pams 2009 magazine-internet version

8/9/2019 PAMS 2009 Magazine-Internet Version

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ICA - PERU

XXXVI ANNUAL CONVENTION AND SCIENTIFIC PROGRAM

The Paracas National Reserve, a UNESCO World Heritage National Site,

one of the richest ecosystems in the world,

with characteristics of great beauty


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EXECUTIVE COMMITTEE

President

Dr. Miguel Pro

President Elect

Dr.Roberto P. Coquis

Past President

Dr.Anibal Zambrano

Secretary

Dr. Jos M. Galvez

Treasurer

Dr. Jos Donayre

Members at Large

Dr Csar Aranguri

Dr. Pablo Uceda

Advisory Council

Dr. Marcos Chertman

A N

Secretary

Mrs. Ana May Salgado6488 Tamerlane Drive,

West Bloomeld, Michigan,

48322

(248) 8512709

ENDOWMENT FUND

Dr. Miguel Pro

President

Dr. Jos M. Glvez

Dr. Roberto P. Coquis

Dr. Jos Donayre

Dr. Gonzalo HuamnDr. Hernn Carrin

Dr. Ralph Kuon

NATIONAL COMMITTEES

Medical Missions:

Drs. Ralph Kuon

Bylaws and Discipline:

Dr. Arnaldo A. Garro

E - M

Economics:

Dr. Julio LaraValle

N

C;

Dr. Anbal Pepper

P R -

Public Health:

Dr. Roberto P. Coquis

P:

Dr. Vctor V. Rozas

D T:

Dr. Jos Glvez

Strategic Planning:

Manuel Valdivieso

A C:

Hospital Dos de Mayo:

Mrs. Mara Montesinos

PAMS Auxiliary

Astrid Valdivieso

2008 ANNUAL REPORT

Director: Dr. Vctor Vladimiro Rozas201 Orchard St.Alma, MI 48801

Telephone: (989) 463 5287EMail: [email protected]

Price $ 10.00

Free distribuon to PAMS members

PAMS ADMINISTRATIVE OFFICE

6488 Tamerlane Dr.

W B, MI 48322-2379T: (248) 851 2709

E-Mail: [email protected]

PAMS OFFICERS

ADVISORY COUNCIL

President:

Dr. Marcos Chertman

Dr. Agusn Arbul

Dr. Antero Trujillo

Dr. Hugo SnchezMoreno

Dr. Hector Bafora

Dr. Luis FloresVilar

Dr. Henry Montoya

Dr. Hernn Carrin

Dr. Ral Mujica

Dr. Angel Cordano

Dr. Adolfo Chipoco

Dr. Alberto Otero

Dr. Ralph Kuon

Dr. Carlos Bazn

Dr. Oscar Zambrano

Dr. Julio Sotelo

Dr. Pedro A. Poma

Dr. Rubn Chuquimia

Dr. Anselmo Pineda

Dr. Marcos Chertman

Dr. VctorVIadimiro Rozas

Dr. Edgar Malparda

Dr. Juan Angelats

Dr. Julio LaraValle

Dr. Lucio Flores

Dr. Hugo Tapia

Dr. Hctor Bustamante

Dr. Arnaldo Garro

Dr. Nora del Busto

Dr. Gonzalo Huamn

Dr. Anibal Zambrano

REGIONAL CHAPTERS

South California

Dr. Juan Carlos Alejos

San Diego

Dr. Adriana Bedoya

South Florida

Dr. Walter Janke

Tampa

Dr. Ricardo Ubills

Central Florida

Dr. Gonzalo Huamn

E R (NY, NJ, CT)

Dr. Ernesto A. Mendoza

N C

Dr. Arnaldo Garro

Southeastern Region

Fernando L. Franco

Regional Midwest

Dr. Vctor V. Rozas

Illinois-IndianaDr. Hctor O. Bustamante

Missouri

Dr. Ronald Mera

Puerto Rico

Dr. Eduardo RosCasanova

H, T

Dr. Luis A. Campos

Wisconsin

Dr. Eduardo Paz

L, P

Dr. Ernesto Ros M.

Victor Vladimiro Rozas

PAMS Magazine Editor

PAMS 2


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PERUVIAN AMERICAN MEDICALSOCIETY

XXXVI ANNUAL CONVENTION ANDSCIENTIFIC PROGRAM - 2009

T C I, P, S 23 S 26 2009

T H F H S, D, MI

MONDAY, SEPTEMBER 21San Fernando University Chapter

7:30 p.m. DinnerRestaurant La Memoria del Sabor,

San Isidro, Lima

WEDNESDAY, SEPTEMBER 23

1 p.m. Registraon - Hotel Las Dunas

7 p.m. Opening Ceremonies and Welcome

Recepon

THURSDAY, SEPTEMBER 24

10 a.m. Auxiliary Visit to Orphanage

11:45 a.m. Tour and Lunch at

La Caravedo Winery

7:30 p.m. Dinner at El Huarango Grill

FRIDAY, SEPTEMBER 25

10 a.m. Auxiliary visit to Hospital

12 p.m. Lunch at El Otro Peoncito

4:45 p.m. Tour to Areneros & Huacachina

7 p.m. Noche de Promociones

Hotel Mossone

SATURDAY, SEPTEMBER 26

7 a.m. San Fernando Alumni Meeng

11 a.m. Auxiliary Business Meeng

3 p.m. PAMS Business Meeng

7:30 p.m. Gala Dinner Dance

Hotel Las Dunas

SUNDAY, SEPTEMBER 27

Grand Opening of the Chincha

Medical Clinic and

Community Center

MONDAY, SEPTEMBER 21San Fernando University Chapter

10 - 11:30 a.m. Nephrology Grand RoundsNaonal Dos de Mayo

Hospital

THURSDAY, SEPTEMBER 24

8:30 - 11:50 a.m. I Celeste Sotelo

Memorial Lecture

II Efrain Montesinos

Memorial Lecture

XXVI Alberto Zapata

Memorial Lecture

I2:30 - 5:30 p.m. Nephrology and Arterial

Hypertension2:25 - 5:50 p.m. Medicine Program I

2:30 - 4:30 p.m. Symposium On Respiratory

Funcon

FRIDAY, SEPTEMBER 25

7:55 a.m. - 4:40 p.m. Cardiology Program I

8:25 a.m. - 12:30 p.m. Surgery Program

Medicine Program II

2:25 - 5:50 p.m. Medicine Program III

2:25 - 4:30 p.m. Urology Program

SATURDAY, SEPTEMBER 26

8 a.m. -5 p.m. Cardiology Program II

8:55 a.m. - 12:30 p.m. Psychiatry Symposium

8:25 a.m. - 12:30 p.m. Oncology Symposium

Symposium In Domesc

Violence

SCIENTIFIC PROGRAM

PAMS 3

SOCIAL PROGRAM


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ICA

Huacachina Oasis Humbolt (Peruvian) Penguins

Ica is known as an area of sand, sea, oases and valleys,

is known as the cradle of Perus Creole culture, of saints and

medicine men where the best pisco brandy is dislled andwhere religious fervor is strongest as seen in the worship of

the Seor de Luren or of the Yauca shrine. The sandy wastes of

this area gave rise to major pre-Colombian civilizaons which

have le traces that have survived wind erosion as well as the

ravages of me.

Ica is also an important agricultural region where grapes,

coon, asparagus, olives and other produce are culvated.

Thanks to the Ica valleys that Peru has become the number one

exporter of Asparagus in the world. It is known by Peruvians

as the land of the sun, and although there are four seasons,

the warm dry climate makes it feels like summer year-round.

Naves also claim the climate can even help cure asthma

Founded in 1563 by Luis Jernimo de Cabrera, the city

of Ica, capital of the Department of Ica, sll features superb

colonial construcons such as the Cathedral and centuries-old

mansions.

The road to Ica provides the traveler with a variety of

aracons. The rst stop along the way is Chincha, a balmy

valley that combines fesvals and tradion and which is the

heart of a culture forged by the descendants of African slaves

brought to work the coon plantaons. A few kilometers

further on lies the Paracas Naonal Reserve, the only

protected area in Per that includes a marine eco-system.From the pier at Paracas one can take a boat ride out to the

Ballestas islands, where lions, Humboldt penguins, amingos

and sea birds can be seen.

South of the city of Ica lies the Huacachina Oasis. Here

visitors may explore the surroundings of a lagoon, go for a ride

on a dune buggy, or pracce one of the ulmate sports in the

country, sand boarding. A few kilometers ahead are the Nazca

Lines, an enormous network of lines and drawings of plants

and animals that cover an area of some 350 square km. These

constute an extraordinary legacy bequeathed by the ancient

people of the Nazca culture and they provide an unforgeable

viewing experience for those who y over them.

Ica is at the heart of wine producon in Per. Although the

wine producing region is small, it has world class vineyards such

as Tacama and Ocucaje. Ica celebrates three major events:

the Wine Fesval and the fesvals of the Seor de Luren and

the Virgen del Carmen of Chincha. This is a good me to try

typical Ica dishes and sweets, as well as to visit the town of

Cachiche, famous for its folk healers who are said to be able to

cure all kinds of ills.

F H, S J, C, ISandunes in Icas Desert

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Maria Reiche, aGeman mathemacianwho dedicated half acentury to protecng andstudying massive ancientdrawings in the Peruviandesert, died MondayJune 8, 1998 at the ageof 95 from stomachcancer, doctors said.Reiche became a legend

in Peru for her almostsingle-handed bale to

preserve the Nazca lines, a set of mysterious animal guresscratched into the desert oor about 250 miles (400 km)south of Lima.

For years before the lines became a big touristaracon, Reiche guarded them so zealously that evenaer she was conned to a wheelchair she was known tochase trespassers o the sand dunes near the lines. ``Thisis a really painful and sad loss for Peruvian archeology,former President Alberto Fujimori told reporters during atrip to the United States.

