Last week a 32yo male presented to our clinic with generalized abdominal pain. He was tachycardic with a soft blood pressure. On...

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...

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...

A recent story in one of the local Guatemalan newspapers highlighted a sobering statistic. "Se observa un incremento del 25.7% de casos...

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...

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...

Diabetes is a HUGE problem globally. Diabetes is deadly and affects in an asymmetric manner marginalized, under resourced populations...

We invariably come back to the basics: food and water. Our most recent post, highlighted the importance of access to clean water. Here...

Clean water is essential to health. No one disputes that fact. Sadly, the vast majority of Guatemala's water is contaminated and unsafe...

Recently the concrete roof of the remaining portions of the first floor of our roadside development project was poured. Here are a few...

Recently I revisited Eugene Peterson's excellent book Run with the Horses. It is an examination of the life of the Old Testament...

"Día de los Muertos" ("Day of the Dead") is celebrated in Guatemala on November 1st each year. It is a day, which, per Wikipedia, is...

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...

Case 5- "Me cuesta respirar" ("it's hard to breathe") Chronic Obstructive Pulmonary Disease (COPD) is seen not infrequently at our center...

Previous posts have highlighted our Diabetes Program as well as the plight of one our patients suffering from uncontrolled diabetes and...

UNREASONABLE: 1. a: not governed by or acting according to reason b: not conformable to reason 2. exceeding the bounds of reason or...

Several weeks back, we discussed in a blog post (HALOs & Chainsaws) the never-ending battle against skill decay as a healthcare...

In prior posts (here and here) we've looked at plans to upgrade the entry to our health center with some significant roadside development....

Case 4- Racing Heart + Tired & Swole. This week in clinic a 73yo male presented with a chief complaint of palpitations. He also reported...

A confession: inappropriate (as deemed by me) use of ambulance services is a long standing pet peeve of mine. When patients present to...