{"id":13259,"date":"2013-03-15T15:49:01","date_gmt":"2013-03-15T20:49:01","guid":{"rendered":"http:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/?p=13259"},"modified":"2019-09-06T08:33:43","modified_gmt":"2019-09-06T13:33:43","slug":"mission-day-one-update","status":"publish","type":"post","link":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/2013\/03\/15\/mission-day-one-update\/","title":{"rendered":"Medical Mission Update #3 &#8211; An Amazing Day in Santo Domingo!"},"content":{"rendered":"<p>I awoke this morning in Santo Domingo with a good feeling. During the day, that feeling transformed from good&#8230; to great&#8230; to inspired&#8230; to extraordinary. The source of that transformation was &#8216;Day One&#8217; of the <a href=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/2013\/03\/02\/medical-mission-mount-sinai-dominician-republic\/\">Mount Sinai Medical Mission<\/a> at Hospital General de la Plaza de la Salud (HGPS) in the Dominican Republic. While I could ramble on-and-on about all that we experienced today, I thought it might be fun to share several pictures from this altruistic event.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-13279\" src=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/..\/Images\/MS03730.jpg\" alt=\"Leonel Pirchardo With Family Before Surgery\" width=\"550\" height=\"366\" \/><br \/>\nLeonel Pirchado &amp; Family<\/p>\n<p>&nbsp;<\/p>\n<p>First, consider the picture of Leonel Pirchado, his wife, three daughters and son-in-law. Leonel, who was the first patient of the day, was <a href=\"https:\/\/www.heart-valve-surgery.com\/mitral-valve-regurgitation-symptoms-leaking.php\" target=\"_blank\" rel=\"noopener\">diagnosed with severe mitral regurgitation<\/a> in September. Leonel had a unique disorder known as <a href=\"https:\/\/www.heart-valve-surgery.com\/barlows-disease-syndrome-mitral.php\">Barlow&#8217;s disease<\/a>. To remedy that disorder, the Mount Sinai &#8211; HGPS team performed a complex bi-leaflet valve repair.<\/p>\n<p><!--more--><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-13269\" src=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/..\/Images\/MS03759.jpg\" alt=\"Dr. David Adams, Dr. Fred Milla and Natalia Sanchez\" width=\"550\" height=\"492\" \/><br \/>\nDr. Fred Milla, Natalia Santana Sanchez &amp; Dr. Adams<\/p>\n<p>&nbsp;<\/p>\n<p>After Leonel was taken to the operating room, <a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-David-Adams-New+York-New%20York.php\">Dr. Adams<\/a> and <a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Federico-Milla-Atlanta-Georgia.php\">Dr. Federico Milla<\/a> met Natalia Santana Sanchez (shown above), who was the second scheduled patient. A very sweet woman, Natalia lit up when Dr. Adams walked in the room. It turns out that Natalia is Internet-savvy and spent a good amount of time researching Dr. Adams. Like Leonel, Natalia also suffered from mitral regurgitation and required a valve repair operation using an annuloplasty ring.<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-13271\" src=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/..\/Images\/MS03888.jpg\" alt=\"Dr. David Adams &amp; Adam Pick at HGPS\" width=\"550\" height=\"366\" \/><br \/>\nDr. David Adams &amp; Me<\/p>\n<p>&nbsp;<\/p>\n<p>The next stop was&#8230; the operating room. A few minutes before the procedure began, I had time to discuss this <a href=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/2013\/03\/02\/medical-mission-mount-sinai-dominician-republic\/\">Medical Mission<\/a> with Dr. Adams and learn more about his earlier philanthropic work. Unknown to me, Dr. Adams had previously traveled to China, Thailand, Indonesia and Vietnam for similar missions.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-13293\" src=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/..\/Images\/MS03915.jpg\" alt=\"Gideon Sims, Dr. David Adams, Dr. Ricardo Lazala\" width=\"550\" height=\"366\" \/><br \/>\nGideon Sims, Dr. Adams, Dr. Ricardo Lazala<\/p>\n<p>&nbsp;<\/p>\n<p>I continued to learn more about Mount Sinai&#8217;s charitable efforts from Dr. Ricardo Lazala, the Mission Director, and Gideon Sims, the Administrative Director, of the Mitral Foundation.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-13272\" src=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/..