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DAY OF PERUVIAN

OCTOBER 5th, DAY OF PERUVIAN MEDICINE
Named in Daniel Alcides Carrión honour, a Peruvian medical student, (August 13th, 1857 - October 5th, 1885).

Daniel Alcides Carrión was born in Cerro de Pasco (4330 meters) and began the study of medicine in 1879 at San Marcos University in Lima. Some years earlier there had been a severe outbreak of an epidemic on the railroad construction between Lima's seaport town Callao and La Oroya (3730 metres). The disease, characterised by fever, quickly progressing anaemia and a high rate of mortality, killed thousands, chiefly among the workers recruited from outside. The physicians were at a loss, never having seen anything like it before.

Railroad construction 1885

As a new factor of the problem was a noticeable increase in Peruvian Verruca or ("Verruga Peruana") . This disease, which manifests with wart-like skin eruptions of various shapes and sizes, it had been present in Peru already in pre-Columbian times, and which had been described in some writings from the English time.

In his journeys from Cerro de Pasco to Lima and vice versa Carrion had met people with verrucous skin eruptions people with fever and caught an interest in the disease. From 1881 he conducted extensive research on "Verruga Peruana", including clinical studies at the " Dos de Mayo hospital " in Lima.

Carrion recognised that the disease was endemic, but not contagious, and that it was caused by an "verrucous agent", possibly by a parasite attacking the blood and destroying red cells. In order to find out whether the disease could be inoculated and to study its clinical course, Carrión decided to conduct an experiment in himself.

On August 27th, 1885, Carrion took blood from a red coloured verruca in the area of the eyebrows from a 14 year old boy about to be released from the hospital. As Carrion had trouble inoculating himself, friends took the lancet and made four inoculations, two in each of Carrión's arms. In accordance with his plans Carrion made detailed notes on the inoculation and the course of the disease. His notes have later been published.

Carrion experienced the first symptoms of the disease on September 17th, and from September 26th he was too feeble to make his own notes, which were continued by his friends attending him at the bedside. Carrion's condition now rapidly deteriorated and on October 5th he succumbed to the disease.

Through his experiment Carrion had proved that Oroya fever and verruca are two phases of the same, inoculant disease. In 1909 Alberto Barton reported patients whose erythrocytes had been attacked by microorganisms which he considered to be agents of the disease. The microorganism was named " Bartonella bacilliformis ".

Bartonella Baciliformes

By cultivating " Bartonella bacilliformis " from Oroya fever and verruca-patients in the years 1926-1927, the Japanese bacteriologist Hideyo Noguchi (1876-1928) was able to demonstrate scientifically that Oroya Fever and Peruvian Verruca are two manifestations of the same infection.

Carrion´s disease
Also know as:
• "Verruga Peruana" = Peruvian Verruca
• Oroya´s fever
• Bartonellosis
• Bartoneliasis.

A disease occurring in the valleys in the Andes Mountains in Peru and Ecuador at altitudes of 600 to 3000 meters. It is a generalized, acute, febrile, endemic, and systemic form of bartonellosis that appears in an acute febrile anaemic stage followed in several weeks by a nodular skin eruption.

Two forms are recognized: the mild form "Verruga Peruana" and the severe form Oroya fever. The mild form is characterized by mild anaemia and either miliary or nodular eruptions resembling Kaposi's sarcoma. The severe form is characterized by acute fever, pernicious anaemia, and muscular pain and weakness.

Wart-like skin eruptions

Alberto Leopoldo Barton (1871-1950) identified the parasite which causes Oroya fever and "Peruvian wart" in 1909. The disease is Caused by Bartonella bacilliformis and Transmitted by the sandfly Phlebotomus verrucarum.

Phletomus verrucarum

On October 7th, 1991, the Peruvian Government Announced a law (Law N º 25,342), Declaring Daniel Alcides Carrión to Be A "National Hero"

In 2010, October 5, we also perform a tribute to Daniel Alcides Carrión presenting to our readers who have problems with the English language a summary of his life (in English); Carrión, sixth grader Faculty of Medicine "San Fernando " of the Universidad Nacional Mayor de San Marcos de Lima - Peru, in year 1885 was inoculated verrucoma blood of a patient and then developed severe anemia fever, which led to the death on October 5, 1885. Demonstrating that the two conditions were separately described in different clinical forms of a single disease.

disease caused by the bacterium Bartonella bacilliformes , now called Bartonellosis or Carrion's disease. Also known as Oroya fever, "not because the disease is present in the city of La Oroya (3730 meters), but because in 1885, the stage acute febrile and fatal, appeared in the workers who built the railroad Lima - La Oroya . Most people bought it in the valley Matucana, when bitten by mosquitoes Phlebotomus verrucarum (agent vector), resulting in thousands dead.

