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UNITY FOR SERVICE TO GOD AND HUMANITY journal 2002 (Volume 23, Number 1) THE ADVENTIST INTERNATIONAL MEDICAL SOCIETY UNDER THE AUSPICES OF THE ALUMNI ASSOCIATION, SCHOOL OF MEDICINE OF LOMA LINDA UNIVERSITY
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Page 1: UNITY FOR SERVICE TO GOD AND HUMANITY THE  · PDF fileTHE ADVENTIST INTERNATIONAL MEDICAL SOCIETY ... tendon lengthening on Victor A. Silverio, a 9- ... Anthony de Jesus

UNITY FOR SERVICE TO GOD AND HUMANITY

journal

2002 (Volume 23, Number 1)

THE ADVENTIST INTERNATIONAL MEDICAL SOCIETY

UNDER THE AUSPICES OF THE ALUMNI ASSOCIATION,SCHOOL OF MEDICINE OF LOMA LINDA UNIVERSITY

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2 • AIMS JOURNAL • 2002 (Vol. 23, No. 1)

From the President ......................................................3

Hospital Elias Santana.................................................5

Terry Dietrich, MD ...................................................10

The Loma Linda University Center ..........................12

Ophthalmic Update...................................................18

Beeve Eye Clinic.........................................................20

Smoking Cessation in Southeast Asia .......................22

Health Needs Assessment ..........................................28

The Road to Gimbie ......................................................30

South American Healthcare Professionals

Attend APC..........................................................32

L’AMALF....................................................................33

AIMS life members....................................................35

World Division Health Directors..............................36

Goals of AIMS ..........................................................39

smoking cessation research (see the AIMSJournal, March 2000). An interview with Dr.Ferry provides the reader with a glimpse of thesmoking cessation challenges that are beingfaced in Southeast Asia.

Tadaomi Shinmyo, NSD communica-tions, PARL secretary, North Asia PacificDivision (NAD), writes of the health needsassessment documents that were presented atEden Sanitarium and Hospital, near Seoul,Korea, by P. William Dysinger, MD.

Nick A. Walters, MD, in his August 10,2002, report entitled “The Road to Gimbie,”shares a report on the dedication of their newhospital in Gimbie, Ethiopia.

Sofia Puerto, PhD, RN, CCRN, providesa brief report on South American healthcareprofessionals attending the AnnualPostgraduate Convention, which was held onthe Loma Linda University campus in March2002.

On his last trip to Afghanistan, G. GordonHadley, MD, was interviewed by an NBCfilm crew and a portion of the interview tran-

script is provided onpage 21.

Dennis E. ParkAssociate Editor

Between the pages of this issue, you willfind various articles of interest about LomaLinda University School of Medicine gradu-ates who are making a difference throughoutthe world.

Terry Dietrich, MD, an orthopaedic sur-geon from Walla Walla, Washington, shareshis diary of a recent trip to the DominicanRepublic where he and his team performedorthopaedic surgeries.

You will enjoy an update on the KabulAfghanistan medical school.

In a letter to his colleagues, RobertHopkins, MD, a retired ophthalmologist, pro-vides an ophthalmic update from Mon-temorelos University, Mexico, Madagascar,and Africa.

The Beeve Foundation for World Eye andHealth provides a review on their ophthalmicactivities on the remote Yasawa Islands of Fiji.

Linda Hyder Ferry, MD, continues her

C O N T E N T S

E D I T O R I A L

ABOUT THE COVER: Members of theDominican Republic November 2002 missiontrip. Pictured are (from left)Cameron Dietrich(pre-med student); Scott King, MD; Terry J.Dietrich, MD; and Jon King, MD, orthopaedicresident. This trip was Dr. Dietrich’s 13th mis-sion trip to Hospital Elias Santana in theDominican Republic.

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AIMS JOURNAL • 2002 (Vol. 23, No. 1) • 3

In early October of this last year, my wife,Alphie, and I returned to Kabul, Afghanistan,to teach pathology for the medical school.

I have managed to be at the Kabul MedicalInstitute twice a yearfor the past four years.Until this past fall, Ihave been commutingfrom my base at the SirRun Run Shaw Hos-pital in Hangzhou,China, but now ourbase is back at LomaLinda.

Certainly these twoexperiences have pre-sented great challengesand rewards and we areso thankful that wehave had these oppor-tunities.

From a personalstandpoint, this lasttrip to Afghanistan wasanything but unevent-ful—Alphie got up inthe middle of the night to change surgicalpathology specimens being prepared for mak-ing histology slides (in Afghanistan, a two-dayprocess).

On the way to the “home lab,” she fell,fracturing the femoral neck. We were evacuat-ed by the military in a C-17 to Hamburg,Germany, where Alphie had surgery at theUniversity of Sarland. After surgery, wereturned to our home in Loma Linda,California, where Alphie would recuperate.

As soon as she was stable, I returned toAfghanistan to finish up my work.

When I landed at Kabul, an NBC televi-sion crew was waiting to interview me.

From the perspec-tive we have seen thesepast eight and a quar-ter years, I feel we cansay that opportunitiesin overseas work aregreater than ever.

Skills in the med-ical field are one of themost exportable itemsto developing areasand there are greatneeds in any field ofmodern medicine andnursing.

A review of thecounsel received andpurposes given for theestablishment of LomaLinda brings a veryclear picture.

That is the purposeof Loma Linda and the medical work. Wespeak of it as the right arm and our worldpoints to climactic things.

There is much to be done and the GreatCommission stands out with a greater urgencythan ever.

I owe much to my teachers at Loma Linda,such as Jacob Janzen, MD, Roger Barnes,MD, and others that impressed on us what weare really here for. The need is much greaternow than it was then.

From the president

Opportunities greater than everBy G. Gordon Hadley, MD

G. Gordon Hadley, MD

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4 • AIMS JOURNAL • 2002 (Vol. 23, No. 1)

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AIMS JOURNAL • 2002 (Vol. 23, No. 1) • 5

Editor’s note: Terry J. Dietrich, a 1971 graduateof the Loma Linda University School of Medicine, isan orthopaedic surgeon whose practice is in WallaWalla, Washington. Dr. Dietrich is the current pres-ident of the Neufeld Society. This Society, whosemembership is made up of orthopaedic surgeons, isnamed after the late Alonzo Neufeld, MD, whoselegacy lives on in the hearts and minds of those whoknew him and studied under him.

It is the objective of the founders of the Societythat the academic inquisitiveness exemplified by Dr.Neufeld will be the inspiration for the Loma LindaUniversity Medical Center orthopaedic residencygraduates. The Neufeld Society operates under theumbrella of the Alumni Association, School ofMedicine of Loma Linda University. The editorsasked Dr. Dietrich if he would be willing to sharehis thoughts on the November 2002 trip to theDominican Republic. The following is Dr. Dietrich’sdiary.

We arrived in Santo Domingo on October27, 2002, and joined the other members of theorthopaedic team which included Jon King,MD, orthopaedic resident; Scott Nelson, MD,

and his wife Marnie; and two sons, Chad andAlexander.

This was my 13th mission trip to EliasSantana in the Dominican Republic. Twenty-sixstudents and two orthopaedic residents haveaccompanied me on these trips. Shane Williams,Jon Linthicum, Joe Bowen, Sam Randolph,Kristan Guenterberg have all been pre-med stu-dents to go with me and then on to attend LomaLinda University as medical students. ShaneWilliams is now an orthopaedic resident.

A year ago, Craig Tingey, a LLU orthopaedicresident, and his brother who was a pre-med stu-dent, joined our team. Most of the students havebeen pre-med from Walla Walla College. Othershave come from Columbia Union College,Whitman College and Brigham YoungUniversity. Several high school students have alsoparticipated.

October 288:00 a.m. Started evaluating patients: club

feet, cerebral palsy, congenital deformities,myelomeniningocele, post-traumatic deformi-ties.

10:00 a.m. Our first patient was ready for sur-gery—Adrian Geronimo, an 11-year old boywith a recurrent clubfoot. He had had an attemptto correct his clubfoot at age 1-1/2 by a localorthopaedic surgeon.

Somehow the growth plate of the distal tibia

Hospital Elias SantanaLa Esperanza, Dominican Republic

A Diary

By Terry J. Dietrich, MD

Johnathon King, MD, orthopaedic resident,assists Terry J. Dietrich, MD, doing a clubfootrepair. A local Dominican orthopaedic residentassists in the operation.

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6 • AIMS JOURNAL • 2002 (Vol. 23, No. 1)

had been damaged and the ankle joint was nowdeformed and non-functional. I performed anankle fusion with Drs. Nelson and King assist-ing. The child’s leg will be shorter than the otherside and will require an equalization procedurein the future.

12:00 p.m. Dr. Nelson and my son extractsome nails from the left wrist of former patientPorfirio Gonzalez. We continue to evaluatepatients between surgeries.

2:00 p.m. We operate on a 1-year old boy,Manuel Antonio Matos, for a right clubfoot. Dr.King does a very nice posteromedial release withme assisting. We evaluate more patients andcheck all post-surgery patients before returning tothe duplex for supper.

October 297:30 a.m. We start by seeing our post-opera-

tive patients, change dressings and evaluate otherpatients for surgery until our first operativepatient is ready.

8:00 a.m. Our first case is a right knee arthro-scopy and debridement on a 19-year-old female.

10:00 a.m. We perform a bilaterial Achillestendon lengthening on Victor A. Silverio, a 9-year-old male. We evaluate more patients for sur-gery between each of our cases.

Our third case is Sheridan Pimentel, a 6-year-old female with unilateral Blounts Disease. Aright tibial osteotomy is performed. The remain-ing hours of the afternoon and evening are spentin showing Dr. Nelson and his family the zoo andsome of the historical buildings in the old colo-nial section of Santo Domingo.

