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travel companion set forth along the vari-        ciety, www.pams.org, a non-profit based in
            ous “rios” out of Iquitos and the surround-       Albuquerque, NM.
            ing jungle during a visit to Peru in 2007.            The mission of SIA intrigued me from
            After exploring several villages of “the for-     the moment Franke mentioned it a decade
            gotten ones,” as the population called it-        earlier. But it wasn’t until 2024 that I de-
            self, the pair did an assessment with the         cided to join her on her 20th annual expe-
            help of local leaders and medical profes-         dition. And so, per instructions, I flew from
            sionals, and chose the Rio Momón as their         Los Angeles to Lima, then boarded a local
            zone of “operations.” SIA is today a pro-         plane for Iquitos. The heat hit me like a hot
            gram of the Peruvian American Medical So-         brick when I exited the airport to lunge to-





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