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June 2007 - Neurosurgical Conference - Concepcion, Chile

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January 5, 2007

Dr. Tyler Frizzell
HITA Foundation
222 N. 2nd
Boise, ID 83702

Dear Tyler:

Thank you for the opportunity to work with the HITA Foundation in Chile this fall. It was a rewarding experience to participate in this medical and cultural exchange. As you have requested, we have compiled our joint comments concerning the experience, both clinically and at large in Concepcion.

We found our contact with the physicians extremely amenable. They were all welcoming, professional and helpful. However, the capacity of the clinical experience to occupy a group of five, including two physicians and three pre-med students was limited. As you are probably aware, only one physician and one student were permitted in the OR at anytime, which led to significant "down-time" for the others. More direction from the foundation and facilitation of the experience ahead of time may have remedied this situation.

Both Dr. Pressman and the students appreciated the opportunities that did become available to tour other clinics and facilities, but certainly, with planning the experience might have been more extensive and comprehensive. In addition, all participants agreed that having a broader exposure to the patients both pre and post op would have provided especially the students with a deeper understanding of surgical care.

We certainly take some responsibility for not contacting Dr. Vigueras or Dr. Torche prior to our arrival which may have helped. As you pointed out though, it is important to be sensitive to cultural norms. Now that we have met the physicians involved with the foundation in their practice settings in Chile, we believe it will be somewhat easier in the future to plan the experience ahead of time.

We felt very fortunate indeed to be housed so comfortably and conveniently at the condominium. It truly began to feel like home. We would suggest that guests in the future might benefit from ready access to more detailed information. In particular, a handy, detailed guide that delineated some local information and information about home maintenance would be great.

As far as the condo was concerned, an understanding of how the phone system functions including access to the security desk, land line to cell, land line to land line and cell to cell within country would be great. We also struggled with the functioning of the water heater the entire time, and could not figure out the dials on the washer/dryer. We learned to take advantage of the showers in the work out area when need overflowed capacity upstairs, which might be useful knowledge for other large groups in the future.

Knowing where local sites and resources are would be helpful as well. This could include the location of the nearest ATM, the market, the rental car company, the internet and duplicate key fabrication. We left a city map that we used, which could be kept with the addresses of the above. Strangers to the city might also benefit from information about local bus systems, the art museum at the University, and weekend getaways. Bev and Margaret took advantage of Carola, Mirza's niece, who was available to teach private Spanish lessons. If Carola continues to be interested, she is a great resource for visitors interested in improving their Spanish.

Again, thank you for the opportunity to participate with the foundation in Chile. Please do not hesitate to contract any of us in the future. We would all be more than happy to facilitate the travels of others in the future, and we look forward to our eventual return as well.

Sincerely

Michael Henbest, MD Margaret Henbest

Scott Pressman, MD Beverly Pressman


From: LDSTAN

To: Frizz2020

Date: Sun, 12 Jun 2006 11:00:22 AM Eastern Daylight Time

The skull base conference was Thursday, Friday and Saturday and was a huge success. I was told that the normal attendance at a Chilean conference is 14 or 15. Jaime had about 45 everyday including Saturday. Good presentations, typical European and South American discussions and, of course, a nice social program as well. The US neurosurgeons were really impressed. It was especially nice for me in that since I was the only other US neurosurgeon there, I was able to spend a lot of time talking to the guests. Last night Cecile and I were at Jaimes' with Gerardo Guinto, Miguel Meigar, Ricardo Raima, Helder Tescho and a Bolivian Neurosurgeon from Santiago. Ramina had spent 7 years with Samii (he arrived the month we left), Teschi spent several years with Yasargil and Meigar is Peruvian, but has lived in the US for 17 years. He worked several years in Tucson before his present job at Tulane so the evening was very interesting. Since Portugese and Spanish speakers don't seem to understand each other, a lot of Engish was spoken. (Jaime had arranged earphones for translation at the conference). From the response of the participants it sounds like Jaime is the new rising star in South American neurosurgery.

Thanks for ending in the reference.

Lowell


1 August 2006

To Mr. Crockett:

Here is a review of our trip down to Chile.

Four of us from Stanford University made the trip down to Concepcion as part of a medical internship requirement for the Human Biology major. We were: Lindsay Allen '08. Jacob Evans '08. Brett Gotcher '07 and Katie O'Neil '08. We arrived in Concepcion, Chile on Friday, June 16, 2006. Tyler Frizzell picked us up from the airport and took us back to his apartment, where we stayed for the next 24 days. On Saturday night, we went out to dinner with Tyler and many of the neurosurgeons from the regional hospital so we could get to know them before starting work on Monday.

We worked for three weeks, Monday through Friday, at the Concepcion Regional Hospital, which is a 10-minute walk from the apartment. We wore white lab coats while working in the hospital, to be recognized as student interns. We were treated as any other students of medicine would have been treated, and spent 9 days shadowing a pediatrician and 9 days shadowing a pediatric surgeon. We spent our time observing various things the doctors were working on. While shadowing the pediatrician we met the children in the pediatric ward, and also spent a day in the casting room, watching children be casted for various injuries.

While shadowing the pediatric surgeon, we were able to watch quite a few surgeries, including heart surgery and lung surgery. Two of us spent a day in the gynecology ward as well, and watched some routine examinations as well as a gysterectomy. We also took a small tour of the nearby medical school and NICU units. We worked until July 7, and left Concepcion July 11.

Everyone in Chile was extremely accommodating and willing to help us and answer any questions we had. We were able to get our internship papers signed, and all of us learned a great deal about the medical field. It was a good opportunity for all of us to improve our Spanish. It was an exceptional learning experience for all four of us.

