Nicaragua day 3

Day three was when the real action started. A wake up at 6:00 for an early breakfast and a quick hop in the car. Today, we were driving out to one of the more rural communities. This means one hour drives both ways over roads not even meant for riding the local donkeys.
I am prone to carsickness and this did not seem like good news to me. At first it was just the highway that looked and felt like an asphalt tsunami. The only thing that prevented me from telling Paul to pull over was that opening my mouth enough to do so would have provided the necessary force to jettison my half-melted breakfast out of my mouth. I did what I should have done many times in my life: shut my mouth.
We stopped in the middle of the village. Our first order of business was to use the bathroom. I thought it was a terrible idea, but I did really have to go. Two ladies in our group went first. I don't know what I was expecting, but I was pretty impressed. Imagine a Portapotty. Now imagine a Portapotty without the sprayed excrement of 10-year-olds fueled by mountain dew and Cheetos. Difficult isn't it? The toilet shack was almost spotless. I guess that's what you get when the whole village has only one toilet. They realize that nothing less than the wrath of the gods would be inflicted if they so much as dribbled out of line. I was really quite impressed.
We sat in a literal mud hut with a tin roof. We had two hanging blankets separating us from our patients. We treated two children at once and a few adults. We handed out vitamins to supplement their diet of rice and tortillas. Many of the patients were the same: cough, headache, and general aches and pains. The most common disease we saw was “I want to go see the American doctors because I haven’t seen a doctor or an American in far too long ” disease. Apparently it’s serious enough to warrant a two hour hike.
Although most of the patients were kind of ho-hum "Here's some vitamins and stop standing with your face in the smoke" but a few were seriously ill. There was a NINETY year old woman who was probably more badass than Chuck Norris. She was suffering from aches and pains, dry skin and blindness in one eye. She said that her eye stopped working when she got hit on the head with a rock. Anyway, she was pretty incredible. I saw a lot of distended bellies and scabies on the kids. Mostly people just came because we were there. We saw about sixty people.
Later, while we were eating, I again noticed the group at the table across from us. They were a group of women, obviously American in all the worst ways. One lady who was particularly obnoxious seemed to have had quite a bit of work done on her face. Although, to be honest, it looked more like someone had stuck a finger in each of her facial features and just clenched their fist. She had a voice that grated across the eardrums like teeth on a chalkboard. All the women were very loud but she was particularly noticeable. I don’t actually think they were drunk; they were just naturally annoying.