20th USTMD70 e-mag

onceuponatime_tl

onceuponatime1_ltJuly 4, 2017

IN MEMORIAM

LIBERACION CRUZ-PIERONI   died   11/14/2007 in Toms River, NJ at age 61. She retired as a pediatrician in New Jersey at the Department of Human Services, Division of developmental disabilities in Lisbon, New Jersey.

Her daughter, Dr. Cristiana Geny Pieroni and Andrew David McGee were married Saturday evening at the Central Park Boathouse in New York.

Photo of her daughter.

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The bride, 36, is an eye surgeon in private practice in New York. She graduated cum laude from Tufts University and received a medical degree from the University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School in Piscataway.
She is a daughter of Dr. Pier Luigi Pieroni of Toms River, N.J., and the late Dr. Liberacion Cruz Pieroni. Her father retired as a vascular surgeon in private practice in Toms River. Her mother retired as a pediatrician with the New Jersey Department of Human Services, division of developmental disabilities, in New Lisbon, N.J.
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Above (Front Row: Noli Cruz, Vicy Co, Suzette Correa, Puring Cruz, Patty Cruz, Beni Coloma Back row: Dy, Cherrie Co, Yet, Libby, Freddie Domingo
Below Patty Cruz, Cheri Co, Puring Cruz, Libby, Noli Cruz, Suzette Correa, Vicky Co
Second below: Noli Cruz, Libby, Vicky Co, Yet, Puring, Professor, Ping Duran, Suzette Correa, clerk
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libby2Evelyn Duran, Cherie Co, Freddie Domingo, Beni Coloma, Suzette Correa, Vicky Co, Libby Cruz
REYNALDO CASTILLO  MD DIED JUN 17, 2008
Reynaldo G, Castillo, M.D., aged 62, formerly of East Grand Rapids, died Tuesday, June 17, 2008. Dr. Castillo was a Board Certified neurosurgeon practicing in Grand Rapids for over 20 years. Surviving are his wife of 31 years, Kathy; children, Rey Philip (Anna), Donna Slater, Florence, Reynaldo, Jr. (Grace), Jennifer (Eric), Matthew, David; seven grandchildren, Keilahna, Michael, Dominik, Marissa, Martin, Keyden, Mikaela; brothers, Dr. Florencio (Miriam) Castillo, Orlando Castillo; sister, Dr. Evelyn Castillo; several nieces, nephews, cousins and a multitude of friends and colleagues. Reynaldo was preceded in death by his parents, Attorney Florencio and Luz (Garduque) Castillo. He was a graduate of the University of Santo Thomas in the Philippines and completed neurosurgical training at the University of Missouri-Columbia. Dr. Castillo was the Chief of Neurosurgery at St. Paul Ramsey Trauma Hospital, St. Paul, Minnesota. He was a Past President of the Michigan Association of Neurological Surgeons and most recently President of the Society of Philippine Surgeons in America (SPSA). Funeral Services will be held Saturday at 1:00 p.m. at Trinity Lutheran Church. Interment Graceland Cemetery. The family will receive friends at the funeral home Friday from 5 to 9 p.m. and one hour prior to services at the church on Saturday. Those desiring may make memorial contributions to support the surgical missions of the SPSA.

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 Norman San Agustin’s Announcement

Whereas cats have 9 Lives, men, if lucky, have only two.  The first is usually for themselves and for their loved ones.
The second, if given the opportunity, is for God and country.  I have been blessed with both and happily share this second life with those who believe in the mission of the Asian Breast Center.

I would also like to share the letter from Trish O’Keefe, the President of , announcing the end of my career in the United States and the proud beginning of my new one in the Philippines.  This also erases any doubt that I have now indeed decided to devote all my time to the ABC.  My contract with the hospital was for another 6 months but I have finally come to fully understand what my friends Ramon and Joey have been telling me for a long time, “there is no such thing as absentee management”.  Fortunately the hospital honored my request.

I still do not believe in Serendipity.  I strongly believe we are all together in this altruistic project by Divine Design.  With God’s blessing and guidance we cannot fail.

God Bless and Best to all… Norman

Morristown Medical Center
ATLANTIC HËALTH SYSTEM
Dr. Norman San Agustin will be relocating to Private Practice in the Philippines
to devote all of his time to develop an Asian Breast Center, the first free-standing
comprehensive Ambulatory Center dedicated to the management of one disease, Breast
Cancer.
He will continue to work in his current practice until December 31 , 2016 and
transition the practice leadership to Dr. Michael Hernando.
Dr. San Agustin was a Chief Resident in General Surgery 1976-1977, had a very
successful, private practice from 1977 until2012, when he aligned with MMC/AHS
successfully forming the Morristown Surgical Associates and within two years built the
practice into a 7-person multi-specialty surgical group.
He also provided community service, as Medical Director at Villa Walsh
Academy, providing care for all the Religious Nuns in the institution, assumed
numerous roles as one of the Founding Fathers and Director of the Morris County After
Care Clinic for over 38 years, Chairman of the Comprehensive Cancer Care Program
and Director of the Breast Cancer Program at Saint Clare’s Hospital.
Through the Nikki San Agustin Foundation, Dr. SanAgustin was responsible for
the passage of a Law that now makes it mandatory of all children to wear helmets when
they ski, donation of one of the first dedicated Pediatric Mobile Intensive Care Units to
MMC, establishment of the Nikki SanAgustin Feeding Center in the Philippines.
It has been an honor to have had the opportunity to work with Dr. San Agustin
during the past many years.
Please join me in wishing Dr. SanAgustin well in his new private practice in
the Philippines.
Trish O’Keefe, Ph.D., RN, NE-BC
Morristown Medical Center
100 Madison Avenue
Morristown, NJ 0796CI

MEMOIRS

You were told, by the time you finished medical school half of what you learned is obsolete. In time you knew that was not exactly right but you get the idea. Times when your job was to do a gastric lavage to contain a GI bleed till your hands cramped or the iced melt on you. No more, now it is Protonix drip as the standard of care plus endoscopes to find the site and fulgurate it or shut down a bleeder by interventional radiologist and as a last resort the surgeon goes in by a laparoscopic procedure. Times are when you need a team to fight and stop a disease causing havoc to a frail body that is not meant to last. With a team of specialist, you may buy some time for the patient whose life now tethered to tubes, IV fluids, medications, respirators, and cardiac monitors. When all else fail, you are yourself the last theraphy, to provide comfort to the family. The team leaves you and you are there the last person standing along with the Palliative care team. Call the Hospice. It’s over and let go. Pope John Paul 11 says, “there comes apoint where one just have to abandon all human calculations and somehow grasps the Godly dimensions of every difficult issue.”

JDLeoncio
USTMD70

Ars Longa Vita Brevis

The ERMD called me to see a patient of someone I am covering for. The patient’s name is one I remember so well when I used to do part time work at the Health Department. When I saw him he was not that patient I know but has some resemblance and I asked if his fathers name is the same. He answers yes. I said I took care of your father in the early

80s and you look just like him. He laughs and said his pastor told him,  his dad, can’t deny him as he looked just like him. His said his dad died of heart failure many years ago. Alas, I am seeing adult children of those I used to care for. If you practice in another specialty long enough like OB, it would not be a surprise if you deliver them babies and their
own babies many years later or in Pediatrics, treat the children of the children you used to care for. Here you realized you are a witness standing in time, a minuscule link of the art that flows thru the centuries.Now you understand the wisdom of that inscription if you again enter the portal of that white building.
JDLeoncio
USTMD70
7/4/2017
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