Latino Leaders: May/June 2016

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SPECIAL EDITION

LATINOS IN HEALTH

EXCLUSIVE CANCER AND PEDIATRICS FEATURES

“DR. Q.”

ALFREDO QUIÑONES-HINOJOSA TAKING BRAIN CANCER RESEARCH TO NEW HEIGHTS

May / June 2016 Vol. 17 No. 3

www.latinoleaders.com

MOST POWERFUL LATINAS




CONTENTS MAY/JUNE 2016 4 Eduardo Tobon takes ALPFA to new heights - In this Q&A Eduardo talks about his professional career, engaging Latinos entrepreneurs with ALPFA and reigniting its membership on a national scale.

5 Editor’s Letter - Jose Manuel Escobedo talks about the importance of healthcare among Latinos. 6 Publisher’s Letter - Jorge and Raul Ferraez tell the story of how they met the respected and admired Dr. Alfredo Quiñones, better know as “Dr. Q”. 8 Addiction and the Brain, Explained by Dr. Nora Volkow - The Director of the National Institute on

Drug Abuse (NIDA) explains, addiction is a disease that affects the brain, and thus, behavior.

10 Antonio Flores president and chief executive officer of the Hispanic Association of Colleges and Universities (HACU) says that education is fundamental not only for the advancement of individuals, but also for the development and betterment of communities.

17 Health Edition Introduction - Jorge Ferraez

recognizes Latinos working in the medical and health fields in the U.S. and considers them true examples of leadership and innovation.

18 Elena Rios working hard to improve Latino healthcare.

31 Inteliks - Provider of comprehensive medical revenue solutions for doctors across the U.S.

32 Dr. Alfredo Quiñones - The brains behind brain cancer research.

38 Children’s National Health System - The new face

of children’s health.

39 Pediatricians - Providing care all children can relate to. 40 Dr. Denice Cora -Bramble - talks culture of prevention.

42 Best Latino Physicians - Presenting 10 of the nation’s top Latino physicians who are leading by example and leading recruitment efforts.

44 Most Powerful Latinas - For these 15 influential Hispanic women, their journey to becoming a luminary was earned. 47 MasterCard’s Malvina Longoria - Driven by a

Sense of Community.

48 Cellar Jorge Ferraez brings us the latest from the wine world. Enjoy.

DR. NORA VOLKOW

19 Dr. David Hayes-Bautista finding a link between culture, behavior and health.

20 Latinos in Pharma - Introducing five pharmaceutical professionals and executives across a broad swath of health care sectors who have been both innovative and team-oriented in reaching their goals. 22 Medinexo - online telehealth\ marketplace available to access clinical skills that are delivered via telemedicine. 24 Latinas Contra Cancer - Exclusive interview with Ysabel Duron, Executive Director.

25 Interview with Dr. Jeffrey Weitzel - Screening and preventing breast cancer among Latinas.

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26 Interview with cancer survivor Amelia Tena. 27 Tracking Cancer - The Hispanic Factor with Dr. Otis Brawley from the American Cancer Society.

28 Rodrigo Nuñez - a story of hope and appreciation. 29 Dr. I. Benjamin Paz advocating for a healthy lifestyle. 30 A Hope Filled Reunion - Celebrating 40 years of donors and recipients.

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DR. ALFREDO QUIÑONES-HINOJOSA

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CHILDREN’S NATIONAL HEALTH SYSTEM



Latino Leaders, in partnership with ALPFA

Eduardo Tobon Taking ALPFA to new heights

Story by: Latino Leaders Staff Writers Photo: Courtesy

E

duardo Tobon is a consultant in Spencer Stuart’s Consumer, Marketing Officer and Financial Services practices. For the past 20 years Eduardo’s professional career has focused on global consumer and financial services with deep marketing insights. Prior to joining Spencer Stuart, he served as president of Diners Club International. Currently, Eduardo is part of ALPFA’s Corporate Advisory Board (CAB) and has held important positions during his 15year tenure with the association. In this Q&A Eduardo shares his experience in engaging Latinos entrepreneurs with ALPFA and reigniting its membership on a national scale. We know ALPFA’s mission is to empower Latinos leaders. How has this vision developed over the last 15 years since you first joined and what are some of the trends you have seen as far as engaging Latino entrepreneurs with ALPFA and connecting them with other top companies in the U.S.?

In my opinion, the most radical change for ALPFA has been under its new leadership, which has both elevated the organization and repositioned it to ensure it is “For America.” When I originally joined ALPFA, I saw the organization pivot from purely accounting to finance and eventually leadership in business. Fifteen years ago, we were anchored in many universities and well known global companies yet we weren’t always connecting with entrepreneurs. There were sporadically some terrific entrepreneurs in certain locations who would get in4 • May / June 2016

volved, but the majority of the leaders were part of big accounting firms. Over the years, we have been able to add more leaders with more diverse backgrounds, and certainly more Latinas. ALPFA’s Chairwoman, Yvonne Garcia, has championed very successfully our “Women of ALPFA.” America needs upward mobility and role models. Our successful leaders, and in many cases, our trail blazers come from different paths including corporate, small businesses, start-ups, government, military, academia and arts. I am personally seeing more recognition of the breadth and depth of our talent. Latinas and Latinos are amazing and are contributing meaningfully toward making our country a better place. America needs to continue to be the land of opportunity and we must ensure that future generations keep that spirit alive. I have heard you say that the plan is to reignite and elevate ALPFA’s reach by incorporating CEOs, CXOs, and top Latino/a leaders in every city. How do you plan on doing this and how can ALPFA members help you to accomplish this outstanding task? We feel strongly that there is an opportunity to connect more CEOs and C-Suite Latinos/Latinas in many if not most of our cities. We are piloting this approach in NYC, Chicago and Miami, and there will be more cities over time. In Chicago, we are calling and meeting with all the top leaders that want to be part of this pilot. We want to meet every eight weeks and make sure that we have meaningful and frequent interactions. The idea is to have CEOs mentoring C-Suite, who in turn would mentor the next level (MDs, SVPs, VPs), and so on and so forth (directors and managers), all the way to our future generation, which is comprised of students. It’s a mentorship ladder that allows for interactions at the right levels and we hope can create lots of momentum and real impact. It is a fact that Latinos are driving growth in the U.S. economy and many businesses have recognized the importance of Latino’s purchasing power. How can ALPFA and its leaders support the notion that all brands must take into consideration the Latino presence and its consumer strength? Leaders basically lead. If they are empowered with knowledge and tools, they can typically be more effective. Once leaders identify the importance of demographics and how Latinos play a significant role in the future of our economy, it can be an easier conversation and a better outcome for brands, companies and everyone involved. Sometimes, people are afraid of understanding this subject deeper and feel perhaps that this is a fad. Changes in demographics will continue to bring the topic of the large and still growing population of Latinos. For instance, U.S. elections are popular examples where these changes will be under the microscope and could have long-term consequences for our country.


LETTER FROM THE EDITOR SPECIAL HEALTH EDITION Publisher Jorge Ferraez

President and CEO Raul Ferraez

Director of Journalism Mariana Gutierrez Briones mcortez@latinoleaders.com Event and PR Director Mireya Cortez mcortez@latinoleaders.com Administrative Director Lawrence Teodoro Managing Editor José Escobedo jescobedo@latinoleaders.com Washington, D.C. Sales Associate and Representative Deyanira Ferraez dferraez@latinoleaders.com Art Director Fernando Izquierdo ferdiseno@latinoleaders.com Editorial Art & Design Rodrigo Valderrama Carlos Cuevas Luis Enrique González Eduardo David Rodríguez West Coast Editor Judi Jordan judijordanll@yahoo.com Human Resources Manager Susana Sanchez Administration and Bookkeeping Claudia García Bejarano Executive Assistant to the Publishers Liliana Morales Circulation Manager and Website Administrator Rebekah Melendez rebekah@latinoleaders.com For advertising inquiries, please call 214-206-4966 x 227.

Latino Leaders: The National Magazine of the Successful American Latino (ISSN 1529-3998) is published seven times annually by Ferraez Publications of America Corp., 15443 Knoll Trail, Suite 210, 75248 Dallas, TX, USA, April / May 2016. Subscription rates: In U.S. and possessions, one year $15.00. Checks payable to Ferraez Publications of America, 15443 Knoll Trail, Suite 210, 75248 Dallas, TX, USA. POSTMASTER: Send address changes to Latino Leaders, 15443 Knoll Trail, Suite 210, 75248 Dallas, TX, USA.© 2001 by Ferraez Publications of America Corporation. All rights reserved. No part of this periodical may be reproduced without the consent of Latino Leaders: The National Magazine of the Successful American Latino. The periodical’s name and logo, and the various titles and headings therein, are trademarks of Ferraez Publications of America Corp.

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t is a fact, Hispanics are the largest and fastest growing minority group, making up close to 15 percent of the U.S. population. According to Pew Research Center (PRC), this number is projected to nearly double (29 percent) by 2050. These are the kinds of figures that must be considered when analyzing chronic health conditions affecting Hispanics today, such as diabetes and obesity, to give us an idea of what the future may hold if the population does not take action to address these health concerns. According to PRC, Hispanics generally suffer from less chronic health conditions than non-Hispanic white adults. Nevertheless, Hispanics have a higher prevalence of diabetes than do non-Hispanic white adults. And young Hispanic men who are uninsured and with little to no education are the group least likely to have a regular health care provider. Many Hispanics lack access to a regular health provider, compared to nonHispanic whites and non-Hispanic blacks. In this edition of the magazine, I had the privilege to interview physicians, pediatricians, cancer survivors, hospital workers, scientists and advocates, as well as presidents of medical associations, who provided a closer look at the social, cultural and health issues affecting Hispanics today in relation to their well-being and general healthcare. Our cover story, “Dr. Alfredo Quiñones: The Brains Behind Brain Cancer Research” is about one of the country’s leading neurosurgeons. From his days working on farms outside of Fresno, California, to practicing neurosurgery at Johns Hopkins Hospital, “Dr. Q” as he is commonly known, is a dedicated individual whose hard work, consistency and vision have taken him to where he wants to be. It’s really a great read. We also introduce our readers to Children’s National Health System, and how its staff, pediatricians and directors are working to find common language, mutual cultural dignity and effective preventative medical results for Hispanics. The interviews with the pediatricians are especially heartwarming, because not only do they share their passion and love for children, but they offer care and prevention tools that are responsive to Hispanics’ beliefs — accounting for families’ viewpoints and ethnic background. City of Hope is a cancer research and treatment center in Duarte, California, with surgical oncologists specializing in breast, gastrointestinal and rectal cancers, and bone and soft tissue tumors. These doctors have pioneered many new techniques in bone marrow transplants over the years. In a series of interviews with cancer survivors and the doctors who treat them, we learn that it is important to consider patients’ religious beliefs, their background and family structure, in order to deliver the best care. Finally, don’t miss our list of 10 of the nation’s top Latino physicians who are leading recruitment efforts … and leading by example. Regards, Jose Manuel Escobedo

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MEMBER OF SRDS Latino Leaders The National Magazine of the Successful American Latino 15443 Knoll Trail, Suite 210, 75248 Dallas, TX, USA Phone: (214) 206-4966 / Fax: (214) 206-4970

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JORGE & RAUL FERRAEZ / PRESIDENTS OF FERRAEZ USA

A CONVERSATION WITH THE PUBLISHER

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It was an unseasonably cold April morning in the East Coast. We arrived early to the majestic facilities of the Johns Hopkins Center in Baltimore, Maryland, to interview Dr. Alfredo Quiñones, aka “Dr. Q.” Once in his office, we had a chance to look at the many photos he appeared with his children and family, and were impressed with his numerous recognitions and awards. But even more impressive was that a good number of these were to recognize his human quality and spirit, more than his scientific achievements. We’re not saying that his medical, clinical and research contributions are not important, but it is not common to see a physician’s office full of anecdotes and stories of hope, gratitude and human excellence. We didn’t know him, but we had heard a lot about him: A man with a great reputation for his professional work and his human quality. The interview was fascinating. His story, which we invite you to read, is both inspiring and exciting – no wonder why Brad Pitt and Disney are doing a movie on him. In his early fifties, the man has a sparkling smile. Soft-voiced and humble in every way, he details his accomplishments without sounding arrogant or trying DEYANIRA FERRAEZ, to show off. But perhaps JORGE FERRAEZ AND the most impressive trait DR. QUIÑONES IN HIS OFFICE is the passion he shows AT THE JOHNS HOPKINS CENTER IN BALTIMORE, when talking about human MARYLAND. health. That is why we chose to feature him on the cover of our very first Special Latinos in Health edition. Among many other stories and leaders – some of them known and some other true unsung heroes – this edition reflects our mission of bringing you the leaders to discuss one of the most crucial issues in our lives: Health and the Latinos making history in the field.

Jorge y Raul Ferraez

6 • May / June 2016



L AT INO LE A DE R S

ADDICTION AND THE BRAIN

EXPLAINED BY

DR. NORA

VOLKOW

8 • May / June 2016

Story by: Diane Alter

Photo: Courtesy

“I BECAME RIVETED BY THE POTENTIAL OF THE TOOLS AND TECHNOLOGY AVAILABLE THAT LEAD TO THE UNDERSTANDING OF HOW THE HUMAN BRAIN WORKS.”