October 308:00 a.m. We have a full day of surgery start-

ing with a 13-year-old female, WandelinaFlorian, who needs an Achilles lengthening andposterior capsulotomy.

10:00 a.m. Wendy Desyano is a 12-year-oldfemale with Blounts Disease and needs a right

tibia osteotomy. Dr. Nelson does a hamstring andAchilles tendon lengthening on 2-1/2-year-oldmale, Anthony de Jesus.

12:00 p.m. Rafelina Rubio, an 8-year-oldfemale also has Blounts Disease and needs bilate-rial osteotomies of the tibias.

3:00 p.m. We operate on a 16-year-old male,Adrian Guzman, who needs wound debridementand fixation of his right femur.

The hospital administrator takes Dr. Nelsonand his family around the city viewing housingand schools.

HAITI

El Cercado

El CopeyEl Mamey

El Penon

El

Elias Pina

Enriquillo

GalvanJimani

La CLa Cueva

La Descubierta

La RanchaLas Matas

Los Botaos

Los Rios

Maiza

Manuel Golla

Paraiso

Partido

PedernalesPolo

Restauracion

Tocino

Yayas De Viajam

Dajabon

Monte Cristi

Loma De Cabrera

Duverge

Lucas Evangelista De Pena

Neiba

Santiago Rodri

San Juan

Cabral

Vicente

Bara

Mao

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AIMS JOURNAL • 2002 (Vol. 23, No. 1) • 7

The whole group meets up with them laterthat night as we enjoy an evening dinner outtogether.

October 318:00 a.m. We make rounds on all our post-

operative patients and send them home withpain medication and return appointments.We also see any other patients waiting to beevaluated.

9:00 a.m. We operate on Erson JoelGomez, a 1-year-old male with bilaterial club

feet. Dr. Nelson and Dr. King each do onefoot with me assisting.

10:00 a.m. Ramon de la Rosa, a 6-month-oldmale, needs a left wrist reduction.

12:00 p.m. We write orders on all patients,discharging or writing discharge orders for thenext day.

2:30 p.m. We head to the northern coast tothe small windsurfing village of Cabarete with theNelson family. Dr. Jon King has made arrange-ments to spend several days at the Dodgers devel-opment camp/school east of the capitol in the

DOMINICAN REPUBLIC

Abreu

Basima

Blanco

Boca Chica

Boca De Yuma

Byaguana

Consuelo

El Cabo

El Cercado

El Macao

on

Rubio

El Seibo

El Soco

El Valle

El Valle

GuaymateGuerra

Hato Mayor

Higuey

Jamao Al Norte

Janico

Jarabacoa Jima Abajo

Jose Contreras

Cienaga

La Guaranas

La Romana

La Vacama

Las Lisas

Los AlgarrobosLos Llanos

Los Negros

Magante

al

Mano Juan

Medina

Miches

Monabao

MontazoMonte Plata

Nagua

Padre Las Casas

o

Pedro Garcia

Quisqueya

Sabana De La Mar

Sabana Del Cuey

Sabaneta De YasicaSosua

Tenares

Valdesia

Villa Bisono

Villa Riva

Villa Tapia

Yamasa

ama

iguez

n

e Noble

rahona

Esperanza

Luperon

Imbert

Constanza

Azua

Santiago

Puerto Plata

La Vega

Moca

San Jose De Ocoa

Bonao

Bani

San Francisco De Macoris

CotuiPimentel

San Cristobal

Rio San Juan

Bajos De HainaAndres

Sanchez Los RobalosSamana

San Pedro De Macoris

Cabo Engano

Santo Domingo

Hospital Elias Santana

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8 • AIMS JOURNAL • 2002 (Vol. 23, No. 1)

small town of Guerra to give sport physicals. Hewill join us on Saturday afternoon.

7:00 p.m. We arrive in paradise to hear thewonderful sounds of the surf and the local music.

These one-week mission trips are short, butwe can usually do from 15-20 orthopaedic pro-cedures. It is the only hope that these poor peo-ple have to get a deformity corrected. The gov-ernment just does not have the resources.

During the 8 years I have been working atElias Santana Hospital, we have graduallyimproved the equipment. We have good reliablearthroscopy equipment and even do ligamentreconstructions.

We have good reliable power drills, saws andreamers and implants for internal fixation. We evenfinally have x-ray in the OR that is fairly reliable.

The students have an opportunity to assistwith the evaluation of patients and scrub in andassist in surgery. They learn to suture and even getto use the power equipment and drill holes andput in screws. Most importantly, they have theopportunity to see how a physician in privatepractice can make an impact in a country withlimited resources.

Our plans are for the program to continue togrow with full-time orthopaedics and even ateaching program for the local residents andorthopaedic surgeons. It might even be possibleto have rotations lasting several weeks for medicalstudents and residents.

A number of orthopaedic professors fromLLU and other medical schools are interested inparticipating.

A 23-year-old woman who has severe rheumatoid arthritis. She had not been able to walk since age 10.Starting at age 16, the team has done 14 surgical procedures on her. She has been able to walk for the pasttwo years. She needs a total elbow replacement since both of her elbows are fused and neither hand willreach her mouth.

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AIMS JOURNAL • 2002 (Vol. 23, No. 1) • 9

The Dominican Republicat a glance…

Area: 48,730 square kilometersGeography: shares island of Hispaniola

with HaitiPopulation: 8,721,594 (July, 2002)Birth rate: 24.4 births/1,000 populationDeath rate: 4.68 deaths/1,000 populationLife expectancy at birth: (F) 75.91 years

(M) 71.57 yearsHIV/AIDS rate: 2.8 percentLiteracy rate: 82.1 percent of populationGDP per capita: $5,800 annuallyIndustries: Tourism, sugar processing, fer-

ronickel and gold mining, tex-tiles, cement, tobacco

Television stations: 25Internet providers: 24Internet users: 25,000Railways: 757 kilometersAirports: 29A 6-year-old boy has severe cerebral palsy. No

surgery has been planned as yet.

A 33-year-old woman, and her 17-year-old niece, have marked femoral bowing. Both will be hav-ing surgical correction next year.

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1 0 • AIMS JOURNAL • 2002 (Vol. 23, No. 1)

The following interview was conducted byDennis E. Park, AIMS executive director andLoma Linda University School of MedicineAIMS JOURNAL associate editor.

DEP: As a medical student at LomaLinda University, did you have a desire togo into mission service after graduation?

TJD: I had a desire and plan to do over-seas mission work upon completion of my

medical education.I first became inter-ested in overseasmission service as aresult of a bookthat I read by thename of In theValley of SevenCities, a book aboutStanley G. Sturges,MD, who had

gone as a missionary with his wife to Nepaland worked for a number of years and built ahospital. I felt called to do that same type ofwork, and as a result, decided to take medi-cine and be an overseas medical missionary.

DEP: Where and when was your firstmission assignment?

TJD: My first full-time mission assign-ment was as an orthopaedic surgeon to our

Adventist Bella Vista Hospital in Mayaguez,Puerto Rico. As a medical student, I hadtaken part of my senior electives and did amedical mission elective at Bella VistaHospital in Puerto Rico. I combined thatwith our honeymoon.

DEP: Who or what led you in thedirection of mission service?

TJD: During my orthopaedic residency,I had been asked by the Alumni AssociationSchool of Medicine of Loma LindaUniversity to accompany Virgil Wood, MD,on his trip to Africa, and we spent six weekstraveling throughout the continent of Africato a number of our Adventist hospitals work-ing with the doctors there and performinghand surgery and other orthopaedic surgery.We visited and worked in Sierra Leone,Nigeria, Malawi, Zambia, Tanzania, andKenya on that mission trip.

DEP: What other countries have youserved in?

TJD: Subsequent to moving to WallaWalla, I spent two weeks directing a medicalsurgical team to the largest children’s hospitalin Romania to teach the children’sorthopaedists to do limb lengthening andSalter osteotomies for developmental dislo-cation of the hip.

Terry J. Dietrich, MDOrthopaedic Surgeon &

Mission Physician

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AIMS JOURNAL • 2002 (Vol. 23, No. 1) • 1 1

DEP: How often do you make trips tothe Dominican Republic and how longon average do you stay?

TJD: I now have an ongoing missionproject in the Dominican Republic and Ihave made 13 trips there. I go twice a year tothe Dominican Republic. The usual trip lastsone week to the hospital. The last trip that Imade in November 2002 lasted slightlymore than three weeks. My trips in thefuture will be anywhere from two to fourweeks.

DEP: How did you decide to serve inthe Dominican Republic?

TJD: I decided to work in theDominican Republic, partly because of mybeing fluent in Spanish. I was asked toaccompany a friend of mine who had iden-tified a small Christian hospital in theDominican Republic as a good site for work-ing with the indigent people in that countryand providing them with otherwise unob-tainable orthopaedic services, especially forchildren’s orthopedics.

DEP: Is your work affiliated with theSeventh-day Adventist Church in anyway?By this, I mean does the church or thelocal conference or union invite you?

TJD: One factor in working in thatcountry is that the Hospital Elias Santanashad a charter with the government to onlytake care of indigent patients and, as such,the doctors are allowed to come there andwork without having to go through anytype of a credentialing process. We are alsonot subject to any legal action as a result ofany untoward results that might occur withour care for the patients. This particularwork is not affiliated with the Seventh-day

Adventist Church. There are a number oflocal Dominican doctors and surgeons whouse the hospital and work at the hospitalpart time. Some of these local doctors areSeventh-day Adventists. The hospital is asmall interdenominational Christian hospi-tal.

DEP: From whom do you get financialsupport when you make these trips?

TJD: My trips from Walla Walla are paidfor from my own personal funds. I also takestudents, usually college pre-med students,with me and I assist also in the cost involvedwith them staying at the hospital and otherexpenses with their being involved with thetrip. Twenty-six students have accompaniedme on the 13 trips to the DominicanRepublic.

DEP: Do you take other healthcareprofessionals with you?

