A nurse in Heal Africa Hospital prepares a syringe with an epidural anesthesia to be given to a patient before a fistula operation in Goma, Democratic Republic of the Congo on October 22, 2008. The 18-year-old patient, whose name is withheld for her protection, was raped and impregnated. Because of complications during childbirth she lost the baby and now suffers from Fistula.