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“Then what kind of school are you running here, where a boy like Souhel can get these kinds of grades?” In late October, as conflict had broadened throughout the Republic of Croatia, the U.N. secretary-general again designated the United Nations High Commissioner for Refugees, UNHCR, as the“lead agency” to coordinate humanitarian assistance in an internal conflict zone. Because the UNHCR had managed the large aid effort in northern Iraq earlier in the year, it was the obvious agency to task with the difficult and unfamiliar job of providing aid to besieged or displaced people who, because they hadn’t crossed international borders, lacked the official status of refugees. After some spotty and tangential answers, I finally said,“I can’t get my ideas from my head out.” She nodded: this was a typical response for people suffering from aphasia, a language impairment related to brain injury. I also had something called dysarthria, a motor speech impairment caused by a weakness in the muscles of the face, throat, or vocal cords. One day he performs a difficult double amputation. The patient, a muscular man in his late thirties, has sustained severe injuries to his right arm and leg in a mine explosion. Ketamine and Valium are administered and the nurses and doctors arrange the patient on the operating table, securing his left arm and leg to the table with bandages.