\/Images\/MS03965.jpg\" alt=\"Dr. David Adams Performing Mitral Valve Surgery\" width=\"550\" height=\"366\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>Once in the operating room, the Mount Sinai and HGPS team worked together seamlessly. Here you can see all the physicians &#8212; Dr. Adams, Dr. Milla, <a href=\"http:\/\/www.mitralvalverepair.org\/content\/view\/110\/\">Dr. Fischer<\/a>, Dr. Bernada Cedano, Mary Joy Santillan, RN, and me &#8212; huddled around Leonel as they reconstructed his valve.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-13273\" src=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/..\/Images\/MS04050.jpg\" alt=\"Annuloplasty Ring Being Prepared For Implant\" width=\"550\" height=\"366\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>As you can see above, <a href=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/2009\/12\/15\/annuloplasty-rings\/\">an annuloplasty ring<\/a> was used to support the structure of Leonel&#8217;s valve.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-13280\" src=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/..\/Images\/MS03922.jpg\" alt=\"Juan Obando, The Perfusionist\" width=\"550\" height=\"366\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>Juan Obando, CCP, was the perfusionist and managed the heart lung machine while Leonel was on bypass.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-13306\" src=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/..\/Images\/three-amigos.jpg\" alt=\"\" width=\"550\" height=\"366\" \/><br \/>\nDr. Alcantara Abreu Silverio, Dr. Miguel Guerrero Columna and Dr. Ricardo Lazala<\/p>\n<p>&nbsp;<\/p>\n<p>During the day, I learned a lot about HGPS from Dr. Alcantara Abreu Silverio, Dr. Miguel Guerrero Columna and Dr. Ricardo Lazala (shown above). At a meeting with Dr. Julio Amado Casta\u00f1os Guzman, its Chairman, Greisy Concepcion, its CEO and members of the HGPS leadership team, along with a hospital tour conducted by Desiree Diez Portela, I learned that this facility is the largest hospital in the Dominican Republic with 12 operating rooms, 285 beds and 9 wards. Last year, HGPS had over 300,000 patient consults and 14,000 hospitalizations. It should also be noted that on July 18, 2012, HGPS performed the <a href=\"http:\/\/hgps.do\/news\/hgps-realiza-el-primer-transplante-de-corazon-que-se-practica-en-republica-dominicana\/?lang=en\" target=\"_blank\" rel=\"noopener\">first successful heart transplant<\/a> in the Dominican Republic.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\">\u00a0<img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-13263\" src=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/..\/Images\/IMG_4928.jpg\" alt=\"\" width=\"500\" height=\"333\" \/><br \/>\nGreisy Concepcion (HGPS CEO), Me &amp; Desiree Diez Portela&gt;<\/p>\n<p>&nbsp;<\/p>\n<p>After the Mount Sinai-HGPS team performed a successful mitral valve repair on Natalia, the group went out for a late dinner at David Crockett&#8217;s. At midnight, we returned to HGPS to ensure that Leonel and Natalia were doing well. Good news&#8230; They were doing great. \ud83d\ude42<\/p>\n<p>By the time we got back to the hotel, I was exhausted. That said, I quickly jumped into bed to get as much sleep as possible before &#8216;Day Two&#8217; of the mission began. To get more mission updates and other important information about heart valve surgery, you can <a href=\"https:\/\/www.heart-valve-surgery.com\/subscribe-adams-blog.php\">subscribe to my free newsletter<\/a>.<\/p>\n<p>Keep on tickin!<br \/>\nAdam<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":25428,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[63],"tags":[],"class_list":["post-13259","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-adams-updates"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/posts\/13259","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/comments?post=13259"}],"version-history":[{"count":0,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/posts\/13259\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/media\/25428"}],"wp:attachment":[{"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/media?parent=13259"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/categories?post=13259"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/tags?post=13259"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}