle, and the team started to prepare for the tour.

Ghana 26.2
Cannons are found on the perimeter of the Elmina Slave Castle, which point out toward the Atlantic Ocean.

As we entered the castle, the mood became somber. A tour guide provided us with a background of the building, which was a Dutch fort used over the years to facilitate the sale and transport of people from Ghana and the surrounding countries during the slave trade. The first portion of the tour followed the path of a slave during their internment, beginning with the female quarters, then the courtyards used for public punishment, the male quarters, punishment cells, and lastly the final exit where people were loaded onto the ships for their journey across the Atlantic. It was a grim tour to take, and the guide shared some incredibly harrowing stories throughout. The second portion of the tour focused more on other aspects of the fort.

Once we loaded back onto the bus, the team reflected on the experience we had at Elmina Castle as we drove away. After a half-hour drive, we soon arrived to our new rooms at a local beachfront resort called Coconut Grove. Its beautiful facility included a private beach, an ocean-facing restaurant/bar, beachfront swings, a golf course, horse stables, and a crocodile pond (with ~10 real crocodiles!). We went out to a local restaurant with live music, danced a bit, then headed home to enjoy the amenities during one of our last nights together as a team.

Ghana 26.3
The breathtaking view of Elmina, a beach town on the coast of Ghana near Cape Coast.

Ghana Trip to Study Tuberculosis: Day 25

by Danielle Tsougarakis, Bioengineering ’20; and Kate Panzer, Bioengineering ’18

Ghana 25.1
Our last trip to Icy Cup, a yogurt food truck and shop chain that can be found scattered across campus and in other major commercial areas in Kumasi (left to right: Hope McMahon, David Pontoriero, Ethan Zhao, Martin, Katharine Cocherl, Kate Panzer, Kaila Helm).

David Issadore, a faculty member in the Department of Bioengineering at the University of Pennsylvania teaches an engineering course ENGR566 – Appropriate Point of Care Diagnostics. As part of this course, he and Miriam Wattenberger from CBE, have taken nine Penn students, most of them majoring in Bioengineering, to Kumasi, Ghana, to study the diagnosis of pediatric tuberculosis. While in Ghana, these students are blogging daily on their experiences.

This morning, we found out that we would be spending our last night in Kumasi in a hostel, which is equivalent to a dormitory at a U.S. college. We packed our belongings and moved into a hostel called “Complex Brunei,” which is an apartment-style dorm for upperclassmen, each room furnished with three beds, a closet, a full bathroom, and a table. We were all excited to get the student experience of staying in a hostel and compare it to the visitor housing at the KCCR guesthouse.

In the afternoon, we had the opportunity to visit the international community school (ICS),  a high school founded on the philosophy of bringing competitive, Western-inspired education to Kumasi. A friend of our team member Dave currently works at ICS and suggested we come speak to the prospective college students at the school. That being said, we gave a presentation on how the college application process works in the United States to a group of 10th and 12th graders. After our brief overview, we split into small groups and answered individual questions students had regarding different types of universities, SAT/ACT scores, the importance of a strong essay, and other application essentials. Speaking with the prospective students here and motivating them to apply to American universities was a great experience. Sharing our own college application processes and stories with the students was a fun and engaging way to fuel their academic aspirations. After our well-received presentation, the whole team left feeling accomplished.

Ghana 25.2
For our last night in Kumasi, we spent quality bonding time with our new friends Seun (Pittsburgh) and Tim (Michigan) and said our goodbyes.

For dinner, we had a special surprise outing to a nearby Chinese restaurant, where we shared many different dishes and passed them around on a rotating glass platform. For some of the Ghanaians, this was their first time trying Chinese food, so it was fun to hear their reviews of all the dishes. Upon returning to campus, we continued our beloved tradition of team bonding by playing the Noun Game and card games.

Ghana Trip to Study Tuberculosis: Day 24

by Kaila Helm, Biological Basis of Behavior ’20;  Kathleen Givan, Bioengineering and Political Science ’20; Katharine Cocherl, Bioengineering ’20; and Hope McMahon, Chemical and Biomolecular Engineering ’18

Ghana 24.1
At a nearby hostel (dormitory), the APOC students gather to watch a big football match between the Ghanaian and the Ethiopian national teams. (Ghana won!)

