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History of Latin American Dermatology

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<strong>History</strong> <strong>of</strong> <strong>Dermatology</strong> in Guatemala7. Length <strong>of</strong> the Master’s. a) 3 years, 15 Longitudinal units, 12 Transversal units. b)Class timetables: Each month, exam <strong>of</strong> Longitudinal units; At the end <strong>of</strong> the course,Transversal units; 10 working days <strong>of</strong> vacations per year.■ <strong>Dermatology</strong> in literature, popular <strong>Dermatology</strong>,medicine men, magic<strong>Dermatology</strong> in literature, popular <strong>Dermatology</strong>, medicine men, magicEduardo Silva-LizamaFigures 30, 31 and32. Institute for<strong>Dermatology</strong> andSkin Surgery:Corridor <strong>of</strong> themen’shospitalizationservice; Outpatientservice; Computerunit and library<strong>Dermatology</strong> in literatureDON MANUEL FERNÁNDEZ’S EMBROIDERED BEDDon Juan Vásquez de Molina was a noble gentleman, the descendant <strong>of</strong> conquerorsand a skillful surgeon. His fame dates from the last decade <strong>of</strong> the sixteenth century, sincehis name appears in old documents from the year 1597. We shall refer to one <strong>of</strong> them:“In the embroidered bed, Don Manuel Fernández was in agony, the victim <strong>of</strong> an extremelyintense colic in the lower belly. Hastily, our physician appealed to carminativedrugs and to s<strong>of</strong>tening poultices on the painful abdominal skin. The unfortunate patientexperienced no relief and the bulb marked <strong>of</strong>f the hours <strong>of</strong> his life. Vásquez de Molinagrasped the situation and, feeling the stomach, noticed it was abscessed. In a second heprepared his instruments and with a sharp blade opened the swollen skin and the abscessthat thickened the right side. Pestilential matter emerged from the very deep andthe abscess was drained. Fast relief transformed the dying face <strong>of</strong> the patient and greatadmiration emerged from all those present.”With great skill and intuition the surgeon Vásquez de Molina saved the patient, wh<strong>of</strong>or the space <strong>of</strong> thirteen months lived with a fistula that did not keep him from an activeeveryday life. Why has this observation been saved in the archives? Don Manuel Fernándezdied <strong>of</strong> ulterior infections <strong>of</strong> the fistula and the family refused to pay Vásquez deMolina his fees. Don Juan was charging 500 pesos for his urgent intervention and theheirs <strong>of</strong> the late Portuguese gentleman were unwilling to pay anything, which motivatedthe lawsuit and litigation 31, 32, 33 .HOLY BROTHER PEDRO DE SAN JOSÉ DE BETHENCOURTWritings on <strong>Dermatology</strong> are scarce in Guatemalan literature; nevertheless, we cannotomit the life, work and miracles <strong>of</strong> the Holy Brother Pedro de Bethencourt, who with hisvirtues lit up the scientific poverty <strong>of</strong> Guatemalan medicine in the seventeenth century.Brother Pedro cannot be absent from a book on the medical history <strong>of</strong> Guatemala andon the history <strong>of</strong> skin disease because medicine is a loving science and charitable art; itis deeply human and social, and hospital medicine does not end with the healing but extendsthrough the convalescence.In the noble and very loyal city <strong>of</strong> Santiago de los Caballeros de Guatemala there245

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