ISHI's return to the Philippines in 2012 was to the Southern region, this time to Dapitan City on the island of Mindinao. The mission was first proposed by Rey Sygaco RN. Dapitan City was identified to be a rural area with many patients unable to afford surgical care. Consequently, patients ignore their disease for years and then present with advanced disease states. Mr Sygaco, born and raised in Dapitan City, currently lives in Chicago and has a nonprofit organization (Dapitanon Inc) to support projects in his old hometown. A nursing school classmate of Sygaco, Socorro Rogers, an ISHI veteran, proposed that ISHI team up Dapitanon and conduct a surgical mission together. Mr. Sygaco then put ISHI in touch with Dapitan City's Vice Mayor Patri Chan, who identified Dr. Jose Rizal Memorial Hospital as a site for the ISHI surgical mission. Objectives of the mission were to provide free general surgery, specifically thyroidectomy (identified to be in high need), provide teaching and instuction to the OR staff, and create a relationship with Dapitanon and the Hospital to facilitate repeat missions to Dapitan City.
Houses on the river- a typical scene in Dapitan City, rural Mindinao. ISHI’s surgical team was given a riverboat tour of the region.
A view of Mindinao from the plane. Some areas of the island were still recovering from the tragic flood that occured in December 2011.
MISSION SUPPLIES AND PREPARATION
The team carried all essential supplies to Dapitanon City. Supplies were donated by Americares and MAP International. Whatever supplies could not be procured by donations or were unable to be carried were purchased by ISHI; some items in the US, and others such as IV fluids, oxygen, and intravenous antibiotics locally. A refurbished electrocautery machine (donated by Americares) was given to the Hospital's Operating Room. Anesthesia moniters, which had been generously donated to ISHI by Mindray Corporation, were used in the OR's on this mission for intraoperative monitering.
Earl Salcedo (L) and Mildred Aganon (R) unpacking supplies on Triage day to set up the two operating rooms for the team. ISHI carried 20 boxes of surgical supplies to Dapitan City.
Dr. Dinna Viray, Chief Administrator of Dr. Jose Rizal Memorial Hospital in Dapitan City greets the team on the first day.
141 free surgeries provided (52 major and 89 minor). Donation of an electrocautery machine (Valley Lab). Instruction to OR staff, specifically the OR "Time Out" Visit to local high school and orphanage. Developed a good relationship with Dapitanon and Dr. Jose Rizal Memorial Hospital
Triage Day. Over 150 patients arrived to be evaluated for surgery by the ISHI team, some for routine operations and others with more complex medical conditions.
Patient being prepped for surgery in the operating room. Over 141 surgeries were performed by ISHI surgical team.
The ISHI team was constituted of a group of 21 volunteers, financing their airfare and some accommodation cost.
Mildred Aganon RN Lourdes Alonso RN Asha Bale MD, Team Leader Irene Banares RN Cathy Blaskewicz APN Megan Blaskewicz Logistics Advaith Bongu MD Ravi Chokshi MD Andrew Jalowski Luz Jalowski RN Carine Jimenez RN Vibien Myles RN Marlene Ngo, CRNA Leslie Osei-Tutu MD Marcelino Potian MD Benson Pulikkotil MD Amrit Rambhajan MD Socorro Rogers APN, Nursing Team Leader Earl Salcedo RN Marlone Villadar RN ChiaChi Wang MD