David Issadore, a faculty member in the Department of Bioengineering at the University of Pennsylvania teaches an engineering course ENGR566 – Appropriate Point of Care Diagnostics. As part of this course, he and Miriam Wattenberger from CBE, have taken nine Penn students, most of them majoring in Bioengineering, to Kumasi, Ghana, to study the diagnosis of pediatric tuberculosis. While in Ghana, these students are blogging daily on their experiences.

We started our not-so-lazy Sunday with a late start. We enjoyed our last weekend breakfast, provided by the one and only Nana Yaa. A fan favorite is always the avocados and the Milo, which we know we will miss dearly when we get back to the States. Luckily, we all have our personal stashes we plan on bringing back. We all had the much-needed opportunity to do laundry and catch up on life errands. Once mid-afternoon hit, we all decompressed by watching the Ghanaian vs. Ethiopian National Football teams on the television in a nearby dorm. GHANA WON THE FIFA QUALIFIER AND THE CROWD WENT WILD!!!!!

Ghana 24.2
The APOC girls show off their newly made Ghanaian clothing at the Closing Ceremony (left to right: Katharine Cocherl, Kathleen Givan, Kate Panzer, Kaila Helm, Danielle Tsougarakis, Hope McMahon)

The next thing on the agenda was our farewell ceremony and dinner. We were instructed to wear our Ghanaian clothing that had been made for us during the trip, but some of us had not yet received the alterations back from the seamstress. When Nana arrived, clothes in hand, it was exhilarating to see the final products and wear similar colorfully patterned clothes to our Ghanaian counterparts.

The meal was catered by our favorite kebab stand, along with drinks, tilapia, and banku (the classic combination). Many of the people who have contributed immensely to our trip were there, and we enjoyed good conversation and memories into the night. We were put to shame as we watched the children dance their hearts out, using more rhythm and soul than we would know what to do with. It was so nice to see the program come full circle. We all looked back fondly at the welcome ceremony, where all the faces were unfamiliar but kind. Fast forward to the farewell ceremony, and this time, we saw the same faces and smiles, but now we felt connected to the people behind them.

Ghana Trip to Study Tuberculosis: Day 23

by Ethan Zhao, Bioengineering ’19; and Jason Grosz, Bioengineering ’19

Ghana 23.2
Penn students watch with amazement as a professional weaver demonstrates the process of Kente cloth weaving (left to right: David Pontoriero, Kaila Helm, Katharine Cocherl, Kathleen Givan)

David Issadore, a faculty member in the Department of Bioengineering at the University of Pennsylvania teaches an engineering course ENGR566 – Appropriate Point of Care Diagnostics. As part of this course, he and Miriam Wattenberger from CBE, have taken nine Penn students, most of them majoring in Bioengineering, to Kumasi, Ghana, to study the diagnosis of pediatric tuberculosis. While in Ghana, these students are blogging daily on their experiences.

Ghana 23.4
Wooden Kente cloth looms can be found throughout the Kente factory, where weavers produce intricate Kente cloth throughout the day.
Ghana 23.1
Penn student Jason Grosz attempting to spool cotton thread for future Kente cloth weaving.

Today, we went to see how Kente cloth is made.  Kente is a special ceremonial cloth, often woven with a story or message in the pattern.  Our tour guide showed us several different kinds of fabric they use, including wool, polyester, and cotton, and demonstrated how they are threaded from the original material with a wooden, hand-operated machine.  Next, he brought us to see the Kente cloth weavers at work.  It was incredible to see the speed and skill with which the weavers passed the shuttles back and forth between the strands of fabric to create a pattern, while Ghanaian (and sometimes American) pop blared from their handheld radios.  Finally, he showed us the land where plants like cacao trees and cotton plants grow.  After the tour, we bought a colorful assortment of Kente cloths, bow ties, and wallets.

Ghana 23.3
Penn student David Pontoriero tries to weave Kente cloth using a wooden Kente loom.

Next, we went to a series of wood shops to buy various carved wooden souvenirs and to practice our bargaining skills.  As we stepped outside the bus, we were immediately surrounded by dozens of shopkeepers, not-so-gently coercing us to check out their own shops.  Since there were no listed prices, the prices for everything bought were the result of bargaining.  Shopkeepers would often present us with relatively high initial prices, only to offer us “discounts” since we were students or “friends” to make us feel like we were getting a great deal. Overall, it was an overwhelming but exhilarating experience to fight for a price on every good we bought.

