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Source: 27 Dec. The Morning Call. Allentown, PA, USA. at
http://www.mcall.com/news/local/all-b3-3pacedec27,0,6023501.story?coll=all%2Dnewslocal%2Dhed


Lehigh Valley cardiologist finds new use for outdated and used medical
supplies
>From pacemakers to catheters, hospitals in India can use them all.

By Tracy Jordan, [EMAIL PROTECTED]

Dr. Daniel Mascarenhas opens a suitcase in the basement of his Bethlehem
Township home to reveal the items he will be taking with him when he visits
his native India next month.

''You will be shocked,'' he warns, revealing his own amazement. ''Some of
it is brand new in the packaging.'' 
  
In two months, Mascarenhas has collected thousands of dollars worth of
cardiac medical supplies intended for the garbage bin.

There are balloons worth $300 each, catheters worth $600 each, stents worth
$1,000 each, pacemakers worth $5,000 each and a defibrillator worth
$25,000.

Except for the pacemakers and defibrillator, which were removed from
patients in the hospital or from corpses at funeral homes, the equipment is
no longer wanted by hospitals and medical supply companies because the
expiration dates have lapsed.

''It has to be legally dumped because it cannot be used for any people in
this country,'' Mascarenhas said. ''They give it to me because they know
I'm going to put it to good use.''

Mascarenhas estimates he has delivered more than $500,000 in medical
supplies during the past several years to hospitals in India, where medical
equipment is so scarce doctors readily install used pacemakers.

''The problem here is one infection, and lawyers are going to be jumping
all over it,'' Mascarenhas said. ''These people in India have used these
pacemakers without any problems. This is like having found gold.''

At Sion University Hospital in Bombay, Dr. Suleman Merchant says the
equipment is saving lives.

''Although cannot be reused in your country, …many indigent members of our
community are receiving a new lease on life,'' Merchant wrote in a letter
about Mascarenhas. ''Through his effort, he has obtained life-saving stents
to help in excess of 200 patients.''

Mascarenhas, who has also shipped supplies to Croatia and Haiti, is
director of the cardiac catheterization laboratory at Warren Hospital in
Phillipsburg and practices at Easton Hospital in Wilson, St. Luke's
Hospital in Fountain Hill and Lehigh Valley Hospital-Muhlenberg in
Bethlehem.

He understands the needs of India's hospitals because he trained at King
Edward Memorial Hospital in Bombay. One of his responsibilities there was
to collect all the used cardiac catheters and sterilize them for the next
day's patients.

''We would reuse them until they virtually broke, but we had no choice
really,'' Mascarenhas said. ''Unless you were in that place and worked in
that situation, you don't know what it is like.''

When Mascarenhas began his fellowship at St. Vincent Hospital in
Massachusetts in 1992, he started collecting used catheters again to
sterilize and send to hospitals in Bombay.

He continued sending medical supplies after joining Easton Hospital about
eight years ago.

''People ask me what I do for my hobby. This is my hobby,'' said
Mascarenhas, who also is helping raise money to open a cardiac care center
near his hometown in Goa, India.

Mascarenhas said the amount of supplies he sends has been increasing
because more people, including funeral directors, are becoming aware of his
mission.

''As long as the family gives us permission, we do it, especially for
people who are cremated,'' said Bill Webb, a funeral director at Strunk
Funeral Home in Easton. ''The pacemakers can't be cremated because they
will destroy the retort.''

Kline Ashton of Ashton Funeral Home in Easton said the donation also
provides some comfort to grieving families.

''It helps them in some small way to cope with their loss, and it gives
them a small bit of hope for somebody else,'' Ashton said. ''It's just
wonderful what does.''

Mascarenhas believes many more medical supplies that could be saving lives
are being thrown away, but he can't collect them all himself.

''I'm hoping to talk to the association to make them aware that so much of
this trash can be used as gold,'' Mascarenhas said. ''It would be nice if
more and more people were in a more organized fashion sending stuff.'' 
=================================
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