Culvert over the kenyada drainage ditch—though the channel is deeper, the width of the culvert still limits water outflow.

Dr. Lewis precepting a student group working in clinic.

Recently dredged kenyada drainage ditch.

Kenyada drainage ditch, recently dredged.

The kenyada drainage ditch, heading toward the river.

Morning vista

Today is the first day of clinical work: we’ll start seeing patients, and will organize the community meetings for later in the week.

We’re aiming to see 50 patients, given that it is our first day—students will staff all positions, including registration, vitals, helping with patient evaluations, and the pharmacy.

Dr. Lewis teaching students how to take blood glucose measurements.

Team members waiting to leave for the community.

Another morning in Santo Domingo, doing what we do best: waiting for the bus to come get us.