{"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":"2026-05-22T22:37:14","modified_gmt":"2026-05-23T03:37:14","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=\"size-full wp-image-13279 alignnone\" 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-Denver-Colorado.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, Dr. Fischer, 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 wp-image-13306 size-full\" src=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/..\/Images\/three-amigos.jpg\" alt=\"Dominican cardiac surgery team\" 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 first successful heart transplant in the Dominican Republic.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\">\u00a0<img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-13263 size-full\" src=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/..\/Images\/IMG_4928.jpg\" alt=\"Adam Pick with Dominican hospital administration\" 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":2,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/posts\/13259\/revisions"}],"predecessor-version":[{"id":44530,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/posts\/13259\/revisions\/44530"}],"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}]}}