Maria Reiche, who became a Peruvian cizen in 1994,died in an Air Force hospital in Lima surrounded by familymembers. German and Peruvian ags ew at half-sta inNazca and authories declared a day of mourning in thesouthern town, where the white gures, measuring up to1.2 miles (1.9 km) in length and etched in shallow ditches,can be fully appreciated only from the air. Reiche, whoinvested all of her money in a foundaon to preserve thelines, earned internaonal respect for her theories that theNazca peoples used the drawings alignment with the sunas a calendar. But her work was also costly to her health.

The Nazca Lines

The Nazca Lines are a series ofgeoglyphs located in the

Nazca Desert, a high arid plateau that stretches more than

80 km (50 miles) between the towns ofNazca and Palpa on thePampas de Jumana in Peru. Although some of the local geoglyphs

resemble Paracas Mofs, these are nevertheless largely believed

to have been created by the Nazca culture between 200 BCE

and 700 CE. There are hundreds of individual gures, ranging in

complexity from simple lines to stylized hummingbirds, spiders,

monkeys, sh, sharks or orcas, llamas, and lizards.

The lines are made from shallow designs in the ground

where the reddish iron oxidecoated pebbles that cover the

surrounding landscape have been removed, revealing the whish

earth underneath. Hundreds are simple lines or geometric

shapes, and more than seventy are natural or human gures. The

largest are over 200 m across. Scholars dier in interpreng whatthe lines were for but generally ascribe religious signicance to

them. The geometric ones could indicate the ow of water or be

connected to rituals to summon water. The spiders, birds, and

plants could be ferlity symbols. Other possible explanaons

include: irrigaon schemes, giant astronomical calendars, or a

bit more fantasc as landing strips for spaceships.

The dry, windless, stable climate of the plateau has

preserved the lines to this day, for the most part. Extremely rare

changes in weather may temporarily alter the general designs.

Researcher Joe Nickell of the University of Kentucky has

reproduced the gures using the technology available to the

Nazca people of the me and without aerial assistance. With

careful planning and simple technologies, a small team of

individuals could recreate even the largest gures within days.

In 1985, the archaeologist Johan Reinhard publishedarchaeological, ethnographic, and historical data demonstrang

that worship of mountains and other water sources played a

dominant role in Nazca religion and economy from ancient to

recent mes. He presented the theory that the lines and gures

can be explained as part of religious pracces involving the

worship of deies associated with the availability of water and

thus the ferlity of crops. The lines were interpreted as being

primarily used as sacred paths leading to places where these

deies could be worshiped, and the gures as symbolically

represenng animals and objects meant to invoke their aid.

However, the precise meanings of many of the individual

geoglyphs remain unsolved as of 2009.

PAMS 6


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PAMS 7

THE CHINCHA PROJECT

From a Dream

To a RealityAt press time, the building to host the Medical Clinic and Community Center

in the city of Chincha was being completed. The finishing touches are expected to be completedin the month of September. The equipment and supplies have arrived to the port city of Callao, and

everything should be ready for the Grand Opening on September 27, at the closingof the XXXVI PAMS Annual Convention


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PAMS 8

THE CHINCHA MEDICAL CLINIC

A Partnership for Success

At once the biggest and most ambious project of thePeruvian American Medical Society, the Chincha Health Clinicand Community Center had its auspicious beginnings in thesummer of 2008, requiring both unprecedented fund-raisingeorts, and a novel concept regarding the operaon of ahealth care facility.

The PAMS, as the leading organizaon in partnershipwith presgious instuons of the Peruvian private sector,has contributed so far $310,000 to this center. The PAMShas obtained a large amount of supplies and key pieces of

equipment, which have arrived in a large container at the portof Callao, ready to be shipped to the city of Chincha. The PAMShas also been busy developing models for the operaon of thehealth clinic as well as formulang a self sustaining budget.The PAMS has reached an agreement with Cayetano UniversitySchool of Medicine to be the an advisory enty and to pursuethe goals of assuring the delivery of health care according tothe highest standards and to implement prevenve medicineprograms.

Empresarios por la educaon (entrepreneurs foreducaon), is an organizaon that brings together businessand opinion leaders commied to the improvement ofeducaon in a manner that is equitable and accessible to all inthe country. The organizaon has contributed $300,000, has

made an addional commitment of $300,000, and expects toulize the second oor of the clinic.The Naonal Confederaon of Private Business

Associaons (CONFIEP) is an organizaon that brings togetherand represents the Peruvian Private Business Community,both naonally and internaonally. CONFIEPs main aim is tocontribute to the sustainable economic growth process of thecountry. CONFIEP found in the PAMS a serious, trustworthyand reputable partner. CONFIEP, the rst organizaon in theprivate sector to sign on for the Chincha project, contributed$200,000.

The Consorum of Peruvian beer makers Backus andJohnston, also signed onto the PAMS Chincha project with acontribuon of $125,000. The Peruvian Associaon of Poultry( Asociacin Peruana de Avicultura ), contributed $50,000.

The partners in the Chincha project have so far

contributed a total of $985,0000. The Peruvian AmericanMedical Society and other partners are expected to makefurther contribuons to cover inial operaonal costs andupgrades and complete nishing touches to the building.

The PAMS ocers played a crical role in the successfulcompleon of the building and in developing the operaonalmodel of the clinic. Starng with Dr. Anbal Zambrano, whoas PAMS President, 2008, iniated the fundraising eortsand cemented the project partnership, it connued with Dr.Miguel Pro, PAMS President 20082010, who managed theconstrucon project with the capable assistance of Dr. RobertoCoquis, PAMS President Elect. All three ocers along withthe Execuve Commiee of the

organizaon connue ne tuningthe operaonal model and arefurther engaged in duplicangthe project for the city of Pisco.The architect Orlando Loli notonly contributed his design forthe beauful building, but alsomade numerous trips to Per andChincha to monitor the buildingsconstrucon and to makethe necessary adjustments incooperaon with the engineeringsta and construcon company incharge.

M P, R C A Z

Orlando Loli


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PAMS 9

PAMS FUNDRAISING

P P, NJ A P

Several decades ago Paterson, New Jersey, was a texle-

industrial center that aracted thousands of Peruvian workers.

They came from several places, among them Callao, Paramonga

and several districts of Lima including Barrios Altos and La

Victoria. Although over the last decade the factories started

going bankrupt and laid o many of their workers, Peruvians

remained resourceful and managed to stay aoat. ThePaterson community of Peruvians responded to the PAMS call

for relief assistance for the Ica earthquake vicms and with the

cooperaon of the Paterson Peruvian Consulate, they collected

$44,441.

Dr. Walter Janke, a rered cardiovascular surgeon, former

President and Chief Execuve ocer of Americas Health Choice

Medical Plans, Inc., and currently President of the PAMS South

Florida Chapter, contributed through his Private Foundaon

the sum of $45,000. A mining company MInera Aurifera

Retamas S.A. (MARSA), located in the Parcoy District of the

Province of Pataz, Department of La Libertad, Per, pitched

in with$20,000 and the Cedars Sinai Medical Center Medical

Sta in Miami, Florida, contributed an addional $10,000. The

following individuals and organizaons also made signicant

contribuons: The Order of Augusnian Fathers from California

$9,886, PAMS Southern California Chapter $9,346, Saint

Francis Xavier Church $7,280, Martha Feller $5,180, Dr. Luis T.

Campos $5,000, Kindle Internaonal (a global clinical research

rm) $5,000, and PAMS San Diego Chapter $5,000. As well,

fundraising eorts organized by the PAMS Chapters of South

Florida, Tampa Bay, Illinois, Michigan, San Diego and Missouri

contributed thousands of dollars more.

CLINIC OPERATION

Dr. Miguel Pro, PAMS President, and the Execuve

Commiee have developed an operaonal budget which

will cover all services and overhead at the Chincha Medical

Clinic: Administrave, Medical, Nursing, Paramedical, X Ray,

Laboratory, Pharmacy, Housekeeping, Maintenance and

Security; it will also cover all ulies, telephone and internet

connecons. The yearly budget of approximately $335,000,

will make possible compeve compensaon packages for

all personnel. Since the expectaon is that the Clinic will be

self sustaining, a scale of charges for services rendered is

being considered, being careful to make them aordable for

paents with meager economic resources, these comprising

the populaon which PAMS specically wants to serve. Insuredpaents and those with beer economic resources would not

be excluded; hopefully the high quality of medical services

would aract that parcular segment of the populaon, thus

helping to subsidize care to poor paents.

The PAMS objecves for the medical clinic include not

only the highest quality medical care delivered in a competent,

compassionate and ethical manner, but also expectaon of

involvement of a Medical School in its management, as well

as providing opportunies to carry out research and acve

teaching. It is with regard to those principles that the PAMS

has reached an agreement with the Alberto Hurtado School of

Medicine of Cayetano University.

The Medical School would provide medical and technical

advice; formulate research projects; and propose personnel

for medical and administrave dues. It would also allocate

Physicians, Residents and medical Students for research and

teaching and to support the clinic sta in their health care

acvies. Finally, the Medical School would be the coordinang

enty for the clinic sta and support the Medical Missions

organized by the PAMS.

PAMS For Per, the legal enty in Per of the PAMS, would

provide all the necessary equipment and furnishings to make

the clinic operaonal and it would be enrely responsible forcovering the cost of personnel services and addional budgeted

items. It would also be responsible for developing the scale of

charges as menoned above and to secure the clinic personnel.

The promoon of the Medical Clinic will be the responsibility of

PAMS For Per.

