Shenanigans in Kampala

(dear blog,)

Physioing the last few days were great. Saw a lot of patients in pre-op/post-op orthopaedics again. Spent a lot of time on gait training and pre-op instructions for exercises. Some of these patients receive conservative care (leg in traction) or have external fixation (screws go in, and stabilizing plates are on the outside), so they are bedridden for up to eight weeks. For these patients, its a lot of isometric strengthening of the involved limb with some contralateral limb strengthening and strengthening for preparing to leave with an assistive device.

I got to measure for axillary crutches. As far as I know, this isn't really done in the states (US has metal adjustable ones, here they individually order wood ones).

I learned how to count to four, and used that with my instructions to a couple patients, and they liked it. Most patients speak decent English, but they get a kick out of a muzungu trying the local language.

I worked with two Ugandan physio students, David, and Kristen on Friday. The students saw a lot more patients to at least check up on them, so it was a good experience. I was impressed how much they knew their stuff, but if you look at their training background it makes sense. Physiotherapy is basically a three year bachelor program here, but they are thrown in the clinic starting in the second year. We tried to get a patient to use a walker after months of mostly bed rest, and it was impossible (to stand, she was essentially mod assist X 3-4). She was incredibly grateful for the attention though, as many patients generally are (we're often in a small group with them).

and on to other things...

We're staying on campus at Makerere University at a guest house called Nufu. Its a four bedroom, two-story house that exceeded my expectations greatly. We have decent internet, the electricity is usually on, and the water temperature/pressure is pretty good. There's a nice common room/kitchen, and we have a housekeeper that keeps things tidy and serves breakfast every morning (Juice! Coffee! African Tea! Toast! Eggs! Sausage!).

The University is an island within a pretty hectic part of town. Its mostly fenced in, and there is not much traffic, which makes walking around pretty easy. Its a large University complex with some student housing, soccer fields, restuarants/bars, etc. Walking to the hospital takes about twenty minutes.

Some things we've done:

Running!

• Not that bad here. I haven't noticed the pollution, and the mornings are pleasant (low 70s, humid), and afternoons are tolerable (80s and humid)
• Going off campus isn't practical, so I haven't really run more than 45'
• I have actually conned the other PT students to join me running, so I haven't been on my lonesome every run
• My marathoners have not been dry in a week
• I'm looking forward to running in Nkokenjero (rural)

African Dance Show

Lecture from Dean of Medicine about Ugandan culture

Playing cards/word games in the house

Beer selection isn't bad - there's actually five or six local beers available

Lunch with the UW Global Health Class#

Inservice from a pharmaceutical rep at the hospital

Inservice with Karen on treating cerebral palsy (felt like real live second years!)

I'm off to Nkokenjero now, working at a home with mostly orphans and kids with disabilities, run by nuns, and staffed with an OT and a few other assistants. Many of the children we will see have hydrocephalus or cerebral palsy. There is probably internet, but I doubt I'll be able to blag much while I'm there.

Good luck to all the physio students back home. Learn a lot!

Physiotherapy in Uganda

(dear diary,)

I'll start with a quick recap of arriving in Uganda, but I'm mostly going to talk about clinical from the last few days.

Our flights were awesome. Turkish airways took great care of us, we got socks, a sleeping mask, ear plugs, touch screen movie screens, and multiple meals and snacks. We had an 11 hour flight, a one hour layover in Istanbul, and a six hour flight to Entebbe. We were met by a guy in a Wisconsin shirt to take us to Kampaala. We finally arrived at our place at 3AM, and I ended up not sleeping at all.

The first day was mostly relaxing, going on a jog, walking through campus, got lunch and groceries, and ordered a pizza.

Physiotherapy in Mulago Hospital

First of all, physical therapy in the USA=physiotherapy everywhere else in the world. I prefer the international way.

We are working in the largest referral hospital in Uganda. Its about a mile from where we're staying. Our first day consisted of meeting the physical therapists and going on a tour of the hospital. It reminds me of the Ugandan version of UW-Hospital. Its gigantic - six floors in the main building, and a series of additional wards and medical school buildings on the campus.

