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With love and tears: My first and last memories of Dr. Paul Farmer

Dr. Sriram Shamasunder just spent a week in Rwanda at the university co-founded by Paul Farmer — and witnessed the passion and compassion of this global health champion days before his untimely death.
Dr. Paul Farmer (right) and Dr. Sriram Shamasunder on the Butaro hospital campus in Rwanda on Feb. 17. Farmer died on Feb. 21.

The last time I saw Paul Farmer was less than a week ago.

I had traveled to Rwanda to teach the inaugural medical school class at the University of Global Health Equity in Butaro, a rural village. It is a place Paul Farmer helped dream and blossom into reality, a gorgeous, pristine medical campus arising in a very rural area among the beautiful hills of Rwanda.

I did not expect to see Paul Farmer there. I had last seen him at his 60th birthday right before the pandemic. That was a star-studded affair in New Orleans. He seemed comfortable among the rich and famous.

But there he was in rural Rwanda, teaching, seeing patients and spending time with Rwandan colleagues. He

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