TJD: I have had one anesthesiologistaccompany me on one of my trips and I havehad four different orthopaedic surgeonswork with me on my trips as well as twoorthopaedic residents.

DEP: What has been your most mem-orable mission experience?

TJD: It would be impossible for me tosingle out a single memorable mission expe-rience. Obviously, our 12 years working asfull-time missionaries was just a tremendous-ly worthwhile experience that I would doover again at the same time in my career.

DEP: What has mission service donefor you professionally and spiritually?

TJD: It was a wonderful opportunity forPlease turn to page 38

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AIMS JOURNAL • 2002 (Vol. 23, No. 1) • 1 3

There are few places in the world more dev-astated than Kabul, Afghanistan. The capitalcity, nestled in the foothills of the Hindu KushMountains, was once a lively and cosmo-politan metropolis. But more than 20 years ofwar have left their mark.

After forcing the Soviet Union to abandonAfghanistan, the Afghans turned their weaponson each other in a series of factional civil warsthat have left their capital city and country dev-astated.

For nearly all of its 100-year history, LomaLinda University has been involved in interna-tional health-care initiatives. Loma Linda’salumni have been instrumental in developingnearly 500 health-care institutions, including160 hospitals, around the world.

As a natural outreach of this global interest,Loma Linda University has had an involvementwith Afghanistan for 40 years. Primarilyanchored by G. Gordon Hadley, MD, dean

emeritus of the School of Medicine, this affilia-tion has included World Health Organizationsupport and has provided faculty and consulta-tion resources to the medical school in Kabuland several other medical institutions inAfghanistan.

At the request of both national and univer-sity leaders in Afghanistan, Loma Linda Uni-versity has focused its activities for the past fiveyears on assisting Kabul Medical Institute. Pre-viously the leading medical school inAfghanistan, the school has suffered greatly fornearly 20 years.

Now Afghan nationals, Loma Linda Uni-versity, the Euro-Africa Division of Seventh-dayAdventists, and the Afghan Medical Associa-tion have joined in a unique partnership toassist in rebuilding Kabul Medical Institute.

The devastation caused by factional fightingis slowly changing—with the help of LomaLinda University. “The entire medical schoolcomplex was severely damaged during theSoviet invasion and civil struggles, with com-plete loss of all equipment,” says Richard H.Hart, MD, DrPH, Loma Linda Universitychancellor, who—with Joan Coggin, MD,MPH, vice president for global outreach for

The Loma Linda UniversityCenter

Loma Linda University helps rebuildAfghan medical school

Loma Linda University chancellor Richard H.Hart, MD, DrPH (left); Joan Coggin, MD,MPH; and G. Gordon Hadley, MD, take atour of the Kabul University campus.

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1 4 • AIMS JOURNAL • 2002 (Vol. 23, No. 1)

Loma Linda University Adventist Health Sci-ences Center; and Jerry E. Daly, MSLS, MA,director of the Del E. Webb MemorialLibrary—made a site visit to Afghanistan in early April.

“An early decision was made to rehabilitate this facility in stages as fundsbecame available.”

“The Loma Linda project was the first toactually begin repairing portions of the mainbuilding,” comments Dr. Coggin, who is coor-dinating the project.

Opening ceremonies for the new LomaLinda University Center, located in a prime areaof Kabul Medical Institute, were held onWednesday, July 4, 2001.

The Loma Linda University Center consistsof four rooms. One is reserved for teaching lab-oratory situations, another is devoted for a tis-sue laboratory, a third room is reserved for amedical library, and the fourth is designated for

computers to be accessed by students and fac-ulty.

“Even though this is a small area of approx-imately 4,000 square feet, the Loma Linda Uni-versity Center has provided an example andhope for the rest of the institute,” Dr. Cogginrelates. “The next phase of repairs within KabulMedical Institute has been taken on by theUnited States Military Reserve which is cur-rently working in the country. Reserve engi-neers and other professionals have developedplans for rehabilitating six classrooms and sup-port areas. This project was complete in July,2002.

“The medical school’s current library con-sists mostly of books and journals dated prior to1972,” points out Mr. Daly, who is assisting Dr.Coggin. “Their collection has not grown at all.We are trying to rebuild their medical library with standardized books and journals. We have a standard list of books and a standard

Dr. Hart (left), Khushal Stanisai, MD (third from left), and Dr. Coggin, visit with SuhailaSeddiqui, MD, minister of public health. Dr. Seddiqui was Dr. Hadley’s student in Kabul in the1960s.

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AIMS JOURNAL • 2002 (Vol. 23, No. 1) • 1 5

list of reference materials we are trying toacquire. The World Health Organization(WHO) of the United Nations has said that itwill assist with the shipping costs from theUnited States to Afghanistan.”

When Kabul Medical Institute authoritiesdecided they needed help in rebuilding theirmedical curriculum, they knew exactly who toturn to—Dr. Hadley, who most recently servedas president of the Sir Run Run Shaw Hospitalin the People’s Republic of China.

On the Loma Linda University School ofMedicine faculty for more than 50 years, Dr.Hadley established the pathology departmentat Kabul Medical Institute more than 40 yearsago. Some of his former students are now onthe faculty of the Afghanistan medical school.

“My wife, Alphie, and I went to Afghanistanin 1960 to work in the pathology department,”he recalls. “When we arrived, there was very lit-tle equipment, so we essentially began fromscratch.”

Dr. and Mrs. Hadley spent several monthsin Afghanistan over the past couple of years.They returned to the embattled country earlier

this year for an extended stay to continueassisting in the redevelopment of the medicalschool and to teach pathology.

One of the greatest needs now of Afghanmedical students is qualified professors, accord-ing to Dr. Hadley.

During one of his trips back to Afghanistan,a government health official pleaded with himto come back and teach the new Afghan med-ical students. “I remember that I told him, ‘I’m80 years old.’ He told me that was no problem.‘We just want you to come.’”

“We will be teaching in English. A few ofthe students ‘fight’ learning English, but theymust realize that English is now the language ofscience and medicine, and if they are going tobe physicians, they must know that language.”

A majority of the medical students are ableto read and understand English, but have diffi-culty speaking it. To help alleviate this situation,Loma Linda is planning to send two English-language instructors to Kabul to assist in thelanguage program.

“The government is behind us in our desireto teach the students in English,”

Dr. Hadley (standing left) teaches a pathology class at Kabul Medical Institute. He has been involvedwith various projects in Afghanistan for more than 40 years.

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Dr. Hadley states, “and they are behind us insetting high academic standards—which wewill do.

“I feel very warm toward the Afghansbecause I have worked with them,” Dr. Hadleycontinues. “They are desperate. They are tiredof war, and they are suffering. For this reason, Iwanted to come back to help the people. TheAfghan people need our help now.”

After the July 4, 2001, opening ceremonies,Loma Linda personnel returned to the UnitedStates. Dr. and Mrs. Hadley had made plans toreturn to Kabul no later than early autumn.September 11, 2001, changed their plans.Because of the uncertainty of the world situa-tion, the Hadleys postponed their travel toAfghanistan.

The political situation did not deter Dr. Hadley or Dr. Coggin. Even though the future was uncertain, planning at LomaLinda University continued. After the Talibangovernment ceased to exist, communicationwas once again established with Kabul MedicalInstitute. It was learned that Loma Linda Uni-versity Center and its meager resources were

untouched, and the staff were waiting for LomaLinda to return.

Currently, anyone admitted to Kabul Uni-versity can choose to go to medical school. Themedical branch of the university is by far one ofthe most popular areas of learning becauseevery graduate of the school is guaranteed a jobwith the Afghan government at $40 per month.As one Afghan national physician puts it, “Wehave no qualified doctors. We have too manyso-called doctors.” One reason for this dearth ofphysicians is that many Afghan physicians leavethe country for training abroad. Once abroad,it is sometimes more enticing to stay in the newcountry rather than return home.

Prior to the beginning of the project, Dr. Coggin; Dr. Hadley; Michael Ryan, PhD,director of Global Mission for the GeneralConference of Seventh-day Adventists; GaryKrause, also from Global Mission; DenzilMcNeilus, president of Adventist-laymen’s Ser-vices and Industries (ASI); and two representa-tives from the Afghan Medical Associationbased in the United States—Khushal Stanisai,MD, and Yousuf Sadiq, MD—traveled to

Dr. Hart (with camera around neck), and Jerry E. Daly, MSLS, MA, visit with Afghans in frontof Afghani-operated tanks.

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Afghanistan on a preliminary site visit to assessthe medical school curriculum and see whatneeded to be done in the way of construction.Also making the trip to the opening of theLoma Linda University Center was Peter R.Kuntz, treasurer, Euro-Africa Division of Sev-enth-day Adventists.

“We enlisted the help of MaranathaVolunteers International, headed by their presi-dent, Don Noble,” Dr. Coggin noted.Maranatha Volunteers International has an excellent track record in construction proj-ects around the world.

Mr. Noble asked Karl Schwinn, president of KS Construction, Phoenix, Ari-zona, a long-time project manager forMaranatha, to head up the construction proj-ect. In addition to the teaching center, Mr.Schwinn and his Afghan team also built a four-bedroom house and three apartments. Thiscomplex is located about 15 minutes from themedical school campus.

According to an agreement reached by Dr. Coggin and Afghan officials, the houseand apartments belong to Loma Linda as longas Loma Linda is involved in the teachingprocess at Kabul Medical Institute. First tooccupy the new housing facilities are Dieter andChrista Hang of Switzerland, who are the on-

site representatives for the Loma Linda Univer-sity Center.

“Much of the infrastructure of Kabul Uni-versity was destroyed during the years of fight-ing,” Dr. Coggin details. “Windows wereshattered by artillery shells; wiring was literallypulled out from the walls and sold in neighbor-ing countries.”

One of the major difficulties faced by Amer-icans teaching in Afghanistan is the lack of ade-quate communication.