D. W H. J


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PAMS SIXTH ANNUAL BUSINESS MEETINGMarch 28-29, 2008 ~ Navigator of the Seas, Caribbean Ocean

The PAMS sixth AnnualBusiness Meeng was held overtwo days at a oang hotel, TheNavigator of the Seas. Members

of the PAMS received reports ofthe current state and nancialcondion of the organizaon,and discussed other importantissues. Of parcular importancewere issues regarding ongoingand future programs, themaking of correcve plans and

consideraon of new avenues of funding. Following is a summary of the special presentaonsmade at the meeng.

Key Commiee ReportsStrategic Planning. In the absence of its Chairman Dr. Manuel Valdivieso, the Strategic

Planning Report was given by commiee member Dr. Jos Donayre. The Strategic PlanningCommiee established during the Presidenal period of Dr. Nora del Busto, was iniallycharged to evaluate the PAMS strategic planning and to increase PAMS membership. In 2007the Commiee made recommendaons regarding the implementaon of an eecve strategicplanning program, the establishment of a membership commiee, the development of a databaseof Peruvian health care providers, an updang of the webpage, distribuon of bimonthly reportsand, nally, regarding the development of recruitment tools. In 2008 the Commiee developeda trifold brochure which was mailed to over 2000 Peruvian physicians in the USA. It resulted inthe recruitment of 40 new members and in 2009 a new trifold was developed promong PAMSMedical Missions. The Commiees current recommendaons include making further upgrades tothe website, with links to specic Medical Missions; holding Poster Sessions depicng the MedicalMissions at the annual PAMS Convenons, broadening membership to include representaveswho reside in Per, and to further dene the role of the Strategic Commiee to include a naonal

strategy for new membership and promoonal acvies. The current membership on the StrategicCommiee includes: Manuel Valdivieso (Chairman), Hernn Carrin, Roberto Coquis, Jos Donayreand Csar Jara.

Medical Missions Commiee. Dr. Ralph Kuon, Chairman of the Medical Missions Commieewas not able to aend the meeng; however he sent a wrien report which outlined the majoracvies of the Commiee as well as lisng his personal contribuons:

Coordinaon with Peruvian authories such as Customs ocials, Ministries of Healthand Defense, and the Peruvian Agency for Internaonal Coordinaon (APCI), to permit asmooth entry of donated goods and coordinate their ulmate delivery.Support for PAMS Medical Missions and for a Medical Mission in Pucallpa supported alsoby the Internaonal group ISIS, as well as support for the creaon of a health clinic inPunchana, Loreto.Applicaon to charitable organizaons: Direct Relief Internaonal, Americares, Brothers& Brother, and Bridges Medical Internaonal, which resulted in four million dollars ofdonaons allocated to projects in Ayacucho, Apurimac, La Libertad, Huancavelica, Ica, andUcayali.Development of an agreement between the E-Salud System and the PAMS, which allowedfor the assistance to Huancavelica (praccal course in resecon of Hidac Cysts), and theevaluaon of the Bone Marrow Transplant Program at the Rebaglia Hospital in Limain cooperaon with Dr. Manuel Valdivieso and The Karmanos Cancer Center in Detroit,Michigan.Acquision of a Minibus for the transportaon of Paents in the Province of Caslla Alta,in Arequipa. Medicaons valued at $268,000 were obtained for the Valley of the Apurimacand Ene rivers (VRAE) and coordinated through the Defense Ministry

Manuel Valdivieso

J D

Ralph Kuon

W J

Ocean Liner Navigator of the Seas

PAMS 10


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Estate Planning and Charitable DonaonsPrivate Foundaons. Dr. Walter H. Janke discussed the value of a private foundaon as a

means to generate income for charitable purposes take advantage of tax exempon rules.Non-Operang Foundaons. The income generated could be potenally large, such as in

the case of Endowments managed by Universies and of a size requiring the services of businessprofessionals.

Steps before proceeding with individual private foundaon. In order to proceed with anindividual private foundaon it is necessary to determine the value of the estate and of personal

and family needs to allow a calculaon of disposable income. It is also important to remember thatmoney is not the most important part of an inheritance, other items of value and educaon are tobe of primary consideraon.

Inial Foundaon Funding. Maximum amount of gross yearly income can be assigned.Addional funds can be added to a foundaon in future years. Up to 30% of taxable income canbe deducted as well as twenty percent of securies at current market value. Using securies as ameans of funding is not advantageous at this me considering current market condions since themajority of securies have decreased in value. Corporaons can give up to 10% of their taxableincome. Foundaons typically exist in perpetuity.

Foundaon Management. Foundaons can be managed by personal aorneys, banks, adultchildren, or any other enty the foundaon determines to be trustworthy.

Foundaon Caveats. Five percent of average annual assets MUST be donated to established501(c)(3) non-prot organizaons. The recipients tax ID should be clearly documented. Improperdocumentaon can lead to the charity losing its exempt status and consequently being charged

penales and tax payments.501(c)(3) Foundaons. These non-prot organizaons can be religious, educaonal, scienc,

literary, etc. They are absolutely prohibited from parcipang directly or indirectly in any policalcampaign. Violang this prohibion will result in denial of tax exempt status and imposion ofexcise taxes.

Tax Requirements. Yearly tax returns have to be led. Failure to le may result in monetarynes of up to $250,000 per year. No estate taxes are levied on assets that are given to a foundaonaer a persons demise

Luis Strohmeier, an Economic Advisor, friend and contributor to the PAMS, reviewed thecurrent status of nancial market condions and how it has aected the PAMS investments.In a nancial market where a 40% drop in securies value was seen, the Peruvian AmericanMedical Society investments have fared a great deal beer, and that the nancial instrumentsrecommended by the Endowment Fund Commiee should benet once the recession ends and a

gradual rebound of the nancial markets takes place.Estate Planning. Luis Strohmeier, is a big advocate for Estate Planning and that the members

of the PAMS should incorporate the organizaon in their Estate Planning, as some members havealready done.

In connuing with the nancial aspects of the meeng, Mr. Robert Kramer, an aorney gave adetailed presentaon on Estate

Planning. Mr. Kramer discussed Asset Protecon, Transfer ofProperty at Death, Federal State Taxes (Exempon Amount,Marital Deducon and Charitable Deducon), Techniques toreduce Federal State Taxes (Irrevocable Life Insurance Trust,Charitable Remainder Trust, Charitable Lead Trust, PrivateFoundaon, Grantor Retained Annuity Trust, Self CancellingInstallment Note, Gis and Discounts). Mr. Kramer, dedicated

the greatest part of his me to Charitable Lead Trust as a way toprotect estate assets and maximize donaons to the charies ofchoice.

Mr. Patrick R. Lulley, discussed Charitable Remainder Trust(CRUT) as means to increase The PAMS Endowment Fund. CRUTallows the owner to contribute property to a self-controllednonprot Trust. The owner (and his spouse) have the right totake out a predetermined amount of income (set by them) fromthe Trust during their lifemes. Aer the death of both owners,the assets will go to their favorite charity, hopefully to thePeruvian American Medical Society Endowment Fund.

Robert and Maria Sjogren and their childrenTommy and Angela

Luis Strohmeier

Robert Kramer

P L

PAMS 11


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A A B M PAMS M - B M

M P, R M U,J J P N P

PAMS 12

H C, A Z, A G,J D V V. R

V J R, J H T,C J V

A L L P B

J & L A, C. L V,Kathy Zambrano

A Z, B G, A O


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PAMS 13

Since the unmely death of Dr. Efran Montesinos, the Cardiothoracic and Vascular Program

that he iniated in 1998 has connued under the direcon of Dr. Julio Peralta. Dr. Peralta, who

was mentored by Dr. Montesinos, has connued to fulll program objecves. The following is a

report given by Maria Montesinos at the PAMS March 2009 Business Meeng.

The year 2008 has seen a growth of 322 surgeries adding to a total of 2,050 since the

programs incepon.

SIS a Government Insurance

One of the favorable developments has been the

availability of a Government sponsored insurance program

called Sistema Integral de Salud (SIS). Designed for paents

with meager economic resources, it allows the procurement of

supplies and medicaons which are basic for cardiac surgeriesrequiring extracorporeal circulaon. In this manner 52 percent

of the paents have the opportunity to acquire their own

valve and the remaining are supported with donated valves.

Actually the SIS covers 70% of the basic paent supplies and the Program covers the remaining

30%.The SIS will also cover pre and post op examinaons, hospitalizaon, and blood bank costs.

The SIS has allowed an expansion of the stay to a total of 3 surgical days.

Medical Missions

The Program connues to welcome highly skilled surgeons who not only perform complex

procedures but also bring crically needed supplies such as cardiac valves. In 2008 we received

Medical Missions of the following physicians:

Dr. Alejandro Franco a cardiac surgeon with an established pracce in Youngstown, Ohio, also a PAMS member visited theProgram in the month of May; he intervened in 5 paents.

Dr. Luis Snchez from the Chilean Hospital Luis Calvo Mackena was the featured speaker in the Post Graduate Program

dealing with Congenital Cardiomyopathies. He surgically treated 6 children with congenital cardiomyopathies. The Program and

Mission took place in the month of August.

NATIONAL DOS DE MAYO HOSPITAL

CARDIOVASCULAR AND THORACIC DIVISION

EFRAIN MONTESINOS

D. J M F,

Statist ics :

A total of 2050 surgeries were

carried out since the program

inception in 1998.

20082007

20062005

20042003

20022001 *

20001999

322

267

237

211

261

146

233

88

140

620

50

100

150

200

250

300

350

400

TOTAL: + 2,050 surgeries

32%

52%

16%

C AR DI AC T HO RA CI C V AS CU LA R

The Program: Achievements (2007-2008)

T , 322 2008

Efran Montesinos Founder of the Program

Mara Montesinos


14/52

PAMS 14

S M S P

D. L C, S, C

Dr.James J. McFarland from Indiana visited the service in October. He in conjuncon with

the Program surgical team operated on 6 paents. He personally donated 26 valves as well as

other supplies.