I didn't really know what to expect at the hospital, but nothing really shocked me too much, but its significantly different from the states. There is little emphasis on hygiene (washing hands & hand sanitizer), patient overflow in the hallways, patient's families camped out on the floors, and the patients are dependent on their families for basic services. I have heard that patients are only provided two meals a week, and I have yet to see anybody addressing bed sore prevention, dietary needs, or providing water. Its not that they are ignoring these important things, its just the responsibility is put on the patient or family.

On the second day, David and I were matched with Richard, a physio that has worked at Mulago for twenty years. All my misconceptions about health care workers in Uganda were quickly changed. To an extent, I thought that physios in Uganda would not have the same skill set as those in the USA. I thought that their skill set would be tailored to the resources they have in Uganda. I never thought much about it, but once I was in clinic, I realized that they are very similar in skills as physios in the USA. There are significant constraints put on them, the patient's culture, environment, and often occupation, make their job more challenging, and they have to adjust their care. The hospital itself and lack of time also make their jobs much more difficult.

We were placed on ward seven, predominately pre-op/post-op orthopaedic care. There are forty patients in one long room, mostly suffering from fractures or dislocations. Many receive surgical care, hip replacement seem to be the most frequent. However, often the patients receive conservative care, which generally means being put into traction for 6+ weeks. The most frequent mechanism of injury is motor vehicle accidents, but we have seen falls, insufficiency fractures, and gun shot wounds.

We first started with doing rounds with the orthopaedic physicians, nurses, and a couple other Ugandan physios. We went through forty patients in a couple hours. The physician would quickly assess the patients for surgery or discharge, and we would often lag behind to work with patients. Some patients received not care from us, but many had a quick follow up or some form of treatment. Generally, our care consisted of bed exercises and some gait training. The focus in this ward is to maintain strength during immobilization and to prepare the patient for discharge.

Richard (our clinical instructor) is also a professor, so he does a great job at challenging us with asking questions.

The next day, David and I were again placed with Richard on ward seven. Instead of rounds, the five of us (two Ugandan PT students, David, myself, and our physio, Richard) went through the ward ourselves. I was thrown in the fire a bit on the seconds patient. Richard gave us the chart and plain films, and I was instructed to give treatment. My patient:

• L Hip Dislocation with SI joint involvement, 3 weeks post surgical correction
• R mid-femur fracture with pubic ramus fracture
• I may have mixed something up?
• They elected for conservative care (traction: patient's leg is immobilized using weights/jug of water hanging off the bed) for the R femur problems, but the L hip was surgically corrected
• MOI: MVA

I struggled a bit with patient instructions, and not choosing aggressive enough exercises, but it went good enough. It was difficult not knowing exactly how far out the patient was from surgery, but the charts are a bit disorganized, hard to read, and often unavailable.

Some musings:

• I wrote this while drinking some wine, so expect spellling errors
• Language barrier can be hard, many patients are more comfortable in Lugandan
• Saw a pt whose entire midsection of femur was removed due to a GSW
• Richard sometimes reminds me of Dr. Bill
• Got quizzed on a variety of things (DVT, traumatic fracture complications, ROM indications, MMT grades, etc.)
• The Ugandan students generally know their stuff pretty well(most are 3rd years)
• We looked at almost all of the patient's plain films (x-rays), always by holding up the plain film to a window. The PTs consult them frequently, as they are more available than a chart
• The patients hang on to their own plain films (often in a file kept under their pillow)
• The physios are stationed everywhere in the hospital (ICU, burns, ortho, outpatient gym, neuro, etc.)

I'll get to some of the other fun stuff later (volleyball, football with the random kids, our house, running at the university, Africa in general, etc.)

Uganda!

Mini blog post to preview the trip. Sentence fragments!

4 days and 3 finals left.

Excited for my pants!

Chicago (10pm 5/13)->Istanbul->Entebbe->Kampala (2am 5/15)

Return to Madison 6/12

Itinerary:

Mulago Hospital in Kampala

Providence Home in Nkokonjero

Safari in Queen Elizabeth National Park

Mulago Hospital again

Nile River Rafting

Bonus week of rambling about

More info later

-DW

Antigua y Lake Atitlan

Leaving Copan

I showed up for my 12 o´clock shuttle to find that it wasn´t there. They told me that at 3 we might leave, but when I returned, there was still no shuttle. Then they said that there would be a shuttle at 9am.
Eventually I left Copan at 12 the next day. While it sucked to basically waste a day, it wasn´t that big of deal. I went out to the bars in Copan and had some awesome Thai curry. Plus, I got a free night in a hostel for the ordeal. Keeping me company during our wait was a retired nurse from Idaho who was in the midst of a four month trip through Central America.