Since the first of the new year, com-munication has been restored in parts of Afghanistan. Dr. Hadley is in contact withLoma Linda personnel almost on a daily basis.Unfortunately e-mail is still not yet possible,and the use of the Internet has not reached theAfghan medical school. This will hopefullychange in the near future.

In a visit to Loma Linda in March, theAfghan ambassador to the United States, IshaqShahryar, met with Loma Linda Universityadministrators to explore the possibility of part-nering in more areas than just the medicalschool.

“We are definitely looking to the future,”Dr. Hart assures. “We are developing plans fora variety of primary health-care programs to befunded by external grants.”

A convoy of trucks from the World Food Program bring supplies to Kabul, the capital of Afghanistan.

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Editor’s note: Robert E. Hopkins, a 1946 grad-uate of CME (now Loma Linda University) is aretired ophthalmologist who resides in LomaLinda, California. Dr. Hopkins, a current mem-ber of the AIMS board of directors, has been veryactive over the years in the ophthalmology programsat Montemorelos University and other eye clinics inMexico. The following article is taken from a letterDr. Hopkins recently wrote to his ophthalmologycolleagues.

It has been some time since we sent out areport to our ophthalmic alumni of LLU, and atthis time I would like to bring you up to date onwhat is happening. First, about the program atMontemorelos, then it is spread to two othersites in Mexico, and the projected start-up of aprogram in Madagascar.

Then, about the two sites in Africa, whereestablished eye clinics are operating.

Montemorelos UniversitySince the start-up of the program in oph-

thalmology in 1989 and the subsequent initia-tion of a residency program in 1991, much ishappening.

The ophthalmology department in 1995was seeing about 40–50 patients per day (upfrom the initial 5–10 in 1989), when PedroGómez, MD, took over as chairman of thedepartment. Dr. Gómez is well trained andunder his leadership, the program has becomevery large and very progressive.

César Puesán, MD, started as a resident inthe first class (1941), trained an extra year inophthalmic pathology at Baylor University in

Houston, Texas, and a year in ophthalmic sur-gery at the very large Christian Eye Clinic inSanto Domingo. He then returned to assist Dr.Gómez in running the clinic. The two synchro-nize exceptionally well, and the program hasgrown beyond all expectations.

They see up to 130 patients per day, and lastyear performed over 1,000 major eye surgeries,mostly cataracts.Residents get asmany as 350 cataractsurgeries in theirthree-year course.

The inter-de-n o m i n a t i o n a lChristian organiza-tion of physiciansand dentists called“Medical MissionsI n t e r n a t i o n a l ”(MMI) approached our eye clinic leadershipthree years ago, asking that they take over theleadership of the Mexico portion of their pro-grams. MMI is a large organization of Christianphysicians and dentists who go on short-termmission appointments to many countries. Thisarrangement with MMI has been a real blessingto the Montemorelos program, as both Dr.Gómez and Dr. Puesán are directors on theMMI staff. Through the efforts of MMI, manyIOL’s have been donated to our program, as wellas putting the program in line with donors whohave contributed large amounts of money tomake the Eye Clinic totally equipped with acomplete inventory of ophthalmic equipment,including lasers, automatic visual fields, etc. In

Ophthalmic UpdateBy Robert E. Hopkins, MD

Robert E. Hopkins, MD

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addition, the program has been chosen by man-ufacturers of advanced equipment for refractivesurgery, not available as yet in the United States,to use (without charge) their devices to substan-tiate their use.

Because of the great increase in patient cen-sus, a recent modification was completed mak-ing the Eye Clinic more than twice as large aspreviously. Also, because of the excellent reputa-tion that Dr. Gómez and Dr. Puesán have giventhe program, the number of pay patients hasincreased from 10 percent to around 50 percent.

New eye clinics in MexicoEarly in 2001, Marco Barrerra, MD, a recent

graduate of the residency program, established anew clinic in Ensenada, Baja California. It isgrowing and is providing excellent care for thosecitizens there.

Recently, the Adventist Church in Tabasco, asouthern Mexico state, has offered an idleMedical Clinic to Montemorelos ophthalmolo-gy. Drs. Gómez and Puesán have visited this siteand found it to be a very useful site for an eyeclinic, and they look forward to getting it start-ed as soon as some structural modifications canbe made. This promises to be a rapidly growingprogram also.

MadagascarIn 2001, Oscar Giordano, MD, medical

director of the Adventist medical programs inthe Indian Ocean area, has talked with Drs.Gómez and Puesán and with Gordon Miller,MD, of Salem, Oregon, about initiating anophthalmology program in Madagascar, whichis much needed in that backward country. Drs.Gómez, Puesán, Miller, third-year residentCarlos Gutierrez, MD, and Willie Hunter, MD,(director of MMI) in December 2001 visitedMadagascar and returned with plans for Dr.Gutierrez to go and set up the program as soonas equipment can be obtained and shipped.

Carlos is an ordained minister and also speaksFrench, the language of that island nation.Additionally, an SDA physician in Madagascaris studying English and Spanish, with the planto move to Montemorelos to take the ophthal-mology residency program.

Currently, this program is on hold because ofthe recent political unrest in Madagascar, but heis taking this opportunity to take a retinal fel-lowship at Montemorelos under Pedro’s tute-lage. Hopefully, the politics there will improve,allowing the program to move ahead next year.

AfricaTogo: Approximately one year ago, the

General Conference was urgently seeking anophthalmologist for the 30-bed eye hospital inTogo—the position having been vacated by aBrazilian doctor who returned to his home inSouth America. During the early months of thatvacancy, Montemorelos sent a resident to Togofor three months, and she returned happy tohave spent the time there. Then recently, LeRoyByers, MD, accepted the call to move there. Hehad previously served in Taiwan, Guam, andmore recently, in Maluti, South Africa.

Zambia: Boateng Wiafe, MD, in November2001 completed and dedicated a new 40-bedeye hospital, which had been built on propertydonated by ADRA, construction funded byCBM in Germany, and equipped by aCanadian organization. Being brand-new, andlocated in the capital city of Zambia, it is alreadyvery busy, and Dr. Wiafe is begging for somehelp. He badly needs another SDA ophthalmol-ogist to join him, for he is very over worked, get-ting no time for being with his family, etc. I amsure he would even welcome someone whocould come over and spend some months withhim. He needs help very badly.

Back to Togo. I received correspondence justthis week from Dr. Byers. While there had been

Please turn to page 38

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Editor’s note: This report comes from the BeeveFoundation for World Eye & Health. SandySkahen, editor, with Elizabeth and Ajay Patel,assistants, along with Dorothy and Jerold E. Beeve,MD. Dorothy Beeve is the daughter of the lateColby W. Dunscombe, MD, missionary to PuertoRico and founder of the Bella Vista Hospital inMayaguez, Puerto Rico.

With all the wrongs in the world, 12 yearsin a row something has been going right. Oursmall band of medical missionaries travel eachyear to the remote Yasawa Islands, Fiji, to giveservice to those in need. We are glad to be a verysmall part of that effort while many of you havebeen constant, loyal supporters of the Beeve’sEye Foundation.

With the tragedy on September 11 and theevents that have unfolded, our nation has takena long hard look at our charitable efforts to aidfellow mankind. For 12 years, our foundationhas been a constant source of hope through thededication and skills of our team. Nothing hasbeen asked in return; there has been no “paid”holiday; and no foundation administrationcosts. The Beeve’s Eye Team is a sophisticated,grass-roots effort in ambassadorship to thePacific Rim (usually Fiji).

As the world continues to become a globalcommunity as witnessed by the outpouring ofsupport we received from across the world afterSeptember 11, we must adopt the mandate toexpand the boundaries of our charitable vision.Whether you have visited Fiji and the YasawaIslands or simply feel more connected tohumanity, is is gratifying to see that over 13,000people have been treated during the last 12years; those who would otherwise have beenneglected by humanity.

Men and women can now work, fish, orgrow crops, and care for their children.Children can now read and go to school. Manylives have been saved as a result of the effortsfrom our hands and hearts.

Our accomplishments to date have been:• 13,468 vision tests for children and adults• 10,900 pairs of glasses and solar shields

dispensed• 554 cataract surgeries with lens implants• 282 laser surgeries• 104 pterygium surgeries• 18 corneal transplants• 20 miscellaneous eye surgeries—9 of

these are for strabismus (crossed eye sur-geries)

• training to Fijian doctors and nurses

Beeve Eye Clinic Report

Summer 2002

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We think that small efforts performed yearafter year fill a big need in our world whether6,000 miles away in the Yasawa Islands or inour own backyards.

As of January 2002, our team was com-prised of 20 members, including:

• Two ophthalmologists and wives fromAustralia

• Two ophthalmologists and wives fromthe United States

• One anesthesiologist and wife from theUnited States

• Three optometrists and wives from NewZealand

• One registered nurse from New Zealand• One registered nurse from Australia• Two ophthalmic assistants from the

United StatesAs you can see, we have grown from five

members and our talents are now pooled interna-tionally. It has been a tremendous reward to seeour efforts evolve into an international partner-ship over the last few years. One person at a time;one year at a time. Our efforts make a difference.

John Seigenthaler (NBC News anchor’s introduc-tion): One man’s mission, an American doctor bringinghope and healing to the people of Afghanistan. . . Foryears an American Doctor whose strong faith motivateshim to serve others has been making a journey toAfghanistan to help by giving his most preciousresource.

Kevin Tibbles (NBC Reporter): Touching down onthe runway in Kabul, Dr. Gordon Hadley has comeback as he has for over 40 years to help. Even at 81 hestill can’t stay away from Afghanistan.

Dr. Gordon Hadley: It’s just compelling you know, andthe people have so much faith in you, it is almost toomuch, you know?

