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The Stethoscope and the Machete

My Journey Through the World of Humanitarian Medicine

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Author: juan.lopez

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We are All Rwandan

We are All Rwandan

By juan.lopez, March 4, 2025
Posted in: Butaro District Hospital

The next day would be my last with this cohort of students, so I bid them all good luck in their rotation when I boarded the Friday afternoon bus back…

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We are All Rwandan
The Bus Can Wait

The Bus Can Wait

By juan.lopez, February 26, 2025
Posted in: Butaro District Hospital

I’ll admit that I was having a great time working at Butaro district hospital. So many of my projects have taken on a more educational flavor that I don’t get…

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The Bus Can Wait
The Trenches

The Trenches

By juan.lopez, February 26, 2025
Posted in: Butaro District Hospital

The typhoid case was one of several that slipped through the cracks due to system failures in that first week. In that same stretch, we also had an 18 year…

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The Trenches
Typhoid Fever

Typhoid Fever

By juan.lopez, February 16, 2025
Posted in: Butaro District Hospital

Typhoid fever, caused by the bacteria salmonella typhi, is a form of dysentery (infectious bloody diarrhea) spread through contaminated waste that has been part of our lives since likely pre-history.…

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Typhoid Fever
The Butterflies Emerge

The Butterflies Emerge

By juan.lopez, February 16, 2025
Posted in: Butaro District Hospital

As I progress in this journey, I continue to ask myself how best to approach this mission to bring about positive change. One of my primary goals for this phase…

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The Butterflies Emerge
Warm, Humble, Hospitable, and Friendly

Warm, Humble, Hospitable, and Friendly

By juan.lopez, January 23, 2025
Posted in: Afghanistan

Through the next several days, I repeated the ultrasound course for a completely new cohort of residents. This time around I was able to improve on the first iteration, with…

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Warm, Humble, Hospitable, and Friendly
The Orphanage

The Orphanage

By juan.lopez, January 23, 2025
Posted in: Afghanistan

On the last day of the course, I merged the last case review session with Abdullah’s classroom session on biostatistics. An additional group of residents approached me to ask if…

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The Orphanage
A Body in One Bed and a Head in Another

A Body in One Bed and a Head in Another

By juan.lopez, January 14, 2025
Posted in: Afghanistan

The next day we hit the ground with a bit more pizzazz, and I was able to start only slightly later than our pre-arranged time of 9:00AM. We covered cardiac…

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A Body in One Bed and a Head in Another
Twelve Foreigners in a Hotel Conference Room

Twelve Foreigners in a Hotel Conference Room

By juan.lopez, January 6, 2025
Posted in: Afghanistan

After being woken by the sounds of Morning Prayer the following day, I got the ultrasound probes and tablets together before heading down to meet the team. Once everyone was…

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Twelve Foreigners in a Hotel Conference Room
Pistachios and Kalashnikovs

Pistachios and Kalashnikovs

By juan.lopez, January 6, 2025
Posted in: Afghanistan

There are few places in the world as difficult to understand for outsiders as Afghanistan. A country that has been destroyed by war several times over the last 45 years,…

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Pistachios and Kalashnikovs
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