“I became riveted by the potential of the tools and technology available that lead to the understanding of how the human brain works,” Dr. Volkow said. “I decided to stay on at NYU for my residency, while at the same time being able to conduct research.” What led Dr. Volkow to study addiction was her quest to discover what actually happens in the brain when a person loses control. Specifically, how a drug ultimately changes the ability of self-determination and self-will. “I was very interested in what the biological alternations are that can cause a person to change their behavior so dramatically. The explanation is actually chemistry. Drugs can change chemicals in the brain that result in behavioral changes.” A number of factors explain the growing addiction problem among Latinos. Genetics play a role, as do societal stresses that pressure many to identify with individuals they see as similar. “In a society where peers are more accepting of drug taking, you are apt to see similar behavior among a specific and related group,” Dr. Volkow said. Rates of drug use and abuse have been increasing in the Latino population. The latest available data from The National Survey on Drug Use and Health reveals that 9.7% of Latinos (12 years and older) reported substance dependence or abuse during the past year. This population has been disproportionately affected and is over-represented in national data on alcohol and other drug addictions. Several states and local health departments with large Latino populations are extremely concerned with this disparity and the lack of resources to address it. As a leader in the prevention of drug and alcohol abuse, Dr. Volkow says the first line of defense comes from parents. Latinos are very family-oriented, and a household typically includes several influential generations. Spreading awareness about the harmful effects of drug and alcohol abuse is also key. Providing alternatives and offering avenues that allow Latinos to engage in behaviors that make them feel fulfilled is also crucial. Jail, Dr. Volkow says, is not an effective solution. When Dr. Volkow entered her chosen field, her goal was to facilitate research and change the perception that people with addiction problems are criminals. “Addiction is a medical condition that with the right kinds of medication and management can be successfully treated,” Dr. Volkow said. “What is needed are treatment options that allow those suffering with addiction the chance to recover.” A scientist first, Dr. Volkow’s chief leadership skill is discipline. While she relies on data, Dr. Volkow stresses she is open to discussions, and does, in fact, seek out and welcome different perspectives. “I do not like to say, ‘just do it,’” Dr. Volkow shared. “If someone has an opposing view, I do not shut them out. I say, ‘convince me.’” latinoleaders.com

L AT INO LE A DE R S

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he road to alcohol and drug addiction starts with the voluntary decision to take a drink or to take a drug. However, over time, some do not have control over that once-voluntary action. The reason lies within the brain, in parts that affect reward, motivation, learning, memory and behavior. They are critical areas changed because of alcohol and drugs. As Dr. Nora D. Volkow, Director of the National Institute on Drug Abuse (NIDA) explains, addiction is a disease that affects the brain, and thus, behavior. Dr. Volkow is a pioneer in the use of brain imaging to investigate the toxic and addictive properties of abusive drugs. She recently sat down with Latino Leaders to talk about her work, the addiction problem plaguing the Latino community, what can be done about it, and her role as a leader in the fight. Dr. Volkow’s path to a life in medicine started when she was just a child. Her family history, deliciously rich in both medicine and politics, stoked her ambition to study science and have a positive influence on others. Born in Mexico City, Dr. Volkow is the greatgranddaughter of Russian revolutionary leader Leon Trotsky. The patriarch immigrated to Mexico because it was the only place that would grant the leader asylum. Dr. Volkow’s father, Esteban Volkow, is the son of Leon Trotsky’s elder daughter, Zinaida Volkova. A chemist, Esteban encouraged Dr. Volkow’s voracious curiosity with gifts of chemistry kits and books. Without question, he had a big impact on her career choice. “My father was very passionate about science, and that significantly influenced me,” Dr. Volkow said. “I was about 13 when he gave me some biographies about important scientists. It was then I knew what my life’s calling was to be. That was the start of my quest to pursue science, with the aim of positively influencing others. It was an obvious career choice for me, but it was more than that. I am a very inquisitive person. I like to explore things in depth and understand how and why they work. My desire was to marry science with improving the lives of people.” After earning her medical degree from the National University of Mexico in Mexico City, where she received the Robin award for the best medical student of her generation, Dr. Volkow completed her psychiatric residency at New York University (NYU). There, she was presented with the Laughlin Fellowship Award and recognized as one of the 10 outstanding Psychiatric Residents in the United States. Dr. Volkow explained her original plan was to attend the Massachusetts Institute of Technology (MIT), not NYU. But before she was to start at MIT, and with seven months of vacation time ahead of her, she convinced her father to support her while she spent the time conducting volunteer research work at NYU. The focus of Dr. Volkow’s work was brain imaging.


Dr. Antonio R. Flores: A Champion in Education for the Latino Community “Education is what allowed me to move from a little farming town in Mexico to where I am today,” STORY BY DIANE ALTER PHOTOS: COURTESY

Dr. Antonio Flores


Landing he cost of attending college continues to steadily increase, leaving students and parents saddled with hefty bills and long-dated loan payments. Many question if higher education is worth the expense. Dr. Antonio R. Flores, president and chief executive officer of the Hispanic Association of Colleges and Universities (HACU), believes the importance of education cannot be overstated. “In short, if you think education is expensive, try ignorance,” says Dr. Flores, borrowing an often repeated quote, told Latino Leaders. “Education is crucial to the overall development of an individual, as well as future earnings and successes.” Antonio is a prime example of education’s payoffs. “Education is what allowed me to move from a little farming town in Mexico to where I am today,” Antonio shared. Antonio earned undergraduate degrees from Universidad de Guadalajara in business administration and in elementary education from Centro Normal Regional, Mexico. He taught at a small Mexican school for almost two years before recognizing he had a bigger calling. At the age of 25, he left Mexico for the United States and started from scratch. Tasked with learning a new language and a new system, he excelled at both. Antonio went on to earn a Ph.D. in higher education and administration from the University of MichiganAnn Arbor, and a Master of Arts degree in counseling and personnel from Western Michigan University. His distinguished career in higher education includes a number of teaching positions, research and policy studies on higher education issues, myriad awards and accolades, and senior executive leadership positions— including his current post at HACU. HACU is a national organization that represents more than 450 colleges and universities that collectively serve two-thirds of the more than 3 million Hispanic students in U.S. higher education across 35 states, the District of Columbia and Puerto Rico. HACU’s reach does not stop there. HACU’s international membership of leading higher education institutions is also an important HACU constituency. At HACU, Antonio's responsibilities are vast. He is in charge of the overall GETT DR. ANING TO KNO leadership, executive management, public and community relations, policy W TONIO FLORE formulation and advocacy, association governance affairs, advancement S planning, financial and investment oversight, human resources policies, strategic Antonio planning, and programmatic accountability and reporting. During Antonio’s officer o Flores is presid f the His ent and tenure as president of HACU, the association has nearly tripled its membership pa ch and Univnic Association ief executive and federal funding for Hispanic-Serving Institutions (HSIs) has grown from of ersities (H ACU). Colleges $12 million to $220 million annually. Nearly $3 billion has been allocated to Hi caree HSIs over the years to advance Hispanic success in higher education. that edu r has been fo c advan ation is funda cused on prea Antonio credits his unwavering passion for HACU’s cause for the developcement of indiv mental not onlyching organization’s growth. His remarkable achievements are thanks to extensive id ment an d bettermuals, but also fofor the r th ent of co education. Antonio preaches that education is fundamental not only for the mmunit e ies. advancement of individuals, but also for the development and betterment F a m A n il to y of communities. Through advocacy, targeted programs, partnerships, history anio enjoys visitinMatters nd g scholarships, and internships, HACU, under Antonio’s leadership, is a wife, ch culture and lik places steeped ildren, a champion in seeing that Latinos and their communities thrive. nd gran es to escape wit in dc h a little to wn in M hildren to Ajijic his Passion is indeed the driving force behind Antonio. Passion is also key , exico. in how he leads. “Leadership to me means service to others,” Antonio explained. “You must be mindful of how your work affects others. Leadership is a commitment to a cause. It is a mission to empower as many people as you can. It is about articulating how to help people advance. Leadership is not about me. It is about fostering teamwork.” The Latino culture is vital when it comes to effective teamwork. Latinos’ exceptionally strong work ethic, desire to work in exemplary ways, and essential values are important contributions to society, Antonio said. Work and conferences showcasing HACU’s mission frequently take Antonio across the globe. “Business destinations often include places like Washington, D.C., California, Spain, Latin America, Central America, and the Caribbean,” Antonio noted. “When I can travel for leisure, I enjoy visiting places steeped in history and culture. I also like to escape with my wife, children, and grandchildren to Ajijic, a little town in Mexico. It is so peaceful there. I can just sit, relax, and catch up on my reading. When reading for pleasure, I always gravitate toward good literature and history books.” Always learning, always teaching, always the leader, Antonio knows that the art of teaching and leading is actually the art of assisting discovery. There is no telling where that discovery and influence will lead.






LEXUS RX 350 REVIEW

OPTIONS SHOWN

Let’s face it: more than 100,000 RX sales and their customers per year, can’t be wrong. Perhaps its only drawback is that the RX is more ubiquitous than the rest of the brands. That’s it.

A CLASSIC REBORN

Family values

OPTIONS SHOWN

With its millions of fans watching every move, Lexus built its RX from the ground up and created another definitive vehicle Story by: Joseph Trevino

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Despite the redesign and German-fighter hype, the RX remains true to its roots: a family vehicle. This is tailor-made for Latino families, which tend to be larger than many other families. Yes, this small, nimble tank can reach 60 miles per hour in 7.7 seconds, it has enough panache to look great coming out of your gated community and aggressive enough to give BMW X3 owners second thought about their SUV choices, but it remains at heart a family vehicle. This is a good thing.

INCE THE LATE 1990S, the Lexus RX has dominated the sales side of the SUV upscale market with its luxurious ride, somewhat conservative mien and bulletproof reputation for reliability. For 2016, Lexus’ biggest seller has taken the fight to its European rivals (Mercedes, Audi, BMW, Volvo, Land Rover and now Jaguar). With a bold, new design, an aspirated 295-horsepowered motor and a formidable interior (the leather dashboard is stitched by hand, a practice often seen only in uber-luxury cars like Rolls Royce), the RX 350 and the brand are serious at taking on the competition. Despite its huge number of loyal buyers who claim not to be tempted by the German brands, Lexus has made no bones about not only securing its fans, but taking clients from its rivals. Based on my week with the RX 350 F SPORT, they have a point. With a new, daring grill and rakish lines, the RX is pushing the envelope in design. It looks futuristic, like something that came out of “Star Wars.”

But can it really take on the Germans?

As mentioned, since 1998 the RX has been a runaway success. It’s Lexus main seller, and customers are very happy with it, plain and simple. But can the RX best the German brands? Can it really take on the deep, safety ethos of Volvo or the beauty of Jaguar’s new F Pace? After spending a week riding the RX 350 F SPORT on Dallas and Fort Worth’s congested streets, riding a commute from one city to another, I believe we would have to rephrase the question: Can the rival brands compete with the RX? The Jaguar F Pace may be slightly more attractive with its upper-crust Brit charm, the BMW X5 could be faster by a hair, the Audi Q5 can rival its interior and the Cadillac XTS can look just as good with its ostentatious American presence. But in overall goodness, all are playing catch up to the RX. And the bunch knows it. 16 • May / June 2016

OPTIONS SHOWN

The RX’s wheelbase has grown 1.9 inches from the previous generation (and an overall increase of 4.7 inches) it comes with an 8-geared automatic transmission and plush leather interior that gives Land Rover a run for its money. It’s a premium vehicle from bumper to bumper. • Is it the real deal? Yes, the But the meat and potatoes of the complete redesign for 2016 inRX 350 F SPORT is in the ride. On the cludes quality materials, great road freeway, but especially in urban traffic performance and safety features. or back roads, the RX 350 drives more • Is it fast? Yes. But don’t expect like a premium sedan than an SUV, it to be as fast as a sports car. But it’s fast enough. albeit with a much higher seating position. The drive is premium, with • Is it pretty? It is definitely bold and attractive. More brazen design the RX soaking up bumps. than cute. Lexus has made sure that the RX 350 • Power plant: The motor is is silent, but you can sense the power of linked to an eight-speed automatic the 3.5 liter V6 motor as you step on the transmission that also can be opergas. It responds almost hectically; this is ated manually. Engine is a 3.5-liter, 24-valve gasoline V-6 with variable a vehicle that wants to make it clear that valve timing (295 horsepower, 267 it is eager to get down and boogie. pound-feet of torque). With the RX you will never feel let • How big? You can equip the RX down. Yes, it lives up to its advertising of 350 to tow up to 3,500 pounds. Maximum cargo capacity is 56.3 of being “brute luxury” but when all is said cubic feet. Seats five people. Cargo and done, it is a vehicle that is classy, with capacity with all seats up is 18.4 quality in spades. cubic feet. Anything else would be uncivilized. • How much? Pricing: The RX 350 F SPORT starts at $49,125. Please visit your local Lexus dealer for more pricing details.


Story by: Jorge Ferraez

Design by: Carlos Cuevas

EALTH edition O

ver the years, Latino Leaders has been interviewing and profiling some of the most influential and recognized leaders in the health care profession. We acknowledge that the Latinos working in the medical and health fields are true examples of leadership and innovation. On the other hand, it’s been said many times that the Latino population underperforms when it comes to evaluating their health care situations: poor medical coverage and services, poor levels of nutrition and exercise, genetic characteristics and other factors. These are the two main reasons Latino Leaders decided to take a dive into the issue of health in the Latino community and talk to the experts to find out, through those leading the way in Latino health, what the main problems are and what is being done to solve them. In this edition, we wanted to cover issues like cancer, diabetes, children’s health, infectious deceases, as well as the work of pharmaceutical leaders, the great hospitals out there, the best Latino physicians and others in the industry who are leading the way, innovating and disrupting the status quo. In the following pages, you will find a collection of interviews and profiles with the most relevant leaders in the health care field.

17 • May / June 2016


Elena Rios Story by: Latino Leaders Staff Writers Photo: Courtesy

Design by: Carlos Cuevas

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lena Rios, MD, MSPH is president & CEO of the National Hispanic Medical Association (NHMA). The organization’s mission is to improve the health of Hispanics in the United States. Rios is also president of the National Hispanic Health Foundation, the philanthropic branch of the National Hispanic Medical Association. In the following Q&A, Doctor Rios expresses her views on the importance of the NHMA, health concerns for Latinos in the U.S., as well as access to health care and wellness services. What is your most relevant work and what were the repercussions? My major achievement is the founding of the National Hispanic Medical Association (NHMA), a network of 50,000 physicians committed to improving the health of Hispanics. The NHMA Leadership Fellowship has trained 120 mid-career physicians nominated to leadership positions on WIC, Office of Minority Health Advisory Committees and medical faculty and hospital boards. NHMA has become an influential organization, supported for four years by the W.K. Kellogg Foundation. NHMA has trained physician leaders to educate over 1,500 community leaders to promote targeted Latino community programs at New York, California and Washington, D.C., summits and NHMA annual conferences on early childhood obesity policies and programs to increase physical activity and improve nutrition habits. The results included a major media report highlighting programs and actions that families, schools, communities, health systems and governments can do, as well as networking opportunities with the U.S. Surgeon General and the first lady on their programs to reduce obesity. What are the biggest health problems for Latinos in the U.S.? The most pressing health concerns for Latinos in the U.S. include many not having health insurance and living with chronic diseases that cause disability and less functioning of daily activities. They also have limited access to or knowledge about services, and subsequently must rely on the family. Disease in our communities impacts the entire family. 18 • May / June 2016

Working hard to improve Latino healthcare

These include some of society’s deadliest illnesses – cardiovascular disease, stroke, cancer – especially breast, prostate and liver cancers – diabetes and Alzheimer’s disease. Infectious diseases such as HIV and hepatitis C, influenza among the elderly, and now the Zika virus – not to mention emerging diseases that hit our communities hard. This is due, in part, to families and individuals living in densely populated housing with limited education about prevention, and especially not having public health programs targeted in our communities. They lack trusted messengers such as community health workers going door to door or programs in our schools and churches, and through our employers. With our elderly getting sick with chronic disease, our families are faced with few services – home health services, meals, transportation and especially caregivers are not affordable, and the family members ultimately become our caregivers. What are the biggest challenges in the state of health for Hispanics? The biggest health challenges for Hispanics result from the Affordable Care Act (ACA). Among the major issues are access to health care and wellness services; government programs that support prevention and enabling services for the poor and middle class; and leadership and diversity in the health workforce. Access can be increased through a combination of affordable health insurance and medical care/drug discount programs, government-subsidized clinics, cultural competence training of providers to decrease bias and discrimination in treatment patterns, and language services. Prevention programs focus on education about healthy behaviors – not smoking, safe sex, physical activity and good nutrition – and on clean housing, air and water quality, chemical exposure, use of schools and parks for physical activity, and having fresh fruits and vegetables. Since so many Latinos are not aware of how to live healthy lifestyles, there is a critical need for enabling services to help with caregiving of chronically ill patients. Elderly Latinos especially need transportation to the doctor’s office, meals, bathing and other activities of daily living. A bill introduced by Congresswoman Lujan Grisham, called Caregiving Corps, could help. Lastly, with the demand for health care, there is a critical need for more Latinos overall in the health care workforce – especially in decision-making positions in the federal government and in the private sector so programs can be developed that are relevant for our families.


