Guillaume Paugam welcomes Karina Darbinian on the pod today, for the second of two episodes with her. Karina is a doctor from Russia, where she completed all her medical studies. She now studies for an MSc in International Health and Tropical Medicine at Oxford, a multidisciplinary degree focusing on the delivery of healthcare in low to middle-income countries. As a doctor, Karina specialised in infectious diseases, a passion she discovered late in her studies. On today's episode, she discusses how she left her first job as a doctor in Moscow's largest hospital (discussed last week), to go volunteer in a rural clinic in Guatemala! She tells us all about rural medicine, the challenges and differences compared to urban hospital medicine, and talks at length about the links between the social and the medical in this remote part of Guatemala.