Chontapunta, Ecuador. A bit off the beaten track – not too far from Tena on the Napo River. We arrived today after a 5 hour drive from Papallacta, home of the locally famous thermal waters. Ecuador is full of active and dormant volcanoes, and the steaming hot pools are a fortunate consequence. We are now truly in the Amazon basin jungle, preparing for our first clinic day. We carried and sorted 30 suitcases of donated and purchased medications and supplies and packed our day bags for our first community visit tomorrow. Timmy Global Health is working with local health partners to ensure a productive clinic day tomorrow. Andrew and I are joined by our college friend and family practice doctor, Karen O’Keefe, as well as by local doctor Natalia Garcia. Our daughters will be rotating through pharmacy duties, scribing duties, and public health education initiatives. We are joined here by a group of American premed students with an interest in global health, two 4th year Ecuadorian medical students, an American pharmacist on her 6th medical brigade with Timmy Global Health, and an American nurse. Together with several Spanish/Quichua interpreters, we will attempt to see close to one hundred patients each day as we travel to communities located far from access to healthcare. Surprisingly, we will use an electronic medical record which was set up using an Intranet by a Microsoft employee who was a prior volunteer. Apparently, he found that the paper charts weren’t holding up very well in the jungle humidity (the paper just disintegrates) and he quit his Microsoft job to work on an EMR for this worthy organization. So although in some ways we will be working in primitive conditions (clinics are sometimes held on basketball courts or playgrounds), we will be using a state-of-the-art system to keep track of our patients. Timmy Global provides ongoing care and follow up through returning brigades every 3 months.