"Good morning star shine!" David chuckles from the nurses station

Arizona groans under her breath as she joins her colleauges in the clinic the following morning. Jet lag has officially taken it's toll, and she has the screaming headache to prove it.

"I didn't take you for a lightweight Robbins." Finn gently teases, You were practically passed out after one glass of chardonnay.

Arizona rolls her eyes "It's the jet lag." She turns her attention to the stack of charts in front of her, and feels a sudden burst of energy. It was finally time to get started. Jet lag be damned.

"Dr. Robbins!" Arizona can feel Penny's energy from across the clinic. She practically prances over to her and the other doctors, with another woman following behind her. She is tall, with beautiful bronze skin and long dark hair pulled back in a dreadlocked ponytail. Penny motions behind her "I have someone I'd like you to meet, Dr. Robbins, this is Makena Jones, your interpreter."

Arizona's face breaks into a grateful smile "Arizona Robbins. She extends her hand, "I'm looking forward to working with you."

Makena smiles "I've heard wonderful things about you as well Dr. Robbins. Her accent is beautiful.

Penny looks from one woman to the other

"are you ready to get started?

"Ready as ever!" Arizona is trying to find it within herself to match the perky woman's energy.

Penny claps her hands, "Well don't let me keep you!"

Arizona finds that her hands are shaking both from nerves and excitement as she takes her first chart, and makes her way over to the small waiting area she walked through yesterday

"Malachai? Is there a Malachai here?" She tentatively calls, looking over at Makena waiting for her to translate. Moments later, a woman and her young son step forward. Arizona guesses he's 4 at the most. He shyly buries himself behind his mother's long skirt. Arizona swallows her nerves as she glances up at Makena.

"Just be yourself Dr. Robbins. I'll take care of the rest." She smiles kindly.

Arizona kneels down to Malachi's level. "Hi buddy!" she says brightly, just as if she was back in seattle, dealing with any other patient. Makena and his mother begin to converse, and Arizona kindly holds out her hand to the shy little boy. He peeks curiously at her through saucer sized eyes.

"Dr. Robbins, his mother says he's been complaining of a stomach ache for 4 days now." Makena says gently.

She nods and straightens, "Let's get him to an exam room, and find out what's causing his belly ache" she says softly.

Once inside the Exam room, she allows Malachi to take hold of her stethescope, as she gently places her hands on his belly. Immediately, he squirms and cries out in Swahili for his mother.

She nods quietly and looks over at Makena. "Okay. This is what I thought. Malachai has a hernia in his belly. Makena, do we have access to an ultrasound machine?

Makena shakes her head "No, Dr. Robbins."

Arizona nods again, quietly figuring out what her next move should be. "Okay. No Ultrasound, what about access to CT?"

Makena shakes her head again, and Arizona begins to feel, on her very first day, the pressures of working in a third world country with limited medical technology available.

As Makena translates, Arizona elects to step out, and take a breath. She knew it would be hard, she knew her skills would be tested, but she thought there'd be at least... something to help her along. She mentally kicks herself for being optimistic.

She quietly knocks on the office door, where Penny is busy shuffling through paperwork at the desk.

"Dr Robbins!"

Arizona sits down across from her.

Penny looks up again. "Is there something I can do for you Dr Robbins?"

Arizona looks away, and fights off the familiar lump in her throat and the stinging in both eyes that she suddenly feels. No. She will not break down. She didn't come all the way from Seattle to break down in the middle of the Carter Madison Clinic on her first day, in her first hour on the job. No.

"Arizona, is everything alright?"

"I have a little boy in exam 1. I'm pretty sure he has a hernia." she starts slowly.

Penny nods, "Okay?"

"Normally, I'd do an ultrasound to comfirm. I'd do bloodwork to rule out any kind of infection. But, I'm getting the sense I won't be able to do that. Correct?"

Penny shakes her head.

Dr Robbins, I'm sorry. We're not equipped to handle the kind of diagnostic equipment you need.

Arizona balls her fists standing in Penny's office, "I can operate blind, and if I'm wrong, I could kill him, make him sicker. I came here to do a job, and I knew It would be hard. I knew that the minute I got my grant, but, please. There must be something I can do. Some way we can get the clinic modern equipment like an ultrasound machine, for starters.

Penny sighs sadly, welcome to third world medicine doctor. All of them are in this kind of shape. Were just not equipped, and no one hates that more than me.

Arizona shakes her head. "No."

"excuse me?"

"I said no. This is unacceptable. I want to put a portion of the grant money towards modern medical equipment for this clinic."

"Arizona." penny said gently, I know you're frustrated but were talking tens of thousands-

"I was told I'd have nearly unlimited funds" she interrupted. Who do I need to call, Mr .Carter Madison himself? I'll do it. We need access to a working lab for analysis, a portable ultrasound...and throw in a portable chest x ray machine while we're at it. She suddenly hold her head up higher, boosted with a surge of confidence.

Penny hesitated for a moment. There's a lab, it's in Lilongwe. We can arrange to have bloodwork looked at.

Arizona smiles, and the equipment?

That I can't promise. But I'll make a few calls. are you certain about using your grant money Arizona?

"yes."

Arizona stands up, and heads for the door

"Hell of a first morning Robbins" Penny says, with a hint of a smile forming on her lips.