Upstate endocrinologist Barbara Feuerstein, MD, and second-year medical student Moje Omoruan tell about the medical brigade they and several other medical students recently took to Bahía de Caráquez, Ecuador. This was Feuerstein's second visit since the 2016 earthquake that devastated the coastal area. Feuerstein and Omoruan describe the care they provided, much of it focused on diabetes education, and the challenges they encountered. The trips are organized through Upstate's Institute for Global Health and Translational Science, and the trip's participants worked closely with a nonprofit organization called Walking Palms Global Health, named after a tree indigenous to the region's rain forests. For information about upcoming trips, send an email to [email protected].