Ghana Trip to Study Tuberculosis: Day 22

by Kaila Helm, Biological Basis of Behavior ’20;  Kathleen Givan, Bioengineering and Political Science ’20; Katharine Cocherl, Bioengineering ’20; Hope McMahon, Chemical and Biomolecular Engineering ’18; and Dave Pontoriero, Biotechnology MS ’18

Ghana 2.1
The APOC team following our presentations to KCCR researchers and clinicians (left to right: Dr. Miriam Wattenbarger, Jason Grosz, Katharine Cocherl, Hope McMahon, Danielle Tsougarakis, Kaila Helm, Kathleen Givan, Kate Panzer, Ethan Zhao, David Pontoriero, Dr. Yar)

David Issadore, a faculty member in the Department of Bioengineering at the University of Pennsylvania teaches an engineering course ENGR566 – Appropriate Point of Care Diagnostics. As part of this course, he and Miriam Wattenberger from CBE, have taken nine Penn students, most of them majoring in Bioengineering, to Kumasi, Ghana, to study the diagnosis of pediatric tuberculosis. While in Ghana, these students are blogging daily on their experiences.

Today was the day we had been anticipating since the start of our trip: Presentation Day! We presented our final projects to a room full of people from KCCR. Scientists and research assistants attended to hear more about the designs we had been working on all semester.

Our presentations were in the afternoon, so we used the morning to work out any last-minute details. Each group presented on its pediatric tuberculosis diagnostic, with each trying to come up with innovative devices that could be implemented in the future. Even more exciting, we had an opportunity to present our more short-term ideas for problems that undergraduate students could address themselves. Our prompt was to create a project idea that could be completed in one year by one to five undergraduates with low funding requirements. The question-and-answer session that followed our presentations provided a wonderful opportunity to be critical of our ideas and contemplate the limitations of our designs, while still posing new questions regarding what could or could not work in our proposed plans for implementation.

Ghana 22.2
Students pose on the KCCR balcony after giving presentations to KCCR staff (left to right: Benjamin, Kate Panzer, David Pontoriero, Ethan Zhao, Danielle Tsougarakis, Salim, Kaila Helm, Hope McMahon, Kathleen Givan, Katharine Cocherl, Jason Grosz)

After a busy start to our day, we were eager to spend some time relaxing and reflecting on our academic experiences. We were amazed by the progress we made in the construction of our proposals. As engineers and individuals pursuing the STEM field we planned to create technology that could positively impact Ghana. Yet our presentations and the feedback we received were another source of evidence that we must continue to work on the ways in which our devices can be integrated into the Ghana’s current medical system. Nevertheless, we were proud to present all that we learned to such an insightful audience.

After a successful afternoon of presentations, we headed out to dinner to celebrate. We went to the same restaurant we went to two weeks previously. There was live music, dancing, and our new team favorite: grilled tilapia.

Ghana Trip to Study Tuberculosis: Day 21

by Danielle Tsougarakis, Bioengineering ’20; and Kate Panzer, Bioengineering ’18

Ghana 21.1
Medical records are currently being kept in paper form at the Suntreso Government Hospital and at all of the clinics that we have visited thus far.

David Issadore, a faculty member in the Department of Bioengineering at the University of Pennsylvania teaches an engineering course ENGR566 – Appropriate Point of Care Diagnostics. As part of this course, he and Miriam Wattenberger from CBE, have taken nine Penn students, most of them majoring in Bioengineering, to Kumasi, Ghana, to study the diagnosis of pediatric tuberculosis. While in Ghana, these students are blogging daily on their experiences.

Ghana 21.2
Student Kaila Helm (left) and KCCR Ph.D. candidate Tina (right) discuss their observations at the Suntreso Government Hospital.

Today, we had our last clinic visit of the trip to Suntreso Government Hospital. We first heard from Nurse Cynthia all about the hospital roles of diagnosing tuberculosis and providing patients with the necessary medication. It was a really great discussion; whenever we had a question, Nurse Cynthia had an answer based on her forty years of experience with TB patients. We visited the Voluntary Counseling and Testing (VCT) Centre of the hospital, where patients can pick up their medication every month and receive more education about their respective conditions. Nurse Cynthia discussed issues surrounding tuberculosis, including stigma about the disease, as well as educating the public on the symptoms and concerns surrounding the disease.

