What started 20+ years ago in Nicaragua, with visiting U.S. doctors and nurses seeing patients in tents and prescribing medicines out of trunks, has grown into a health clinic offering a full range of services to patients five days a week. Our clinic is located in a barrio of Ciudad Sandino, named Nueva Vida (meaning New Life). The Nueva Vida barrio was founded in 1998 when 12,000 flood refugees were moved onto two cow pastures after Hurricane Mitch, the most deadly hurricane of the 20th century. Besides serving these residents, the Nueva Vida Clinic receives patients from Ciudad Sandino and surrounding rural communities (pop. 180,000).