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| Caring for a post-op patient. | 
This first week with International Extremity Project has been quite the whirlwind! It started out  rather emotionally, as we evaluated 101 patients over a two-day period.
It  was difficult to see some of the young children with debilitating  deformities... and even more difficult, having to tell them that there wasn't much that we could do for them was heartbreaking! But, the looks on the patients' faces when we  were explaining what we could do to better their situations just about  made up for it:  They were grinning from ear to ear!
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| Reviewing post-op films and discussing care instructions. | 
It was especially  gratifying to see the returning patients and listen to how the  previous interventions have impacted their lives. It was also very  interesting to see how much the human body can adapt. Despite their  deformities, many of the patients we met lead very full lives. The biggest  thing I noticed: They almost never complain of pain. Amazing.
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| Reassuring a patient. | 
The next few days of surgeries were an eye-opening experience. Although we were in the new operating rooms -- which I understand are quite an improvement compared to those used in previous missions -- it didn't change  the fact that we still had to be quite resilient and ingenious when it  came to the actual surgeries.  We didn't always have the equipment that  we needed -- and couldn't always communicate exactly what we  needed -- so it was a great learning experience, watching the  attending doctors use their creativity to get the job done.
 
I am  looking forward to another week of surgeries and seeing the  post-operative patients before we leave. 
I am so very grateful for this opportunity. I cannot believe that a  whole week has gone by. But then again, I cannot believe how much  we've accomplished already! ~Diane Koshimune, DPM - PGY3
 
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