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Global - Medical Alumni Association of the University of Maryland

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Ne w s Fl ash . . .<br />

A <strong>Medical</strong> Labyrinth: <strong>the</strong> Plot Thickens<br />

I suspect that not even Phil Mackowiak,<br />

’70, creator <strong>of</strong> <strong>Maryland</strong>’s popular historical<br />

clinicopathological conference could have<br />

foreseen <strong>the</strong> consequences when he invited<br />

me to present <strong>the</strong> history <strong>of</strong> Simon Bolivar,<br />

<strong>the</strong> liberator <strong>of</strong> South America, at his 17th<br />

conference on April 30.<br />

Simon Bolivar was chosen as a subject<br />

because <strong>the</strong>re has been considerable controversy<br />

not only as to <strong>the</strong> cause <strong>of</strong> his death<br />

but also regarding <strong>the</strong> medical bona fide <strong>of</strong><br />

<strong>the</strong> doctor who treated him. Bolivar is <strong>the</strong><br />

national hero <strong>of</strong> venezuela, and President<br />

Hugo Chávez had already set up a team<br />

to investigate <strong>the</strong> cause <strong>of</strong> Bolivar’s death;<br />

so when he became aware <strong>of</strong> Mackowiak’s<br />

conference he sent his representatives to<br />

Baltimore.<br />

Based on my research into Bolivar’s<br />

medical history, Paul g. Auwaerter, MD,<br />

MBA, FACP, specialist in infectious<br />

diseases at Johns Hopkins and clinical<br />

discussant at <strong>the</strong> conference, came up with<br />

<strong>the</strong> suggestion that at least some <strong>of</strong> Bolivar’s<br />

terminal symptoms could have been<br />

<strong>the</strong> result <strong>of</strong> arsenic given as part <strong>of</strong> <strong>the</strong><br />

medication for Bolivar’s repeated attacks <strong>of</strong><br />

malaria. This gave rise to great excitement<br />

in certain quarters in venezuela because<br />

this was thought to lend credence to <strong>the</strong><br />

idea that Bolivar might have been deliberately<br />

poisoned.<br />

I am now in close contact with members<br />

<strong>of</strong> President Chávez’s investigation team<br />

and was recently invited to Caracas to take<br />

part in <strong>the</strong> celebrations in relation to venezuela’s<br />

200th anniversary <strong>of</strong> independence<br />

By John Dove, MBBS, LRCP, FRCS, Msc.<br />

Background photo: The Pan<strong>the</strong>on in Caracas house Bolivar’s remains.<br />

Medicine Bulletin Fall 2010 [8]<br />

and <strong>the</strong> anniversary <strong>of</strong> Bolivar’s birthday<br />

on July 24.<br />

Under conditions <strong>of</strong> proper scientific<br />

rigour Bolivar’s tomb has now been opened,<br />

and <strong>the</strong> few scraps <strong>of</strong> bone and teeth are<br />

at present being evaluated. The scientific<br />

study <strong>of</strong> <strong>the</strong> few remains from <strong>the</strong> tomb<br />

will take some months. The first point to<br />

be established is as to whe<strong>the</strong>r or not <strong>the</strong>re<br />

will be sufficient material for DNA analysis<br />

because it will need to be established as<br />

to whe<strong>the</strong>r or not <strong>the</strong> remains are indeed<br />

those <strong>of</strong> Simon Bolivar. The reason for<br />

this is that prior to Bolivar’s body being<br />

transferred to venezuela and while it was<br />

still lying in Santa Marta, Colombia, <strong>the</strong>re<br />

was a major earthquake, and <strong>the</strong> burial urns<br />

were all jumbled up. It was announced in<br />

Caracas that <strong>the</strong> tomb <strong>of</strong> Bolivar’s sister,<br />

Maria Antonia, will be opened so that<br />

DNA comparisons can be carried out.<br />

Through my liaison with <strong>the</strong> investigation<br />

team in Caracas, I am working towards<br />

setting up a major international<br />

conference in<br />

Caracas in 2011 at which<br />

we should be able to come<br />

to as definitive a decision<br />

as possible regarding how<br />

Bolivar died.<br />

Note: The author was<br />

<strong>the</strong> Historical Lecturer<br />

during <strong>the</strong> 17th Historical<br />

Clinicopathological Conference<br />

at <strong>Maryland</strong> on April<br />

30, 2010, focusing on <strong>the</strong><br />

illness and death <strong>of</strong> Simon<br />

Bolivar.<br />

John Dove, MBBS, LRCP,<br />

FRCS, Msc.<br />

She thinks she has to<br />

learn to live with it.<br />

* * *<br />

What she doesn’t know is <strong>the</strong>re’s no need to adjust her<br />

lifestyle since involuntary loss <strong>of</strong> urine is very treatable.<br />

She doesn’t know she’ll go to <strong>the</strong> <strong>University</strong> <strong>of</strong> <strong>Maryland</strong><br />

<strong>Medical</strong> Center where she’ll see nationally recognized<br />

specialists in urinary incontinence. And she hasn’t learned<br />

<strong>the</strong>re are minimally invasive procedures to treat her<br />

symptoms, or that she’ll be back to a normal, active life<br />

in no time. But she’ll be very happy when she finds out.<br />

we heal. we teach. we discover. we care.<br />

* umm.edu/women | 866-608-4228 *

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