Antigua

Antigua used to be the capital city a few hundred years ago, but was abandoned after getting rocked by some earthquakes. They didn´t pick up the rubble, so what´s left is a city full of old ruined churches and buildings, making it a great city to spend a day walking through.

I stayed in Hostel Gato Negro, which was a pricey 7 dollars per night. I specifically chose the place for the free breakfast, and it was worth it. I shared a room with a couple girls from Sweden, and a few other guys (also from Sweden, I believe). It was nice to be in a town with a lot of travellers, and I got to meet a lot more people here.

My first full day I explored the city for a few hours, checked out an old church, and had 3 ice cream cones, for a quarter each. At 2pm I left on a shuttle with 12 other people for Volcan Papaya, one of a few active volcanoes in Guatemala. It was about a 90 minute trek in the shuttle before we met up with our guide, a woman who spoke Spanish so slow and curtailed for a Gringo´s ear, I understood almost everything she said. One of the highlights for me was when she said a fairly obscure word, cangrejal, that a few others didn´t understand. I acted as translator, since I recently rafted Rio Cangrejal (River of Crabs!). It took our group four hours to get to the top, where we were greeted by an unpredictable lava flow that had forced earlier groups to take an alternate route. You could hear the creaking of volcanic rocks being pushed by the lava. Along the route there were a few dogs that followed us all the way up, and down. Also, there were locals charging five dollars for taxis naturales (horses). I included some pictures, but since we reached the lava at dusk, it was a little hard to capure.

My other full day in Antigua was spent studying Spanish in a cafe, wandering about the city, looking at ruins, and hiking to the cross outside of town. The cross-walk was decent, and I was pleased to find some tourist police there. I got a great view of the city, and could here a wedding in the distance.

Lake Atitlan and San Pedro La Laguna

I ended up shuttling out at noon the next day to go to Lake Atitlan. While my shuttle was a little pricey (8$), it saved me from having to make two exchanges and was only a couple dollars more expensive. Joining me on the bus were the two girls from Sweden I had met in Gato Negro. Since we had the same (very common) travel itinerary, we joined up for the trip to San Pedro and the next day´s volcano hike. After travelling solo for awhile, it was nice to have a couple people to travel with.

When we arrived in the main tourist city of Lake Atitlan, Panajachal, we were steered directly to the port, since the city wasn´t completely safe at the moment. I changed plans, and took the boat to San Pedro. We arrived at our hostel, Jarachi´k a little later, and I booked a very reasonably priced (5$) private room with a private bath and double bed. The hostel is also home to an amazing and cheap restaurant.

I booked a guide, Caesar, to take us up Volcan San Pedro. Joining us were three guys from Switzerland. We also met some Canadians on the trail, who were driving from Vancouver to Brazil, for Carnaval. We took a tuk-tuk up to the visitors center, which saved us a couple hundred meters of climbing, and an hour or walking. The trek took us all the way up to 3,020 meters from a starting point of approximately 1800 meters. It basically went straight up, with very few switchbacks or flat spots, so it only took three hours to reach the peak. The clear day gave us some great views of the lake and surrounding villages. We got back at about 3, and I went on a nice, relaxed six mile run to the neighboring village.

Today, I attempted to run to Panajachal, where I could take a boat back to San Pedro. Unfortunately, my not-so-detailed map made it seem a lot closer than it actually was. Also, I may have missed a turn. I ran for about 13 miles, and then walked for 3 hours, and still hadn´t made it. After running through three of the towns, the road turned to trail, which ended up turning into a trail that was impossible to run on. I decided to just go to the next city and get a ride on a boat back to San Pedro. Even though I didn´t make it, it was a good run; I had great views of the lake, and got to see a few of the surrounding Mayan villages. I succeeded, and made it back to eat a giant lunch.

Manaña

Tomorrow I hope to leave very early for a bus to Guatemala City, where I will change buses to Coban, where I will take one more bus to Lenquin. There, I will be doing some spelunking, tubing, and swimming. Info http://en.wikipedia.org/wiki/Semuc_Champey

From there, I will be going to Flores, the main tourist town outside of Tikal. I will stay there for a night, and then camp in Tikal, so I can see sunrise and sunset near the ruins and surrounding jungle. After that, I hope to have at least three days to leisurely bus back to La Ceiba, Honduras. The one stop I hope to make is in Rio Dulce.

