Following The Wind

Last Friday we finally ventured out to a bar. It’s a shame really that we have been here for nearly 3 weeks and haven’t really gone out, but in all fairness every day we have been waking up early to either go diving, or go to work. The bar of choice was this joint named Kramer’s, which apparently is the place where all the tourists/ex-pats go (people that used to live somewhere else and moved to Palau). Our waitress was one of my patients and she introduced us to a couple of people. Read more

International med – Paradise Interrupted

Many of the clinics on the remote Islands were built within the last decade or so. Much of the disease they have seen within this time has been what you would expect, a steady diet of hypertension, diabetes, coughs and colds. But just imagine if these clinics were older, much older. What if these tiny clinics had been around for 100 years? What kind of stories would the walls tell? If I could choose to be a fly on the wall in such a clinic it would be in Peleliu during September of 1944. Read more

The Anesthesia Minimum

At the start of this week there was very little direction with concern to what I was actually supposed to be doing. Not terribly wanting to commit to one service for the week and risk being bored to death by a small uneventful patient load or being trapped in an OR, I headed over to the clinic where I could more or less pick and choose what I wanted to do. Read more


Once a month a team from the hospital ventures out to one of the remote islands in the Palau archipelago know as Angaur. They do a variety of different things each time they go. Sometimes they do general checkups, other times they administer vaccines. Last Thursday a boat departed on a cold raining morning heading to Angaur to do cancer screening for prostate and cervical cancer. A couple days before Vanessa and I got invited to tag along if we wanted. I jumped on the chance to break the already redundant routine at the hospital. We were told very little before we left, we only knew it was about a three hour boat ride, and we would possibly be sleeping in some kind of clinic. We assumed things like food and water would be taken care of, we turned out to be only semi correct. Read more

Belau National Hospital

After an exciting weekend of diving V and I made our way to our first day at the Belau national hospital. After riding our bikes through the rain we met up with our contact Dr. D who is the hospital administrator. He gave us a blitz tour of the hospital in between his ensemble of morning meetings. There is a brand new minister of health, and new president, so there is a lot of power realignment going on. The hospital is pretty basic, its only one floor. Read more