Kevin Tibbles: Faith in him because this pathologistfrom Loma Linda University in California has taughtgeneration after generation of medical students at KabulUniversity. Alphie, his wife of 58 years, still remembersthe day Gordon decided to take the job and then find-ing out there was no money for a lab assistant.

Alphie Hadley: I turned to Gordon and I said, “Gordonwho would got out to Afghanistan for free to work for atissue technician?” And he looked at me and said, “Ithink I’m looking at that person.”

Kevin Tibbles: Since then, nothing has deterred Dr.

Hadley, not even the bullet ridden university walls, notteaching in his coat because there is no heat, not even theTaliban.... Dr. Hadley defied the Taliban’s ban onwomen students, insisting women be allowed to attendhis classes, but he couldn’t always prevent the Talibanfrom mistreating his students.

Dr. Gordon Hadley: There were things I did not like,I’ll say that. When I see people slap students, it’s hard forme.

Kevin Tibbles: His courage earned him lasting respect.

Afghan Medical Student (name omitted for privacyby the JOURNAL editors): By my opinion and expe-rience, I can tell that he is a kind man to all.

Kevin Tibbles: Even today, teaching is risky business.Just weeks ago, Hadley was warned by his students to gohome as riots erupted on campus over a lack of food and electricity. Two students were shot dead by police....What is your hope for Afghanistan?

Dr. Gordon Hadley: Well, I hope that they can (pause)everybody needs to forgive each other, start anew, andlove one another, and study and learn.

Kevin Tibbles: The legacy of an American Doctor inAfghanistan, no matter who is in power, no one can takeaway from you what you’ve learned.

One Man’s Mission(Aired on NBC Nightly News on Friday evening, November 29, 2002)

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Editor’s note: The following article and inter-view is an update on the smoking-cessation pro-grams being developed by a Loma LindaUniversity School of Medicine graduate LindaHyder Ferry, MD, who heads a smoking cessationprogram at the Jerry L. Pettis Memorial VeteransMedical Center in Loma Linda, California. Dr.Ferry was featured in the March 2000 AIMSJournal, which featured current smoking-cessationprograms, and reviewed the programs of yesteryear.

Dr. Ferry, tell us about your work inCambodia, Laos, and other Southeast Asiancountries. What exactly is being done tofight tobacco-related illnesses and deaths?

In Southeast Asian countries there is reallyvery little that has been done historically ontobacco control, but a few countries are nowmaking real progress, like Thailand andMalaysia.

Last summer, we were asked to partnerwith Adventist Development and ReliefAgencies (ADRA) to apply for a grant fromthe National Institutes of Health FogartyInternational Center to work in Cambodiaand Lao People’s Democratic Republic (Lao

PDR). We were awarded research funding forthe Cambodia and Laos project for five years.

Our background search found that thereare only a few small research studies on tobac-co control. For example, in Cambodia, whenI visited there only two weeks ago, I foundonly one billboard with an anti-smoking mes-sage near the Central Marketplace in PhnomPenh. It was a cooperative effort of ADRA andthe Cambodian health authorities.

So there is a long way to go. Our hope isthat the faculty at Loma Linda UniversitySchool of Public Health, partnering withADRA staff (who are in the local country), cancreate a strong bond between the governmentand the leaders there. Through their ministriesof health, we may influence leaders to changethe priorities for tobacco control in theircountry and pay more attention to the long-term health consequences of smoking.

What do you plan to accomplishthrough this project, and how?

The purpose of our project is to bring fac-ulty from the School of Public Health and theSchool of Medicine at Loma Linda to

Smoking Cessation in Southeast Asia

An interview with Linda Hyder Ferry, MD

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Cambodia every four or six months. Wewould recruit people who work in positions ofinfluence in ministries of health, medicalschools, research department, and economicsdepartment.

Basically, any individual that can influencedecisions on tobacco control research and pol-icy in their country. These individuals wouldjoin us for a two-week teaching session, tocover the essential skills of tobacco controlresearch, such as epidemiology, statistics, andhow to design a research survey. Also, traineeswill learn how to analyze their research dataand publish the results.

We hope that the relationships that we buildwill provide the evidence for them to develop

an agenda that will go on for the next decade togradually and effectively increase tobacco con-trol. The outcome in the long run is to decreasethe use of tobacco by men and to preventwomen from ever starting to use tobacco. Rightnow in Southeast Asia, there is a much biggergap between the smoking rate of men andwomen in many regions than we see in thedeveloped western countries.

When will you start the classes inCambodia?

We will be starting our very first class at theend of March, 2003. We hope to bring inscholars to our program from surroundingcountries, such as Vietnam to the east, and

The Loma Linda University School of Public Health research team discusses their project. Picturedare (from left) Emmanuel Rudatsikira, MD, MPH, assistant professor, department of internation-al health; Pramil Singh, DrPH, assistant professor, department of epidemiology; Jayakaran S. Job,MD, DrPH, associate professor, international health, epidemiology/biostatistics, preventive medi-cine, Schools of Medicine and Public Health; Susanne Montgomery, PhD, director, center for healthresearch, professor, department of health promotion; Linda Hyder Ferry, MD, MPH, associate pro-fessor, department of health promotion, principal investigator for project; Floyd Peterson, MPH,assistant professor, biostatistics, director, health research consulting group; and Alex Lozano, researchassistant.

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Malaysia, Thailand to the west and maybeeven Mongolia. That way, there can be a realintermingling of leaders in Southeast Asia tounderstand just what tobacco control means.

The government structure, politics, andthe economics of these countries are very dif-ferent, so one method will not work every-where.

What is your long-term goal for the stu-dents?

Our long-term goal with these students isthat they finish what we call an AsianLeadership Global Tobacco ControlCertificate Program. This program will teachthem the skills needed for leadership in globaltobacco planning, grants management, strate-gic planning, and how to communicate pro-fessionally to the media in their country. Atthe end of the project, after we complete fivesessions (every four to six months), we hopethat we will have inspired people who areempowered to become the leaders in their

country in tobacco control and save the livesof hundreds of thousands who would other-wise continue smoking.

Why do you do this? What motivates youto work on behalf of these countries and theirpeople?

Well, medical school teaches you howmany diseases people develop from smoking,and in medical school all you really learn is,“tell them to quit!” We are trying to changethat here at Loma Linda so that our medicalstudents not only know how to tell people toquit, but know how to help them quit.

After I finished my master’s in publichealth from Loma Linda University, I realizedthat the largest preventable health problem inthe world is tobacco-related diseases. Nearlyfive million people will die this year on ourplanet from a tobacco-related disease. Theywill usually die 10, 15, or 30 years before theywould have naturally passed away, robbingtheir families and their communities of

This anti-smoking billboard, the only one of its type seen by Dr. Ferry, is located near the cen-tral marketplace in Phnom Penh. The billboard is co-sponsored by the Adventist Developmentand Relief Agency (ADRA) and the Cambodian health authorities.

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tremendous potential from their lives. Allbecause of an addiction to nicotine.

So when I put together my medical train-ing and my public health training, it dawnedon me how big the need is for improving peo-ple’s understanding of the risks and the abilityto get effective help to stop smoking.

This project just seems like such a naturalway to take what we have believed abouthealthful living for nearly 100 years here atLoma Linda University and partner with adeveloping country who is rebuilding theirhealth-care in Cambodia after the devastatingwar in the 1970s. In the last 10 to 15 years,they have opened their medical school againafter all the years of war that they wentthrough. Everything was dismantled in theirgovernment and their medical education sys-tem.

So going back to partner with them is a realmission. Helping them learn how to protecttheir own population from the predation ofthe tobacco industry is the second part.

Because the tobacco companies are eagerlyhoping to partner with developing countries,trying to get partnerships with them econom-ically, they may become dependent on them,and won’t enact effective tobacco control.

We are also trying to partner with the mis-sion of the World Health Organization. Theycreated what is called the FrameworkConvention of Tobacco Control (FCTC).This worldwide effort in uniform tobaccocontrol basically says that every country needsto take seriously the impact of tobacco on thehealth of their people. The government lead-ers need to enact certain laws, policies, andhealth decisions in regards to health-care thatwill decrease tobacco-related diseases in theirpopulation.

The first measure of success is to have thetrainees finish our certificate program, thendevelop the skills to do effective research, andcontribute to the published body of knowl-edge of tobacco control in Southeast Asia.And, in the process, their efforts will effective-

The medical school in Laos will participate in research every two years for the next six years tosee whether the Laos medical students’ health practices change.

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ly reach out to thousands and potentially mil-lions of people who want to be free from theaddiction of tobacco.

How aware are the people in SoutheastAsian developing countries about theeffects of tobacco? Is this new informationthey don’t know about?

Eighty percent of the people in Cambodialive in a rural environment. They grow theirown tobacco. They start using homegrowntobacco leaves at an early age and don’t haveany idea of the health impact of their behavior.

The number of people who live in theurban centers is only 15 to 20 percent of thepopulation. There are 10 to 12 million peoplein Cambodia and about four to five million inLao PDR.

They have not yet seen the long-termhealth consequences increasing from lung can-cer, emphysema, and heart disease. They havenot been smoking in large numbers longenough, and they don’t have the health infor-mation tracking systems to see those trendsdeveloping.

So I would say they are at least 30 to 40years behind the efforts that are seen in thewestern world in regards to tobacco control.Many people only have a vague idea thatsmoking may be harmful. There are very few“clean indoor air” laws or workplace enforce-ment of eliminating passive smoke.

There are basically only a handful ofresearch projects that are done or ongoing atthe moment. However, there is one very inter-esting project in Cambodia. They have a proj-ect that is funded by Rockefeller Foundationwith ADRA Cambodia where they are takingthe anti-smoking message to the Buddhisttemple compounds, called wats. They areencouraging the entire compound to bedeclared tobacco-free. When all of the newmonks take their initiation vows, they are

encouraged to abstain from all tobacco.Several wats are cooperating with this programin Cambodia.