Atop of Honduras

Since I left Pico Bonito last week I did some adventuring in the highlands of Gracias. I´m currently (SPOILER ALERT!) alive and well in Copan Ruinas.



Gracias and Celaque National Park



I arrived in Gracias late and found a simple hostel that charged 7.50$-night. I had a private room with ice cold showers, so I can´t complain. The climate there was pretty pleasant, with temperatures dipping below 60 degrees. I didn´t do much besides hike in Gracias, although I did check out the local square and a very old church.



I decided I wanted to do some hiking before hitting up the ruins, and my guidebook recommended Celaque National Park for a good hike that didn´t require any technical equipment. It also told me that there was a simple, dirty, hut with a few bunks that you could sleep in at one of the campsites near the top. I still tried to rent a sleeping bag but had no luck. I read that the hike could be done in a day, but an overnight hike was more feasible, so I decided to try that.



The morning of my hike, I foolishly did a 10 mile run that went towards the national park. This was rolling for a couple miles and then a mix between slight incline to very steep hills. Like always, the farmers and locals paid little attention to me, and at least twice I get scared shitless my dogs barking at me. The run was good though; foggy and cool.



I finally got to the park at about 10:30 am. I struggled to exchange some money at the bank (I´m the only gringo in town, its not really touristy), mostly since I speak very little Spanish. I also struggled to pronounce the name of the park to the first two cab drivers, but the third understood and brought me 10 kilometers outside of town.



The entrance of the park could very well be northern Wisconsin, definitely not the first image that comes to mind when you think of Honduras. My trek brought me through a pine forest, over a river, and through an hour long stretch of switchbacks. After a few hours I reached the first campsite and realized my book was very, very, incorrect at describing the modest campsite. I still wanted to reach the top, so I was now banking on the next stop being better.



In the midst of the next leg, I ran into the only people I would see during my 22 hours in the forest. They were from, of course, northern Wisconsin. One was even wearing some sort of Spooner, WI shirt. We chatted for a few minutes, I received strange looks after they found out I was planning on sleeping up there, and we parted ways. They surely made it back well before dark; unfortunately, I was in for an entirely different night.



I reached the second campsite at about 3:30. This was slightly better: 3 tarp walls, tarp floor, and tin roof. I figured it was shelter, and I couldn´t hike in the dark, so I would stay. First, though, I had to get to the top. It was only an hour away, and I was in full blown Narniaesque Cloud Forest. It was a veritable labrynth of gigantic mossy trees with birds screaming at me. At 4:30 I reached the top, marked by a simple sign and a Honduran flag. I was disappoingted that I forgot to bring my Wisconsin flag, or at least a Bucky towel or something.



I headed back down and reached my campsite at dark. I put on some dry clothes, but quickly realized I would die of boredom or from the cold. I was at about 2500m, and in a cloud forest, so it was cold (50 degrees F), and wet. At 6pm I decided I would break out my flashlight and walk back down, at least to the next campsite.



Hiking in the dark wasn´t that bad. The most difficult section was down to the next site. It involved a little bit of climbing and hanging on to roots, but it was pretty safe and well marked. I took my time and reached my next destination no worse for wear. At this point, its about 8pm, and I figure that I could get back by 11 if I can hitch to town, maybe 1am if I walk. I continue on.



Everything is going well, until I cross a stream and I thought I was almost done with my trip. Its 10pm, I´ve been walking for 12 hours; combined with my morning run, this has made me foolishly tired. I actually had about 2 hours of walking left, but in my strange psychological state, thought I was almost done. I was convinced there was a trail near the stream, so I kept looking for it. For nearly an hour. I then made a foolish mistake. I went off the trail.



Cliffnotes version: I couldn´t find the trail that I had left, and couldn´t find the visitors center, since it was still two hours away. I was stuck on the side of the mounain, and spent the next 6 hours switching between sleeping on the side of the mountain and aimilessly looking for the trail. I realize that once its light I will be able to easily find the trail again, so I just wait it out eventually.



I wake up at 5am, wait until its light at 6am, find the trail at 6:10, leave the park at 9:30, and get a cab back to town.



