Nancimi is in the heart of Rivas, which is in the county of Tola in the southwest of Nicaragua. The clinic is always our busiest because many villagers from the surrounding communities have no access to medical care. As a result, most of our medical providers worked in Nancimi today. We saw close to 200 patients, mostly women and children. Our two dental hygienists did dozens of cleanings and placed 20 sealants. We provided medication refills for patients with hypertension, diabetes, coronary artery disease, and other chronic conditions. We screened for breast and cervical cancer, and we referred a pregnant woman with complications to the local hospital. Two of our emergency physicians and the field operations manager of FIMRC (Foundation for International Medical Relief of Children) visited the main hospital in Rivas and donated much needed medical supplies, including IV tubing, catheters, insertions, and insulin syringes. The director invited us to return next year to lecture local physicians on intubation, central line and chest tube insertions, and neurological trauma resuscitation. Thank you all again for your support! It means a lot to us and our patients in Nicaragua.