Now, this is a very interesting conceptbecause many young men spend a short peri-od of time doing this in Cambodia. Then,they go on to their normal work. To influence18- to 22-year-old men in Cambodia whenthey are in a spiritual, searching period of theiryoung lives to choose to not smoke could havean impact on their country. They return totheir communities which can really be anopportunity to start changing the acceptednorms and thinking in the community.

We just need to continue to be open andcreative and let the Lord’s spirit lead as we findways to work with them in their culture (aBuddhist culture primarily), and with a verylow education and income level. They don’thave a big health budget to spend on tobaccocontrol, but the tobacco companies have a hugeadvertising and promotion budget to enticethem with.

What do you foresee as your biggestchallenge in this project?

Our biggest challenge is to convert ourAmerican perspective on tobacco control intoa sensitive approach to their Asian culturalissues, in order to translate what the real coremessage is, in a way that is not offensive.That’s going to really be the biggest challenge.Conducting large research surveys in anothercountry half a world away is also going to takesome exquisite planning and cooperationbetween the LLU-based research team and theSoutheast Asian researchers.

The knowledge base about the harmfuleffects of tobacco use is clearly in the literature.We don’t have to convince them of these facts.But the challenge is to learn how to translatethat into relevant research efforts, health poli-cies, working with the political structure of

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their country, the business angle, and the eco-nomic impact of reducing sales of tobaccoeventually. For example, how could they ben-efit from a tobacco tax as Thailand recentlypassed?

So all of those issues that need to be con-sidered in order to improve the health by moreeffective tobacco research are going to have tobe faced one at a time, as we go forward. Weare praying that the Lord gives us the wisdomto know how to avoid the pitfalls so we canimprove the health of the people in Cambodiaand Lao PDR. Overall, we’re excited about theprospects and eager to see where the Lordleads us.

Is there anythingelse that you wouldlike to add?

In ADRA, the workof humanitarian reliefand assistance to peoplewho are really hurting isprobably not any moreacute then it is in coun-tries like Cambodia.For several years in the1970s and early 1980s,the people were livingunder the most primi-tive conditions becauseof oppressive commu-nist rule. They had nomedical professionals,medications, and nooutside help.

Planned genocideoccurred all aroundthem, fear dominatedtheir lives and very fewhave received a highereducation. The wholeage group of the popu-

lation that lived in the mid 1970s has beencruelly affected.

So what we hope is that as ADRA’s partner,we create more opportunities for Christiannon-government organizations to be receivedin a way that allows us to improve the healthof people in these countries and to be led byGod’s wisdom. That’s what God calls us todo—to go to the most needy and to showHim to them, in a loving way, providing fortheir needs. This is really the ministry thatChrist had. This is the adventure that we arelooking forward to. I’m eager to come back ina couple of years and tell you how our projectis going.

An Ung Sam, MD, MPH, director of National Institute of PublicHealth (NIPH) in Cambodia, stands in front of the NIPH head-quarters in Phnom Pehn. The tobacco education courses will be heldat this site.

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A vast amount of health needs assessmentdocuments in the Northern Asia-PacificDivision (NSD) were presented to the dele-gates of the Health Ministries Advisory held atEden Sanitarium and Hospital near Seoul,Korea, on February 25-26, 2002. The confer-ence was sponsored by the NSD HealthMinistries Department whose director is JohnMcGhee. For this advisory, there were around30 delegates from Japan, Korea, Hong Kong,Taiwan, and Mongolia. The delegates werehealth professionals including medical doc-tors, nurses, health educators, hospital admin-istrators, etc.

This assessment was given by P. WilliamDysinger, MD, MPH, senior health advisor ofDevelopment Services International (DSI) inTennessee, USA, after spending over twomonths for research in Korea, Taiwan, HongKong, China, and Japan in 2001.

Development Services International wasestablished in 1996 by Dr. Dysinger and hiswife Yvonne Dysinger, MPH, RN, president-senior health advisor and secretary-treasurer,

respectively. Dr. Dysinger has worked at LomaLinda University for 28 years and forAdventist Development and Relief Agency(ADRA) for six years. He is still adjunct pro-fessor of the University.

In order to find out the health situationand health needs of each country or territo-ry, Dysingers visited a lot of people workingin the government offices, hospitals, univer-sities, UNESCO, UNICEF, WHO, NGOoffices, etc.

For example, in Korea, they visited theKorean National Commission for UNESCO,WHO/Republic of Korea, Yonsei University,etc. In Taiwan, College of Medicine ofNational Taiwan University, Bureau of HealthPromotion, etc. In Hong Kong, AdventistHospitals, Hong Kong Council on Smokingand Health, etc. In China, Beijing Institute ofHealth, Lung and Blood Vessel Diseases,China Preventive Medicine Association,UNICEF-Area Office for China andMongolia, School of Medicine of ZhejiangUniversity, etc. In Japan, National Institute of

Health Needs AssessmentPresented in the

NAD Health AdvisoryBy Tadaomi Shinmyo, NSD Communications, PARL Secretary

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AIMS JOURNAL • 2002 (Vol. 23, No. 1) • 2 9

Public Health, Ministry of Health, Labourand Welfare, Tokyo University, etc.

The purposes of the assessment were tofind out the past trend of diseases and to fore-cast the next 10 years’ trend of diseases in eachcountry or territory. In addition, it was also animportant task to respond to the coming chal-lenges related to health in the region.

According to Dysingers’ assessment, therewere the common trends of diseases in thesecountries. It is, in a word, lifestyle diseases,namely heart disease, cancer, diabetes, and over-weight. In addition, they found a rapid growthof aging population. Therefore, based on thefacts discovered through the research, they rec-

ommended the delegates of the advisory toencourage their own people to take a tradition-al diet rather than fast food, and to exercisemuch more to solve the lifestyle diseases.Furthermore, the elderly people should be takencare of, including an adequate insurance system.

After this big project, Dr. Dysinger com-mented, “Now, we can have a new look to seekthe needs of people by evidence through facts.The world is rapidly changing. Yesterday’s goodthings are no more for tomorrow.” YvonneDysinger said, “This project was greatly reward-ed. Those whom we met were busy persons, butthey welcomed us and treated us graciously.Sometimes, they invited us even for meals.”

P. William, MD, MPH, and Yvonne, MPH, RN, Dysinger

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3 0 • AIMS JOURNAL • 2002 (Vol. 23, No. 1)

It has been a while since I have been able toget a message off to you. Our administrator wasgone for a month and I have been doing a bitof double duty again. We have also been prepar-ing for a dedication ceremony for our new hos-pital building.

Well, yesterday we had the ceremony. It wasa big event and was held in the new hospitalbuilding on the third floor, in the auditorium.

We had a nice ceremony that was wellattended. There were about 350 people there.

First, at about 8:30 in the morning, peoplebegan to arrive, and then at 9:00 a.m., we hadthe local church Pathfinder group march bywearing uniforms, waving flags, and singingsongs. This really drew the crowds. It alsowarmed our heart, since some of the kids wereonly 4 years old. They had a display of march-ing and songs. Then they presented flowers tothe special guests. This all happened on the dirtroad outside the front of the new hospitalbuilding. We then had a ribbon cutting cere-mony. After this, we all went into the buildingand on up the ramp to the third floor where wehad the ceremony. There were a number ofspeeches, but what thrilled us so much was tohave the founder of the hospital, Claude Steen,MD, with us. He came out here to Gimbie in1947, as a young doctor, to start the hospital.What a great time it was. He brought alongthree of his sons and several grandchildren as

well. The crowd roared with applause as Dr.Steen and his family were introduced.

Finally, all the speeches were done, and atour of the building was given, followed by alunch for all the guests. Our food committeehad been cooking for days to prepare for thisopening. They cooked up five sheep and 15chickens, along with loads of onions, potatoes,bread, and other food.

There was a bit of crisis two days before ourceremony when the shoppers went to the mar-ket and discovered not a single sheep was beingsold. We discovered that this week was a fastingweek for the Ethiopian Orthodox Church,which means they can still eat, but not meat.The farmers figured that business would not begood for sheep, so they didn’t bring any to themarket. After some diligent searches and visitsto farms, our shoppers were finally able to trackdown the sheep, since culturally this is the kindof food that should be served at this function.

The food ladies had erected a tent outbehind the building and set up three rock stovesto cook everything. The stoves are made withthree rocks, a pot on top, and the spacesbetween the rocks are where the firewood ispushed under the pot little by little to keep theflame going. They did a wonderful job of itwith such simple foods.

There was food left over after the ceremo-ny so this was given to the poor in the com-

The Road to GimbieAugust 10, 2002 report

By Nick A. Walters, MD

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AIMS JOURNAL • 2002 (Vol. 23, No. 1) • 3 1

munity. All in all, a good day for everyone.As for the new building, let me give you a

visual picture of it: The building is on the sideof the hill, so the main entrance is on the sec-ond floor. As you enter, there is a lobby. To theleft is the men’s open ward. As you walkthrough the open ward, you get to the emer-gency room on the other side. There is actuallya separate door for the emergency room fromoutside on the front as well.

If you turn to the right from the main lobby,you enter the private ward. This is where thereare private and semiprivate rooms. From themain lobby there are stairs going up to the thirdfloor. On the third floor, there is a lobby, justover the entrance lobby. From this lobby, if yougo right, you go into the main auditorium. Thisis an open hall that can be used for meetings orclasses. If you go left from the third floor lobby,

you will go into the offices and guest rooms’area.

Going back down to the main lobby on thesecond floor, if you take the steps down, theywill lead you to the first floor. If you go rightfrom the landing, you will first go into chang-ing rooms that lead into the OR area. There isa recovery room on the left, then two OR areason the left. On the right are storage areas andinstrument preparation areas.

From the landing, if you go left, you will seeour new delivery room and past that you willenter the OB ward, the pediatric ward, and thewomen’s ward.