Some fun stats:

Hours in the park: 22

Elevation gain¨: 1500m

Peak elevation: 2849m

Cost for 20km of cab rides: 10 US$

Time spent walking or running in the 24 hour period: 20

Time to get to the top: 6 hours

Time spent sleeping: 90 minutes

I´m an idiot.



BUT, I survived, and left Gracias by 12.





Copan Ruinas



I arrived, without incident*, in Ruinas Copan at about 6:30, and found my hostel, Iguana Azul. Its very clean, and I´m staying in a 5 dollar dorm room. Also, they have real, hot water, which is a real plus.



I spent my first day doing very little. I made it a goal to wasteland, so I did some internetting, got some coffee, and some ice cream. Yesterday, I went to Macaw Mountain Bird Park, where they have birds that have been donated or rescued. There was an open area where some birds were let out of their cages, and I got to interact with some toucans and Macaws.



This morning I took a cab out to the Copan Ruins. There was a lot to see, and the museum was interesting as well. There was a short nature trail with labeled trees and macaws all along. I found my favorite tree, the Gumbo Limbo, which I guess the Maya used to cure Poisonwood.



Other highlights of Copan Ruinas (I don´t feel like writing much longer)

I gained 912 feet in about 2.5 miles on my run this morning.

3 kids ran with me for about a half mile on my run.

The election was sunday, and everything went by safely. There seemed to be a lot of partying, fireworks, horn honking, etc. I talked with an international observer of the election, and she was impressed with the efficiency.

Many coffee farms outside of the city.

Stumbled upon a Mayan Toad structure while running.

Cobblestone streets.

Good, cheap platos typical. I got one con carne to celebrate getting into PT school.

Watched Zombieland for a dollar at a hotel. Blatantly pirated, decently funny.



So, that´s all. Tomorrow I head to Antigua, Guatemala, where I will do some Volcano Hiking (with a guide).


!!Check out my flickr for corresponding photos of Macaws, ruins, clouds, Gracias, etc. http://www.flickr.com/photos/44191281@N06/








*With incident. I didn´t get off my bus, since I didn´t realize that I had to switch buses. So, they dropped me off 5 kilometers out of town, and I got to hitch-walk back.

Donde es Dallas?

Dallas es en Gracias, Honduras!

The Cayos

Hola everyone, this is my first update since departing Utila. Six of us volunteers left Friday morning for Cayos Menor, one of the larger islands of the Cayos Cachinos (Hog Islands). We stayed in a small lodge in a Garifunan village. In the village there were about a dozen small houses and a short road. It was mostly a fishing village, and our lodge was the only thing there remotely approaching touristy. There was one person who spoke English, and no stores, restaurants, etc. It was pretty cool to be so secluded, but it also proved difficult at times, since no one in our group spoke much Spanish (at least not more than me).

Rusty brought us to Cayos Menor on his sailboat, which took about 4.5 hours. We did some snorkeling out of his boat when we got there, and eventually a canoe with a tiny motor brought us to our lodge. I was certain that we would tip the entire time, but we got there.

The islands and surrounding reef are all protected, so there is very little in development. We tried to hike by ourselves, but were told we had to take a guide. Our first hike was led by a couple of kids, but on our next one, an experienced guide showed us around. We saw at least a half dozen pink boas the islands are famous for.

Somehow, I managed to catch a 1.5 hour canoe ride to the mainland with a local. The one guy that spoke English on the island was a lot of help.

Pico Bonito y Rio Cangrejal

After waiting in Nuevo Armenia 2 hours for the bus, I arrived in La Ceiba. I started walking to my destination, Omega Tours, thinking that a bus would pass sooner or later. It didn´t, so I walked 8 of the 10km (a friendly American couple gave me a ride for a bit).

Omega was great. It was pretty slow, so I had the dorm area to myself. The food was awesome; I ate only the German food. I spent my first day there hiking-running. In the morning I jogged to the park entrance and then hiked to the waterfall.

There were a ton of reptiles and amphibians, but I didn´t see any monkeys or jaguars. I saw a frog that was larger than me (almost), and a lot of lizards. The waterfall was about 60m tall, and the hike was a nice loop instead of the usual out and back. Later in the afternoon, I ran until I found a trail that followed the river. I saw a toucan and a lot more lizards, and some great views of the river.