U E E S

Newpieces of equipment were purchased for the Intensive Care Unit and Surgical Suite.Furthermore the Program has added nursing sta and there is now available a Perfusionist,

Nurse Jacinto Saravia.

M E

The program parcipates in undergraduate teaching with the School of Medicine of San

Marn de Porres University regarding the course on Cardiothoracic and Vascular Surgery. The

post graduate Residency

Training in that specialty remains with the San Fernando

School of Medicine.

A Clinical Fellow, Dr. Aldo Rafael Yurihuamn was placed

at the Cleveland Clinic, Cardiothoracic Surgical Program, from

July 2009 to June 2010.

Financial Support

The program overthe past 19 years has received

donaons from PAMS and its Chapters, in parcular from

Florida, Illinois, and California Rotary Clubs, San Fernando

Alumni, Midwest Peruvian Foundaon, personal friends,

and other enes. The Program covers 42% of the paents

with valves and other types of prostheses. In 2008 the

total expenditures increased to $40,000 which covered the

purchase of 12 valves. A fund raising event has been organized

by the Asociacin de Damas Voluntarias de la Direccin

de Salud V (Regional Health Vth Women Auxiliary), on

September 5, 2009, to take place at the Fortress Real Felipe,in Callao, Per. The fund raising is with the specic purpose to

economically support cardiac valve replacements at the Program.

D C T S, N H D M

In October 2008 a long lasng dream of Efran Montesinos became a reality and the Department of Cardiovascular and

Thoracic Surgery was ocially created, carrying the name of its creator, promoter and benefactor Dr. Efran Montesinos.

Mara Montesinos and her

children will connue with the

Mission as originally conceived

by Efran Montesinos, facilitang

the teaching of the specialty and

providing service to Peruvians withmeager resources and who are in

need. They connue to promote,

organize and coordinate Medical

Missions in the specialty with the

help of PAMS and to secure cardiac

valves to be donated to previously

selected paents.

Dr. Alejandro Franco

For over a decade the entire Montesinos

family has remained an integral part of the PAMS

and, consequently, a day of happiness in their

family, also represents a day of happiness for thePAMS. On June 12, 2009, Efran Montesinos Jr.

married Almudena Sainz in the beautiful city of

Seville, Spain. Efran Jr. is a Business Executive

with Belkin, and Almudena a Financial Execu-

tive with Cisco. They both have now moved from

Amsterdam, Holland and reside in Moscow, Rus-

sia. Efran Jr. is particularly committed to con-

tinue support of the Cardiothoracic and Vascular

Program at Dos de Mayo Hospital


15/52

PAMS 15

THE YANTALO PROJECT

Dr. C. Luis Vsquez and the Yantal Foundaon are pro

ceeding with the construcon plans for the Adela Soplin Clinic.

During the preconstrucon acvity in June of 2009, 60 students,

6 teachers and 9 parents donated a full day of work to clean

the land for construcon of the Clinic. This acvity was to be

followed by the making of precise markings for the layout of the

building foundaon, as well as the construcon of entrances for

heavy equipment, temporary parking areas, and to complete

the electrical installaon for equipment and arrangements for a

water supply.During the rst half of 2009, Yantal welcomed two

Dental Medical Missions with two addional Missions sched

uled for the remainder of the year. During one week in March

Dr. Michael Schiavone, a Denst, saw 270 students at the

school. He performed complete oral exams, applied a uo

ride varnish and dispensed toothbrushes. From that group he

selected 84 students for tooth extracons, removing a total of

174 teeth. Some of the youngsters needed double and triple

extracons. Dr. Schiavone was saddened by the high incidence

of dental caries present in children under age 14. In his view,

its occurrence represents a ve-fold increase over that exisng

in the United States. As a consequence, he started a program

of dental health educaon and le a series of health educaonshort videos in spanish.

From June 22 to July 6, Dr. Rogers Pierson from the

Eye World Foundaon, along with two medical students from

the University of Rochester, New York, and Dexter School of

Medicine in Philadelphia, Pennsylvania, together with a gradu

ate student nurse from the University of Memphis, Tennessee,

worked for 10 days to establish the groundwork for a cataract

surgery extracon program. They idened 42 cataract pa

ents, performed 198 reading tests, and dispensed prescripon

glasses donated by the University of Rochester.

In the month of September a pediatric surgical team

from the Medical College of Wisconsin will visit Lima and Yan

tal. They will hold a GI Pediatric Seminar at Rebaglia Hospital,

which will include case discussions and medical sta training in

laparoscopic surgery. In Moyobamba/Yantal, they expect to

perform pediatric surgery on select cases. One pending projectconcerns consideraon of a ten year agreement between the

Yantal Foundaon and the Childrens Hospital of Milwaukee,

the purpose of which will be to provide pediatric surgical sup

port.

Later this year, a group of densts aliated with Rush

University of Chicago will visit Yantal. Dr. Paula North, the head

of the pathology lab at Childrens Hospital in Milwaukee will

join the group and be given the task of designing the services of

pathology and laboratories for the Clinic and for determination

of their funding and training needs.

E M

M S


16/52

T C, C, L

OPERACION SAN ANDRES

M , F 2008 D S,

R W, M

Despite being fairly close to the capital of Per, the

town of Collique in the District of Comas, remains a shanty

town in stark contrast to the resort area of Asia, also near

Lima. With a populaon of 100,000, its residents exhibit a70% poverty rate and remain in dire need of vital services

including medical care. Operacin San Andrs (OSA) began

in 2003 with an inial 16-person missionary trip to Huaycn,

Per. Under the leadership of Dr. Luis A. Campos, a Peruvian

Cardiologist and PAMS member, and in partnership with the

South Main Bapst Church, since 2004 OSA has been work

ing to alleviate poverty and help overcome the lack of health

care for thousands of Colliques residents. Dr. Luis A. Campos,

working closely with his wife Ruth, has been joined on several

of the missions by his son Marco, a Cardiology Fellow at Baylor

College of Medicine in Houston, Texas.

Dental/Medical Missions in Collique were carried outboth In October 2008, by a 49 person team and in April of 2009

by a team of 37. Each team typically included a group of 10

physicians complemented by nurses, densts, dental hygien

ists, and optometrists. Addional numbers of volunteers trav

eled to work in construcon, food and clothing distribuon,

Chrisan Educaon, and in support and administrave roles for

the medical, dental and vision programs.

OSA has a well stocked pharmacy with an inventory

containing 100 topical and oral medicaons. Addionally, the

pharmacy has dispensed over 1,000,000 mulvitamin tablets.

The dental program under the leadership of West Ficken,

ulized four dental chairs along with the necessary dental

instruments. Recently pao lounge chairs were purchased tobe used as dental chairs. During a typical mission trip each

dental hygienist sees 20 paents a day and distributes 1000

toothbrushes. The chairs and instruments are kept on site

and OSA oers their onsite dental facility to other missionary

groups interested in providing care to marginalized people. The

Vision Care Program received a boost with the addion in 2005

of a resident Dr. in Optometry. Approximately 3,000 pairs of

prescripon eyeglasses have been donated to or purchased by

OSA for free distribuon to those with impaired eyesight

The ocially recognized sponsorship of the Jos Gal

vito Preschool connues and OSA provides a nutrional lunch

and vitamins to approximately 120 children ages 35. OSArecently constructed a sports complex which it donated to the

Jos Galvito School. It has also added a community recreaon

program for young children and teenagers. The daily program

Living Water-OSA is aended by approximately 45 children

ages 8-11, where they receive enrichment educaon in read

ing, math and science, plus a snack or nutrional meal.

OSA has a clothing distribuon program and every

year approximately 200 items of clothing are distributed.

PAMS 16


17/52

P, D. P P (8 )

PAMS 17

M D, D. L A. C Mission Volunteers with local children

D. M C,

The OSA house was ocially dedicated in 2007 aer

a purchased residenal complex was extensively renovated.

The rst oor of the OSA house contains two meeng rooms,

a fully equipped kitchen, and a bathroom with running water;

the second oor is used as living quarters for the caretaker;

and the third oor has a two bedroom apartment. The OSAhouse obviously has facilitated work of the missions.

One of the remarkable aspects of OSA is their house

repair program. In April of 2009, twelve of the Mission volun

teers completed home improvements for seven families, mak

ing their living condions signicantly beer.

OSA also maintains a permanent sta of six people

in Collique, Per, under the Direcon of Blanca Urrua de

Falconi. Among their tasks is to support of the lunch program

at Jos Galvito Preschool. The Academic enrichment program

includes two bilingual teachers from Houston, and serves 42

children. A social worker and an educaonal psychologist work

closely with local families.

In the future OSA will be pursuing increases in coop

eraon between the PAMS and other organizaons to further

enhance opportunies for improvement of health care and

wellness of poor Peruvians.

On February 3, 2008, the Consul General of Per, Mr.

Carlos Polo, on behalf of the Foreign Ministry and the Peru

vian Government presented an Award to Dr. Luis A. Campos

in recognion of his great humanitarian eorts. From amongnominees submied worldwide by all Peruvian Consulates,

Dr. Campos was selected to receive this annual award given to

disnguished and unique Peruvians.

L P J G S


18/52

J A

Ralph Kuon

Eduardo Sotomayor

Y M

L A. C, has been recognized by the Peruvian Government

and its Foreign Ministry as the Most Disnguished Peruvian in

the Community of Peruvian Expatriates. Dr. Campos was selected

from among nominees submied world-wide by all Peruvian Con

sulates. Carlos Polo, Consul of Per in Houston, Texas presented

the Award in a special ceremony on February 3, 2008.

