In 1964, newly-minted physician Stephen C. Joseph, just out of his internship, undertakes a two-year assignment as the Peace Corps Physician in Nepal. The job has two facets: responsibility for the health and medical care of a hundred young Peace Corps Volunteers scattered over the roadless hills and valleys along the uplift of the Himalayas, and "do whatever else you want to do in medicine." Many lessons not learned in medical school challenge his ingenuity and inexperience: Learn to carry your office in a backpack trekking two-week circuits through the countryside visiting volunteers and holding impromptu clinics in isolated villages. Struggle with the contrasting responsibilities of being both the "Company Doctor" and the patients' trusted confidant. Rely on your own judgment without medical peers or teachers within reach to guide you. Come to grips with the realities of Third World poverty, whose determinants are not easily remedied by Western medicine. Some of the lessons are...

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