The next day I did a river trek and rafting trip. First we walked-swam-climbed upstream. We did some cliff jumping, including a 35 foot jump. Then we floated down some rapids in our life preservers before getting on our rafts. The rafting had a pretty steady current with a few decent falls. There was nothing harder than Old Smokey on the Wolf River in Wisconsin though.

Traveling

I left early this morning and arrived in Gracias about 12 hours later. I navigated to my 3 buses pretty well and even found a decent hostel for 7.5$ here in Gracias. Tomorrow and the next day I am planning on hiking to the Celaque Summit, the highest point in Honduras (2849m), with an elevation gain of 1500m from the visitors center.

Scubadiving and more

SCUBA

I´m about 95% done with my getting my PADI open water SCUBA Diving certification. All I have left is the written exam, which is very easy. The class is built for a 10 year old to be able to understand, so everything in the written portion is very simple.

The practical part of the class was really fun. I was being trained with one other guy, Marco, from Finland, who was in his 50s. My instructor was very helpful, and I responded to the water pretty weel. The first lesson was just off the dock, and we did some basic stuf - took the mask off and on under water, find your regulator (gives you air) underwater if it falls off, etc.

The deep water training went well. We got down to about 50 feet the first day, and 60 feet the second. The biggest thing going deep was making sure to equalize every meter or so (like you unpop your ears). We did some underwater swimming without the mask and practiced some emergency accents. Overall, everything was pretty easy if you remember that you can just relax and breathe while doing it.

During the practice dives I saw a lobster, garden eels, a stingray, a school of baby squid, and a hawksbill sea turtle, amongst some awesome coral. I have two free fun dives to do, and after that I will probably do a couple more while on the island. Its about 50$ for two dives, which is a pretty good deal considering the quality of the diving.

Around the Station

Last week was pretty slow due to the weather. For awhile, it looked like Hurrican Ida was going to hit us. It did do some damage near the Nicaragua and Honduras border, but we just got a lot of rain. Things were a little slow, but I tried to keep busy.

Thursday we played kickball again, which was a lot of fun. Thursday night we all picked a dish from our country. I chose to make stuffed green peppers, because I couldn´t think of any important food in the US that wasn´t just borrowed from somewhere else. They turned out pretty good. We also had a German chicken dish, some English food that I forgot the name of, a bunch of great Honduran food, a apple pie from Switzerland, a hot pineapple punch served con Ron, and traditional onion rings and deep fried snickers. We ate for over 2 hours, spread over multiple courses. The main challenge was fitting everything into one small oven with only one grate.

This week work will pick up again. The station is builing a classroom for our education projects, and we will start building that this week. Additionally, I am writing a couple short reports on animals to be used for a lesson plan for kids. My first one is on the hucksbill sea turtle!

Running

Running here is a lot of fun, but its definitely challenging at times. Its not uncommon for there to be some non-running breaks required. My favorite run so far involves running west about 18 minutes, swimming across the canal for about 2 minutes, and then continuing west. West of the canal is almost completely undeveloped, with just one road heading parallal to the coast, about a quarter mile inland. The road is about as wide as an ATV trail, and cuts through a mangrove swampt. Due to the rain, some parts were flooded at least six inches.

The other runs I do all are based off the main road that goes to the airport. The airport has just one plane that goes back and forth from the mainland. Once I had to wait for the plane to land, but usually I can just run along the runway and cut over to the beach.

Last week I was able to put in 59.5 miles, off of 7 days of running (range 5.5-12, avg 8.5, 11 days straight) .

Next Up

This week I will be making a trek to Rock Harbour, on the other side of the island. We will be collecting some iguana food and exploreing the mangrove labrynth. Thursday we´re going to one of the Cays off the coast to celebrate one of the Doro´s, one of the volunteers, birthday.

I think I will be leaving the station just before Thanksgiving. That will give me about 3.5-4 works for traveling. My initial plans are to head to Pico Bonito National Park, just south of the mainland ferry port, for a few days. There I will hike, and hopefully see a jaguar. Then, I think I will take a bus across the country to Copan. At Copan, I will go to the ruins, and do some more hiking in the national parks near there. There is a peak of 2400m just east of Copan. Following that, I think I will go the 10 miles west into Guatemala and explore a bit there. The southeast coast of Belize isn´t much further, but I don´t know if I will venture that far.

Adios!
Go Badgers!
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