Royar, age 40, came to the Shewan Village Medical Outreach Program for the doctors to examine a massive thyroid tumor in her neck that was last checked by a physician over five years ago, Shewan, Afghanistan, Dec. 13. Dr. Aref Atiq, the Afghan surgeon from Farah Hospital who travelled with members of the Farah Provincial Reconstruction Team to Shewan for the VMOP, recommended that Royar go to Herat Hospital to have the mass surgically treated as soon as possible. However, with little money available and no viable means of transportation, it is unlikely that she will make the lengthy trip to try and treat the tumor.