Story by: Lorenzo Almanza Photo: Courtesy Design by: Carlos Cuevas

Dr. David

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Hayes-Bautista

ealth is an important issue in the Hispanic community. The Centers for Disease Control and Prevention (CDC) reported in 2015 that Latinos have seen an increase in illnesses such as diabetes, liver problems, heart disease and cancer. The numbers do not lie, either. HispanicTrending.net reported last year that one out of every five adult diabetics is Hispanic, and nearly one-third of adult Hispanics is obese. Dr. David Hayes-Bautista and other researchers spend countless hours studying health problems in the Latino community. Dr. Hayes-Bautista has been most influential in his research of the effect of various health issues have had on the Hispanic population. BestKeynotes.com featured Hayes-Bautista’s research on the Latino Epidemiological Paradox, which helped find a link between culture, behavior and health. This helped uncover reasons why heritage often plays part in who can contract certain diseases. This research led to the formation of the Center for the Study of Latino Health and Cultural at the School of Public Health. The center plays is part of UCLA’s medical school, combining research interests with teaching methods to manage the care of its Latino patient base. Dr. Hayes-Bautista’s program has also helped him have a voice across the nation, raising concerns over access to universal health care. Dr. Hayes-Bautista continues to have an impact on the Latino community thanks to his transformational center that has helped establish new connections with specific health concerns. Some of his research has been featured in publications such as Family Practice, Salud Pública de México and the American Journal of Public Health. He is also an accomplished author. His recent book, El Cinco de Mayo: An American Tradition, observes the true origins of the Hispanic holiday and has been well received by his readers. Another book, La Nueva California, Latinos in the Golden State, is one of Dr. Hayes-Bautista’s most celebrated works. Meanwhile, Dr. Hayes-Bautista continues doing tours and keynote presentations of his work, communicating why Latino health is so vitally important for families.

Q&A with Dr. Hayes-Bautista

Please share with us some of your most relevant work in the health area and its repercussions? At the dawn of the Community Clinic era, I served as the founding Executive Director of La Clínica de la Raza from 1970 to 1974.

finding a link between culture, behavior and health

That clinic, and many others like it, have grown tremendously over the last 45 years, and through their combined effort as the California Primary Care Association, these clinics have increased access to health care for underserved communities in California. In the academic arena, my 1988 book, The Burden of Support: Young Latinos in an Aging Society (Stanford University Press) was the first scholarly work to project that California would be about 45% Latino by 2030. A subsequent book, La Nueva California: Latinos in the Golden State (University of California Press, 2004) used my recent discovery of the Latino Epidemiological Paradox to describe what life will be like when California is about 50% Latino, by 2040. What are the biggest health problems for Latinos in the US? Latinos in the U.S. face the major problem of lack of access to healthcare services. Even after the Affordable Care Act has been implemented for over two years, Latinos are still far less likely to have health insurance than any other group. Then, if Latinos have insurance, they tend to live in tremendously underserved neighborhoods. As a result, finding services is difficult, even with insurance coverage. What are the biggest challenges to the state of Latino health? Without a doubt the biggest challenge to Latino health is the fact that the strong health behaviors and profiles that immigrants from Latin America bring to U.S. society are seriously weakened in their U.S. born children. Even though U.S. born children will have higher income, more education and greater access to care than their immigrant parents, they will also drink more, smoke more, use drugs more, acquire more sexually transmitted diseases, eat less healthy and become more overweight and obese. These changes in behaviors between the first (immigrant) generation and the second (U.S. born) generation, do not portend well for the future health profile of Latinos in the U.S. What can be done to increase the number of Latinos to develop a professional career in healthcare? Many parents immigrate so that their children could have increased educational opportunities. As a country, we should validate and support the immigrant desire for greater educational attainment. This should include making higher education financially accessible to low-income families. Once students are at the college and university level, we need to support their decision to study in Science, Technology and Math (STEM) areas.


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LATINOS

IN PHARMA Story by: Christine Swaney

Courtesy photos

In this feature, Latino Leaders magazine identifies five pharmaceutical professionals and executives across a broad swath of health care sectors who have been both innovative and team-oriented in reaching their goals. All have recognized the importance of multicultural teams and markets and have demonstrated a strong commitment to expanding and improving these markets and meeting company growth goals.

DENICE TORRES

MARISA CO

Chief Strategy and Business Transformation Officer for Johnson & Johnson Medical Devices, New York area.

Vice President, Business Insights and Analytics, Research & Development, Princeton, N.J.

Denice serves on the Medical Devices Group Operating Committee (GOC) and is responsible for boldly advancing the organization’s transformation to support its innovation and growth goals. Prior to this role, Denice was co-chair of Johnson & Johnson Consumer Inc., North America. She was also president of the Johnson & Johnson Consumer US OTC division, McNeil Consumer Healthcare. Before McNeil, Denice was president of neuroscience for Janssen Pharmaceuticals. In her J&J career, she has served in high-ranking positions in all three of the company’s business sectors. This year, Denice was selected to receive the Johnson & Johnson H.O.N.O.R. Special Recognition Leadership Award for her exceptional support of the company’s employee resource

Marisa is a key leader in the company’s efforts to integrate its global analytics and insights capabilities to drive greater outcomes for patients. Her 60-person team provides predictive analytics, performance metrics, benchmarking and forecasting capabilities for the R&D organization. A pharmacist from Argentina, Marisa joined BMS in 2013 as vice president of Procurement R&D, bringing her vast business acumen and a diverse set of experiences. Before BMS, Marisa was president of the National Research Institute, a clinical research site providing access to innovative medicines through clinical research to underserved populations. With 25 years of experience as a biopharmaceutical executive, she has a proven track record in business strategy, clinical operations, profitability improvement, financial analysis, strategic sourcing and more.

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groups, as well as its diversity and inclusion efforts. In 2015, she was named Healthcare Businesswomen’s Association Woman of the Year. Denice has an MBA from the University of Michigan, Stephen M. Ross School of Business; a J.D. from Indiana University, Maurer School of Law; and a B.S. in Psychology from Ball State University. Denice lives in Clinton, N.J. with her spouse, Kim, and their daughter, Sierra. Raising a daughter with cerebral palsy has made her wildly passionate about opportunities and possibilities for special needs children.

Marisa’s broad business experience allows her to bring innovative solutions to R&D business challenges. For example, she forged collaborations between internal teams and external suppliers to develop a technologyenabled approach to overcome a bioreagent inventory management issue. Bristol-Myers Squibb is a global biopharmaceutical company whose mission is to discover, develop and deliver innovative medicines that help patients overcome serious diseases. Marissa believes a diverse team of employees and an inclusive culture are vital for innovation.


NANETTE COCERO

DARIO F. MIRSKI

Regional President for Emerging Markets in Pfizer’s Global Innovative Pharma segment in New York City, the segment that includes innovative products, vaccines and oncology.

Senior Vice President and Head of Medical Affairs for the Americas of Bayer’s Pharmaceuticals Division, Whipping, N.J.

Marta is the Executive Director of External Innovation for the Discovery Chemistry organization. She leads a group of individuals with strong scientific backgrounds who are focused on identifying external innovative opportunities and establishing early drug discovery collaborative relationships with external innovators, particularly those in academia or small biotech companies. Her team’s work is complementary to Lilly Research Laboratories’ internal discovery efforts. By identifying external partners working in early drug discovery, Marta and her team can not only learn about new opportunities to innovate, but also reinforce the work they have done internally. At this stage of the drug discovery process, learning is iterative and cyclical, and external inputs do a great deal to diversify our drug discovery substrate and increase the probability of technical success for the entire process. Marta is also part of the Discovery Chemistry Research and Technologies –or DCRT – Management Team. Her team runs the Lilly Open Innovation Drug Discovery program, or OIDD. Learn more at www.openinnovation.lilly.com.

Nanette oversees about 3,000 employees in Latin America, Africa, the Middle East, and emerging Asia Pacific countries. She is responsible for developing new strategies to bring Pfizer’s innovative medicines to a larger number of patients in emerging economies. She is no stranger to the task. In 2012, Nanette played a leadership role in introducing Pfizer’s breakthrough medicine against lung cancer in China. During her 15 years at Pfizer, Nanette has faced many challenges, but none more gratifying than those that turned into opportunities to expand access to medicines. When Nanette led the completion of the Pfizer-Wyeth merger in Spain in 2010, those efforts resulted in a larger portfolio of specialty care medicines for Spanish patients. For Nanette, serving patients with unmet medical needs is both a privilege and a responsibility.

As a global life sciences company, Bayer is committed to its mission of Science for a Better Life – improving the health of human, animal and plant communities around the world. Dr. Mirski holds the most senior medical position within Bayer Pharmaceuticals in the Americas and leads the region’s Medical Affairs department. His team is charged with supporting clinical product development, product registration, safety assurance, and the medical/ scientific aspects of product life-cycle management for cardiopulmonary, oncology, hematology, neurology and women’s health care. In his position, Dr. Mirski directs activities of Medical Affairs (Medical Directors), Scientific Affairs (Medical Science Liaisons), Medical Safety, Health Economics & Outcomes Reimbursement, Clinical Communications (Medical Information), Late Phase Clinical Trials, Investigator Initiated Studies, and Medical Education/Training. He also provides medical support to regulatory submissions in the United States, Latin America and Canada.

Executive Director, Open Innovation Drug Discovery Lilly Research Laboratories in Indianapolis, Indiana.

latinoleaders.com

L AT INO LE A DE R S

MARTA PIÑEIRONÚÑEZ


Medinexo Story by: Diane Alter

Photo: Courtesy

Design by: Carlos Cuevas

Healthcare where it should be

Interview with Joro Toro, president and chief executive officer

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here comes a time in every person’s life when he decides what kind of person he will be. The kind of person who is content to simply go with the status quo, or the kind of person driven to innovate. An inspiring story always exists from the person who opts for the later. And to really know that person, you need to know his story. Latino Leaders had the opportunity to learn about entrepreneur Jorge Toro’s truly exceptional story. An accomplished consultant and businessperson with 28 years of experience, Mr. Toro founded his own software engineering firm, Toro Technologies, Inc. He developed a thriving business which delivered critical path systems for multinational companies with marquee names, such as MasterCard, AT&T Universal Card, and Global Payment Systems. Mr. Toro successfully sold his company to PaylinX Corporation, which was later acquired by publicly traded Cybersource. Mr. Toro was not idle for a minute after his exit from Toro Technologies. For the last decade, Mr. Toro has been structuring capital for growth for his own ventures, as well as others across the Americas. “I have always had a creative and entrepreneurial spirit,” Mr. Toro told Latino Leaders. “I immigrated to the United States from Colombia, South America in 1986 and began doing consulting work. I immediately recognized that I had a very different perspective. I did not fit the customary corporate profile and I used that to my advantage. You see, creativity comes from being outside of your element. It makes you look at things differently. It allows you to see that things can be different when you implement change. When you cannot climb the traditional corporate ladder, you build your own.” Currently, Mr. Toro is president and chief executive officer at MEDINEXO. The company is a global telehealth marketplace designed to help member doctors, healthcare providers, and patients find healthcare services specific to their immediate needs. MEDINEXO’s marketplace allows its member patients quickly locate healthcare services and specialists 24/7, in their own language, when and where it is needed. “MEDINEXO is the only global online telehealth marketplace available to access clinical skills that are delivered via telemedicine,” Mr. Toro explained, “The MEDINEXO Global Telehealth 22 • May / June 2016

Marketplace connects users and providers of clinical services through a proprietary online matching and scheduling interface. There are no phone calls. It is a seamless online interaction between healthcare providers to enable telehealth delivery between doctor and patient.” MEDINEXO is not a provider of telehealth technology nor clinical services. It is a quickly expanding platform that is advancing the rapid growth of telehealth by ensuring the availability of clinical services as needed across vast geographies, time zones, languages, and medical specialties. “The result is increased access to care by underserved populations, including the Latino and Hispanic community,” Mr. Toro noted. “Interacting with doctors who understand and speak your native tongue is crucial for precise care and client follow through. We also allow our rising network of doctors (3,000) to remotely reach patients in need of diagnosis and care quickly and from anywhere. We are a critical resource that quickly puts patients in touch with doctors specific to their immediate needs. Time is always of the essence when it comes to healthcare.” MEDINEXO’s main responsibility is with those who use its services, while its network of doctors takes care of patients. Every service provided aims to help its member doctors enhance the quality of life of the patients connected via MEDINEXO. MEDINEXO’s motto is “healthcare where it should be.” The platform is now available in Colombia and the United States, where it well-known and widely utilized by the Latino and Hispanic community. It will soon be available in Mexico, Peru, and Panama.



COMMITTED TO CANCER PREVENTION EFFORTS IN THE LATINO COMMUNITY

cancer continuum, from prevention, diagnosis and treatment, to survivorship and end of life. Since 2010 LCC has helped more than 450 Spanish-speaking patients at the public health care hospital navigate through 40 different types of cancer, the most satisfying accomplishment of our work. The singular 15-year-old advocacy and service agency also convenes the biennial National Latino Cancer Summit, bringing together researchers, CBOs and advocates, community health educators, patients and students to network, learn and collaborate on cancer issues. In 2009 LCC received the Small Health Service Agency Award from the Latino Caucus of the American Public Health Association.

EXCLUSIVE INTERVIEW WITH

YSABEL DURON EXECUTIVE DIRECTOR

What are your future plans and how can anyone get involved and participate in LCC, as well as offer donations, etc.? Story by: Latino Leaders Staff Writers

Photo: Courtesy

Tell us a little a bit about yourself, your background and professional achievements and how you initiated LCC. What motivated you to lead such an amazing organization?

“OK God, this isn’t about dying. What’s the point?” This was cancer survivor Ysabel Duron’s reaction when in 1999 she learned she had Hodgkin’s lymphoma. Duron, a veteran broadcast journalist based in San Francisco, set out to navigate her cancer recovery asking questions and wondering how others – particularly those in the Spanish-speaking community – coped with what appeared to be a fragmented and confusing health care system that was often difficult to navigate. Her experience led to an award-winning news series and to her own dedication to serve the low-income Latino community. For Duron, launching California-based Latinas Contra Cancer (LCC) in 2003 was an opportunity to turn the spotlight on cancer, now the number one cause of death in the Latino community. She retired from TV news in April 2013 after 43 years focusing on LCC’s goals to address the cancer continuum in the Latino commu24 • May / June 2016

nity. Duron won the Purpose Prize in 2013, awarded by Encore.org in recognition of her commitment to the Latino cancer issue. This year Duron was appointed to the new Institutional Review Board for the Precision Medicine Initiative, launched by President Barack Obama to increase detection of disease risk and improve quality health care for all.

