We returned to the clinic on Wednesday to find the courtyard filled with children shrieking, running, and playing. School was back in session following Monday’s national holiday, Constitution Day. The day proceeded smoothly, albeit accompanied by the new background rumble of a school full of children. Yet again, each team member comfortably filled his/her designated role in triage, consultation, pharmacy, and home visits to Esfuerzo. We continued to treat many of the same complaints: “gripe”, hypertension, tinea infections, body aches, as well as perform well-child exams. The pharmacy began to see a shortage in children’s vitamins, toothbrushes, and the more heavily-prescribed amoxicillin, Tylenol, Motrin, and hydrocortisone cream. We began to redistribute the medications into smaller packages and performed substitutions as necessary. We treated approximately 105 patients today. At the end of the day, the bright-eyed and energetic children swarmed upon us. Enthralled with the foreigners and their cameras, they pleaded to have their photos taken and posed in turn. Even as we piled back into our mini-van, they stuck their heads in through the windows and continued to chatter with us. We returned to a homemade Dominican dinner at the Hostal Yu and discussed our day. The highlight of the day was a large sugarcane given to us by a patient, which turned out to be a good accompaniment for post-dinner mojitos.

-Jennifer Montgomery, 4th year medical student at VCU