Outpatient Surgeries: 

237 cases (excision of skin lesions/lipomas) done by Drs. Robert Sy and Robert Ledesma, both volunteers from Manila with assistance from Mary Tom from Hawaii.   

Inpatient Surgeries: 86 patients (vs. 80 in 2023) underwent a total of 111 major procedures: a) 55 female = 64%.  b) The age range was 7 months - 75 years old,  # pediatric cases:  15 (<15yrs old) = 17%. c) Four patients received a total of 6 units of blood products.

GYN: 26 patients (52 procedures) (vs. 15 patients in 2023) of uterine myomas, endometriosis, Bartholin’s cysts, and ovarian cysts/tumors.  Five prolapse cases underwent surgery this year (vs. 0 in 2023).

• 16 Trans-abdominal hysterectomies, all with oophorectomies (vs. 12 in 2023)

• 1 Trans-vaginal hysterectomy (vs. 0 in 2023)

• 5 Uterine prolapse repairs (vs. 0 in 2023)

• 5 Pelvic mass / oophorectomy for various diagnoses

GENERAL SURGERY / HEAD & NECK: 59 patients (61 procedures) (vs. 70 cases in 2023)

• 11 Pediatric inguinal hernia repairs, (vs. 8 in 2023)

• 13 Adult inguinal hernia repairs (vs. 14 in 2023), all with mesh repairs

• 1 Hemorrhoidectomies (vs. 1 in 2023)

• 8 Cholecystectomy, (vs. 1 in 2023)

• 9 Various: 1 umbilical hernia, 5 lipoma excisions, 1 anal fistulectomy, 2 orchiopexy

• 14 Hemithyroidectomies, (vs. 15 in 2023)

• 4 Salivary gland tumor excisions (vs. 6 in 2023)

• 2 Congenital neck mass excision (vs. 2 in 2023)

Total income = $18,708         

Total expenses = $11,712.71             

Total cost to AMM for mission = $-6,995.29

Estimated in-kind contributions by the mission team:

1. 18 physicians (CRNA’s and APPs included as physicians) x (est) $200/hr x 9 hrs/day x 7 days = $226,800 in physician services

1. 9 nurses x (est) $100/hr x 9 hrs/day x 6 days = $48,600 in nursing services

1. 4 dentists x (est) $125/hr x 9 hrs/day x 6 days = $27,000 in dental services

1. Equivalent value of operative services provided in US dollars:  86 major surgery cases x $15,000 ($1,290,000) + 3407 dental cases x $750 ($2,555,250) + 237 minor cases x $500 ($118,500) = $3,963,750 equivalent surgical / dental cases in US dollars

1. Total Estimated in-kind contributions: $226,800 in physician services + $48,600 in nursing services + $27,000 in dental services + $3,963,750 equivalent surgical / dental cases = $4,266,150.
   Actual treatment cost per patient:  $122,000 (travel costs 46 US volunteers x $2500 + 7 Filipino volunteers x $1000) + $11,712.71 (AMM expense) + $25,000 (Scholastica contribution) = $158,712.71  / 2293 pts served = $69.22 / patient-actual cost.
   

The St. Scholastica's Bacolod Alumnae Foundation, Inc. spent much of their own funds to support patient transport, lab/study costs, and screening costs. Their estimated total contribution to this mission totaled at least $25,000 US

The success of this mission is directly related to the herculean efforts of Gina Regalado, Jean Trebol, and all of the SSBAFI volunteers who provided the coordination and on-site support of the mission. As always, their performance was superb

The Chief of Hospital, Dra. Josephine A. Pahamtang, and all of the Valladolid District Hospital staff were exceedingly gracious and helpful. Thank you to the many local health volunteers from the town who helped us care for patients in the operating suite, recovery room, postoperative ward, and dental clinic areas.

Thank you also to Dr. Robert Sy of Manila who continues to provide the outpatient surgical procedures program to all our Philippine missions and who assists our inpatient surgical program with logistical and monetary support.

Thanks to those who contributed directly to offset mission expenses: Russ Martin, Lisa Cohen, and 69 generous donors who donated funds through the FlipCause Donation page!

Because of the continued success of this mission, AMM is invited to return to Valladolid and Bago City in 2025.

Thank you to all of the amazing AMM volunteers who contributed to the successful outcome of this mission. It was an honor and a pleasure to have worked with each and every one of you.

Volunteer staff:  53 (46 AMM, 7 Filipino) total staff were involved in direct patient care and directly associated with AMM: these included 50 from the USA and 7 from within the Philippines (exclusive of local lay support staff and local dentists). All volunteers paid their own travel and housing expenses, except for 3 Filipino anesthesiologists. There were 23 new* AMM mission volunteers.  In addition, there were 20 Filipino dentists (14 from Negros and 6 from Manila) that worked at various times during the week.

Daily schedule: 6:00 am breakfast at hotel, 6:30 am group meeting, 7:00 am departure for the hospital (40-minute bus ride); 7:30 am departure for the dental clinic (30-minute van ride).  7:45-8:00 am ward rounds, 8:30 am surgery begins, next day's patients seen in the clinic throughout the day between surgical cases.  Days ended when the last scheduled case was done.  Surgery ended by 5:00 pm every day except when a case went on until 5:30 pm.  On Friday, when we closed for packing at 2:00 pm. The Main OR team would leave the hospital between 5:30 - 6:00 pm on a bus. The Recovery Room and Post-op ward team left on a van between 6:00 and 7:00 pm.  The dental team would end their day at approximately 5:00 pm, similar to previous missions.