Haha, no I don't practice in a 3rd world country...quite the opposite. I became very facile with the trach light in residency. It was great for cervical fusions in patients with small mouth openings. The only alternatives are asleep FOI or the glidescope. The glidescope can be difficult in patient with small mouth openings, and although the FOI is the gold standard, it takes a few more minutes (not as efficient in private practice). So if you have a trach light, please do let me know. I'll also pay for all shipping fees of course.