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We are starting to get the flow of things and figure out what to do and when, as well as how important flexibility is for this setup.

The Robinson teams are mostly made up of people who have come before but we always have newbies who then become new long-timers. The long-timers are a blessing, but that also means that there are a lot of different “village team habits” to break. We have more time for each patient allowing us to address more than we used to, and we can explain things more thoroughly to hopefully make sure the patients understand before sending them off to the pharmacy or referrals.

We are seeing less serious cases, and more “duele”s but then an unusual case comes up and reminds us why we are here. We saw gout today which is rarely seen in the US anymore, so that brought several veteran doctors and new doctors around to see what it looks like and how it is treated since that is not likely something that will be seen in the US. We also saw a case of Spina Bifida where all we could really do was let mom know that she was doing a good job and that while different her son is okay.

It is really quite hot in Las Cabezas Oratorio.

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