What is LCC, its mission, and what are some of the services it offers? Latinas Contra Cancer (LCC) was created to address gaps and issues around breast and other cancers impacting the San Francisco Bay Area’s low-income, Spanish-speaking and immigrant community. Based in San Jose, LCC’s culturally and linguistically appropriate services include its signature program, Health BINGO, which has resulted in raising cancer awareness and early intervention through screening for over 4,500 men, women and teens. LCC also provides a complete menu of supportive services, including patient counseling and navigation through treatment, support groups, information and referrals. LCC’s bilingual website includes community resources, promotes events, and links organizations from all over the country. The LCC staff is dedicated to addressing the

Latinas Contra Cancer continues to build culturally and linguistically appropriate programs that address cancer disparities and health system gaps that impact lowincome Latinos. The goal of LCC is to provide replicable programs for areas of the country where Latino communities are underserved with regard to cancer awareness, access to screening and quality care. We are building on our repertoire of programs by developing a genetic training program for community health workers, aka promotores, so they can educate the community on how family history, genetics and cancer risk are related. LCC wants to be sure that Latinos are aware of the cutting-edge medicine otherwise known as Precision or Personalized Medicine, the topic of our 2016 National Latino Cancer Summit. Precision Medicine can lead in some cases to early intervention through genetic testing, better care through comparison of genetic data and longer survival with access to the latest drugs. We invite the Latino community and anyone interested in health equity to check our website, www.latinascontracancer.org. There, they can learn about our work, read about and sign up for our July 2527th summit – the only one of its kind in the country – and finally, click the donate button to support our work.


INTERVIEW WITH

DR. JEFFREY WEITZEL

Screening and preventing breast cancer among Latinas. Story by: Charles Coulombe

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Photo: Courtesy

hen Dr. Jeffrey Weitzel was preparing to launch his medical career back in 1990, he switched from oncology and treatment of cancer and blood-related diseases to the then new field of genetics-based diagnosis. Today, as director of City of Hope’s Division of Clinical Cancer Genetics in the Department of Population Sciences, Dr. Weitzel is extremely satisfied with the choice he made, and his team has made significant contributions to our understanding of the hereditary forms of cancer and how to use that knowledge to more effectively screen for and prevent cancer. With a goal of addressing disparities in access to cancer screening and prevention, Latina women with breast cancer in the United States, Mexico and elsewhere are among the primary beneficiaries of the work he and his colleagues have conducted over the past decade. “Latinas in general are at lower risk of breast cancer than most women,” Dr. Weitzel explains. “But they have a higher tendency for genetic-based breast cancer, which generally strikes at a younger age. And because they are often underinsured or uninsured, they tend to have it diagnosed far later, when it is more difficult to treat. A lack of cultural awareness on the part of healthcare workers is also part of the problem, as is their own lack of information about preventative care.” He became involved in this area through a recommendation from a colleague in a serendipitous turn of events: “My friend, Dr. Nancy Feldman, works at Olive View-UCLA Medical Center County hospital which serves a heavily-Hispanic population. Around 2000, she told me that a number of young Latinas were coming in and being diagnosed with advanced breast cancer. With genetic counseling and testing and family histories, we can be in a much better position, not only to

treat their immediate problem, but also to give them guidance in preventing future cancers. But in those days, genetic testing was not covered by Medicaid, so even those with family histories of cancer were not getting tested.” “We wondered, ‘If we build a center where they can be tested, would they use it?’ We took surveys, and the response was very good – if we made it happen, they would come. So we did. We provided bilingual counselors to explain the importance of genetic testing, and we found that it had the desired effect. They shared the information with their families – who of course were also at risk –- and urged them to get tested as well. Once the women saw the importance of genetic testing and preventative care for their families, they were very anxious to get them involved.” Scientific testing in this country, Mexico, and elsewhere in Latin America revealed that the mutations that caused breast cancer were linked to very specific elements on the Latin American gene pool – mostly Spanish. But one or two were linked to Amerindian and African roots. This allowed the doctors to reduce the number of genetic markers they were testing for, and bring the cost of testing down considerably. As a result, far more women have benefited from the testing – and Medicaid now covers it in most states. “It is now much more cost effective, and we are now able to take the testing to their relatives in Mexico,” Weitzel says. Cultural sensitivity is, according to Dr. Weitzel, extremely important. “If you have bilingual counselors, and emphasize the family aspects of the work, the patients are far more receptive, even if the doctors are the ‘other.’ We come to be accepted, and we make sure they understand that what they are doing with us will help not only them but also their relatives. With testing, we can tell them which of their family members are at potential risk for ovarian and other cancers as well. So we provide cultural training to our staff, and include this concept in our training program for doctors nurses and genetic counselor across the country.” latinoleaders.com


Cancer Survivor

AMELIA TENA

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melia Tena is a volunteer at City of Hope, specializing in mentoring and advising Spanish-speaking cancer patients. At what is often a painful and confusing time, she guides them through the array of services and procedures they are faced with. It is terrain she knows well: Amelia herself first came to City of Hope nine years ago as a breast cancer patient. “I was frightened and very, very tired. I had been diagnosed with it a year earlier, and had treated it with chemotherapy. Then it recurred. In my native country, I had helped a sister and a good friend with breast cancer. But even though you try to help them, you try to reassure them, you can’t really know what it is like until you have it yourself.” She did research, and discovered City of Hope. “As soon as I arrived, they took care of me. The staff and doctors guided me through every step of the process. They were reassuring and compassionate – and they knew what they were doing.” With their help, Amelia recovered, and was so inspired by her treatment that she started volunteering her services with Spanishspeaking patients. “It is so important to receive information in your own language so that you know exactly what is going on and can also let your doctors know what is happening. Our community in particular really needs to know about cancer and how to prevent it. Because some cancer treatment is costly, a lot of Latinos and African Americans do not get the care they need to recover.” In addition to her work at City of Hope, Amelia’s experience with cancer has changed her life in many ways. “I eat differently – more fruits and vegetables, chicken and fish, and less meat, because of the hormones.” She exercises regularly, does tai chi, and walks a lot more. Amelia believes that prevention, through a healthier lifestyle, is absolutely key to fighting cancer – an attitude she learned at City of Hope. She also learned to worry less. “I don’t worry about things I can’t help.” This, she says, is very important. 26 • May / June 2016

Story by: Charles Coulombe

Photo: Courtesy

Tena also learned that City of Hope is very much like a family. “The doctors and staff always let you know that you are not alone. And they are at the forefront of research, always learning new ways of fighting cancer.” City of Hope provides a wide range of charitable options for the uninsured and the underinsured, providing as much treatment as their resources allow. “It is a terrible thing when healthcare seems to be just a matter of money. You never get that impression with City of Hope.” The comprehensive cancer center includes the patient’s family as much as possible in the healing process. This is particularly important for Latino patients. Spanish-speaking counselors like Amelia make sure that both the patient and loved ones are informed every step of the way. It’s that familial approach to treatment that Amelia likes about the hospital’s way of doing things. “When you are first diagnosed with cancer, it is very important to get a second opinion. The sooner you start treatment, the less invasive it is likely to be. The earlier you begin breast cancer treatment, for example, the less likely it is that you’ll need a mastectomy.” “Above all”, Amelia says, “take care of yourself. Live a healthy lifestyle. Get regular checkups – don’t wait on any of it.” In addition to cutting down on stress, she advises people to “look after your soul.”


Tracking Cancer: The Hispanic Factor with

Dr. Otis Brawley Story by: Chriss Swaney

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Photo: Courtesy

Cancer picks a fight with you. Now what do you do? Latino Leaders Magazine spoke recently with Dr. Otis W. Brawley, M.D., F.A.C.P., chief medical officer of the American Cancer Society, about how to stay well and get well.

e reports that overall about 1 in 3 Hispanic men and 1 in 3 Hispanic women will be diagnosed with cancer or about 22 percent of the Latino population will be diagnosed with cancer. And the lifetime probability of dying from cancer is 1 in 5 for Hispanic men and 1 in 6 for Hispanic women. Brawley argues that the risk factors for cancer remain relatively the same for all ethnic groups and include abstaining from tobacco use, maintaining a healthy body weight, having an active lifestyle and consuming five to nine servings of fruit and vegetables a day and limiting red meat intake to two to three servings a week. “Fish and white meat like chicken are the safest bet for diets,’’ he cautions. “Baked chicken is wonderful.’’ However, the big difference for risk factors in Hispanic women of Mexican origin remains the ongoing battle with obesity. “Forty-five percent of Mexican women are obese compared with Hispanic women from other parts of Latin America,’’ says Brawley. He notes that this obesity issue though is more of a socioeconomic one and that income is directly related to those most at risk for cancer. “I have a prejudice. Poor people are most vulnerable. We are finding that income plays a big factor in the number of times women

and men seek special cancer screening and regular doctor visits,’’ says Brawley, who oversees more than 800 research grants at universities nationwide to help solve the cancer conundrum and find its Achilles heel. There are typically many mutations in a single cancer cell. But there are a limited number of ways that the body can produce energy and support rapid growth. Cancer cells rely on these fuels in a way that healthy cells don’t. So, some researchers are now targeting the body’s metabolism – slowing or stopping tumors by disrupting one or more of the chemical reactions a cell uses to proliferate. Brawley points to a recent study done by the American Cancer Society that finds that Hispanics have a higher risk for cancer associated with infectious agents such as the liver, stomach, cervix and gallbladder cancer. Cancers related to infectious agents are more common in economically developing countries, including parts of Latin America. The study also found that one in six new cancers in Central and South America is attributable to infectious agents compared to one in 25 in North America. In the U.S., the incidence and mortality rates of these cancers are higher among Hispanics, especially first generation immigrants for stomach and cervical cancers, than among non-Hispanic whites. Study researchers found that liver cancer is about twice as high in Hispanics as in non-His-

panic whites and about three times higher in men than in women. However, recent analysis indicates that rates may have reached a peak. Like most cancer sleuths, Brawley admonishes the Hispanic community to seek regular testing and screening. “In the past decade, Hispanics have been more open to screening, but we need to improve their participation, ‘’ he warned. American Cancer Society screening guidelines include: • 21 years or older for cervical cancer screening. • Women age 45 to 54 should get mammograms every year. Women 55 and older should switch to mammograms every 2 years, or can continue yearly screening • 50 years of age for colon cancer screening. • Starting at 50, men should have a discussion with a health care provider about prostate cancer testing. “In the 1950s, we were so fixated on smoking and its connection to lung cancer. But we now have to really start tracking this obesity issue and cancer,’’ said Brawley, who serves as a professor of hematology, oncology, medicine and epidemiology at Emory University. He is also a key leader in the Society’s work to eliminate disparities in access to quality cancer care. latinoleaders.com


RODRIGO NUÑEZ a story of hope and appreciation

Story by: Charles Coulombe

Photo: Courtesy

At the time, Rodrigo spoke no English. He vividly remembers the staff trying their best to speak to him in Spanish, and going out of their way to help him and make him feel at home. “I was hungry when I arrived, and I had nothing. One of the nurses gave me her lunch. I’ll never forget that!” After determining that his was a worthy case, City of Hope admitted him for treatany of the staff and ment at no charge. They arranged for his family in Mexico to volunteers at City of be tested for donor eligibility at the University of Guadalajara. “My oldest and youngest brothers qualified. The hospiHope are there because they themselves tal flew them here to California, and the oldest one donated were once patients at marrow and the younger one blood platelets.” the hospital, and loved After the bone marrow transplant, he needed somewhere the environment and to recover. City of Hope found the Hidalgo family, who lived manner of treatment in South Pasadena and had three children; they agreed to let so much they wanted to be a part him stay with them for ten days. But they got along so well, of it. A stellar example of this is he would live with them for five years while he attended Rodrigo Nuñez, who first came to South Pasadena High School. “I knew what I wanted to do City of Hope as a teenager in 1978. with my life – I wanted to give back something of what I had A decade later, he received his been given.” Rodrigo then went to Pasadena City College for Registered Nurse license, and has two years, and earned his RN there in 1988. “I went to work RODRIGO NUÑEZ TAKING PART IN CITY OF HOPE’S 40TH ANNUAL worked at City of Hope ever since. at the bone marrow transplant center with Dr. Stephen ForBMT REUNION man – the doctor who had been my physician.” “I came from Guanajuato, Mexico, when I was 17, to pick grapes Rodrigo has not had a recurrence since, for which he is in the orchards around Livingston, California. After grateful – as he is for many things. “I am a believer. And I am so grateful to God about six months, I started getting nosebleeds and for everything He has given me – for my recovery and my good health, my family, the Hidalgos, City of Hope – everything. I don’t smoke or drink, but I have a bruises. One day, while I was on my way to a store, wonderful life, and City of Hope is so much a part of all of it. I love the reunions I passed out and they sent me to the local hospital. – when they started, there were just a few of us – now there are thousands. I I got a blood transfusion and felt a lot better, but am just so grateful to be here. I have my wife, my family, my friends. You know, they diagnosed me with aplastic anemia – my bone some people have it better than me, but a lot more have it worse. And I want marrow was not producing enough red blood cells. to give back some of what I was given.” They told me they couldn’t do anything for me, At 56 years old, many men are planning their retirement. Not Rodrigo. “I and that the only place that I could go was the new don’t have any plans to retire. I’ll keep working at City of Hope until I can’t bone marrow transplant center at City of Hope. work anymore. I can’t even imagine doing anything better.” That was I how I got there.”

