Our back-woods clinic in Ajoya is still a far cry from the emergency room of a modern America hospital. You can still write your name in the dust of the sterilizing tray after a wind storm in the dry season. Mud still trickles down the white-washed walls from recalcitrant leaks in the tile roof during the monsoon season. Hens still sneak into the dispensary and try to roost in the medicine cabinets, and at night rats still scamper and skirmish up in the roof beams. We are, in short, still very much a part of the village. Yet for all that, in the past months the scope and quality of our medical services have grown significantly. This is largely due to an increasing number of highly capable persons who learn about Project Piaxtla and contribute their services. Because the project is run by a completely volunteer staff, most of our professional help is necessarily limited to short term visits. Since January, however, we have had 26 persons with some form of medical training come mostly from the USA to assist at our clinics. This includes 5 medical doctors, 5 dentists, 4 dental students, 3 oral hygienists, 1 veterinarian, 3 lab technicians, 1 medica1 student, 2 pre-med students with special training, 1 medical librarian, and 4 “self-made” medics.