
Our last week at the lake was full of mixed emotions. We were, of course, excited to see our family and friends back home, and we are both looking forward to the next year. But we made many amazing friends this year, and had the opportunity to live in one of the most beautiful places either of us has ever seen. We also were acutely aware of the pace of life — back in the States, we don’t have too many mornings where we can spend an hour and a half sipping coffee on the porch before heading back inside to grab a book.
The rainy season’s full return was brought the bugs back in droves. We had to put the mosquito netting back up around our bed (it’s been down since December), not because of mosquitoes, but because of giant pellet-shaped red insects, shiny brown beetles, ants with wings, moths, and other fun creatures. Most of the time the insects were simply annoying, but we did stop for quite awhile to observe the cluster of black, red, and yellow bugs above. We have absolutely no idea what they are, but they stayed in the same place, arranged in crazy geometric positions, for over a week.

Our final day at the clinic, Kelsey delivered a training for all the women who serve as medical interpreters. The development of this training will serve as the basis for a paper for school credit on the practical applicability of human rights principles to indigenous interpreting during this coming year, but more importantly, it makes official the role of interpreters at the clinic. The training includes pieces of the responsibilities of the interpreter, a code of principles, ethics training regarding confidentiality, and coverage of some basic medical topics to enhance interpreters’ ability to actively support doctors and nurses as they treat patients.
Few people use interpreters in their jobs in the United States, and even fewer have ever had to serve — formally or informally — in that capacity, so the difficulty of interpreting well is often underestimated (and so interpreters are undertrained.) But Kelsey’s work at Community Legal Services in Philadelphia really brought into focus the necessity to have high-quality interpreting, and at Mayan Medical Aid that meant training, both to enhance our interpreting services and to make clear to the interpreters what a valued and essential part of our team they are.


Inspired by Lucy (who gave us the cooking class when the Passmores visited), we cooked up a storm for our goodbye dinner with the clinic staff. Jimmy spend literally two hours de-leafing cilantro, we hand-squeezed a dozen and a half oranges, Kelsey baked several batches of chocolate chip cookies, and creating the marinade for the chicken was a half-day event. The final menu was orange/achiote/gin-marinated baked chicken, tostadas with black beans, cilantro pesto, and avocado, sweet corn, and guicoy (a squash — pronounced wee-COY). It was worth the effort — the dinner was a huge success. We had eighteen people, our largest group yet: all members of the clinic staff plus assorted husbands and children, and one of Kelsey’s English students who works in the downstairs part of the clinic for the government. (And yes, I realize it is a problem that we have multiple food prep photos without a “finished product” photo — it was very pretty, by the way — but hey, serving eighteen people is hard work!)


The staff gave us several parting gifts, including a beautiful coffee table book with photos of each town surrounding Lake Atitlan, several hand-woven textiles (including one from an English student of Kelsey’s that includes the words “thank you for my class the Inglish”), a painting, and a poster. Saying goodbye to all our guests that night was definitely the saddest part of our final week.


We are feeling particularly good about the transition, as our “replacement,” Pete (pictured above with Guadalupe), was there for our final two weeks of work. We had to winnow down our list of responsibilities — one person could not take over entirely for both of us — but Pete will be covering the essentials of each of our jobs, and is also going to work on expanding the emergency response capabilities of the Emergency Committees in each village.

From left: Guadalupe (nurse practitioner), Lidia (Kelsey’s English student/secretary for government health workers), Nohemi (medical/dental assistant), Martita (medical/dental assistant), Jimmy, Kelsey, Craig (doctor), Carmen (doctor), Carolina (cleaning woman’s daughter), Eliza (nutritional program coordinator), Ester (cleaning woman), Paulina (administrative assistant), Pedro (Paulina’s husband), Jose (dentist).
Kelsey had a particularly rough go of the last week. She caught a nasty upper respiratory/gastrointestinal one-two punch known locally as the Mal de Mayo (literally, the bad of May — the name given to the first virus that bounces around after the rainy season starts again.) She was sick, to varying degrees, for nearly the entire last week (which is why you see Jimmy doing the lion’s share of the food prep in the pictures above.)

It is impossible to sum up in a few paragraphs how we feel about our ten months in Guatemala. This experience has changed our lives and will forever affect the way we view the world and the decisions we make about our place in it. We also have a connection to Santa Cruz that we expect to be lifelong. There are lessons we learned that we will try to integrate into our lives back home, lessons about the importance of reflection, about consciously creating room to breathe in all the chaos. And, of course, we will never forget the people we were so touched by on a daily basis.
























































