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r. I. Benjamin Paz is a City of Hope surgical oncologist, specializing in breast, gastrointestinal and rectal cancers, and bone and soft tissue tumors. He specializes in minimally invasive surgery and has developed one of the leading centers for minimally invasive surgery in oncology in California. He received his medical degree in Chile and received further training at the University of Arizona. He has also served as vice chair of City of Hope’s Department of Surgery, where he has helped to expand their program dramatically and develop a number of patient-focused, multidisciplinary clinics. Dr. Paz has been with City of Hope since 1990 and the City of Los Angeles reminds him of his native hometown - Santiago, Chile. “In some ways, Santiago is similar to Los Angeles, and in others, quite different. Santiago is very large and cosmopolitan, very much like Los Angeles. Nevertheless, the United States is very ethnically and religiously diverse (unlike Chile), so in every field of work one needs to prepare to address those nuances,” he says. Dr. Paz intended to become a bio-medical engineer, but had to attend medical school as part of the training. He fell in love with surgery. “At first I thought I’d become a neurosurgeon. But back in those days, the results of neurosurgery were not very promising. I discovered oncology and fighting cancer, and instinctively knew this was what I wanted to do with my career.” At first, he did not plan to stay in the United States. But when looking for the right place to continue advanced studies, he discovered City of Hope. “What really impressed me was their mission – ‘There is no profit in curing the body if in the process, we destroy the soul.’ The people at City of Hope really live by that goal and abide by this philosophy. City of Hope was the first place I considered, and I knew I wanted to work here right away.” When treating Hispanic patients, Dr. Paz says speaking the same language is easy. But there are other important factors -- such as culture and other elements -- one should consider in order to really understand the patient and make him or her feel comfortable with treatment. It is important to consider the patient’s religious beliefs, their background and family structure, he adds. “It is absurd to think that all ‘Hispanics’ are the same. Chileans, Mexicans, Argentines, Colombians and all the rest are quite different from each other. I can speak Spanish perfectly; but to treat my patients effectively, I also have to know where they are coming from, and who they are. Integrating this knowledge into treatment and developing a trusting patient-doctor relationship is key for successful healing.”

I. BENJAMIN PAZ, M.D. advocating for a healthy lifestyle Story by: Charles Coulombe

Photo: Courtesy

Advocating for a healthy lifestyle is one of Dr. Paz’s main goals, as prevention is often the key. “There are certain actions to take in order to avoid getting cancer – and fortunately, they also help against heart disease, which is the other major killer in the United States.” Dr. Paz recommends losing weight and cutting down on carbohydrates, like tortillas, soda and sweet juices. “Most Hispanics tend to be enablers in this area, and think it’s cute when our children eat this way. But if they are struggling with obesity when they are young, they will do so for the rest of their lives.” Dr. Paz reiterates that walking two miles a day should be included in one’s daily exercise regime. “Another problem is smoking. It causes several kinds of cancer, and there is no reason for it. And alcohol, which does add to cancer risks, is something to be avoided or consumed responsibly.” Dr. Paz warns that alcohol is a key factor in car accidents, a leading cause of death in the U.S. “Here too, culturally, we are enablers, encouraging its use. But we have to change our cultural views in these areas, if we really want to live longer.” He adds that choosing a healthy lifestyle is extremely important and essential for a fit and bright future, says Dr. Paz. What parting words of advice does Dr. Paz have for us? “Stay healthy. If you want to enjoy your life, have fun with your kids and grandkids, share experiences with your friends and colleagues – you need to keep your health. At the end, that’s what life is all about.” latinoleaders.com


A HOPE-FILLED REUNION Story by: Charles Coulombe

DRACO ROSA

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JON KAYNE

Photos: Courtesy

STEVEN BOCHCO

ity of Hope is a cancer research and treatment center in Duarte, California that well deserves its name. Dedicated to fighting cancer, its victories over the dreaded disease are many. But of all the terrible forms cancer can take, bone marrow disorders are among the worst. Nevertheless, City of Hope has pioneered many new techniques in bone marrow transplants over the years. Bone marrow donations come from healthy donors, often from another state, country, or even continent. Four decades ago, City of Hope came up with the remarkable idea of introducing – subject to mutual consent – donors to the people whose lives they had saved. The result is an annual reunion, the 40th of which occurred last May 6 at City of Hope’s Argyros Family Garden. Hundreds of donors and recipients came together that day, reflecting on the relationships that will endure for their rest of their lives. The gathering – which drew 4,000 donors, recipients, family members and City of Hope staff members and volunteers – felt like a huge family reunion, complete with tents, buffets, and long picnic tables. There was music, memories, and children playing. But the highlight of the day was the introduction of two City of Hope patients and their donors. The first reunion was that of Dominick Folbrecht, 15, who was first diagnosed with acute lymphoblastic leukemia in 2010 when he was nine-years-old. Dominick’s treatment at that time was successful, and the cancer went into remission. It returned in late 2014, and Dominick was admitted to City of Hope. But he had no family. Fortunately, the clinical psychologist the cancer center assigned him to had been looking for a child to adopt (Jeanelle Folbrecht, Ph.D., already had two teenagers) and Dominick found a home. Luckily, he found a donor: then 19-–year-old Vanessa Brobbey of Mississauga, Ontario, Canada. Not knowing what she wanted to with her life, Vanessa had registered as a donor her senior year of high school. When the call came, she found that the procedure was easier than she thought it would be. She wanted to know immediately afterwards who the recipient was, but due to the donor center’s policy, she had to wait one year before her recipient’s identity was revealed. When that time ended, she learned about Dominick – how he was in the process of being adopted, and how her gift had allowed him to return to a normal life – especially the sports he loves. The experience has motivated her to become a pediatric nurse. The meeting of the two on that morning was an emotional one – Dominick owed Vanessa his life, and Vanessa, 20, owed Dominick a sense of purpose for hers. 30 • May / June 2016

VANESSA BROBBEY AND DOMINICK FOLBRECHT

The second recipient was award-winning television producer and writer Steven Bochco. Among the shows he has developed are Hill Street Blues, L.A. Law, Doogie Howser, M.D. and NYPD Blue. But his success did not prepare him for the shock of his cancer diagnosis. His confidence was greatly restored by the woman who drew his blood for his first test – she herself, some 13 years previously, had had a similar diagnosis, and she was successfully treated by the same doctor who would treat Bochco, Dr. Stephen Forman. She shared that if she could afford to work there for free, she would, as the rewards are many – a number of City of Hope employees are people whose first encounter with the cancer center was a successful treatment there, and they all feel a special connection to the patients they now guide through a familiar process. A donor match was found for Bochco as well – Jon Kayne, 25, a San Francisco resident. Kayne in turn had been inspired to become a donor through the example of his beloved grandfather, who had died when Jon was only 13, after five years of battling brain cancer. It was not only his grandfather’s example and advice to help that inspired Jon; it was also the hope that others would be able to enjoy their own seniors longer, as he wished he could have done. Bochco and Kayne’s meeting was emotional as well. Puerto Rican born Draco Rosa, Grammy Awardwinning singer and songwriter, is also one of City of Hope’s success stories. Having recovered thanks to an organ donor, he stressed the importance of giving others a chance at life - he too felt blessed by God to be alive and spoke about his gratitude to City of Hope and his doctor, Auayporn Nademanee. Forty years and 13,000 implants into the program, City of Hope is definitely living up to its name.


Inteliks - provider of comprehensive medical revenue

solutions for doctors across the U.S.

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Story by: Latino Leaders Staff Writers

overnment interventions in the medical industry have yielded far too many inefficient processes for doctors, bureaucratic paperwork, and economic pressures that together are forcing doctors to sacrifice their independent professional medical practices. The consequence is clear: Many doctors are exiting the field. Others are seeing their private practices threatened with bankruptcy, or are giving up their autonomy for the life of a shift-working hospital employee. Governments and hospital administrators hold all the power, while doctors—and worse, the patients—hold none. Physicians deserve to be paid what is rightfully theirs. We help doctors focus on patients and not paperwork, while increasing their revenue and growing their practice. Inteliks is a provider of comprehensive medical revenue solutions for doctors throughout the United States. Inteliks is an affiliate of the nation’s largest network of certified medical revenue managers and we process thousands of claims for hundreds of doctors from coast-to-coast every day. With an easy-to-implement system, we offer scalable medical management solutions that enable doctors and practices of all sizes to maximize their revenue. Our detailed and intuitive system can be accessed on any platform, on any device, anywhere to help doctors control their medical practice. Our Practice Management System delivers a seamlessly integrated billing, scheduling, insurance eligibility, and reporting system alongside our integrated clearinghouse. It’s all in one system! We specialize in helping doctors maximize their revenue while concentrating on

Photos: Courtesy

their patients. We are ”the next generation in revenue recovery.” Our experienced and talented medical specialists provide solutions that enable doctors and practices of any size to leverage our expertise in the medical industry: from medical billing and practice management to compliance. We have a proprietary analysis tool that can generate detailed real-time reports, outlining solutions for virtually every aspect of any medical practice. Our key differentiators are: • Experience – Worked with hundreds of medical practices throughout the USA. • Reach – Delivered solutions to medical practices of any specialty. • Scalable – Solutions designed to medical practices of any size. • 100% Visibility – Cloud-based accessible from any device, any platform any place, any time, real-time. • Simplistic – Easy-to-implement system can be incorporated into operations quickly. We help doctors regain control of their practice and the piece of mind of a continuous cash flow. We help practices turn into concierge practices again. TELEMEDICINE: According to the American Telemedicine Association, 62% of all medical consultations in the U.S., could be held via Telemedicine. However, if a doctor on both ends is present, that percentage could grow to 82%. This allows primary care practices to access specialty centers and provide patients with a concierge service. We allow doctors to use Telemedicine to enhance their medical practices. Our Telehealth Marketplace is an innovative on-

JESUS MONROY “OUR PRACTICE MANAGEMENT SYSTEM DELIVERS A SEAMLESSLY INTEGRATED BILLING, SCHEDULING, INSURANCE ELIGIBILITY, AND REPORTING SYSTEM ALONGSIDE OUR INTEGRATED CLEARINGHOUSE.” line service designed to provide a medical expert to primary care doctors in remote areas or in search of a particular specialty. It can be used to supplement medical services with current patients as well as fulfill the special needs of new patients. Our Marketplace works by enabling members to mutually request and accept offers for a clinical consultation to be completed via telemedicine. The requesting members will post a specific need on the portal, which invites the telehealth provider to accept or reject the request based on its own criteria. Once accepted, the telehealth consultation is completed using whatever technology is chosen: video, voice and data. Our technology is fueling the rapid growth of telehealth by ensuring the availability of clinical services as needed across geographies, time zones, languages and medical specialties. The result is increased access to care by previously underserved populations. Whether you are looking to augment your practice with additional specialists, reach additional patients with existing staff or both, our extensive marketplace can be a powerful new addition to your team.

latinoleaders.com


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Story by: Diane Alter

Photos by: Laurie DeWitt

Design by: Carlos Cuevas

Dr. Alfredo Quiñones The Brains Behind Brain Cancer Research

33 • May / June 2016


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f all the great Cinderella stories, Dr. Alfredo Quiñones -Hinojosa’s tale truly stands out. His story is heartwarming, heart-wrenching, inspiring, and undeniably remarkable. Like most fairytaleesque stories, this one begins with “once upon a time …” The oldest of five children, Dr. Q – as he is now affectionately known – was born in a small village outside Mexicali. In 1987, at the tender age of 19 and with a voracious desire for a better life, young Alfredo crossed the border fence between Mexico and the United States. He did not speak English at the time and had no education to speak of. Young Alfredo immediately started working on California farms, and he eventually saved enough money to take English lessons. Some 12 years later, Dr. Q graduated from Harvard Medical School, was class valedictorian, and became an American citizen. Dr. Q’s story does not stop there. In fact, it just gets better. After completing his residency in neurosurgery at the University of California, Berkeley, Dr. Q headed to John Hopkins University, where he is now a professor of neurosurgery and oncology. His focus is on the surgical treatment of primary and metastatic brain tumors, with an emphasis on motor and speech mapping during surgery. In April, the Mayo Clinic in Jacksonville, Florida, hired the accomplished 48-year-old Dr. Q as the William J. and Charles H. Mayo Professor and chairman of neurologic surgery. Dr. Q’s recruitment to the Mayo Clinic is part of the clinic’s strategy to establish itself as the goto medical center for the Southeast United States and Latin America. In March, Mayo in Jacksonville announced it will begin $100 million in major development projects later this year. That includes the construction of a destination medical building to provide integrated services for complex cancers and for neurologic and neurosurgical care, Dr. Q’s specialties. Dr. Q’s areas of expertise can be found in the more than 50 book chapters he has authored, the several textbooks on neurosurgical techniques and stem cell biology he has penned, and in his riveting autobiography, Becoming Dr. Q: My Journey from Migrant Farm Worker to Brain Surgeon, which earned him an International Latino Book Award in 2012. “I admit I never imagined my life would turn out this way,” Dr. Q told Latino Leaders. “I feel like I am living a dream and sometimes I worry that I will wake up from it. I grew up in extreme poverty. Often we did not even have food to eat. Yet while we 34 • May / June 2016


A LIFE WORTHY OF A MOVIE

were poor in economic means, we had richness in other ways. Our roots are steeped in wonderful history, and our family was tight. My mother was the pillar that kept us all together and connected.” Dr. Q admits there were dark times, especially when he first arrived in the United States. But he quickly learned that America offers many opportunities, and with hard work, he could succeed and thrive. That knowledge ignited the passion in him. It did not matter that he was simply picking tomatoes and cotton. He was passionate about being the best worker in the fields. His employers saw that determination and drive. They encouraged him to do more, they believed in him, and they mentored him. While the stakes are much higher now, Dr. Q maintains that this unwavering passion still burns inside him with the same rich intensity. “I recognize that my story is deemed a kind of rags-to-riches tale, but I live my life in a simple way. And I still have so many dreams left to dream and so much that I still need to do,” he said. “That is what motivates me. I get up every day with a fire in my belly. My patients are always on my mind. They trust me with their lives. That is a great responsibility, as well as a great gift. That is what gives me strength no matter how sore my body is or how tired I am.” Topping Dr. Q’s tireless to-do list is finding a way to eradicate brain tumors. The brilliant brain surgeon believes we are on the cusp of achieving that milestone. Dr. Q’s voice quickens, his eyes dance, and his excitement is palpable as he speaks of the prospects. “My research team and I continue to push the frontier of brain surgery,” Dr. Q explained. “We continue to unravel the great mystery of the human brain. We are constantly learning new things about how the brain develops, how brain cancer migrates, how we can identify the proteins that cause the disease, why they do not die, and how we can one day soon cure the condition. My team and I are indeed pioneers in the space.”

The Walt Disney studios in currently working on developing a movie based on the life of Dr. Alfredo Quiñones. Plan B, the Brad Pitt-run company, will undertake the project now known as “Dr. Q.” The company was started in 2001 by Pitt, Jennifer Aniston and Brad Grey. After Pitt and Aniston divorced and Grey became CEO of Paramount Pictures, Pitt became the sole owner of Plan B. The company has under its belts Pitt-led movies like Troy and World War Z. It also has produced films like Selma, The Departed and Charlie and the Chocolate Factory. Matt Lopez, the playwright behind the acclaimed Civil War drama The Whipping Man, is set to pen the screenplay. Plan B’s relationship with Quiñones -Hinojosa began in 2007 after execs first heard his story on a radio program. Disney sees Dr. Q being a modestly budgeted inspirational drama, in the mold of its recently wrapped movie Queen of Katwe — an inspirational true story of a young Ugandan girl who becomes a chess champion — starring Lupita Nyong’o and David Oyelowo. Tendo Nagenda, who oversaw Katwe and also worked at Plan B before joining Disney, is shepherding Dr. Q with Allison Erlikhman. Lopez’s most recent play was The Legend of Georgia McBride. The scribe was a staff writer on HBO’s The Newsroom and worked with Plan B on an adaptation of Your Face Tomorrow by Spanish novelist Javier Marias. He is repped by CAA.