Ghana 21.3
Dr. Thomas Agyarko-Poku invited our group into his office to discuss his past publications involving HIV research. (Left to right: Dr. Thomas Agyarko-Poku, Tina (KCCR Ph.D. candidate), Kathleen Givan, Dr. Miriam Wattenbarger, Benjamin, Kaila Helm)

Afterwards, Dr. Thomas came and talked to us about HIV and other sexually transmitted diseases in Ghana. He described the prevalence, as well as prominent issues encompassing the diseases. Interestingly, the clinic only provides free condoms for people infected with HIV and not other sexually transmitted diseases (STDs). Dr. Thomas informed us, however, that despite the availability of condoms, they are often neglected for their intended use. Evidently, it is quite common for Ghanaians to repurpose condoms as fire starters, parasite protectors, and even jewelry. After our engaging discussion, we briefly viewed the STD clinic on site. Then, we headed back to KCCR, enlightened by the creativity of the innovative mind. We spent the rest of the afternoon refining our final presentations and projects. Then, we headed to bed for a good night’s rest before the big day.

Ghana 21.4
Throughout many of the clinics we have visited, one can find a poster of Nurse Cynthia representing all of Ghana in the effort to cure Tuberculosis.

Ghana Trip to Study Tuberculosis: Day 20

by Kaila Helm, Biological Basis of Behavior ’20;  Kathleen Givan, Bioengineering and Political Science ’20; Katharine Cocherl, Bioengineering ’20; Hope McMahon, Chemical and Biomolecular Engineering ’18; and Dave Pontoriero, Biotechnology MS ’18

Ghana 20.1
Our scavenger hunt took place in the busy Adum Market of Kumasi, where you can find any item imaginable.

David Issadore, a faculty member in the Department of Bioengineering at the University of Pennsylvania teaches an engineering course ENGR566 – Appropriate Point of Care Diagnostics. As part of this course, he and Miriam Wattenberger from CBE, have taken nine Penn students, most of them majoring in Bioengineering, to Kumasi, Ghana, to study the diagnosis of pediatric tuberculosis. While in Ghana, these students are blogging daily on their experiences.

Ghana 20.2
At the Adum Market, we bought a drink called fura, which is made by mixing milled millet, spices, condensed milk, and sugar, and is traditionally from Northern Ghana.

We started off today by visiting a disease control center at Manhyia District Hospital. It was interesting to hear how they distribute monthly doses of their TB drugs. Unlike some of the other clinics we have visited, they had not received any pediatric TB as of this year and felt that TB was confined to highly populated communities within their district of 300,000 people. Although HIV is still an urgen issue, it was nice to hear a little bit of good news. We visited their lab, where they process their smear microscopy samples. For any multidrug-resistant (MDR) TB cases, they must refer their patients to KATH, which has better facilities to treat these patients. We then got to talk to the hospital’s only pediatrician in the newly built children’s ward. However, the hospital still experiences space issues that prevent mothers from staying in the same rooms as their newborns and that cause some children to be placed in the adult ward.

Ghana 20.3a
Ghana 20.3bStudents Kate Panzer (top) and Hope McMahon (bottom) try out a kayayei’s large metal bowl as part of the scavenger hunt in the Adum Market.

After our visit at the hospital, we began an exciting afternoon of activities. The program coordinator Nana Yaa planned a scavenger hunt of 10 items that we had to find in Kumasi’s large market before coming back to campus by tro-tro. We split into four groups and set off into the crowded streets in search of items such as bananas, something black, a picture with a kayayei, an ingredient for dinner, and a few other things We met several people along our journey. The vendors throughout the street were very friendly, wanting to help us find the goods we were looking for. We got to practice our Twi and we made several people laugh as we asked them for bankye kakro, a small fried ball made of cassava.

The team then went back to the guesthouse and shared everything that we purchased. The guys got live crabs for their dinner contribution, so everyone had a good time helping with the preparation. The competition resulted in a four-way tie (we’re all winners!!!) , and we went out to an outdoor barbeque restaurant for our celebration.  Everyone got tilapia and banku, making it one of the best meals of the trip thus far. We then took a scenic tour around Kumasi for a bit and finally met back up at the guesthouse for ice cream and stories.