A photo-essay of the January 2014 nurse/med student brigade to Ciriboya. With half a dozen detours due to rained-out roads and bridges (adding up to many extra hours of travel and a about 35 hungry passengers), and thanks to the super-human driving talents of Marcos, our bus driver (I promised to acquire him chains for the trip back), and to the resourcefulness of the students in a few sticky spots, we completed our voyage to Ciriboya. We put the students right to work; they are in consultation with patients downstairs as I write these words, taking advantage of the gas-powered generator I just filled and of the better internet reception for my USB modem. These are only the photos that include the bus—longer note to follow. Photos taken by Carolina y Dr. Marilyn Pereira.