PT - JOURNAL ARTICLE AU - Richard E. Allen TI - Stuck in the Mud AID - 10.1370/afm.756 DP - 2008 Jan 01 TA - The Annals of Family Medicine PG - 80--82 VI - 6 IP - 1 4099 - http://www.annfammed.org/content/6/1/80.short 4100 - http://www.annfammed.org/content/6/1/80.full SO - Ann Fam Med2008 Jan 01; 6 AB - The reservation was a littered muddy wasteland, and its population endured poor health, not unlike a third world country. Native American patients suffered from conditions of squalor, alcoholism, diabetes, and drug abuse. I was initially enthusiastic to serve this population, but my ideals and tolerance were challenged through time and experience. Rescuing a teenage girl in labor with a footling breech brought my cultural incompetence to a head. I searched for validation of my service and meaningful purpose in my efforts.