top of page
Search
Zachary Self
Mar 10
"I'm going to die!"
This is a story of near drowning. Recently a 71 year old female who had not been seen in clinic for several months returned. She...
Zachary Self
Feb 25
Free Air &... Coconuts (?)
Last week a 32yo male presented to our clinic with generalized abdominal pain. He was tachycardic with a soft blood pressure. On...
Zachary Self
Feb 17
Bad Beans
This week in clinic I saw a 48 year old male. We'll call him Juan (because that's his name). Juan had multiple vague symptoms (excessive...
Zachary Self
Feb 11
Epicenter of a Guillain Barré outbreak (?!)
In recent weeks, there has been an alarming increase (to the tune of seeing a case number in the past few weeks that it would normally...
Zachary Self
Feb 4
Starving to Death... in a World that is Eating Itself to Death
A recent story in one of the local Guatemalan newspapers highlighted a sobering statistic. "Se observa un incremento del 25.7% de casos...
Zachary Self
Feb 3
back, back to Cali, Cali (briefly)
As an add-on to a scheduled work commute last month, I spent a couple of days back in Ventura, California before heading to Northern...
Zachary Self
Dec 31, 2023
to the moon... with a lunchbox
Meet my astronaut. He has been hanging out in the middle of the desk of my home office for the last few years. Despite standing just...
Zachary Self
Dec 14, 2023
Diabetes Care. Democratized.
Diabetes is a HUGE problem globally. Diabetes is deadly and affects in an asymmetric manner marginalized, under resourced populations...
Zachary Self
Nov 28, 2023
Food. It's Important.
We invariably come back to the basics: food and water. Our most recent post, highlighted the importance of access to clean water. Here...
Zachary Self
Nov 26, 2023
Clean Water = Life-Changing Intervention
Clean water is essential to health. No one disputes that fact. Sadly, the vast majority of Guatemala's water is contaminated and unsafe...
Zachary Self
Nov 25, 2023
LEVEL UP
Recently the concrete roof of the remaining portions of the first floor of our roadside development project was poured. Here are a few...
Zachary Self
Nov 3, 2023
ARETÉ & RUNNING WITH THE HORSES
Recently I revisited Eugene Peterson's excellent book Run with the Horses. It is an examination of the life of the Old Testament...
Zachary Self
Nov 3, 2023
'DÃa de los Muertos' + Honoring Loss
"DÃa de los Muertos" ("Day of the Dead") is celebrated in Guatemala on November 1st each year. It is a day, which, per Wikipedia, is...
Zachary Self
Nov 3, 2023
kites, from small to... GIGANTE
Each year around the first of November (the date on which the "Day of the Dead" [Dia de los Muertos] is celebrated), kites become quite...
Zachary Self
Sep 15, 2023
Broken Hearts (Echo Blog Series- Case 5)
Case 5- "Me cuesta respirar" ("it's hard to breathe") Chronic Obstructive Pulmonary Disease (COPD) is seen not infrequently at our center...
Zachary Self
Sep 14, 2023
1/2 the Man He Used to Be
Previous posts have highlighted our Diabetes Program as well as the plight of one our patients suffering from uncontrolled diabetes and...
Zachary Self
Aug 27, 2023
Unreasonable Hospitality
UNREASONABLE: 1. a: not governed by or acting according to reason b: not conformable to reason 2. exceeding the bounds of reason or...
Zachary Self
Aug 5, 2023
HALOs Revisited
Several weeks back, we discussed in a blog post (HALOs & Chainsaws) the never-ending battle against skill decay as a healthcare...
Zachary Self
Aug 5, 2023
ROADSIDE MAKEOVER UPDATE- Bucket Brigade & Phase 1. DONE.
In prior posts (here and here) we've looked at plans to upgrade the entry to our health center with some significant roadside development....
Zachary Self
Jul 23, 2023
Broken Hearts (Echo Blog Series- Case 4)
Case 4- Racing Heart + Tired & Swole. This week in clinic a 73yo male presented with a chief complaint of palpitations. He also reported...
bottom of page