Well sorry for the radio silence, been all over the place and have no patience for this internet. Weçve been visiting a lot of villages in the mountains so far and for the most part the people have been great and very appreciative. Here is a picture of our makeshift pharmacy at 12,500 feetdeep in the Andes, you can see Cash working her magic there. Working in these villages has really ope4ned up some things to me, some good and some bad. The bad thing is that whilst I think weçre all working really hard down here and weçre trying our best in the end, we unfortunately wonçt make much of a lasting impact on these communitites. By that I mean we come in, and we can deal with current problems, but once we leave itçs back to normal and people will have to fend for themselves. Itçs made me think that only way to appropriately approach global health is through making sustained changes and implementing plans that can be followed. Whether or not that means sending students on a more regular basis for follow up care or better yet educating the people so they can do it all themselves I dont know but itçs definitely openeed up my eyes to things I never thought of before. It reminds me of all the homless people we used to treat at Bellevueçs ER, they come in, get patched up, and leave only to have no regular follow up care, the type of care that woulfd be able to prevent really bad things from happening down the line. I am actually writing this from the base of Machu Picchu, yes I went again, but this time I made the Wayna Picchu climb by getting up at 4am. I wonçt post a lot of pics from here as not much has changes since last summer so you can look at the other pics I posted last year. Interestingly this id the 100th Anniversary of the discover of Machu Picchu so thatçs pretty cool I guess.

PS: Well the pics are once again taking a long time to load, I wrote this whilst I was waiting for them to upload, and I need to catch a train so I cançt wait but I will do my best to update you going forward... Oh, and Jared, Içve got a pic just for you next time I get a chance....