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(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


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


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


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


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


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


Another Step Closer to a Brighter Future
Recently Mariano- the current beneficiary of the N. Barrett Self Memorial Scholarship - marked an important milestone in his medical...
Zachary Self
Nov 23, 2024


Physician as... Prophet(?)
Despite living essentially full-time in Guatemala for the last decade plus, I am still (and, arguably always will be) the "other." ...
Zachary Self
Nov 17, 2024


Diabetes Program Success Story
With World Diabetes Day approaching, it seemed fitting to pause and celebrate a success story from our Diabetes Program. Norma,...
Zachary Self
Nov 9, 2024


Breaking Bread in a Broken World (aka Accompaniment & Global Health)
A couple of the more memorable patients who have visited our clinic recently presented with very different presentations, yet were united...
Zachary Self
Nov 2, 2024


Bonus: Q&A from Grand Rounds
The gift that keeps on giving... I indicated in our last post that Part 3 was the final portion of the presentation shared in Ventura,...
Zachary Self
Oct 27, 2024


Ventura Grand Rounds: Part 3
With this post we wrap up our three part series sharing a presentation given at Ventura County Medical Center earlier this year as part...
Zachary Self
Oct 20, 2024


Art & Fear... & Global Health
One of our daughters, Natalie, enjoys making art. She and I have been working our way (in fits and starts as any respectable artist...
Zachary Self
Oct 13, 2024


Sugarcane as Risk Factor for HIV
Last week a 43yo male presented to clinic with a chief complaint of "weakness." He also reported weight loss and decreased appetite. ...
Zachary Self
Oct 7, 2024


Racin' Round Town... Unencumbered by Reality
Guatemala celebrates its Independence Day each year on September 15th. Independence “Day” is a bit of misnomer as the celebration spans...
Zachary Self
Sep 27, 2024


Potpourri of Patients & Pathologies
Per the Cambridge Dictionary, one definition of potpourri is: "an unusual or interesting mixture of things." For this post, I selected a...
Zachary Self
Sep 15, 2024


Roots & Branches
I recently had the pleasure of spending some time with the Health Talents International team at Hospital Ezell. The facility occupies a...
Zachary Self
Sep 8, 2024
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