66 
Obviously, this admission of total unreliability at the point my 
journal writing occurs in a state of dream-like exhaustion, allows one to 
question the "validity" of anything that I write. One can always claim 
that I was exhausted] Well, that is how I would have it, for if I can 
bring the validity and the substance of the dream world and fantasy life 
of a Proust or a Joyce to these prosaic pages, I am fulfilling myself and 
my purpose far more than I am when I mechanically and routinely record 
"facts". 
Walter Schneider coming to bed awoke me and I have gotten up with 
a bad conscience to write and work and see what my colleagues have done 
without my help with the vast backlog of work before us. Even yesterday's 
bleedings were in the refrigerator, not yet off the clots. We had over 
fifty hemoglobins, blood smears and hematocrits from today's work to 
attend to in the laboratory, and I do not know whether anyone in our party 
felt up to handling them all. 
Judy has been on the ship all day with a very inflamed foot. Her 
cuts have become acute endematous tropical ulcers, and we now have her on 
parenteral antibiotic. 
The day started with confusion and changed plans when Walter told me 
on the walkie-talkie, as the ship approached Lehali from its anchorage in 
the Big Bay for the night, that the Captain would be willing to take ten 
to twenty people back to the calm anchorage of Big Bay for X-rays and EKGs, 
if we so desired. We did and I quickly sought out and found fifteen volun- 
teers from Lehali to make the trip and return after noonhour . However, 
ever, at the landing, some twenty minutes walk over the rocky beach from 
the village, we further decided to try to shoot six or twelve X-rays on the 
ship and send the people back ashore, and then take ten to twenty on to Big 
Bay, where the developing tanks could be filled, the first six to twelve 
developed, and the work go on. 
This scheme wasted an hour and a half, for the swell out at sea was 
too much and Richard could not take adequate chest films. Of the thirty- 
five (!) we sent out to the ship, 13 were sent ashore, only three of 
them with X-rays done and 8 with EKGs, and 22 went on to Big Bay, 
where Judy and Walter were helping Richard and Ray and with Jean Guiart 
helping with the problems of interpretation, managing to get chest 
films on all, along with EKGs, physical examinations, measurements, hemoglo- 
bins, hematocrits and thick and thin blood smears. 
On shore, Paul, Francoise, Don and I completed the physical exami^ 
nations and hematological studies and measurements on most of the sub- 
jects left a home. It was a clear and. windy day — at times with strong 
gusts of wind — ^and we spent it quietly and productively at work growing 
ever closer and more intimate with the people. They brought themselves 
and all of their babies for these further examinations and cooperated com- 
pletely. Their natural cultural modesty made the providing of stool 
specimens a problem, but my extremely good rapport with the forty school 
children prevailed and I soon had all the boys and the girls bringing 
us neatly wrapped samples of feces done up in leaves. They had run off 
to the bush in groups of threes to sixes and returned amused, 