C. L V, was awarded an Honorary Degree of Master of

Architecture. The award was given by the Administraon of the

NewSchool of Architecture & Design. The recognion was extend

ed to Dr. Vasquez for his extensive involvement in the design of

the Yantal Hospital in the Department of San Marn, Per.

B M G, was appointed Vice Dean of Educaon

at the School of Medicine of the University of Western Ontario,

Ontario, Canada. Dr. Garcia had been Chair of the department of

Pathology at the same Instuon.

M V, was recognized by the Barbara Ann Karmanos

Cancer Instute for his disnguished career as its Chief Medical

Ocer. John C. Ruckdeschel, President and Chief Execuve Ocer,

in paying tribute to Dr. Valdivieso said, Manuel is the quintes

senal gentleman. He is an outstanding lung cancer physician and

a clinical trial pioneer, his aenon to detail and his knowledge

of how a hospital and clinic work made him invaluable as our rst

Chief Medical Ocer.

J C. A, received the 2008 Tumi Award in recognion of

his accomplishments as a researcher and clinician in the eld of

Pediatric Cardiology. Dr. Alejos is also the founder of Hearts with

Hope and has done extensive missionary work in Per.

Dr. Ralph Kuon, received a Diploma from the Peruvian Defense

Ministry and Armed Forces for his work on their behalf in the

Apurimac and Ene River Valleys. Dr. Kuon has also been elected

President of the Associaon of Peruvian Instuons in the United

States (AIPEUC).

E S, has been appointed to the Scienc Commit

tee of the American Society of Hematology, and to the study sec

on of the Naonal Instute of Health (NIH) in Cancer Inmunopa

thology and Immunotherapy. He also serves on Advisory Boards to

Academic Instuons. Dr. Sotomayor is Professor of Oncology at

the University of South Florida College Of Medicine and his area ofprimary research is immunotherapy of B cell malignancies.

Y M, the daughter of Edgard and Georgia Mal

parda was recently awarded a Medal for her valor and disncon

while serving the U.S. Army in the war in Afghanistan. Yvee is

currently a Sergeant E-7 and has been in the Army for the past 12

years.

Luis A. Campos

L V

Bertha Garcia

Manuel Valdivieso

AWARDS AND DISTINTIONS TO PAMS MEMBERS

PAMS 18


19/52

PAMS 19

Mara Crisna Puente de la Vega Montesinos, was born in the city of Arequipa, Per,

where she aended elementary school at the Internaonal School, one run by Brish

naonals. She completed high school at Sacred Heart and subsequently moved to Lima to

pursue college studies. She enrolled at the Ponc Catholic University in Lima and later

connued at the University of Toledo, Ohio, where she graduated with a Bachelors degree

in Fine Arts. She has been a member of the American Society of Interior Designers and hasparcipated in many events related to her profession.

While studying in Lima she met and married Efran Montesinos; soon aer they would

emigrate to the United States. As Efrans lifeme companion she was a source of strength and

support for him. They had four children: Mara Cecilia, Efran Fernando, Mara Claudia and

Susana Mara.

Mara Crisna has been a very acve parcipant in PAMS aairs, rst in the local Midwest

Chapter when they lived in Toledo, Ohio, and subsequently as President of the PAMS Auxiliary.

Her social sensivity, which she shared with her husband Efran, took her inially to a Medical

Mission in Hai. She and Efran learned the administrave details associated with a Medical

Mission and in 1994 they started the PAMS Medical Missionary Program. Their very rst Mission was to the Regional Hospital

in the city of Cuzco; other Missions would take them to Arequipa, Ayacucho, Abancay, Hunuco and many other cies in Peru.

The seed planted by Efran and Mara has grown into a healthy leafy tree, and through the years over y Medical Missions have

produced greater than 5,000 surgical procedures and many more thousands of outpaent consultaons along with millions

dollars of donated equipment and supplies.

One of Maria Crisnas greater achievements has been the creaon of the Cardiovascular and Thoracic Surgical Program

at the Naonal Hospital Dos de Mayo. As the right hand of Efran Montesinos, the two of them have created an internaonally

recognized specialized program, one which has become a naonal reference center for indigent Peruvians aicted with cardiac

and thoracic ailments.

Maria Crisna and her children have connued their work supporng the Surgical Cardiovascular and Thoracic Program at

Dos de Mayo Hospital.

The Peruvian American Medical Society proudly bestowed the 2008 Humanitarian Award on Mara Crisna Puente de la

Vega Montesinos, recognizing her long me contribuons to the health and dignity of Peruvians and for represenng the Society

with honor and disncon.

PAMS 2008 HUMANITARIAN AWARD

UNIVERSAL HEALTH CARE IN PERU At the me of his inauguraon as Perus Cabinet Health Minister, Dr. Oscar Ugarte Ubilluz

outlined the guidelines under which he would manage the Ministry of Health. His priories

included, rst, the advancement of decentralizaon, recognizing that the Health Sector within

the State is one area that has achieved the greatest gains. Second, he believed that the Min

istry of Health should assume the responsibility of direcon and management of the Health

System in order to overcome its pervasive fraconalizaon and Ineciencies. Third, to regard

Universal Health Care as a right of every cizen to have access to proper medical care. Fourth,

to reinforce the rst level of health care by expanding the coverage of health care, especially in

rural areas. Fih, to request adequate nancing from the State; parcularly in consideraon of

the fact that in Lan America, Peru has one of the lowest percentages of gross naonal productdesned for health care. Sixth, to end the unfair system of personnel working under contract,

without full benets. Dr. Ugarte Ubilluz values human resources and believes that all health

care personnel should have the right to dignied work and to be properly compensated.

On March of this year President Alan Garca signed the promulgated law of Universal Health Care. There is a great chal

lenge to make it eecve and to do that will require adequate nancing. Its implementaon will begin in the poorest Depart

ments of Ayacucho, Apurimac and Huancavelica, and then it will be progressively applied to the rest of the country.

Dr. Ugarte is also quite aware of the PAMS contribuons to Peruvian Health Care and has expressed admiraon and

respect for the organizaon. He looks forward to connuing and expanding mutual cooperaon in benet of the disadvantaged

populaon.

Dr. Oscar Ugarte Ubilluz


20/52

SYNOPSIS OF THE ANNUALCONVENTION IN CAJAMARCA,

PERU, JULY 9 - 12, 2008

PAMS M A M

O C. B H C.D. A Z, PAMS P,

C P A

Trip to Porcn

Astrid Valdivieso andKathy Zambrano

The city of Cajamarca hosted the PAMS XXXV Annual

Convenon. Dr. Anibal Zambrano, as President of the PAMS,in a unprecedented manner organized the Convenon and a

Medical Mission with a conngent of 120 volunteers. Conven

oneers were lodged at Hotel Laguna Seca, near the Inca hot

springs baths, and the Mission volunteers at the Hotel Costa

del Sol.

The XXXV Annual Scienc Program, under the Direcon

of Dr. Vctor V. Rozas, included two main programs. The Inter

naonal Course in Gastroenterology and Endoscopy was held

from July 10 -12 at Hotel Costa del Sol, and had an impressive

roster of speakers from United States and, Lima, Per. The Sci

enc Program itself was held from July 9-12 at the Cajamarca

Convenon Center. The Scienc Program had its tradional

Alberto Zapata Memorial Lecture delivered by Carmen Carpio

from the World Bank. It also included two addional Memorial

Lectures: the Efran Montesinos Memorial Lecture given by Dr.

Jaime Espinoza, President of the Peruvian Society of Cardiol

ogy, and the PAMS Auxiliary Lecture presented by Marcela

Callirgos. The Convenon oered parcipants the opportu

nity to visit the aracve city of Porcon as well as the Otuzco

necropolis.

Kathy Zambrano, PAMS Womens Auxiliary President, was

recognized for her leadership, fund raising eorts, and skill in

organizing the social program. In addion to being recognized,

she received a beauful bouquet of owers from the PAMS

Auxiliary presented by Astrid Valdivieso.

Danny Cevallos

K Z, P B, A Zand Alejandro Glvez (Vice Mayor)

PAMS 20

F A, N C, J T,Ana May Salgado


21/52

PAMS AUXILIARY

F A, G M I G

The PAMS Auxiliary has

connued with its tradion of

providing support to orphan

ages and maternitypediatric

services at the hospitals of

cies serving as host to the

PAMS Annual Convenon.Under the leadership of

Kathy Zambrano the Regional

Hospital Neonatology Service

of Cajamarca beneted from

a substanal PAMS Auxiliary

donaon that consisted of: 6

newborn cribs, one incuba

tor, 1 phototherapy lamp for

jaundiced newborns and 100

sets of bed sheets, constung a total investment of $11,574.

A $500 donaon was also given to cover computer classes for

older youths at the orphanage Casa Hogar Belen.

At the Annual Business Meeng of the PAMS Auxiliary

members discussed the plight of older orphans who at age 18

can no longer stay at the orphanage. Without proper training

and a transional plan to integrate them into the community,

those individuals are easily exploited and frequently are caught

in a cycle of poverty and crime. To further explore possible

avenues by which the PAMS Auxiliary can contribute to the

alleviaon of that parcular problem, a Research Commiee

was appointed, with the task of inquiring about orphanage

programs of self suciency for older residents.

For the forthcoming Annual Convenon in Ica, the

PAMS Auxiliary will try to raise sucient funds to pay for com

puter training of older orphans in the city of Ica, and to take

them on a shopping experience such as allowing them to pick

up their own shoes and subsequently be treated to a movie.

