Medicine Between Gaps and Ravines – Dr. Mónica Esquivel

Article published at: May 7, 2025
All Stories from medical staff

When I received my social service assignment letter, I stared at the town's name for several seconds. I'd never heard of it. I Googled it, but it wasn't even on the map. When I arrived, I understood why.

The road was a dirt track with endless curves. The clinic had an old desk, a couple of plastic chairs, and a box of expired medications. The bathroom was a hole in the floor. I slept on a cot behind the office. It was raining inside. The power kept going out. There was no cell service.

For the first few days, no one came. Then a woman arrived with two children suffering from scabies. I sat on the floor to treat them. I asked her for help making soap with ash and salt. The next day, she brought her sister. The following week, the entire community came.

I learned to check pregnancies with abdominal palpation, to improvise treatments when there was nothing but aspirin, to write prescriptions by hand on napkins.

One day, an old woman told me while I was treating an infected wound:
“We don’t need know-it-all doctors here, we need doctors who will stay.”

At the end of the year, it was hard to leave. I had learned more medicine than in any hospital. But above all, I understood that practicing medicine is not just about following protocols:
It's about adapting, observing, speaking calmly, and also healing through presence.

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