In Peru, October 5th Physicians celebrate "Day of Peruvian Medicine" in honor Carrion physicians traditionally being San Marcos de La Oroya and Cerro de Pasco those who feel more identification with this event.

View: Biography unpublished Daniel Alcides Carrión in this blog

Dr. Achilles

Monroy

DAY OF MEDICINE IN THE OROYA

Hospital Medical Alberto Hurtado, Essalud and Medical Center Chulec

On 5 October 2010, Day Ceremony for Medicine

Volleyball Slogans 1990's

OLIVARES ENRIQUE DOCTOR, 50 YEARS OF MEDICAL

Dr. Enrique Olivares García, April 2010 in Cajamarca

ENRIQUE

I met Dr. Luis Enrique Olivares Garcia Don Enrique, on the morning of May 1 in the central highlands of Peru. Was this our first day of internship at the then Medical Teaching Hospital located at 3740 m Chulec in La Oroya and belonging to the Cerro de Pasco Copper Corporation (CoP), who was then 7 polymetallic mines exploding, 4 concentrator, plus their smelters and refineries. To enter into the Hospital of Chulec-one teaching hospitals and research in physiology most famous high-after acceptance of the company, it was necessary to meet first with Dr. Olivares and then, with your permission, with the Director Dr. Kurt O. Hellriegel (KOH). Thus, this cold morning autumn of 1968, I met Enrique, a doctor of the Medical Division administrator.

Then I met a doctor rather low stature, strong and energetic character, whose bright eyes, inquisitors, take shelter behind big white glasses, dressed in tie and apron proud of the profession, speaking in a semicircle before moving partners. The fine-featured face but severe, very good angles shaved highlights ancestral English and Quechua to a lesser extent. Friendly, talkative and argumentative impresses at 5 "chicks doctor" as one of the obstacles to overcome if we wanted to finish our studies profession. And so it was though, I think, not entirely convinced it had rather a friendly ally when for some excess internal own, we had to "confront" the Lord Chief KOH.

Don Enrique, born in Cuzco, in elementary school and part of his high school there, then migrate to the capital, Lima, to complete his studies at the Colegio La Salle Avenue Arica. Its inherent germ helping others was awake now, and what better way to be in that vocation entering to study in the former School of Medicine, San Fernando, on Avenida Grau peripheral even after approval of the Bachelor of Science in old house San Marcos. Upon graduation

curriculum was and is, take a year of boarding school, boarding school back then was really a boarding school, and he picks Chulec hospital, general hospital teaching and research to the American style, which admitted only students from the top fifth of undergraduates. There with the teaching of great masters of art and medical science in the basic specialties of medicine, Hellriegel and López-Díaz, including-approved and concluded his career in the year of our Lord 1960. Ranks first among the 6 internal and is immediately called to work in the Medical Division, gringos so Stylish Cerro de Pasco.

to the old style began his training in Pediatrics, in those years was not known Residences in medicine, and also has some activity in the mines of the company that visits regularly. In the Pediatric Department of Hospital would be 6 years. The year 1966 is called by KOH to administer the Medical Division of the Cerro de Pasco, 8 hospitals one by mine, as well as central Chulec General Hospital, a total of 460 hospital beds and care for 15 000 workers company [With PERU CENTROMIN we would become 20.000]. In addition the Medical Division responded to all the families of workers, approximately the population served by the hospital complex varied between 75 and 100 thousand people not only in the central highlands of Peru, but by their social sometimes attending patients in Lima and other departments as far away as Arequipa. This vast network of hospitals, and people, Don Enrique's given first and then headed for many years, and also that it is one of the first Peruvian to reach those positions.

CoP Company and the American style of the times favored the training of all staff at all levels, and doctors were not the exception but rather, health was one of the sectors without being "production" enjoyed privileges for post-graduate training and Henry is studying in Colombia, Antioquia, Costa Rica and the Universidad Cayetano Heredia de Lima studied in the Health Administration Program, bows, and then near the end of the 70 he received a scholarship the state of Israel to study Management of Occupational Health Services in Tel Aviv.

Then, an interregnum that serves to expand its commitment to service, from 1973 to 1980 Mr. Henry goes to service the Peruvian state in various positions such as:
• Personnel Division in the Ministry of Health, Deputy Director and then Director National.
• Ministry of Health, Deputy Director and Director of Informatics and Statistics, area for him, pioneer, formed and consolidated.
• National Bank, National Director of Personnel.
• INAP-National Public Administration Institute, National Director of Personnel.

known by the fickleness of our governments, Enrique return to activity and health to complete this period in his first tour of Lima, he became Managing Director of the Clínica Virgen del Carmen in San Isidro.
Moreover, as was intended, while in Lima develops teaching at:
• University of Lima.
• School of Public Health, INAP
• PERU

CMEA in 1980 is called by Centromin Peru to assume, Now, the Office of the Medical Division based Chulec Hospital, La Oroya, where with similar achievements to those who had as manager, remaining until 1989. At this stage underlines its success in integrating factually to all hospitals, including the Occupational Health area and continues its support for scientific research and training at all levels.