Besides the steps, there is a ramp behind thebuilding that will lead up and down from themain building. This is for wheel chairs and gur-neys.

I hope you enjoyed the tour.

Students from Loma Linda University help with the construction work on a new area ofGimbie Adventist Hospital. The students were part of the Loma Linda University Students forInternational Missions service group that went to Ethiopia in 1991.

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3 2 • AIMS JOURNAL • 2002 (Vol. 23, No. 1)

March 1 to 4, 2002, made history for a groupof healthcare professionals from Colombia, SouthAmerica. With an official invitation from the officeof the chancellor of Loma Linda UniversityRichard Hart, MD, DrPH, this group of physi-cians, nurses, and other healthcare professionalswere able to visit Loma Linda University andattend the Annual Postgraduate Convention,sponsored by the Alumni Association School ofMedicine. On Sunday, March 3, a Hispanic sessionwas coordinated for them by Sofia Puerto, PhD,RN, CCRN, adjunct faculty member of School ofNursing of Loma Linda University and educator atJerry L. Pettis Memorial Veterans Medical Center.

“It was a good opportunity for them to learnand to network with representatives from LLU,Loma Linda VA, and other healthcare profession-als from the area,” said Dr. Puerto.

Thanks to the generosity of some local physi-cians, some pharmaceutical companies, and thevolunteer efforts of a group of nurses from LomaLinda VA, this event was a success. “There areno borders when it comes to sharing in our pro-fession,” adds Dr. Puerto. “The rewards are end-

less, not only for the receiver, but the giver aswell.”

In our present location, “we feel isolated andforgotten,” stated one of the participants.According to Dr. Miguel Moreno, president of theColombian Chapter of AIMS, the problem is mul-tifactorial. “In addition to lack of trained person-nel and poor remuneration, our work loads areoverwhelming. In the Adventist clinics, lack ofequipment is a major obstacle. Most of us holdanother job besides working for these clinics. Theneed is great.”

Due to the political situation in the country,many professionals are migrating. In someinstances, rendering healthcare is not without risk.Some colleagues have sacrificed their lives whilerendering healthcare to those in need.

In addition to Loma Linda University, AlumniAssociation School of Medicine of LLU, AIMS,and the Jerry L. Pettis Memorial Veterans MedicalCenter, Dr. Puerto would like to thank the speak-ers and Dr. and Mrs. Alvaro Bolivar, David Bolivar,MD, Dr. Eunice Bolivar, Dr. Joel Manosalva, ElberCamacho, MD, and Alonso Ojeda, MD.

South America HealthcareProfessionals Attend APC 2002

By Sofia Puerto, PhD, RN, CCRN

Members of a delegation from South America pose for a picture by the ambulance entrance ofthe Jerry L. Pettis Memorial Veterans Medical Center.

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AIMS JOURNAL • 2002 (Vol. 23, No. 1) • 3 3

Editorial: A Taste of History!While our country is squarely in a political

campaign and the speeches are hard driven, Iwould like to look back to 41 years ago . . .

On January 21, 1961, John Kennedywished to leave a powerful and deep messageto Americans. The end of his speech remainsfamous . . . Remember his words . . .

“Ask not what your country can do foryou. Ask what you can do for your country.”

What an unusual message . . ! What anencouraging address that we can all beinvolved in. An encouragement to becomeresponsible, a call to become actors in this life,and not remain simple spectators.

For several of us, this message echoes andwe have transposed it to “the hour has come toask ourselves what we can do for L’AMALF,and not what L’AMALF can do for us.

The word from the president d’honneurL’AMALF has existed for 23 years . . .Created at the start by a small group of

health professionals, almost all of the gradu-ates of the faculty of medicine of Montpellierare alumni.

Twenty-three years ago Paul Tieche, thenpresident of the Franco-Belgium Union,charged us to gather an independent associa-tion of health professionals of the French lan-guage, of which the community had need, andthe professionals had need of anchorage in thecommunity.

When one looks in retrospect at the mira-

cles accomplished, the divine interventiondirectly in our humanitarian projects, the joys,the friendships and the renewed dedication, athank you to all.

A special thank you to one of our eldest,Jean Llobet without who so much would nothave been accomplished, he was always thereto receive merchandise, trucks, medicines, anddispatch all as needed. He is an example ofintelligent benevolence, and persevering.Many followed your example, but I believeyou have the palm of longevity.

Thank you to all . . . Contal, Kaknor,Fayard, Freuler, Mansec, Christiane, Delgado,N’Sungula, Aurouze, Davies, Davy, Breuil,Steveny, Verrecchia, Veckringer, Vernet,Mermoud and others that my memory failsme. Thank you for all you have done to givelife to L’AMALF during these 23 years and werejoice to see talent raised with the young.

Long live L’AMALF and thank you to all!This association is yours!

Report on annual AMALF meetingFrench Chapter of AIMS

The beginning of November, the AMALFmembers hold their annual meeting. This yearwe met near Annecy in the French Alps to dis-cuss the problem concerning the Burn-OutSyndrome. Eighty-five members attended themeeting—25 physicians and 60 other medicalprofessionals. Psychotherapist Jacques Poujol,former pastor, was the main guest speaker onSunday, November 10. Dr. Barneoud intro-

Chapter notes

L’AMALF

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3 4 • AIMS JOURNAL • 2002 (Vol. 23, No. 1)

duced the subject and Bernard Davy, MD,made recommendations for the prevention ofthis syndrome connecting the New Start phi-losophy as the best life style in that prevention.Dr. Davy is an AMALF member and residentin psychiatry in Geneva.

We were welcomed Friday evening by Dr.Steveny, president of AMALF. Saturday, ElderThierry Lenoir, chaplain of Clinic la Ligniere(Switzerland) and his wife Anita held the dif-ferent meetings, while Dr. Jean ClaudeVerrecchia, president of the Adventist Campusdu Saleve and one of the four principle editors,presented the last French translation of theBible. The morning worship was about theprophets who were burn-out victims, i.e.Elijah and Jonas! Thierry Lenoir is also a mar-velous violin-player and with his wife held theSabbath end meeting.

Saturday evening was an administrativeone: activity and financial reports. AMALF isvery active on overseas mission work. Sincemore than 15 years, we support the Adventisthealth system in Katanga (Congo) with itsdirector Dr. Delgado. This year an ophthal-

mologic team from Lausanne University wentfor three weeks and a Swiss Army lorry boughtby a friend Remy Hirschy, full of medicalequipment (X-ray machine ophthalmic sup-plies, etc . . .), was sent to Lumumbashi viaKenya. Next year, we will sponsor one mid-wife for six months and a young MD who willspend half a year helping Dr. Delgado. Dr.Hawlitcheck, division health secretary whoattended our meeting, wrote that in his opin-ion AMALF was “the most missionary activeand exemplary association of health profes-sionals we have in our division.” Thanks toeverybody, Dr. Kohlia Stéveny was re-electedpresident and Dr. Jean Claude Matter re-elect-ed treasurer. Lots of projects are under way fornext year. We need your support in prayer.Next theme of our annual meeting will be“Obesity, Fact of Our Society,” and we willmeet near Paris.

— Dr. Patrick Guenin, Past PresidentPS: If you know about a nutritional spe-

cialist in Loma Linda who would accept tocome to Paris next November to speak on thatsubject, they would be welcome!

Plan now to attendAPC 2003 Mission Symposium.Look at the School of Medicine

Alumni Association website<www.llusmaa.org>for update details.

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AIMS JOURNAL • 2002 (Vol. 23, No. 1) • 3 5

AIMS LIFE MEMBERSAs of December 31, 2002, AIMS has 164 Life Members

Edward C. Allred, MDDonald K. Ashley, MDIra E. Bailie, MDMarion C. Barnard II, MDJo Ellen Barnard, MD

† Marion C. Barnard, MD Carl L. Bauer, MDGeneva K. Beatty, MDB. Lyn Behrens, MBBSJack L. Bennett, MDGeorge N. Benson, MDRoy V. Berglund, MDFrancis Rollin Bland, MDIngrid K. Blomquist, MDRobert H. Bossert, MD

† Walter A. Bozak, MD Allen L. Brandt, MDJerome L. Bray, MDBurton A. Briggs, MDUrs M. Bryner, MDDeWayne F. Butcher, MDGlenn W. Bylsma, MDMark D. Carlson, MDGeorge P. Cheng, MDThorvald W. Christiansen, MD

† Everett F. Coleman, MD William A. Craig, MDThuan T. Dang, MD

† Delbert R. Dick, MD Herbert L. Domke, MDRichard D. Dunbar, MDGerhardt L. Dybdahl, MDP. William Dysinger, MDGeorge J. Falbisaner, MDEleanor R. Fanselau, MDHarold A. Fanselau, MDRichard A. Flaiz, MDGeir P. Frivold, MDGary K. Frykman, MDDavid K. Fukuda, MDGlenn D. Garbutt, MDMartha June Gardner, MDBrendon L. Gelford, MD

† Gerald J. Gelford, MD Darrell E. Genstler, MDArt Giebel, MDHervey W. Gimbel, MDHoward V. Gimbel, MDRandy H. Gleason, MDAudrey R. Glover, MDAntoinette A. Gomes, MDAlbert Gordon Goude, MDRobert E. Goyne, MDA. R. GroverWilliam D. Gruzensky, MDRichard S. Guthrie, MD

G. Gordon Hadley, MDAllan R. Handysides, MDRobert A. Hardesty, MDGary Herschel Harding, MDRalph D. Harris, MDLewis H. Hart, MDRichard H. Hart, MDHarvey E. Heidinger, MDLeo Herber, MDMarilyn Joyce Herber, MDRaymond Herber, MDArmando C. Hernandez, MDSteven W. Hildebrand, MDSteven E. Hodgkin, MD

† Gustave H. Hoehn, MD Robert E. Hopkins, MDRussell E. Hoxie Jr., MDRussell E. Hoxie, MD

