At about 1:30 p.m. Thursday our clinic at Hacienda San Francisco, about four hours northeast of San Ramon, Nicaragua was humming right along. The triage interviewers were moving patients nicely through the height and weight stations and the pharmacy was filling orders quickly. Outside, the dental team taught groups of kids how to brush their teeth with their new tooth brushes and delighted watching the ninos (children) each receive a toy. We weren’t yet ready to set up the shoes and clothing distribution area, so I decided to take a walk up to the medical providers area where patients were being treated by Corner of Love docs and nurse practitioners.