A M: J C, A C,K Z, M M, MG, J R S D

C L A, M M,R, B E M

O, A K Z L C M

PAMS 21

K Z, G V, M P,C A A G

Kathy Zambrano


22/52

Scientifc Program

Jorge Trejo, Gladis Palacio Velarde, Csar Aranguri

Vcto R. Felipa, Vctor V. Rozas,Celso Gmez-Snchez, Roberto Coquis

Mary Penny, Carmen Carpio, Alberto ZapataMemorial Lecturer, Maria Isabel Rojas,

Luisa Sacieta, Reyna Liria

Maria Hinostrosa Sjogren J C

The XXXV AnnualConvenon Scienc Program

had oered an ambious

agenda of over 70 featured

speakers. Of special interestwere the symposiums on

Domesc Violence and

Childhood Malnutrion,highlighted in the nextpage, including two keynote

speakers; Marcela Callirgos,

PAMS Auxiliary Lecturer and

Carmen Carpio, AlbertoZapata Memorial Lecturer.

A course in

Gastroenterology andEndoscopy developed in

collaboraon with the local

gastroenterology group,

had the parcipaon of

renowned researchers: Dr.Maria Hinostrosa Sjgren

from Walter Reed Hospital,

Washington, D.C., and Drs.James Petersen, Paul Buse and William Chapman from the

University of Saint Louis, Missouri.

The Cardiology Symposium featured Drs. Jorge Trejofrom the Mayo Clinic, Gladis Velarde from the University

of Rochester, New York, Cesar Aranguri from King Drew

Medical Center in Los Angeles, California, Alejandro Franco

cardiothoracic surgeon from Youngstown, Ohio, and JaimeEspinoza, President of

the Peruvian Society of

Cardiology and EfranMontesinos MemorialLecturer.

The program of

nephrology and hypertension

featured Dr. Celso Gmez-Snchez, Director of

Endocrinology at the

University of Mississippi, Drs.

Vctor Felipa, Vctor V. Rozasand Roberto Coquis.

Dr. Luis Giufra organized

a symposium of Psychiatry,with the collaboraon of

Drs. Paul Packman, Leonidas Theodoro, Adelita Segovia and

Max Benzaqun from the University of Saint Louis, Missouri,

and Drs. Hector Coloma and Silvana Sarabia from Lima, Per.The major themes were depression, bipolar disorder, anxiety,

aenon decit disorder and demenas.

In the program of obstetrics and gynecology Drs. Pedro

Poma and Hctor Bustamante from Chicago, Illinois, discussedbirth control, puerperal bleeding, stress urinary inconnence

and immunizaon against human papilloma virus.

J E,Efran Montesinos

Memorial Lecturer

PAMS 22


23/52

On Friday July 11, 2008

the rst symposium on

Domesc Violence was held,

organized and coordinated byDr. Lleni Pach, an Associate

Professor of Psychiatry at

Upstate Medical University in

Syracuse, New York .

The symposium opened

with a PAMS Auxiliary

keynote lecture delivered by

Marcela Callirgos, a scholar

and researcher with extensive

experience concerning sexual

abuse and exploitaon of

children. Her presentaon

tled, Working Project to Fight Against Childhood Sexual

Abuse and Exploitaon, uncovered startling stascs and

provided a blueprint to eliminate one of the scourges of the

country.

Among the selected group of speakers was Dr. Bernardo

Cano who discussed his extensive experience in the treatment

of children and adolescents at the hospital Guillermo Almenara

en Lima. He showed that the incidence of familial violence

-physical, sexual and emoonal- reached 75%, with profound

repercussions on their emoonal and cognive development.

Dr. Miguel Oliveros, addressed the issue of school

bullying, a kind of aggression that ranges from name

calling to elbowing, physical hing, stealing and extendsd

to harassment even by use of internet E-Mail. He found an

approximate incidence of 50% in his studies in the highlands of

southeast Per.

Another topic of interest concerned disparies by gender

and their eects on the reproducve health of vicms. Dr.

Daniel Aspilcueta showed the great economic impact that

domesc violence has on the family and society in general.

Dr. Alex Guibovich, remarked about the importance of

establishing a mutual relaon with the paent and family

concerning the decisions taken in regards to the women

vicms of domesc violence.

The symposium ended with a presentaon of Dr. Ana

Maria Castaeda who reviewed the basic aspects of domesc

violence as a human phenomenon and the necessity to

intervene in all the elements involved in its development as

well as in its persistence. She proposed a muldisciplinary

methodology to provide a comprehensive vision, allowing for

the development of common objecves, with the ulmate goal

of resolving the causes of domesc violence.

The organization of this symposium demonstrates the

increasing sensivity of the PAMS, recognizing the detrimental

and epidemic character of domesc violence.

CHILDHOODMALNUTRITION

PAMS 23

M C, PAMSAuxiliary Lecturer

Recent studies have

demonstrated that all

children have the same

growth potenal, regardlessof origin or ethnicity, and

Peruvian children should

be no excepon. The

communies of Lliullapuquio

and Nueva Esperanza from

the Department of Apurmac,

Per, have shared a long standing history of extreme poverty,

however the biggest dierence now is that the children of

Nueva Esperanza are growing normally.

A normal child should achieve a linear growth of 80

cenmeters by its second birthday; not able to do so implies

the presence of malnutrion, with its adverse consequences

in brain development and intelligence. In Lliullapuquio, 8 of

every 10 children is considered malnourished. Eight years

ago the same was true for the Nueva Esperanza children, but

now thanks to a program of counseling and monitoring only 2

out of every 10 children are malnourished. Nueva Esperanza

children are healthier, more capable, and advancing in

socializaon and learning like any other normal child. , Thanks

to a World Bank program, eight years ago the local health clinic

(posta mdica) started a program of regular counseling and

monitoring of mothers and children of Nueva Esperanza. A

trained nurse started following pregnant women beginning

with their 14th week of gestaon and connuing monthly

aer child birth. This program made all the dierence in theworld and parents now understood the importance of proper

nutrion and as a result malnutrion no longer is invisible.

Children that become malnourished are more likely to be

less producve, to have less income and remain in poverty

experiencing both increased morbidity and mortality.

The Peruvian American Medical Society considers it to

be extremely important to educate health care providers

about the devastang consequences of the so called invisible

malnutrion. A generaon of Peruvian children is at risk of

being unproducve and in poverty due to the lack of proper

nutrion in their crical rst two years of life. No eort should

be spared to duplicate the posive experience of Nueva

Esperanza; the future of the country depends on it.

For the symposium on childhood malnutrion, we had

a select group of experienced speakers which included Dr.

Mary Penny and Ms. Reyna Liria from the Naonal Instute

of Nutrion in Lima, Dr. Maria Isabel Rojas from the Childrens

Hospital in Lima, Dr. Luisa Sacieta, and from the World Bank,

Carmen Carpio, who was the Alberto Zapata Memorial

Lecturer, in her presentaon, A New Social Contract for Peru,

emphasized the World Bank experience at Nueva Esperanza.

DOMESTICVIOLENCE


24/52

Carlos & Luisa Alvarado

Julia and Julio Pardave, Kathy Zambrano, Robertoand Connie Coquis, Bernarda and Javier Valencia

Celso Gmez-Snches and daughter Clara, PedroPoma, Gloria and Ral Mujica, Eddie and Carmen Ros

Alejandro Franco, Vctor V. Rozas, Eduardo Cevallos,Luisa Sacieta, Roberto Coquis, lleni Pach, JaimeEspinoza, Maria Isabel Rojas and Carlos Tejada

Connie Coquis, Maria Isabel Rojas, Luisa Sacieta,Zaida Franco, Lleni Pach and Jaennee Rozas

PAMS 24

Alejandro & Zaida Franco

Edgar Soto, Carlos Bazn, Anbal Zambrano andMiguel Vasquez, surrounded with young

Cajamarca Missionaries

Miguel Pro, Ernesto DAngelo,Maria Elena Escudero, Jorge Moreno

and Anbal Zambrano

Jaennee and MariaJorge & Beatriz Trejo


25/52

Mari Carmen & Willi Ros

Javier Taboada and Rmulo Armas. Seang:Mari Carmen and Willi Ros, Jaennee andVctor Rozas, Flor Armas and Natalie Cole

PAMS 25

Astrid and Manuel Valdivieso, Albino andPatricia, Flores. Seang: Juan Zegarra, Julio Cruz,

Ramn and Nora del Busto,

O V, A Z M P

Irma Bustamante, Mara Montesinos,Hctor Bustamante, M. Velarde. Seang: Elma Mera,

Csar Aranguri and Gladis Velarde

C. Bazn & A. ZambranoJuan Julio & Doris Geldres Shirley & Gonzalo Huamn

Vctor Felipa, Gisella Andrade,Ernesto Rios Montenegro, Carlos and Luisa Alvarado,

Luis Vsquez and Janice Felipa

And the PAMS XXXV Convenon Party Goes On


26/52

XXXVIPAMS ANNUAL CONVENTION

ICA - PER

PAMS 26

D. M P ,

J M, L E D G

2008 2009


27/52

PAMS 27

Editorial Note. Aer having worked in Medical Missions to Ayacucho, Abancay and Cuzco, I noced clinical condions which most probably

have resulted from persistent smoke inhalaon. In Andean communies, cooking is typically done indoors in rooms with poor venlaon

and by using biomass fuels in largely inecient stoves. All of this is conducive to the development of indoor polluon. To further understand

the problem, I have reviewed the literature, and since applying soluons to the problem of indoor air polluon will have a posive impact

on the health of thousands to millions of Peruvians, I have decided to publish a summary of my ndings

The Problem. In a recent report the World Health Organizaon (WHO) indicated that 10%of deaths are due to just two environmental risk factors: unsafe water, including poor sanitaon

and hygiene; and due to solid fuel used for cooking. The WHO states that

indoor air polluon from solid fuel use is responsible for more than 1.6 million annual deaths.