Sincerely,

Katie O' Neil


From: Chandranath Sen

To: frizz2020@aol.com

Subject: Visit to Chile

Date: Mon, 13 Jun 2005 17:46:05-0400

Dear Dr. Frizzel,

I just returned for the conference in Concepcion. It was a wonderful visit and I enjoyed the conference tremendously. Jaime did a superb job at organizing a top notch program. They do wonderful work. I must also thank you for the reimbursement check. I heard about the circumstances when you met Jaime and your involvement and support. I commend you on your effort and interest in their work. I am also involved in some charity work in India. I hope to meet you some day. I appreciate the invitation to participate in this meeting.

Best wishes and regards

Chandranath


To Whom It May Concern:

I wanted to thank you for giving me the opportunity to continue helping others. Going to Chile is a privilege and an opportunity of a lifetime for me. I've been a traveling RN for approximately three years. I've traveled all over the United States helping and caring for the sick. I think it would be a learning experience for me to help others in a different Country. This experience would give me a chance to see how others practice medicine in Chile and bring new insight back to Colorado. I'm excited to see the country of Chile and enhance my Spanish speaking skills. I'm currently enrolled in a Spanish class, to better prepare myself for this special occasion. Again, thank you for allowing me this experience.

Sincerely,

Heather Carrier


Date: 6/28/04 4:13:20 PM Eastern Daylight Time

From: Hcarrier1121@cs.com

To: Frizz2020

Tyler,

Greetings from Colorado! I sent you a note when we got back from Chile, but not sure you got it. Kimberly gave this email address recently.

I just wanted you to know that I had a wonderful time and have made some lifetime friends. Kimberly, Mary and I are presenting our trip to Chile at nursing grand rounds on July 7th. We are excited to share our experience with everyone. Again, thank you from the bottom of my heart.

Take care,

Heather Carrier


December 29,2003

Thank you for this opportunity to be a volunteer in HITA foundation

Nursing has not only been my job, but what I love doing. I have been a nurse for 23 years with seven years of Intensive Care experience. I started out as a licensed practical nurse working on medical/surgical units then went back to school to complete my education and become a registered nurse. I have worked in many different types of situations from a 13 bed hospital to a 800 bed hospital. Working at the bedside and interacting with patients has been one of the most rewarding challenges of my career.

I am very excited to have this chance to be a part of this exchange program. I feel that interacting with this team will increase my knowledge and be a wonderful experience that I will carry with me always. I hope to share new and past experiences and build new relationships. I am looking forward to interacting with the Latin American people and discovering a new country.

Mary L. Carette
19860 E. Garden Place
Centennial, CO 80015
308-371-0791


Eldon,

My reasons for volunteering in Concepcion result from my personal beliefs and values. In Matthew 25 Jesus tells a story of 3 servants each given different amounts of money. Jesus uses this story to illustrate how important it is to use our talents and abilities to the fullest. Also, Jesus stresses to not keep talents hidden for our own selfish edification and worldly gain. If we hide these talents we displease God. He gave them to us, so He has the power to take them away. It pleases God when we share our talents and He blesses us with more. I have been so fortunate to receive training as a certified surgical technologist and I feel challenged by the word of God to share my talents with others in need. Throughout my life volunteering has been a part of my life and I enjoy the rewards of giving back to my local community. I am really excited to be able to be a part of an international outreach.

In addition to my beliefs and values, I also have a personal interest in the South American culture. I have studied Spanish in high school and in college for a year. I find the Spanish culture and language appealing and have desired to experience it first hand.

My areas of specialty are:
Assisting in surgery as a surgical technologist
I have experience in all surgical specialties
Most recent experience in trauma surgery

I am willing to volunteer in any role or area, as long as it is not out of my scope of practice. I have been volunteering at a local free community clinic and I have been performing clerical duties. I have attached my C.V.

Not only I am looking forward to serving at the hospital in Concepcion, but also from the experiences and skills I will gain.

Sincerely

Melinda Townley, C.S.T.
521 Waitman Lane
Meridian, ID 83642
ibboardin@aol.com
208-283-0125


November 16, 2003

Eldon,

When I was four years old, I knew nursing was the career I wanted to pursue. Fortunately, I followed that dream and have been in the field for twenty-four years. I have been blessed in this lifetime and wish to give my services to others.

Currently, I work as the Spine Clinical Coordinator in the Orthopedic/Spine/Trauma unit. An orthopedic, neurosurgery, trauma or spine unit is my current area of expertise and my skill set is currently strong in these areas. However I have worked extensively in the following units in the past and it would only take me a "day or so" to get back up to speed. I want to work in the department that my services are needed the most:
Newborn Nursery
Critical Care - Cardiac is my strongest
Medical-Surgery/Telemetry
Clinical Consulting
Materiel Management (Supply & Distribution)

Below states the reasons that I choose to participate in the H.I.T.A. Foundation.

1. To assist facilities in a community/country less fortunate that do not have resources or equipment necessary to provide basic medical care.

2. To provide my area(s) of expertise and assist in the education process of that facility; I believe we can make a difference "one person at a time." I am very passionate about my work and if one individual can improve from our presence, it is worth the time and effort.

3. To learn from other cultures. With our healthcare system in shambles, I am particularly interested in how other countries treat various illnesses, etc.

4. Lastly, the most important reason for me to participate in the H.I.T.A. Foundation is to volunteer my services. It is very rewarding for me personally to give my time.

Thank you for giving me this wonderful opportunity!

Sincerely.

Kimberly Sexton

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