Then fill it with images of your adventure: people chewing coca leaves, exploring Machu Picchu, adopting a wild macaw.

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The great green macaw is also struggling in the wild in central America, with fewer than 25 breeding pairs in Costa Rica, and only about 40 birds in Ecuador.

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Each day, when the first rays of sun warm its ochre walls, the doline comes alive with the sounds of the red-green macaw, as formations of these exotically-plumaged parrots dive and wheel below the lip, periodically alighting en masse to bicker, preen and survey their domain.

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But American doctors whose patients run afoul of a duck ( see codes), macaw ( see codes), parrot ( see codes), goose ( see codes), turkey ( see codes) or chicken ( see codes) will be able to select from nine codes for each animal, notes George Alex, an official at the Advisory Board Co.

WSJ: New Medical Codes Provide Precision