“WE CONTINUE TO UNRAVEL THE GREAT MYSTERY OF THE HUMAN BRAIN.”

Dr. Q’s lab is currently investigating the mechanism of neural stem cells found in brain tumors and developing new treatments from their discoveries. His team is conducting a series of complex projects involving pituitary tumors, gliomas and meningiomas (brain tumors that put pressure on the spinal cord and usually require immediate treatment), and each project has a team dedicated solely to a specific subject. Until a cure is found, the aim is to find a way to lessen patients’ suffering and the severity of the disease. While great strides have been made in brain cancer treatment over the last 50 years, new challenges arise every day. For example, patients often adapt to treatments. That means those treatments eventually become ineffective. And cancer cell characteristics are always changing, making it nearly impossible to

36 • May / June 2016

find a lasting and universal therapy. Yet where there is a challenge, Dr. Q and his team are there. Like all true leaders, Dr. Q is unstoppable and relentless in his pursuits. Still, he does not view himself as a leader. “I am listener, a facilitator, an architect who builds bridges of communications,” Dr. Q shared. “I empower people. I see what everyone’s strengths are and I foster those assets. I know it takes teamwork to make a team work. I am inspired every day by my exceptional team. As captain of my team, I lead by example. I am always open to new ideas and I let people push me out of my comfort zone. That is often when aha! moments occur. I know I do not have all the answers and I do not expect things to come easy. But impossible is not in my vocabulary.” In short, Dr. Q believes that those who do not dare to go far enough never realize exactly how far they can go.


Dr. Quiñones’ Research Lab is continuously investigating the mechanism of neural stem cells found in brain tumors and developing new treatments from these discoveries. There are many ongoing projects involving pituitary tumors, gliomas, and meningiomas. Each project has a team dedicated solely to that subject. Ultimately the lab would like to better understand the brain tumors Dr.Q’s patients have in order to find a way to lessen their severity. Dr. Q likes to keep himself, as well as his team, well versed in the world of science.

ONGOING PROJECTS:

Dr. Q admits that there has been a price to pay for his triumphs. But he is quick to add that nothing truly worthwhile comes without a price. The first price paid was to his parents. Knowing they could not hold him back, they were plagued with fear and trepidation as they painfully watched their young son leave his native country and work himself to near death. The second price paid was for the time lost with his wife and children. “I have the most understanding wife, but I know all the time I spent away from home was difficult for her and our children,” Dr. Q said. “It still is. However, they all understand that we have all sacrificed for the sake of humanity. I instill in my children what I learned at an early age. Chance and good luck do not come to those who want; they come to those who look and work for it. I recognize now that what I once saw as my biggest negative, being an illegal immigrant with an unequivocally humble background, was my biggest positive. I turned my greatest weakness into my greatest strength. Every day I tell myself the odds are against me only if I do not try.” To be sure, troubles, setbacks and mishaps may seem like they are destroying you. But if you look deep enough, you will find that they actually save you, Dr. Q explained. Always on the lookout for a great story, the Walt Disney Co. and Brad Pitt’s Plan B production company are developing “Dr. Q,” a movie based on the good doctor’s extraordinary life. Who knows better about Cinderella stories than Disney, the producer of the original Cinderella movie? Plan B’s relationship with Dr. Q began in 2007, after executives first heard his uniquely inspirational story on a radio program. And unlike other great Cinderella stories, Dr. Q has yet to write “The End.”

ROLE OF NKCC1 IN TUMOR GLIOMA TUMOR MIGRATION Patients with glioblastoma have poor prognosis and short survival despite current therapies. The mechanisms that confer glioblastoma cells this invasive behavior and their regulation have not been fully elucidated. The main goal of this project is to understand the mechanisms that some ion transporters, like the NKCC1 protein, use to increase cell migration, and how different factors, like chemoattractive substances affect this process. Dr Quiñones’ final proposal is to use this knowledge to develop new therapeutic targets to improve survival of this devastating disease. RADIATION-INDUCED DISRUPTION OF NEURAL STEM CELL MIGRATION Neural stem cells reside in the subventricular zone of the brain. It is a key location for adult neurogenesis. When a patient receives whole brain, or even targeted radiation, the subventricular zone in many cases receives a substantial dose of radiotherapy as well. While a great deal is known about how radiation affects stem cells, very little is known about the effects of radiation on migration of new born cells. Since these new born stem cells may be recruited to the tumor, and may even attack the tumor cells, more must be studied about the effects that radiation has upon these cells’ migratory capabilities. STEM CELLS IN HUMAN PITUITARY TUMORS This research project focuses on the pituitary gland, which is about the size of an almond and sits at the base of the skull. It functions as the “master regulator” of the hormone system. The anterior pituitary gland is a common site of tumor formation. Pituitary tumors are the third most common brain tumor, so this is a very important area of research. EFFECTS OF SLIT ON THE MIGRATION OF HUMAN BRAIN TUMOR STEM CELLS Our interest is on studying the effects of slit proteins on the migratory behavior of human neural progenitor cells and brain tumor stem cells. Glioma patients’ poor outcomes are largely due to the invasive nature of the tumors and necessitate more understanding of brain tumor cell migration. We study the effect of Slit proteins and their Robo receptors on glioma cell migration.

THE ROLE OF PLATELET-DERIVED GROWTH FACTOR IN THE MIGRATION OF HUMAN ADIPOSE-DERIVED MESENCHYMAL STEM CELLS Each year 40,000 people are diagnosed with primary brain tumors, the majority of which are glioblastoma (GB). Glioblastoma is the most common brain tumor in adults and is the most malignant subtype. Despite best treatments with maximum surgical resection, radiation and chemotherapy, long-term survival of GB patients is rare (median survival is 14.6 months). UNDERSTANDING THE PATHOPHYSIOLOGY OF CHORDOMAS Chordomas are tumors that arise from the osseous spine and skull base and comprise 2-4% of all bone cancers. They are often refractory to treatment with a median survival of approximately 6 years. Recent reports on the incidence and survival patterns of chordoma patients underscore the dismal prognosis of this disease with long-term survival rates at 5, 10 and 20 years precipitously dropping to 67%, 40% and 13%, respectively. METABOLIC ADAPTATION OF HUMAN GLIOBLASTOMA CELLS TO GLYCOLYSIS INHIBITION Glioblastoma (GBM), the most common primary central nervous system malignancy in adults, is universally fatal despite aggressive surgery and combined chemoradiotherapy. The identification of novel therapeutic targets is an ongoing and necessary challenge. One potential avenue of investigation centers on the observation that GBMs upregulate glycolysis (anaerobic utilization of glucose) independent of the presence of molecular oxygen. Courtesy: www.doctorqmd.com


Story by: Kristian Jaime Photo: Courtesy Design by: Carlos Cuevas

The new face of

health

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38 • May / June 2016

taying ahead of national health care trends is no easy task, but Children’s National Health System is making the effort and succeeding. The cultural identity of patients now seeking care in freestanding children’s hospitals across the country now includes more Latino faces. Children’s National is being characteristically proactive in step with its mission that started almost 145 years ago. “Dr. Kurt Newman, our president and CEO, has recognized the importance we can play in Latino health,” said Martha M. Parra, MSN, RN Vice President of Clinical Support Services for CNHS. “This year, he established a Latino health leadership council and asked me to co-chair it. We want to become the premier destination for Latino families in a welcoming and culturally sensitive way.” That is no easy task, considering Children’s National treats more than 300,000 patients a year. That prolific number is, in part, due to the fact it is the only freestanding children’s hospital between Philadelphia and Atlanta. Children’s National is based in Washington, D.C., and is the largest provider of pediatric care in the region, with more than 15,000 inpatient admissions, and 450,000 outpatient visits each year. “Our group has worked to identify our current services and where we want to go moving forward. We studied the number of Latino families, and that made up 13 percent of the inpatient side. In our emergency department, that’s 15 to 20 percent,” Parra continued. Along with usual host of specialists and surgical resources, Children’s National also boasts more than 300 beds for neonatal and pediatric intensive care units, with an additional two units for psychiatric patients.

38 • May / June 2016

MARTHA M. PARRA, MSN, RN VICE PRESIDENT OF CLINICAL SUPPORT SERVICES FOR CNHS.

Treating a medical problem still starts with getting a diagnosis, and that means opening the lines of communications in any way possible. “Most of those instances, they represent a family that primarily speaks Spanish. So in order to really support their needs, we have a robust interpretive services department. We even have adjunct services where we have a bilingual phone system,” explained Parra. Children’s National even uses innovative technology like a video remote interpretation service where providers and families speak via an interpreter on video. According to Parra, those efforts can still be improved, but it is a vital place to start. For a medical center that, according to U.S. News &World Report, is among the top 10 pediatric hospitals in the nation, defining effective care starts well before any patient visit. That means gathering a compendium of perspectives to establish and improve a family’s experience once in Children’s care. “We are really focused on patient and family-centered care. Where that comes into play is our parent and family advisory council (that has existed for almost) 10 years. That will develop programs to make sure we continue to hit the mark,” said Parra. Demographic studies of every stripe indicate Latinos are on pace to become the largest minority block across the United States. For that reason, the implications of all the efforts by Parra and the Latino health leadership council may find willing participants elsewhere. “We have an opportunity to provide models for the country about this type of care to growing families where English may not be the first language. We recognize that outcomes are tied to understanding health care services,” concluded Parra.


Story by: Diane Alter

Children’s National Denice Cora-Bramble, M.D. and Nathalie Quion, M.D. are considered by many two very special doctors. They have dedicated their whole lives to becoming the best pediatricians they can be. Both doctors have a passion for what they do, and that is taking care of children with kindness, respect and love. And for both, the ultimate feeling of satisfaction is seeing children walk out of the Children’s National Health System with a glowing smile and sparkle in their eyes.

Photo: Courtesy

Providing care all children can relate to

Despite all of this advanced education and experience, Dr. CoraBramble says the best instruction she received to help her in treating children came from her role as a mother and parent. “When I became a mother, I became a better pediatrician.” Dr. Cora-Bramble credits her Latino heritage, bilingualism and a nuanced understanding of the culture for her success in treating and planning clinical services for the large Latino community, as well as helping her achieve one of the highest clinical positions at Children’s National: Chief Medical Officer and Executive Vice President of Ambulatory and Community Health Services. “But it goes beyond language and just being able to provide care in their own world and native tongue,” she explained. “We are responsive to Latino culture, values, practices and beliefs. We strive to provide care all kids can relate to.”

Nathalie Quion, MD

CHILDREN’S NATIONAL WAS RANKED AMONG THE TOP 10 PEDIATRIC HOSPITALS IN THE NATION BY U.S.NEWS & WORLD REPORT.

Denice Cora-Bramble, M.D., Denice Cora-Bramble, M.D., never questioned her life calling. This highly accomplished and educated individual always knew she was going to be a doctor. It was her enduring dream. There simply was no other choice. And for her, being a physician and being a pediatrician are synonymous. “I grew up in Puerto Rico, where my aunt practiced as an obstetrician/OB GYN,” Dr. Cora-Bramble, Chief Medical Officer and Executive Vice President of Ambulatory and Community Health Services at Children’s National Health System, told Latino Leaders. “She had a big impact on me as I was growing up. My aunt was an excellent role model as a physician and mother, and she definitely influenced my career choice.” Intelligence and an overachieving drive allowed Dr. CoraBramble to finish high school at 16 years old. She was then recruited to further her studies in the District of Columbia. After finishing her Bachelor of Science degree at The George Washington University, where the very homesick teen cried throughout her first year, Dr. Cora-Bramble completed her medical and pediatric residency at Howard University. She then earned a Master’s in Business Administration degree with a concentration in Medical Services Management from John Hopkins University. Dr. Cora-Bramble is the recipient of numerous awards and accolades.

Children have the wonderful capacity to believe that anything is possible. They live in the moment. To dare to see the world through the eyes of a child is to rouse a delightful and whole new world. That is what Nathalie Quion, M.D. gets to do every day, and it is what she loves most about her job as a primary care pediatrician at Children’s National Health System. “I have always enjoyed being around children,” Dr. QuiNATHALIE QUION, MD on told Latino Leaders. “They keep me young. And, I can relate to what sick children are going through. I had asthma as a child and was frequently in and out of health care facilities. I was grateful for the care I got and I wanted to be like the doctors and nurses who cared for me.” For the last 10 years, Dr. Quion has been specializing in asthma, pediatric tuberculosis, and attention deficit and hyperactivity disorder at Children’s National Health System. Dr. Quion received her medical degree in her native country, the Philippines. She completed her internship and residency in pediatrics at the University of Texas Medical School. Before “finding her niche” at Children’s National Health System, Dr. Quion completed a fellowship program at the University of Massachusetts. “We rank among the top 10 children’s hospitals in pediatric care, technology, education, and high level of experience,” Dr. Quion explained. “We all are here for the children and their families. “My job is very fulfilling and I feel like I make a difference every day,” Dr. Quion said. “I am at home here.”


Story by: Diane Alter

Photo: Courtesy

Dr. Denice Cora-Bramble

talks culture of prevention

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or almost 145 years, Washington, D.C.-based Children’s National Health System has been recognized as a preeminent leader in serving the nation’s children. Children’s National is led by an elite team of professionals who have devoted their careers to children’s medicine and is the only health system in the D.C. area designed exclusively for children. Children’s National is valued for the development and application of pioneering new treatments for childhood illness and injuries. “All of us here truly care about our patients and their families,” Dr. Denice Cora-Bramble, M.D., Executive Vice President and Chief Medical Officer of Ambulatory and Community Health Services, told Latino Leaders. She is the first woman and first Latino to hold the prominent position. “We really keep the child and their family at the center of what we do. This is a common bond we all share at Children’s National.” The skilled team at Children’s National treats more than 450,000 patients each year, many who come from around the globe. Latest available data shows Children’s National performs over one million laboratory tests, 123,332 diagnostic imaging procedures, and 17,867 surgical procedures annually. In 2015, Children’s providers saw patients from 20 countries and provided $74.3 million in uncompensated care during the previous year. The largest non-government provider of primary care in the nation’s capital, Children’s National also delivers care through community-based outpatient centers and mobile health services in addition to its home base. The aim is to help make quality care more accessible to children and their families. A large majority of the patients treated at Children’s National and its centers come from the Latino community. “Because our health care services focus on children and adolescents, we know more about how to address their physical and emotional needs,” Dr. Cora-Bramble said. “We are the premier provider of acute pediatric services in the Washington, D.C. area. Since a large number of patients we care for come from the Latino community, we pay careful attention to family perspectives, choices, values, and cultural backgrounds.” Culturally competent care is crucial in treating many diseases that are prevalent in the Latino community. Latinos bear disproportionate burden of diseases such as asthma and obesity. Outreach efforts to ad40 • May / June 2016

dress these conditions, including prevention and awareness programs, is key. More selective screenings, targeted programs, and adaptive measures such as teaching families how to shop wisely, what to buy, and healthy cooking methods that are accepting to a families’ culture is vital. “It is more than just linguistics and being able to speak in their native tongue,” Dr. Cora-Bramble continued. “We offer care and prevention tools that are responsive to Latinos’ beliefs. We take into account families’ viewpoints and ethnic background. Being able to speak their native tongue is a distinct advantage. Families and patients truly appreciate it when we reach out in their own language, even if it is just a few words. Their faces light up in recognition and solidarity. Without question, precise explanations and instructions are welcome and imperative.” Many Latinos come to the United States for a better life. Yet as Dr. Cora-Bramble explained, the new opportunities available to them do not always work in their favor. The plethora of fast-food options and myriad means of transportation can contribute to health challenges. “Many find themselves eating more and walking less,” Dr. Cora-Bramble noted. “We educate our families on how to have a mindful and healthy transition, and how to find the best of both worlds.” A widely recognized and accomplished leader in the Latino community, one of Dr. Cora-Bramble’s goals is to write a book about leadership development. “I have mentored many over the years,” she said. “I have learned about the importance of resilience, what it takes to survive and thrive, and what emerging leaders must learn along the way.”