The life span of Don Enrique not only at work elapses. He has a perspective much broader service and among many other achievements, today we remember as significant events: • Township Yauli
-La Oroya, Deputy Mayor.
• Savings and Credit Cooperative employee the C of P, first, and then CENTROMIN PERU, President
• LIONS CLUB, La Oroya, 63 and 69 periods President
• Lodge of La Oroya President. • Chapter
Lodge La Oroya Founder and President. • Founder of ICPNA
Affiliate Oroya.
• Editor and founder of magazines like "Medical Journal Yauli Province-La Oroya," Chulec Doctor "and Book" Height Pathology. " "High Altitude Medicine." • Facilitate and Drive
Conference and Workshops on High Altitude Medicine in La Oroya and Huancayo, mainly.
• Research Drive not only in physiology, but also in other branches of medicine and occupational health care in height.
• Other already beyond our fragile memory

But fate had reserved for new challenges and in 1989, Centromin Peru was transferred to Strategic Management Planning Coordinator based in Lima and from 1991 to 2000, the Manager of Communications and PR of Centromin Peru. Its passage through these bureaucratic agencies, needless to say, was successful and well written.

With the end of the twentieth century, Don Enrique terminating his "Cycle Cerro de Pasco Copper Corporation / Central Peru Min" and migrate from the chaotic Lima. And
good of the beloved land cajamarquesa, lets enviable vitality, now with his wife Nancy, glimpse-vitans predict when the doctors would say, a future deep mining in Cajamarca Cajamarca although today only grudgingly accept that status. So at the beginning of the millennium Don Henry, Nancy, et al, initiated an ambitious plan to establish and strengthen, this time in Cajamarca, a clinic that counted with the advances of modernity in all aspects: medical, nursing, service and Infrastructure course.

with misunderstandings and especially with the difficulties of every birth, the clinic is in motion in August 2000, although the building adhoc has already been built at the end of the previous decade by the Irish architect Moncurt, a specialist in building hospitals, from the CoP. Bureaucratic situations in public agencies seemed to stop the project, but the commitment, strength and tenacity of Mr. Henry and Nancy were stronger and here we are.

In 2010 Don Enrique is 50 years as a surgeon ... and old, quite a feat in our Peru, but in my opinion, the best human achievement is the clinic FRESNOS, The Clinic, as well as what it is for their warmth and quality of care in only a decade has served as a reference for the creation in the cozy and ancestral neighborhood of El Ingenio an entire area of \u200b\u200bhealth facilities around it.

Don Henry, Nancy, time still have many challenges and has prepared witch but I am not, I can foresee that the manes of Health will continue to dial your destination for good to those who inhabit this land of caxamarcas. Cajamarca

September 2010.
Augusto V. Ramirez, MD


Note:
We wish to thank Dr. Augusto Ramirez, from Cajamarca Peru, has made us the honor of doing a portrait of Dr. Enrique Olivares, who pride ourselves as one of his many disciples. In these 50 years fructífura work as a physician, Dr. Olivares after leading Chulec Hospital of La Oroya and the medical division in times brighter than their academic development and contribution to the High Altitude Medicine, continues working in Cajamarca as indefatigably as ever had the opportunity to visit in April 2010, directing his clinic, just like when I was in La Oroya, overflowing youth, always teaching and giving advice, articulate and tireless, opening your heart and experience to his disciples and friends, showing their great spirit teacher, fraternal and sincere, being a role model for physicians in Peru.

Dr. Achilles Monroy

What Day Is The Best To Check Fsh

Warned all potato soup

This story begins with Toño platote against a potato soup. Toño HATES potato soup, but it has been eaten in recent months that his mom likes it so much that has made it very often. With all that hate, Toño eats and does not say much, but this day is different.

Like the rest of the days, Toño is over the plate, but instead of asking the stew quick to take off the bad taste in mouth, her courage and tells his mother:

"Mom, I have a secret
- What happened? Toño

swallows thick. -...

is that I do not like potato soup.

Time stops for a moment. Toño's mind spend any amount of things, from a shoe to avoid tossing the speech "because this is not restaurant, but was not prepared for ...

- Really? Me neither
-...¿ eh?
"Yes, the hatred, but I did that I thought you liked .

If this were an anime, in front of us would been a huge drop of sweat. But no, it's real life and there are only accomplices and guilty giggles. And since that day, through a covenant not announced, of complicity fun, not again serve potato soup at home. Until today, my dad helped us with so much love that I had no more than take her to the office.

No way, there are things that are doomed to repeat. ---


Hearing: My cat purring