March 18, 2011
Per Sergio the plan is to see the baby from Teopisca at the
museo at 9:00 am and then he has a group of students to take on a tour at the museum at 10:00 am. Kieu and I would organize the supplies while he gave the tour. Afterward we would go see the patients in San Cristóbal.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiCr4hXFEdhjx6uHDYXSLT7B1nFR7H8MySqJ0c9jGw84ffZNtkaQucCGYnx60Jd899WFRK2t4SH4M96WFTsg5ApXAgWJqMgVkPfww467yAuiSjAkAo3Bbq1WYmHsEAUAxKkLLvtjqtU9veR/s400/baby+teopisca+day+2.JPG)
The baby girl has her burn dressing changed without pain medication.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgUsY-xcCm3_lwfKzGNRkA6U3uRd2n7mB288jzMcB691uPKxi73RBXM3c_w6WvfbW9d3x766TYQUI3oZc78JEsL-SpFCeXqFcWHywY2inkz_dG4D9EALNmvdEflkJzfhtUCVUEtFyFNoMYu/s400/supplies+from+WC+3m+jn.JPG)
Kieu and I organized the supplies for easy access for Don Sergio.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgpxm3qCM9tsZU6Q1PF_HKQ4HNBm4ASCpN8_Ka85ttzVYEiiKVsNYjaQECUctjbYeL9RBHsK1KxAx8hCjfekvIwSj3154f0Jrfp6iV0-THpZeshF3mcW2bDI6jDEcO9a6STd3TxYOlW6iLj/s400/Sergio+counseling+studings+at+museo.JPG)
Sergio gives tour and educates students on the artifacts in his costume museum. He is big advocate for education and health.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjazOsUUbKueBPvOz-n-lzSsH2Vla730NEwnoe3mlxVDCIbKRLHvErrwgordFCzFn2XbDCoXIx2iaGSpM5fjMG4h_sfuAlR5nn4yOkx4umgh-GGI4HsqYwZ40-G8xKfZebGjkRf0WdARnoN/s400/Patricia+and+vasculitis+pt.JPG)
We change the dressing on the patient with the vasculitic ulcer.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhX_ZcigWUviagIIGO5ywr1CUKHVtLOeY8pTYxy8s6o1PaKXNfwtkff3RpzYMO8wknyZHrJH87U5FQuBY7a1uLp5l9ollxocQJAlHh81CpHA8A5bhabZu_he2iqENhVWz36BYmVatcKbVMt/s400/kieu+sergio+vasculitis+pt.JPG)
The patient needed some debridement so we applied lidocaine ointment 30 minutes prior. Kieu debrided the wound and we dressed the wound gently with a foam wrap and coban.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhKCszsIC49gIXBvZIPuVMd3TJunovU2CovX5SDRxZwFBYPgpCLKJB-5r3pcEwXV79q9fNIxSUB4PqDMeonqKDYKx56HvFHtOb_wei3pY-CQrhUny0q9jn9tomTP02DpjWKBLasJlXXyB1b/s400/sergio+takes+break+kieu+works.JPG)
I don't think Sergio minds that we do some of the work.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgXzMkLbPD4074iPGfoFUKQkiwVCdOOuVhBwG_zHN-5t1KGl9sAyvmEgeXYE5t5XJoR3A_8e7WjTxXAl5H9N7pD3smWHnHt2Ie7LG3f2kb-wKTFfWzyj609_hcG67JIEeIiQ5UnbiBa9Aly/s400/tree+house.JPG)
By helping out we get to visit some unique homes, this is one of many.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjEsjN2E9HuOP9kjAW_FHiIdtFx87oCUtiap7X30XmGFYp4mXSxBiYOwYlAKh5rKWBRscmC7j-FlQj3O4oND721PNIELt21p4-UwH0PkRGrSe1LYVaXXkAO27J0C5VaV1RdwoAfsBM2H0vV/s400/man+w+neurocercosis.JPG)
This patient has neurocysticercosis, which is the leading cause of seizures and epilepsy in the developing world and is caused by ingestion of eggs from a tape worm in contaminated food (mostly undercooked pork and fish). He had a seizure while cooking and fell in the fire.
Kieu and I made it back for a wonderful lunch at Bela's B&B, I took a nap while Kieu checked her email. Back to the
museo at 4:00 pm.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj8baC0FV6Nrt3OGFpeIAPBDKjh_XshN0NjCCd3fPoqVQ8_u08IRkpGBvFN0cTk63ZSSo0Om-PywVz9BjSsoABNqs4-cH4enpZFd1PFo3Hc4QWHnCRuCNDJ5bAQD5yYsQ8EEOh64yWPOTRK/s400/lipodermatosclerosis+at+museo.JPG)
This patient with chronic venous stasis dermatitis and ulcer that has been coming to Sergio for care.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhHTCqZK9bWKbtli5aza0t5x1DHeRp6ONTTr6hyphenhyphenv8dBsUR72XrcSdGWhrl3nGYPRtD3R1B_0UNXPWWB8kewtc-C0mBRes0403S0L7Hl-0TpZkdfNm1uHQ2k_pbSDxywkH6OST0yuXTNOnBZ/s400/kieu+sergio+lady+w+tear+injury+at+museo.JPG)
Sergio is taking a break while Kieu is working away at this patient with ulcerated leg from falling onto a piece a metal.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi6qmYzkutMgYPazR9H51IvtowOQ2Ue-N-Y_Z8koqPmUzSoEwIX4jxjWMhXrJtxqUO6q_7fpQheCWG7T5f-Z_PUZHDi9yWNzpIlCidmi7BVrS75U62qfaTmaqNCp0NDCKtRdwBo15FFwg9v/s400/sergio+mops+floors.JPG)
Sergio is also a janitor at his
museo.
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