The world populaon of households that use coal and or biomass fuel stoves is esmated at 500

million, about half of the world populaon. In Per it is esmated that 20-40% of the popula

on uses solid fuels, a nding corroborated by Dr. Miguel Pro. In his survey of the populaon of

Marjuni, by viewing a picture taken by Dr. Pro one can appreciate the nature of a poorly venlated

room where wood is used as fuel in an inecient stove. Mostly women and their young children

are exposed to this quiet killer because of its role in cooking, even when the cooking is done out

doors.

AirC. Tradional biomass stoves are inecient, with less than 20% of the fuel

energy transferred to the cook pot. This is due to poor combuson and variability of fuel, as wellas poor insulaon and lack of contact of hot gases with the pot. Incomplete combuson creates

large volumes of byproducts, almost all hazardous to health. The main contaminants are carbon

monoxide CO (90%), small parcles, and the remainder is made up of toxic gases. A typical

wood-red cook stove in India, using one kg of wood for a meal, will generate 454 g of carbon as

well as add to the problem of global warming. In many places, such as Hai, chopping down trees to secure wood for cooking causes severe

deforestaon and contributes to mudslides, as well as other problems.

Health Impact. Air contaminated with parculate maer aects the respiratory system by: inhibing and inacvang mucocili

ary streaming; killing or neutralizing alveolar macrophages; constricng airways; causing vasodilataon and excessive mucous secreon;

producing alveolar cell wall structure changes; and traveling to other parts of the body. Dozens of studies have shown a consistent relaon

ship exists between solid fuel use and the development of pneumonia in young children and chronic obstrucve pulmonary disease (COPD)

in women. Other studies have shown relaonships to TB, lung cancer, low birth weight, sllbirth, asthma, and cataracts. Carbon monoxide

(CO) diuses from the alveoli to the capillaries, binds to hemoglobin, and travels through the body. It can cause ssue hypoxia, with cardio

vascular eects being the greatest concern.

P S. Improvements can be made in venlaon, with properly designed chimneys to direct the smoke outdoors. In

expensive stoves with beer combuson could increase eciency and lower emissions. Use of processed biomass in the form of pellets, as

demonstrated by MIT engineer Amy Smith, would improve combuson and markedly curtail air contaminaon. Switching to liquid/gaseous

fuels that burn more cleanly, such as fossil fuels, alcohol, liquid gas, biogas would also help reduce the problem.

Role for the Medical Missions. The Medical Missions must

work to increase awareness of the problem by local health authori

es. The Missions should have available a pulse oximeter and a

portable spirometer for proper evaluaon of paents with respiratory

condions. It is also necessary to acquire a UCB parcle monitor,

an inexpensive instrument developed at the University of California

at Berkeley to measure air parcle contaminaon . This tool would bevery useful in visits to the community, and constutes an acvity that

may be suitable for many college students who join us on the Mis

sions. As the size of the Mission volunteer groups increase it would

be parcularly interesng to enlist groups like Engineers Without

Borders to help in long term soluons.

Vctor Vladimiro Rozas O. M.D.

SMOKE IN THE KITCHEN

S , D.M P M P - L F


28/52

Alberto Consiglieri, M.D.

Celeste Sotelo, R.N. Joseph Desloge Jr.

PAMS 28

Alberto A. Consiglieri, a

distinguished gynecologist

and obstetrician, and Past

President of the Peruvian

American Medical Society,

passed away peacefully on

February 3, 2009. Dr. Con-

siglieri received his medical

education at the University of

Pennsylvania School of Medi-

cine and his post graduate

training at Moftt Hospital of

the University of California,

San Francisco. For over 35

years he served the communi-

ty of the San Francisco Bay Area, having delivered over 6,000

healthy babies.As President of the Peruvian American Medical Soci-

ety, Alberto A. Consiglieri presided over the X Annual PAMS

Convention held in San Francisco, California in 1983. During

his tenure as President, the annual PAMS magazine was started

under the direction of Adolfo Chipoco.

Dr. Consiglieri is survived by his wife Annabelle;

ve children, Bambi, Harvey, Lewis, Beto and Marieta; seven

grandchildren; one great grandchild; and three brothers and

sisters. The PAMS is very grateful to Alberto, he served the

organization with honor and distinction.

Joseph Desloge Jr. a

benefactor and friend of the

Peruvian American Medical

Society died Thursday

(March 19, 2009) at his

home, Beauchamp, near the

Missouri River, on an estate

his family has owned since

1926. Mr. Desloge became

deeply involved with PAMS

missionary work. He had

traveled through Mexico where he supported many charitable

projects. He donated a substanal amount of money which

allowed for the opening of the rst Iquitos Burn Unit, and

traveled through the villages near the Amazon river, hosted by

Albeto Otero. He also economically supported the endeavors

of the Missions to the city of Cajamarca, and celebrated with

us our accomplishments at the annual PAMS business meeng

that took place in Saint Louis, Missouri in 2008. Joseph DeslogeJr. connued a lineage of family members exhibing great

social sensivity; his grandfather Firmin Desloge gave his name

to Firmin Desloge Hospital, now Saint Louis University Hospital

Celeste C. Claussen

de Sotelo, passed away on

September 19 of 2008 in

Teaneck, New Jersey, United

States.

Born in Chicago,Illinois, she graduated from

Saint Xavier University

with a Bachelors degree

in Nursing in 1965. She

worked at Mercy Hospital

in Chicago and moved to Teaneck, New Jersey en 1971. She

dedicated her life to her family, her church as a Eucharisc

Minister, and as a Council Member, and was in charge of the

community store for poor people. In her community she

regularly organized blood donaon campaigns. Celeste loved

music, she enjoyed songs and salsa dances, the Peruvian

waltz, and in parcular slow Lan dances Boleros. Closest to

her heart was the work she performed with PAMS sponsored

Medical Missions to the city where her husband was born,

Abancay-Apurimac, Per. She worked as the Administrator

of the Mission for six years in a row. It is precisely her deep

understanding of the Andean culture and its people that

sparked her love for the impoverished communies of the

region of Abancay. She paid special aenon to those who

were most vulnerable, parcularly the elderly and the children,

and she took hundreds of pictures of the Peruvian countryside.

Her fundraising eorts on behalf of the Mission were yearlong

eorts and she involved her enre family who many mes

traveled with her to Per. Her hands were always extended to

those in need and it was not unusual to see that her householdhad grown with many family members and friends traveling

from Per; her house was like a big welcoming tent.

Celeste is survived by her husband Dr. Julio E. Sotelo

Sierra, and her children Andr and his wife Michelle, Dianna

and her husband Carlos Matos, and Tania and her husband

Ofer Rodriguez. She is also survived by grandchildren Gabriel,

Xavier, Elijah, Soa and Cedric, sisters Marianne Spruck,

Kathleen Fuller, Anita T. Chilson, brothers Joseph, Marn,

David, Peter, and Jude Claussen.

Celeste C. Claussen Sotelo will always be remembered as

an individual who possessed a great deal of social sensivity;she was open minded, respecul and a hard worker. She will

be honored by the Peruvian American Medical Society with

a Memorial Lecture to be presented during the Scienc

Program at its Annual Convenon. The rst Celeste C. Sotelo

Memorial Lecture tled Domesc Violence, Social and

Generaonal Repercussions will be delivered by Dr. Lleni

Pach, an Associate Professor of Psychiatry at Upstate University

School of Medicine in Syracuse, New York, on September 26,

2009, at the Main Auditorium of the Saint Louis de Gonzaga

University School of Medicine.


29/52

Once again in 2009, the research team of people from CEIS (Centro de Enseanza, Invesgacin y Servicios) submied

their work to Experimental Biology (Luis A. Rueda and Jhony Caucha) and to the XXXVI Internaonal Union of Physiological Sci

ences (Julio C. Cruz). Meengs of these groups were held in New Orleans, LA, U.S.A. (April, 4-7th,) and in Kyoto, Japan (July, 27th

to 1st of August), respecvely.

It is worth nong that this is the third consecuve year that our team has represented the Universidad Nacional de

Piura (UNP) abroad. This eort deserves to be emulated by both the private and other naonal universies in Peru. Due to Peru

vian Law, except for the President of UNP travel expenses abroad are not covered for UNP members. To help with this problem,

CEIS sponsored in part the travel costs as well as in part sponsoring the research projects executed by our team; these facts are

acknowledged in the publicaons.

The work presented at scienc meengs, as menoned above, has been published:

New method of calculang alveolar CO1.2

transport. Luis J. Caucha, Julio C. Cruz and Luis A. Rueda. FASEB J.

23:1037.2, 2009

CO2.2

expirograms during ERV (expiratory reserve volume) expiraon. Luis A. Rueda, Julio C. Cruz and Luis J. Caucha.

FASEB J. 23:1037.3, 2009

Lessons learned from Washington (1968) to Kyoto (2009). Julio C. Cruz. Proc. XXXVI Internaonal Congress of Physi3.

ological Sciences (IUPS 2009).J. Physiological Sciences 59 (suppl. 1): 105, Abstract P2AM41, 2009.

The rst two works and my work from 2008 will be presented in the Symposium on Respiratory Funcon at our XXXVI PAMS

Convenon in ICA. It is scheduled for Thursday, September 24th , from 2:25 to 5:00 p.m. in the Anatomy Theater, Ica School of

Medicine. Also, the following posters will be exhibited in Spanish:

Thirty years later a new interpretaon, experiments done with argon inhalaon in 1964 and 1994. Julio C. Cruz1.

Jibaja, M.D.

New methods of measuring the transport of alveolar CO2.2. Mgr. Luis J. Caucha Morales.

Spirograms of CO3.2

during expiraon of VRE (volumen de reserva espiratoria) Luis A. Rueda Avalo, M.D.

