Many incidents, which lay-people may accurately or inaccurately, refer to as medical errors, arise from lack of communication between medical practitioners and their patients. Your scar story is one of them. I had worked in Sudan, and I can confidently say, communication between doctors and patients is not optimum. This has created a vacuum in information that allowed for many misconceptions about doctors and the health system in Sudan, and subsequently lead to inaccurate and sometime even unfair labelling. I am not in the specialty of Anesethia but I did work in Surgery for over a year and I don’t seem to be familiar with a “post-operation pill”, not doubting that’s how the author heard the story but I am just emphasizing that not everything that goes wrong with a patient is due to medical error or negligence, and definitely not everything you hear is true. Unless an inquiry and/or an expert opinion’s review has been carried out, and unless family/victims do pursue an inquiry or an autopsy, the accusations from both sides will continue unfounded, which in my opinion, could have been avoided in patients and their families are made fully aware of the limitations in treatment or the complications of a procedure. And I admit, again, that doctors in Sudan come up short when it comes to communication and I also have to agree with the author that the public medical healthcare system in Sudan is indeed in a dire need for reform but having said that, I must now remind the author and everybody who is reading this, that the doctors of Sudan, and for a long time, were the only professionals who stepped up and called for reform. They even went further and took industrial action which was met by the brutality of the NISS who went as far as detaining and torturing some of the members of the committee they formed as a parallel body to the incompetent non-representative government-controlled union. They went through all that without any support, worth mentioning, from the public. Indeed, the public stood there and watched doctors call for reform and betterment of work conditions and quality of service, they watched them getting beaten, captured and tortured and yet did absolutely nothing, yet the public finds it easy to blame them. The whole public sector is in shambles, why expect healthcare to be any different?