“ALL OF US HERE TRULY CARE ABOUT OUR PATIENTS AND THEIR FAMILIES.” - DR. DENICE CORA-BRAMBLE, M.D.



TOP 1O LATINO PHYSICIANS Story by: Steve Penhollow

Courtesy photos

Latinos are the fastest growing ethnic group in the nation, yet the number of Latino physicians available to that group declined by 22 percent from 1980 to 2010, according to a 2015 UCLA study. The need for doctors who can serve the specific needs of Latino patients is great. Here are 10 of the nation’s top Latino physicians who are leading by example and leading recruitment efforts.

DR. MIGUEL BURCH DR. LAURA MERCER-ROSA Is an attending cardiologist at the Children’s Hospital of Philadelphia’s Cardiac Center. The Children’s Hospital of Philadelphia’s Cardiac Center (aka CHOP) is devoted exclusively to children with heart problems. At CHOP, Mercer-Rosa practices general cardiology and conducts research into extending lives and improving quality-of-life for the hospital’s patients and for all children born with heart problems. “The reason why I do research,” she said in a video on the Children’s Hospital of Philadelphia’s YouTube page, “is that I want to do something in my research that will help me improve the outcomes in the lives of children with congenital heart disease.”

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Is associate director of minimally invasive surgery at Cedar-Sinai Medical Center in Los Angeles. Burch helps patients fight obesity and diabetes by way of bariatric surgery. “Latinos are 60 percent more likely to need dialysis because of the diabetes,” Burch told Latino Leaders in the spring of 2014, “and they’re 50 percent more likely to die from the complications with diabetes.” Among Burch’s honors: “America’s Top GI Surgeons Award” from Consumers Research Council of America in 2014, an excellence in teaching award and an excellence in surgical critical care award from Boston University, and the 2001 Medical College of Virginia Merit Scholarship.

DR. FRANK M. CASTILLO Specializes in Family Medicine at Chicago’s Erie Family Health Center. He has received numerous honors, including the University of Chicago’s Abram L. Harris Achievement Prize, several Physician Recognition Awards from the American Medical Association and citation by EXTRA Newspaper for being one of the top 10 “Doctors Serving the Latino Community.” He was selected as Branstad Distinguished Educator by Northwestern University for the years 2014-2016 in recognition of his teaching excellence. He has contributed articles to such publications as Medicine & War and the Journal of Health Care for the Poor and Underserved.

DR. PEDRO NOSNIK Is a board-certified neurologist in Plano, Texas, who founded the Head and Spine Institute of Texas in 2004. He has run a private neurological practice for more than 35 years. “There is a lot of pressure on physicians on how to best provide medical services,” he told Latino Leaders in 2014. “Time is money and that gives less time for doctors to spend with patients. I really believe that the human side is very important.” In 2009, he was chosen as one of the Best Personal Doctors in Dallas by D Magazine.


DR. AMERICA BRACHO Is president and chief executive of Latino Health Access, an organization she founded in 1994 that is dedicated to disease prevention and health promotion in Orange County, California, communities that have urgent and often unmet health care needs. Bracho’s focus, as she told the Los Angeles Times in 2012, is not just on increasing the number of health professionals in the region, but also on education, prevention and participation. Latino Health Access has trained thousands of promotoras (community workers) to spread the news about healthier living. Many of these promotoras have no formal medical training other than what has been provided by Latino Health Access. “If you are a single mom on this street in Santa Ana and your kids don’t have any place to play,” Bracho told the Los Angeles Times, “you should be in that conversation to assure your voice is heard.”

DR. ELENA V. RIOS Is president & CEO of the National Hispanic Medical Association, which represents 50,000 Hispanic physicians in the United States. The o r g a n i z a t i o n ’s mission is to improve the health of Hispanics. Rios is also president of the National Hispanic Health Foundation, the philanthropic branch of the National Hispanic Medical Association. National Hispanic Health Foundation provides support and encouragement to Hispanic medical and health care researchers across the country. Dr. Rios has been honored by the American Public Health Association Latino Caucus; the U.S. Department of Health and Human Services, the Association of Hispanic Health Executives; the Congressional Black, Hispanic, Asian and Native American Caucuses; Minority Health Month, Inc.; the Association of Hispanic Health Executives; Hispanic Magazine and Intergroup. She is also the recipient of Verizon’s Pollin Community Service Award.

DR. SERGIO AGUILARGAXIOLA DR. MARCO A. MERCADER Is a cardiac electrophysiologist and an assistant professor of medicine at The George Washington University Hospital in Washington, D.C. He is also certified in internal medicine and cardiovascular disease. Washingtonian Magazine named him one of the Top Doctors and Mercader was placed in the top 10 percent of doctors in the country by the U.S. News and World Report. With colleagues at George Washington University, Mercader developed technology that should significantly improve the success rate of early atrial fibrillation and reduce the cost of such measures.

Is considered an international expert on mental health in ethnic populations. Aguilar-Gaxiola was one of the principal investigators with the Mexican American Prevalence and Services Survey, the largest mental health study conducted in the United States on Mexican Americans. In that capacity, he identified the most prevalent mental health disorders in the Mexican American population of California’s Central Valley; showed that the rate of disorders increases the longer the individual resides in the United States; and determined that children of immigrants have even greater rates of mental disorders. He used this study to help Central Valley’s underserved populations achieve better access to mental health services.

DR. J. EMILIO CARRILLO Is vice president and medical director of Community Health at the NewYork-Presbyterian Hospital and is an associate professor of clinical medicine at Cornell University’s Weill Medical College. He co-founded the NewYork Hospital Community Health Plan, later called the NewYork-Presbyterian Community Health Plan. The NewYorkPresbyterian Community Health Plan is a Medicaid-managed care plan affiliated with NewYork-Presbyterian Hospital and Weill Cornell Medical Center. In 2008, this plan was judged to have achieved the best performance results in the state. Carrillo has worked on eliminating racial and ethnic disparities in health care for the Robert Wood Johnson Foundation and is a distinguished scholar in the Network for Multicultural Research on Health and Healthcare. In 2015, he was given the 2015 Excellence in MedicinePride in the Profession award by the American Medical Association Foundation.

DR. DIANA RAMOS Is medical director for reproductive health for the Los Angeles Public Health Department. She also is an associate clinical professor in Obstetrics and Gynecology at the Keck University of Southern California School of Medicine and a physician in obstetrics and gynecology at the Anaheim/Baldwin Park Kaiser Permanente. Her many honors include the American Medical Association Young Physician Leadership Award; recognition for outstanding service by the Los Angeles County Board of Supervisors; the American Medical Association Community Service Award; the Pfizer National Award for Community Outreach; the National Hispanic Medical Association fellowship in Obesity; the Los Angeles County Public Health Innovations award and the CityMatCH (Maternal Child Health Directors) Research award on Excellence in Translating Results to an Audience.

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15

L AT INO LE A DE R S

Most Powerful Latinas

Story by: Kristian Jaime

Fotos: Courtesy

Being unique, dynamic and innovative demands courage. That is especially true when it comes to being a woman at the forefront of your industry and culture. For these influential Hispanic women, their journey to becoming a luminary was earned. The journey to becoming one of the “15 Most Powerful Latinas” in the country is hardly a direct path. It comes with defining yourself in the arenas of education, politics, entertainment, philanthropy and science, just to name a few. This year has featured a number of women in the conversation for the office of President of the United States, a serious debate on if women finally deserve to join their male counterparts on the frontlines of military conflicts and doing away with an antiquated wage gap instituted in the days of a suffrage movement. In short, Hispanic women have come into their own in a way previous generations could only dream about.

LINDA G. ALVARADO

PRESIDENT AND CEO OF ALVARADO CONSTRUCTION. CO-OWNER OF COLORADO ROCKIES.

Linda G. Alvarado likes to mention that she has been mistaken for a banker, a secretary and an office cleaning lady. But never as a construction contractor. The first woman ever to own a professional baseball team, Alvarado is a true trailblazer. Born in New Mexico, with five brothers in a humble home with no indoor plumbing and heated by wood stoves, she grew up tough. She credits her parents for instilling in her a passion for honesty and work and a never say die attitude. With a loan from them she started her own construction company (they had to refinance their home). At first, she met with much resistance from both sexes when they found out that a woman was working in construction. The backlash almost made her quit. “We have to be careful that their narrow vision doesn’t cloud our perspective,” she says. Despite the opposition, Alvarado became a powerhouse in Colorado construction. She is now a part of the Fortune 500; she has national clients. Then there’s baseball. In 1992, Alvarado became the first woman and Latina or Latino to own a pro team when she became a partner of the Colorado Rockies. An exemplary role model –no mater what gender- Alvarado likes to talk to young people. Her advice is simple, but powerful— keep pressing forward and go after your dreams. She says: “What is important is not how others see you, but how you see yourself.” 44 • May / June 2016

CAROLINA HERRERA

FASHION DESIGNER/ ENTREPRENEUR

The embodiment of elegance, good taste, style and refinement, minus snobbery, Carolina Herrera is one of the most influential Latinas of the last 30 years. Latinos have always made inroads in the world of fashion (think Oscar de La Renta in the modern haute couture or how Mexican vaqueros strongly influenced the dress style and profound character and lifestyle of the American cowboy). Herrera took things to a higher level. Consider this: a talented Hispanic designer could have taken the easy road, designed a popular street style of gangsta clothing. But Herrera did the total opposite: she has dressed First Ladies (Jacqueline Kennedy adored her), royalty and class A divas. With her elegant, gorgeous styles she reminds non-Latinos again and again that Hispanics can and often do have the best of tastes. Instead of letting her class and styles slum down, she exquisitely forces us to look higher – and that’s a good thing. Born in Venezuela in 1939, at the age of 40 Herrera, a socialite who had relocated to Manhattan and was a favorite of Mick Jagger and others, converted her passion for clothes into a business, when in 1981 she took the world of fashion by storm with a line that impressed the cream of the crop in the fashion world. At 77, Herrera keeps turning out knockout styles, with her elegance and beauty still a staple of her fashions and herself. Few times have influence and power been so beautiful and sweet.

SANDRA CISNEROS

ACCLAIMED AUTHOR AND FOUNDER OF THE MACONDO FOUNDATION, THE ALFREDO CISNEROS DEL MORAL FOUNDATION AND THE LATINO MACARTHUR FELLOWS

The Chicago native was the third born to a family of seven children. As the only daughter, Cisneros learned early that she had a unique perspective on life. For 45 years, she has been a publishing dynamo, penning 12 books that explore themes such as border issues, feminism and sexuality, the Latino culture and her upbringing. The alumna of both Loyola University of Chicago and the University of Iowa holds a B.A. in English and an M.F.A. in Creative Writing. Her efforts have garnered her a MacArthur Fellowship, two National Endowment for the Arts Fellowships and the Texas Medal for the Arts. As an ambassador of the Latino culture, her books have been translated into more than 20 languages and have been published internationally. Her reputation as one of the most prolific authors of her generation began with her connection to her Latino roots and was cultivated early when she worked as an educator and counselor for at-risk students. Her mission to teach was also a calling to inspire, as she quickly became the focal point for a renaissance of publishing by minority authors. To date, she continues to publish and lead the way for emerging Latina writers.


PRESIDENT, THE UNIVERSITY OF TEXAS AT EL PASO (UTEP)

Nestled at the foot of the Rocky Mountains, the University of Texas at El Paso has cultivated a reputation as one of the most prestigious engineering programs in the country. That has been, in no small part, due to the work and legacy of university president Dr. Diana Natalicio. Upon taking the post in 1988, her goal was to make it an educational jewel in the Southwest and she has done so expanding the number of students from 15,000 to 23,000. With a demographic distribution of 80 percent coming from Hispanic backgrounds, UTEP has solidified itself as a preeminent minority institution that has helped develop countless first-generation college graduates. While expanding the university’s academic vision, Dr. Natalicio has also served on the boards of the Hispanic Scholarship Fund, the Rockefeller Foundation, U.S.Mexico Foundation for Science (FUMEC), American Council on Education and National Action Council for Minorities in Engineering (NACME). It was not long before she would also get attention from Washington, D.C. as she was appointed by President George H.W. Bush to membership on the Advisory Commission on Educational Excellence for Hispanic Americans and by President Bill Clinton to the National Science Board, where she served two six-year terms, including three two-year terms as NSB vice-chair.

MONICA LOZANO MEDIA ENTREPRENEUR, FORMER HEAD OF MOST IMPORTANT SPANISHLANGUAGE DAILY

She may no longer be the CEO and publisher of La Opinión, the largest and arguably most important Spanish-language daily in the U.S., but Mónica Lozano’s influence and power in the world of Latino media can be felt. Coming from the Lozano dynasty, who were pioneers in Latino media, Mónica Lozano’s power and influence has helped shape the history of media in the U.S. Growing up in Southern California, Lozano went to work as the managing editor or La Opinión newspaper in 1985. Lozano has been on the board of directors at the Walt Disney Company since 2000. She is also Chair of the Board of Bank of America. She is on the board of Southern California’s Weingart Foundation and the National Council of La Raza. She is a member of the Board of Regents for the University of California and the Board of Trustees at the University of Southern California. Since 2001, she has been on the board at UnionBan Cal Corporation. In 2012, Lozano was named to the board of the Rockefeller Foundation. From 2002-2005, she was a director of the Tenet Healthcare Corporation.

