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"Let Food Be Thy Medicine..."
According to the World Food Programme, Guatemala has the highest rate of malnutrition in Latin America and the Caribbean with nearly half of children under 5 suffering from stunting. That rate is even higher among children from rural, indigenous communities. Kevin (pictured above) is 4 years old. He weighed 23 pounds when he presented to our clinic recently. For reference, that is a little over half of what your average 4 year old weighs. Kevin's height-for-age z-scor
Zachary Self
Nov 19, 2025


Trip to the Mothership: Direct Relief HQ in Santa Barbara, CA
Direct Relief HQ, photo from Google Maps Since before our site registered its first patient, we have been blessed to receive support from Direct Relief- a nonprofit organization based in Santa Barbara, California doing incredible work all around the globe. Direct Relief helped us equip our center and since opening our doors we have received several shipments of medicine and supplies from Direct Relief each year. In October of this year, we had the opportunity to spend a
Zachary Self
Nov 14, 2025


Man-Eating Worms = New Fear Unlocked
Guatemala, like many of its neighbors in Central America, has enjoyed a nearly four decade run without cases of myiasis (maggot...
Zachary Self
Aug 24, 2025


Cold Chain = Care Amplified
What is the "cold chain"? Thought you would never ask... per our friends at Wikipedia: A cold chain is a supply chain that uses...
Zachary Self
Aug 17, 2025


Ambu + Med Student Mash-up
A few days ago in a rather unexpected twist we combined two of our site's featured services: Ambulance/EMS and Medical Student...
Zachary Self
Aug 10, 2025


Sterile Straw = Life Extension
Earlier this month I saw a patient, Encarnación (pictured below), who I had not seen in several years. She and her husband...
Zachary Self
Jun 28, 2025


Cardiac Arrest á la APQ: Our Current Resus Protocol
All modern international protocols guiding management of cardiac arrest revolve around more or less the same recipe: High quality chest...
Zachary Self
Jun 15, 2025


Ode to the Original Doctor Self
This special Father's Day entry deviates a bit from some of our typical clinical fare to pay tribute to the original Doctor Self ...
Zachary Self
Jun 15, 2025


Global Health & Asymmetric Rewards
A couple of weeks ago a 40yo female presented to our clinic with lower abdominal discomfort. Physical exam was notable for abdominal...
Zachary Self
May 26, 2025


the teaser...
Here's a brief sampling of the short film Big Picture Media Company put together after a recent visit. Enjoy! Stay tuned for the full...
Zachary Self
Apr 28, 2025


(Another) Diabetes Program Success Story
Meet Manuel (pictured above). When he first presented to clinic he weighed 107 pounds and had a blood glucose of over 400mg/dL. Upon...
Zachary Self
Apr 6, 2025


Heading Back to School!
Some exciting news arrived in my inbox recently. I will be heading back to school this July! To paraphrase ( very loosely ) Lebron...
Zachary Self
Mar 30, 2025


Suture Closure of Possibilities
A couple of weeks ago an adolescent male patient presented accompanied by his mother. Our patient had reportedly managed to lodge a...
Zachary Self
Mar 16, 2025


Oura Ring vs. Splendid Torch
One of our foundational goals is to improve access to high quality healthcare in rural Guatemala. As highlighted in a prior blog post,...
Zachary Self
Mar 9, 2025


Oxygen Normalized. Navidad Survived.
Dominga (pictured above) is a 68yo female with a history of COPD. She presented to our clinic in rural Guatemala a couple of days before...
Zachary Self
Jan 12, 2025


YOU + US = IMPACT
As we wrap up the calendar year, I put my beginner level Canva skills to work and produced the below infographic. It spotlights some of...
Zachary Self
Dec 28, 2024


Ripples)))
Dr. Dina and I typically meet on Friday mornings before our clinic day starts to refresh our skills in performing various procedures-...
Zachary Self
Dec 21, 2024


Giving Birth Should Not Be Deadly
" Guatemala has one of the highest maternal mortality rates in Latin America. Due to lack of access to quality maternity care and...
Zachary Self
Dec 14, 2024


Wellness Program & Uphill Racing
As part of the Wellness Program we offer our local team, we have featured a race at the end of each of the last few years. In prior...
Zachary Self
Dec 7, 2024
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