† E. Isabel Low Ing, MD Carl Jansen, MDClaran H. Jesse, MDJames A. Jetton Sr., MD

† Lawrence E. C. Joers, MD † Eleanor S. Johnson, MD

Oliver Larry Johnston, MDHans B. JunebyElton R. Kerr, MDEdwin H. Krick, MDGrace N. Kumamoto, MDMorley R. Kutzner, MDRaymond L. Larsen, MDFrancis Y. Lau, MDEwald R. Lonser, MDWilliam L Lubke, MDVernon C. Luthas, MDM. C. Theodore Mackett, MDWalter Markus Maier, MDRobert L. Marsh, MDReuben Matiko, MDRaymond L. Mayor, MDWilson C. McArthur, MDWilliam H. McGhee, MD, EdDJames R. McKinney, MDLester Medford, MDRobert E. Morris, MD

† Chanceford A. Mounce, MD Neil A. Nedley, MDHarry C. Nelson III, MDWallace Y. Nishikawa, MD

† Frances Patience Noecker, MD † Kay K. Ota, MD

David J. Parsons, MDArnold L. Petersen II, MDChester Pflugrad, MDThaine B. Price, MDNicholas E. Reiber, MD

† Albert H. Reiswig, MD Robert A. Reiswig, MDElwyn L. Rexinger, MDSergio R. Riffel, MDWilliam E. Rippey, MDAntonio E. Robles, MD

† Ronald E. Rothe, MD Richard L. Rouhe, MDRalph W. Royer, MDCharles A. Russell, MDElmar P. Sakala, MDDonald W. E. Schafer, MDMarlowe H. Schaffner, MDJudith M. Schnepper, MDEloy E. Schulz, MDWeldon D. Schumacher, MDRonald R. Scott, MD

† Donald R. Shasky, MD Bernard M. Shucavage, MDStephen J. Skahen, MDGordon D. Skeoch, MDJ. Randal Sloop, MD

† Carrol S. Small, MD Donald A. Smith, MDRobert S. Sochor, MDRobert N. Spady, MDJohn D. Sproed, MDDonald L. Stilson, MDMildred A. R. Stilson, MD

† Howard O. Stocker, MD † Kennard O. Stoll, MD

T. Martin StrahanWilliam C. Swatek, MDGregory M. Taylor, MDW. Holmes Taylor, MDLarry L. Thomas, MDGordon W. Thompson, MDEric Tsao, MDRudolph William Varesko, MDEdgar O. Vyhmeister, MD

† Theodore E. Wade, MD William Wagner, MD

† Richard T. Walden, MD Michael H. Walter, MDRandall W. Waring, MDJames M. Whitlock, MDGeorge J. Wiesseman, MDGlenn L. Wiltse, MDEveret W. Witzel, MDJudy M. Wong, MDBryce J. Young, MDDaniel W. Young, MD

† = Deceased

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3 6 • AIMS JOURNAL • 2002 (Vol. 23, No. 1)

Africa Indian Ocean DivisionDr. George SanzEmail: [email protected]

Eastern Africa DivisionFeseha TsegayeEmail: [email protected]

Euro-Africa DivisionJochen HawlitschekEmail: [email protected]

Euro-Asia DivisionNadia EvanovaEmail: [email protected]

Inter-America DivisionEli HonoreEmail: [email protected]

Northern Asia-Pacific DivisionJohn McGheeEmail: [email protected]

World Division Health DirectorsSouth American DivisionTito RodriguezEmail: [email protected]

South Pacific DivisionPercy C. HarroldEmail: [email protected]

Southern Asia DivisionThansiama TlauEmail: [email protected]

Southern Asia-Pacific DivisionAbraham CarpenaEmail: [email protected]

Trans-European DivisionOrville WoolfordFax: 44-1727-866312

Southern Africa UnionN/AEmail: [email protected]

The Alumni Association, School of Medicine

of Loma Linda University, is seeking names

of CME/LLU School of Medicine graduates who passed away while serving

in the mission field.

Please send information to the managing editor,

Alumni Association,

School of Medicine of Loma Linda University,

11245 Anderson Street, Suite 200,

Loma Linda, California 92354.

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AIMS JOURNAL • 2002 (Vol. 23, No. 1) • 3 7

AIMSGlobal Mission Awards

G. Gordon Hadley, MDMarch 4, 2000

Gustavo Diaz Olivo, MDNovember 9, 2000

Pedro Tabuenca, MDAugust 9, 2000

Dunbar W. Smith, MDFebruary 24, 2001

Beverly G., MD & Harold U. Giebel, MDMarch 4, 2002

The AIMS Journal is published by the AdventistInternational Medical Society, an organization ofSeventh-day Adventist physicians/health profession-als, and friends, dedicated to the promotion ofAdventist International health efforts. Bulk rate postagepaid at San Bernardino, California. @ CopyrightDecember, 2002, by the Adventist InternationalMedical Society, Loma Linda, CA 92354 USA. Currentcirculation: 2,500. Website: aims-ministry.org.

Executive OfficersPresident: G. Gordon Hadley, MDPresident-elect: James M. Crawford, DDSSecretary: George Wiesseman, MDTreasurer/Membership: William Wagner, MDProject Director: James M. Crawford, DDS

Thomas J. Zirkle, MDEloy E. Schulz, MD

Continuing Education: Richard H. Hart, MD, DrPHEloy E. Schulz, MD

Webmaster: Rodney Willard, MDPast President: Eloy E. Schulz, MDExecutive Director: Dennis E. Park

PublicationEditor: Don RothAssociate Editor: Dennis E. ParkContributing Editor: William Wagner, MD

Contributing EditorsJorge Pamplona-Rogers, MD, SpainZildomar Deucher, MD, BrazilNephtali Valles Castillo, MD, MexicoPatrick Guenin, MD, FranceRonald Noltze, MD, GermanySam Daniyan, MD, NigeriaRicardo G. Salamante, DrHSc, MPH

& Pastor Bien V. Tejano, PhilippinesMilca Schmidt, VenezuelaAdrian Bocaneanu, RomaniaR. J. Butler, AustraliaDr. Edmil D. Marinov, BulgariaDr. Jairo Castaneda, ColombiaBernardo Meza, MD, HondurasGraceila Quispe, ArgentinaIvan Kasminin, MD, RussiaAntonio Solares, MD, Guatemala

AIMS operates in conjunction with the Alumni Asso-ciation, School of Medicine of Loma Linda University,Loma Linda, CA 92354 USA.

Number of AIMSLife Members by Year

Year No. of Life Members

1994 81

1995 85

1996 103

1997 110

1998 113

1999 139

2000 142

2001 152

2002 164

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3 8 • AIMS JOURNAL • 2002 (Vol. 23, No. 1)

our family, also for us to be involved spirituallyin the work in that area. It also gave me atremendous opportunity for professionalgrowth that otherwise would not have been pos-sible, especially the experience that I obtaineddoing significant children’s orthopaedics. Also,becoming fluent in another language was a sig-nificant factor in me continuing on now withwork in other countries where Spanish is theprinciple language. I believe that all of these fac-tors have been preparatory for me in the currentwork that we are doing and in developing a sig-nificant teaching program to upgrade the locallevel of orthopaedic care that is provided, to bemore that of the care that is provided in theUnited States.

DEP: What advice would you give tomedical students and recent graduates whomay be contemplating some form of missionservice?

TJD: My advice to medical students andrecent graduates would be to give overseas mis-sion service an opportunity as an option to lookinto it as a means of serving God and our fellowman, especially those who live in circumstanceswhere resources are markedly limited and wheretheir medical care options are severely limited.

a previous ophthalmologist there, he foundsome equipment to be unusable, out-of-date orlacking. The needs are many. I am listing hisneeds. Hopefully, some of you might have someof this equipment that we can get ADRA to shipto Togo. Let me know if this is so.

The immediate priorities are:a) Slit lamp bulbs, both 12 volt, 50 watt

halogen, and 6–8 volt incandescent (to fit Haag-Streit design, actually Inami, slit lamps);

b) Graether collar-button capsule polisher,irrigating;

c) Bipolar coaptation and jeweler’s cauteryforceps;

d) Indirect ophthalmoscope set (if any wasever here, it must have departed with the lastdoctor);

e) A-scan biometry (I keep thinking some-one has a good, old unit around somewhere,who needs built-in calculations, etc);

f) Solid-bade speculums, such as McKinneyor Mellinger (Storz catalogue); and

g) Eventually, we will probably need instru-ment sterilizing/storage trans if/when we get aproper, functioning steam sterilizer (we have asterilizer from Maluti, little-used, but has someproblems).

Continued from page 11 Continued from page 19

Dr. Dietrich Ophthalmic update

PLANNING FOROVERSEAS MISSION

SERVICE?If you are heading overseas for

short-term, self-supportingmission service, please contact the

Office of International Affairs,Loma Linda University

(909) 558-4420

Have you considered...A I M S

LIFE MEMBERSHIP?

AIMS Life Membership monies areheld in an endowment fund. Theinterest earned is used to cover

operating expenses, such aspublishing this JOURNAL.

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AIMS JOURNAL • 2002 (Vol. 23, No. 1) • 3 9

GOALS OF THEADVENTIST INTERNATIONAL

MEDICAL SOCIETY

1. To provide an association of SDA physicians andother health professionals throughout the worldfor purposes of fellowship, scientific exchange,and mutual encouragement in Christian service.

2. To foster the training and continuing education ofhealth professionals throughout the world.

3. To provide an efficient means of giving for missionprojects.

4. To promote health evangelism throughout theworld.

5. To produce an official Journal.

6. To establish a close working relationship with, andto act as a resource agency to, the GeneralConference of Seventh-day AdventistsDepartment of Health and Temperance.

7. To provide visiting lectureships at Seventh-dayAdventist and other selected medical institutions.

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