Julio C. Cruz

Dr. Julio C. Cruz, a scienst and researcher, is the man behind the Center for Teaching

Research and Service ( Centro Para Enseanza y Servicio - CEIS), a non-prot organizaonhe founded in Per with the objecve of fostering research and the training of teachers in

basic medical sciences. Dr. Cruz has mentored several individuals and thanks to the CEIS their

training has been complemented in academic centers in Lan American countries and the

United States. Dr. Cruz as member of the Peruvian American Medical Society has placed the

CEIS under the umbrella of the PAMS Endowment Fund and therefore has received the PAMS

economic support in recognion of the fact that the CEIS Mission is consistent with the PAMS

Mission in the area of medical educaon. Dr. Cruz as a rm believer of the CEIS Mission, has

not hesitated to allocate his own economic resources to the CEIS, thus becoming the number

one contributor to the PAMS Endowment Fund. The CEIS is also associated with the Naonal

University of Piura where Dr. Cruz currently holds an appointment as Honorary Professor

in the Department of Morphologic Sciences and Physiology, and with Ohio State University

School of Medicine where he is an Adjunct Professor.

Dr. Julio C. Cruz academic record is quite extensive; he holds a Medical Degree fromSan Marcos University School of Medicine, and a Doctoral Degree from Cayetano Heredia University School of Medicine, both

in Lima, Per. He studied pulmonary physiology at the University of New York in Bualo and was a researcher at the Instute

of High Altude Studies of San Marcos University and at the Instute of Environmental Medicine of the USA Armed Forces in

Massachuses. Dr. Cruz also is trained in anesthesiology and pracced that specialty for many years in Toledo, Ohio. Dr. Cruz

has had teaching appointments at San Marcos University, Cayetano Heredia University, University

of Toledo, Ohio and was a Vising Professor of Physiology at the Max Planck Instute of

Experimental Medicine in Gongen, Germany. Dr. Cruz has many published research arcles in

peer reviewed journals, a book on respiratory physiology, and over 100 abstracts and scienc

presentaons at naonal and internaonal scienc events.

D. J C. C

PAMS 2

CENTER FOR TEACHING RESEARCH AND SERVICE


30/52

PAMS 30

CHORRILLOS MEDICAL MISSION 2009From June 1 5, 2009, a team of volunteers from the US worked for a

seventh consecuve year at two mission locaons: Chorrillos and Zapallal

(fourth year), Peru. This was a combined eort of a sister parish relaonship

between Christ the King Church in Toledo, Ohio and Our lady of Lourdes in

Chorrillos, in conjuncon with the Peruvian-American Medical Society. This

years team consisted of seven members: an Internist/Emergency medicinephysician, a cardiologist, an advanced pracce nurse, a nursing student, and

three undergraduate college students, two of whom were bilingual. In addion,

two men from Our Lady of Lourdes parish helped in Chorrillos, and Sr. Carol

Reamer assisted at the orphanage. In Chorrillos, Fr. Chris Dunn, the priest at Our

Lady of Lourdes, again provided the space and support for a mission to promote

health for the children in his barrio. Volunteers at St. Francis of Assisi church

in Triangle, Virginia made health kits in advance of the mission and shipped

them for use at both the Chorrillos and Zapallal sites. This year, money was also

donated by members of Hampton Park Chrisan Church.

In Chorrillos, the team did health screening exams on 557 children aged 4

to 14, from preschool through sixth grade. Through the vision screening, 183

children (32.8%) were idened who needed further vision tesng and possibly

glasses. Money from individuals and Christ the King parishioners was sucientto pay for glasses or new lenses for these students. The King Benevolent Fund

ensured that each child and their family members were dewormed, and a

sucient supply of the medicaon was le to ensure further deworming later in the year. The King funds were also used to

provide mulvitamins for each child examined.

Deworming the children remains a priority. By simple observaon of the children who were seen this year, their weight

to height rao appears to be closer to a normal range than when the mission rst started at this site. This year, the childrens

weights were recorded in even kilograms, making an accurate body mass index (BMI) impossible. Next year, a dierent scale

and a more precise reading will be recorded to allow calculaon of an accurate BMI.

The Mission respiratory and vitamin programs were again re-supplied. Unfortunately, not as many free medicaons were

available this year, thus reducing the volume of medicaon available. The respiratory program provides free nebulizaon

treatments for children with asthma. The vitamin programs provide mulvitamins to children as well as pregnant and nursing

women in the barrio. Fr. Chris medical post also provides dental care. Although this years mission did not have a denst

or provide uoride treatments, these services connue to be needed. Of the 557 children examined on the mission, 225 or40.39% need dental work. Since Fr. Chris is the chaplain at the local rehouse, the mission volunteers once again resupplied the

rehouse with disposable items for their paramedics.

In Zapallal, 200 children from infancy to age 14 were examined. Thirty-ve children needed addional vision tesng and

possibly glasses. Two children were found to have pneumonia, and two others

needed cardiac tesng. These problems were brought to the aenon of the

physician on duty at the orphanage medical post. Many children had various stages

of chicken pox, some with secondary bacterial skin infecons. Many children

had lice, scabies, impego, or other skin disorders. The treatment for lice will

need to wait unl the dry season. Clinic supplies and medicaons were given to

the medical post physician so that the children could be dewormed again in six

months. One startling observaon this year was that 92% of the children had a BMI

below normal, signicantly up from the 27% from the previous year. This indicates

a serious need for high quality calories, protein, and a broad spectrum of nutrients,

thus taking priority over most other needs. Therefore 75% of the donated money

will be directed towards meeng the nutrional needs. The two highest priories

at this site have become food and lice treatments. It is also hoped that the use of

the items in the health kits will also improve their general health and reduce the

frequency and severity of any illness. Our next mission to Chorrillos and Zapallal is

scheduled for July, 2010, with the exact dates to be decided later.

Martha Gallagher, Ph.D., R.N. Dr. Tom Gallagher with ayoung patient

Not interested in an ear exam


31/52

CANGALLO FUNDRAISING AND MEDICAL MISSION

F G A P

The Cangallo Medical Mission sponsored a fundraising

event at the restaurant Ceviche House in Rockville Maryland.

One hundred people turned out for the event and among theguests was the Consul of Per in Washington D.C, Mr. Fernando

Quiroz, who had acvely promoted the gathering. Represen

taves from the media, newspapers and television, were on

hand. Dr. Arnaldo Garro President of the PAMS Washington

Area Chapter made a presentaon outlining the PAMS acvi

es, with parcular emphasis on the Medical Missions.

The evenings entertainment was rich and varied.

Four singers: Dayn Aldana, Laura Sosa, Raquel Bejarano and

Ins Chavez, were accompanied by a musical group under the

direcon of Manuel Ercilla. A folklore group Aires del Per

complemented a delighul evening. All entertainers volun

teered their services.

Dr. Juan Alberto Arrisueo, the main organizer and

promoter of the event also had the collaboraon of Western

Maryland Health Systems. Mnica Huguet from Gem Graph

ics and Kelly Towles from De Nada Design, produced aracve

posters and managed their distribuon and adversing for the

event. De Nada Design, which specializes in accessories for

men and women, provided mulple gis for the parcipang

arsts. Mr. Alfonso Tamayo, owner of the Restaurant, oered

the facilies free of charge and generously reduced the price

of the menu by 70%. The Pan American Medical Society shared

its database with the organizers Dr. Francisco Reyes , his wife

Adela, and Marn Palma, along with other Nicaraguan naonals, who all contributed to a successful fundraising event. The

total amount collected was $8,000 which was earmarked for

the Cangallo Medical Mission.

The Cangallo Medical Mission acvies were car

ried out in Cangallo, Ayacucho, from May 25 to 30. A container

lled with supplies and equipment and sent prior to the arrival

of the Mission was held up by Peruvian customs, handicapping

the eecveness of the Mission. In spite of this, 1,500 paents

were aended to and several surgical procedures were per

formed. The Medical- Nursing Sta was composed of Drs. Juan

Alberto Arrisueo (Mission Director and General Surgeon), Dr.

Miguel Pro (Ophthalmologist), Thomas Gallagher (Emergency

Room Physician), Catalina Alegre (Pediatrician), Carlos Picone

(Pulmonary), Hctor Aguilar (GP), Nestor Vega (OB_GYN) and

Martha Gallagher R.N. PhD. In addion the Mission had the

assistance of three medical students and two volunteers.

Cangallo Missionaries

PAMS 31

Dr. Juan Alberto Arrisueo is a graduate of San Marcos

University Medical School, Class

of 1975. He received General

Surgery Residency training at

Lutheran Hospital in Balmore,

Morristown Memorial Hospital, in New Jersey, and Sloan

Memorial Keering Hospital

in New York City. He followed

this training with a Fellowship

in Crical/Trauma, at the Shock Trauma Unit of the University

of Maryland Instute of Emergency Services and Systems

and he currently is Medical Director of Trauma Services at

the Memorial Hospital of Cumberland, Maryland. He is Board

cered in Surgery and a Fellow of the American College of

Surgery.

Singer Laura Sosa


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AREQUIPA MEDICAL MISSION 2008

PAMS 32

D. A P J G ( )with local surgeons

The Medical Mission to the city of Arequipa, Per,

under the direcon of Dr. Anibal Pepper and his wife An

nie, took place during the month of September, 2008, at the

Regional Hospital Honorio Delgado. A total of 59 professionals

including physicians, nurses, technicians, optometrists, medical

students, translators and other volunteers worked shoulder

to shoulder with the local hospital sta. A total of 138 surgi

cal procedures were carried out. In the eld of ophthalmology

four ophthalmologists performed 56 eye procedures, many

of them involving removal of cataracts thus restoring sight to

many paents. Plasc surgeons, under the direcon of Dr. Juan

Angelats from Loyola

pams 2009 magazine-internet version

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