MARIA CONTRERASSWEET

ADMINISTRATOR OF SMALL BUSINESS ADMINISTRATION

In 2014, María Contreras-Sweet, originally from Jalisco, Mexico, became the administrator of the Small Business Administration. She is the first Latina to hold that position. President Barack Obama named her to the post. A mentor to many, Contreras-Sweet rose to vice-president of public affair at 7-Up / RC Bottling Company, she lent her talents to California as the state’s Business Transportation cabinet secretary. She also founded ProAmérica Bank, the first Latino-formed commercial bank in California in over 35 years. But as National City’s Jacqueline Reynoso (please see her story on page 12) shows, her exemplary work towards helping young Latinas flourish is also what makes ContrerasSweet so influential— and powerful. Contreras-Sweet is the Founding President[of Hispanas Organized for Political Equality (HOPE). Its goal is to provide political education of Hispanic women so that they can improve the communities in which they live for the betterment of all. Her membership in boards of organizations for charitable and noble causes are many, which shows how and why a person of power shines most when they give so much of their time for others in need.

SUSANA MARTÍNEZ

GOVERNOR OF THE STATE OF NEW MEXICO

She is the first woman ever to be elected as governor of New Mexico. There is a reason why Time Magazine selected her as one of the 100 most influential people in the world. Martínez was born in El Paso, Texas. She is a graduate of the University of Oklahoma College of Law. After graduating from college and being admitted to the State Bar of New Mexico, she began her career as an assistant district attorney for New Mexico’s 3rd Judicial District in Las Cruces in 1986, before being appointed deputy district attorney in 1992. She then ran for District Attorney for the 3rd Judicial District in Doña Ana County, New Mexico, in 1996 after joining the Republican Party and defeating her former boss; she served three terms as district attorney from 1997 to 2011. In a woman vs. woman race, Martínez defeated rival Diane Denish by a wide margin in November of 2010. She was reelected last year.

SALMA HAYEK

ACTRESS/PRODUCER/ACTIVIST

Sure she has been described more often than not as “sexy” and has heated up many Hollywood movies ever since landing in California in the early 1990s after participating in some Telenovelas in her native Mexico. But what has made Salma Hayek stand out is that she has proven that she is not only a good actress with stunning looks, but a good businesswoman and a creative producer as well. Since launching her American film career in the early 90s, Salma has been a fixture in Hollywood. Her talent and range have been seen in the biopic, “Frida,” while offering comedic relief in television shows like “30 Rock” and “Ugly Betty,” a show for which she served as executive producer. An entrepreneur, Hayek is the CEO of Ventanarosa, a production company that develops Latino-themed projects for networks like ABC. But Hayek’s work goes beyond Hollywood. Her charitable work includes increasing awareness on violence against women and discrimination against immigrants. In February 2006, she donated $25,000 to a Coatzacoalcos, Mexico, shelter for battered women and another $50,000 to Monterrey based anti-domestic violence groups. Hayek also advocates breastfeeding. During a UNICEF factfinding trip to Sierra Leone, she breastfed a hungry week-old baby whose mother could not produce milk. Hayek married Kering CEO, Francois-Henri Pinault. Yes, stunning good looks. And so much more.

ELLEN OCHOA

FORMER ASTRONAUT AND CURRENT DIRECTOR OF THE JOHNSON SPACE CENTER.

She became the first Latina to go to space. Ellen Ochoa is now the director of the Johnson Space Center. Need we say more? Yes, Ochoa is awesome. She also has a superb story. She may not earn millions, nor does she hold sway over large territories or headline events, but her influence is felt all the way to the stars— literally. The woman who would head into space was born in Los Angeles, but calls La Mesa, California her hometown. She always had a knack for science. She graduated from Grossmont High School in El Cajon in 1975 and got a Bachelor of Science degree in physics from San Diego State University in 1980 and a master of science degree and doctorate in electrical engineering from Stanford University in 1981 and 1985, respectively. Ochoa became the first Latino (regardless of sex) in the world to go to space when she embarked on a nine-day mission aboard the shuttle Discovery in 1993. The astronauts were studying the Earth’s ozone layer. Ochoa says she wishes that her work and accomplishments inspire others, especially Latinos. “I hope that my background and me being able to talk about the importance of education to my career will really give them something to think about,” Ochoa said. “An incentive to set goals for themselves.”

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DR. DIANA NATALICIO


L AT INO LE A DE R S

THE MOST POWERFUL LATINAS

ILEANA ROS-LEHTINEN U.S. REPRESENTATIVE (R-FLORIDA)

Ros-Lehtinen plays a prominent role in the Cuban-American lobby, which aims to put pressure on the Cuban government and encourage political change on the island. In July she introduced bills to enhance the security of the Western Hemisphere and to authorize appropriations for the Department of State for fiscal year 2013. She is currently one of three Republican members of the LGBT Equality Caucus and is a vice-chairperson. RosLehtinen also gave the first Republican response to the State of the Union address in Spanish in 2011, and gave the third in 2014. Ros-Lehtinen also enjoys being the most senior woman member of Congress. She advises others to fight for their goals. She says: “No matter where you are from, no matter what your background is, no matter what your socioeconomic status is, every person can achieve his or her dreams.”

NINA VACA

CEO, PINNACLE TECHNICAL RESOURCES; CHAIRMAN, U.S. HISPANIC CHAMBER OF COMMERCE BOARD OF DIRECTORS

She is on a roll. Nina Vaca is the former chair of the Board of Directors of the United States Hispanic Chamber of Commerce (USHCC). Her appointment marked the first time that two Latinas occupy top USHCC leadership. Vaca not only was able to turn Pinnacle Technical Resources into a top 500 company, but she made it grow during the last recession, which many say is uncanny. In 2005, she was named an Ernst & Young “Entrepreneur Of The Year.” In addition to her business achievements, Vaca has represented the U.S. internationally in transatlantic leadership forms, including the German Marshall Memorial Fellow program (a subset of the German Marshall Fund) as a member of the British-American Project. Vaca belongs to several high-profile boards, including Comerica Bank, Kohls Corporation and Cinemark. Recognized for her incredible entrepreneurial skills, Vaca has been hailed by top publications and observers for her accomplishments.

46 • May / June 2016

SONIA SOTOMAYOR

NINA TASSLER

In this list, there are a quite a few firsts. Linda Alvarado is the first woman owner of a pro baseball team, Ellen Ochoa is the first Latina to go out into space, Ileana Ros-Lehtinen is the first Latina to become a congresswoman. Sonia Sotomayor became the first Latina to become part of the U.S Supreme Court when in May of 2009 President Barack Obama selected her. She was quickly confirmed, assuming the seat vacated by retiring Judge David Souter. She made history as the first Hispanic and only the third woman to make it to the nation’s highest court. But the road to the Supreme Court was far from easy. In fact, it took a lot of work and much more than hopes, she says. “I had no need to apologize that the look-wider, search-more affirmative action that Princeton and Yale practiced had opened doors for me. That was its purpose: to create the conditions whereby students from disadvantaged backgrounds could be brought to the starting line of a race many were unaware was even being run,” she says. “I think it’s important to move people beyond just dreaming into doing. They have to be able to see that you are just like them, and you made it,” Sotomayor says. Why is she so powerful? Well, the legal decisions the Supreme Court takes not only influence legal matters, but also ideas. Yes, as history has shown again and again, ideas, good or bad ones, have consequences. That is why Sotomayor believes that in life, especially in her work, she must remain fair. “It is very important when you judge to recognize that you have to stay impartial. That’s what the nature of my job is. I have to unhook myself from my emotional responses and try to stay within my unemotional, objective persona,” she says.

She heads the most-watched television network in America. Nina Tassler has the power to green light high-profile shows and has supplied the network with hit series’ like The Big Bang Theory, How I Met your Mother, The Good Wife and other shows. It’s no wonder that Tassler, of Puerto Rican ancestry, is considered the most powerful Latina in television. Tassler leads the Network’s entertainment programming for primetime, daytime and late night, as well as program development in all genres, including comedy, drama, reality, specials and long-form. She also heads a growing, year-round programming portfolio that features a full slate of original series in the summer as well as projects in the newly created Limited Series & Event Programming unit. ‘In addition, Tassler oversees Entertainment division matters in advertising and promotion, business affairs, consumer products, digital/interactive, diversity, publicity, scheduling and research. In June 2011, Tassler was honored by Women in Film with its prestigious Lucy Award, presented to those whose creative work enhances the perception of women through the medium of television. Later that year, she was inducted into the Broadcasting & Cable Hall of Fame. In May 2011, Tassler was honored by the Jewish Federation of Greater Los Angeles for her work as Chairman of the Federation’s entertainment division. Additionally, she serves on the Board of Jewish Family Services and is a member of the Ambassador Council of the Geena Davis Institute on Gender in Media. She currently serves on the Academy of Television Arts & Sciences Executive Committee and on the Board of Directors of the Academy Foundation. Tassler is also a member of the Board of Trustees for Boston University. Tassler married to director Jerry Levine and has two children.

U.S. SUPREME COURT ASSOCIATE JUSTICE

CARMEN CASTILLO P

RESIDENT, SDI INTERNATIONAL

Carmen Castillo will be the first to admit that she is not the type of person most would envision to head up a billion-dollar company. But the Spanish immigrant is no stranger to the gender discrimination in a field dominated by men. Her company, which provides IT staffing assistance and supplier management, has become so successful that imagining its humble roots is a task in itself. As one of the most successful entrepreneurs in the United States and arguably the world, Castillo knows all too well that a little vision can go a long way. With her mantra of “build globally, but think locally,” her contributions to Latina women serve as an example that a glass ceiling is still glass and can be broken. Being an influential business mogul is more than dollars and cents; it is a mission to pull other talented women up with you. For that reason, Castillo has decried the wage gap among men and women and has spoken publicly about the stigma Latinas still face today in the world of commerce. Yet despite what might have been bleak criticisms, Castillo is proud to be a proponent of the entrepreneurial spirit in all Latinas, making her a beacon and powerhouse.

CHAIRMAN, CBS ENTERTAINMENT

DR. FRANCE A. CÓRDOVA

DIRECTOR, NATIONAL SCIENCE FOUNDATION

Whoever said science was a man’s world never met Dr. France A. Córdova. Not only did Dr. Córdova excel in her studies at Stanford University and the California Institute of Technology, but she also studied the Zapotec Indians of Oaxaca in her native Mexico. While being an astrophysicist might be enough for some, Dr. Córdova also makes it a personal mission to prove that science is for everyone. Being ever cognizant of the barriers many have to higher education, the former president of Purdue University stands as an example that your dreams can be as high as the stars themselves—literally. In 2014, President Barack Obama nominated her to head up the $7.2 billion independent National Science Foundation (NSF). The NSF is the only government science agency charged with advancing all fields of scientific discovery, technological innovation, and science, technology, engineering and mathematics (STEM) education. According to the agency’s mission, “its programs and initiatives keep the United States at the forefront of science and engineering, empower future generations of scientists and engineers, and foster U.S. prosperity and global leadership.” With STEM education at the core of the next generation of jobs, Dr. Córdova is a shining star for all Latinas.


Story by: Latino Leaders Staff Writers Photo: Courtesy

MasterCard’s

Malvina Longoria

“WE’RE DRAWING ON THE TEAM’S PERSONAL PASSIONS TO MAKE THEM STRONGER CONTRIBUTORS TO THE BUSINESS, WHILE ALSO BEING A FORCE FOR GOOD IN THE COMMUNITIES WHERE WE LIVE.”

Over time she grew the team from one lawyer to 8, all but one of whom was hired by Longoria and continue to work at the company today. Longoria used the growth of MasterCard throughout the Latin America and Caribbean region to also help grow the team and celebrate local talent. She was the executive sponsor of the company’s Women’s Leadership Network across the region, including the first chapters outside the ooking back at a 30-year career, Malvina Longoria notes two constant United States. themes that have helped guide both her career and her personal decisions “We were able to have an impact on the business – community and family. through the creation of this network. By leverag“A sense of community is extremely important to me,” she noted. ing the passion and perspectives “While I’ve had different stops throughout my life, the of the team, we helped develop and calling of the community and re-establishing my roots MAKING DIVERSITY AND launch products addressing womhas always helped to re-energize and drive me.” INCLUSION BUSINESS en’s needs, including the Banorte Longoria, general counsel, Strategy & Transformation, immiIMPERATIVES grated to the United States from Cuba when she was 9-yearsTarjeta Mujer program in Mexico.” old. The family quickly established roots in southern Florida. It’s this same drive and sense of At MasterCard, a culture of “We were close-knit, putting family and the church at the community that Longoria brings to diversity and inclusion has becenter of our lives,” she noted. her efforts in spearheading part of come deeply ingrained within Despite the closeness of this community, it was the pursuit the law department transformation our corporate identity. It’s a reflection of our long history of her dream – and following in the footsteps of her father and today. While she has recently reloof social responsibility, as well grandfather to pursue a career in law – that took Longoria cated to New York to take on this as early recognition that theto North Carolina and then New York. After graduation, she role, connecting to the community ses attributes offer powerful became an associate at Cravath, Swaine & Moore LLP, before remains a priority. The department business advantages. moving to in-house positions at Chemical Bank and Prudential. is making each of the 418 members We see diversity and inclusion as key to achieving the MasAfter several years, she was looking for the next challenge responsible for both driving the terCard vision of “A World Beand growth opportunity, both personally and professionally. business and enriching the commuyond Cash.” If we’re to meet When it was time to start a family, Longoria knew that there nity, either through thought leaderthe fast evolving payment was only one destination – Florida. ship or pro-bono work. needs of our customers, consumers, and merchants, we “Going back to that core community helped me to feel more “We’re drawing on the team’s have to be innovative leaders. grounded,” she said. “As a result, I believe I was more enerpersonal passions to make them Diversity of thought is at the gized, more passionate and was able to keep the boat steady stronger contributors to the busiheart of innovation, the more both in the office and at home.” ness, while also being a force for varied the life experiences of The desire to re-establish herself in Miami uncovered an good in the communities where we the people we bring to the table, the better. opportunity to build a regional legal function for MasterCard. live,” she said.

Driven by a Sense of Community

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MARCUS NOTARO, WINEMAKER STAG’S LEAP WINE CELLARS

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N 1976 at the famous Judgement of Paris, a couple of California wines made history by winning the top recognition over many famous and legendary French wines. One of these was a bottle of 1973 Stag’s Leap Wine Cellars SLV Cabernet Sauvignon. The blind tasting surprised the world of wine and gave California wine immediate credibility and widespread recognition. Forty years later, the winery launched the SLV Cabernet Sauvignon 2013, with a label design reminiscent of that famous one that gave Stag’s Leap Wine Cellars an honorary place in the wine world. I recently had the opportunity to talk to Marcus Notaro, winemaker at the SLWC and the man responsible for the making of these limited edition collectible wine. From an Italian father who used to make his own wine at home, Marcus took lessons from his boss when waiting tables in a Seattle restaurant and entered the wine profession. This took him to well known Columbia Crest in Washington state, where he stayed for 10 years before he was offered to come to Stag’s Leap Wine Cellars in Napa Valley. “There’s no recipe for a good wine; it is a mix of the agriculture and how we respond to it, the fruit in the cellar. And every year poses a different challenge,” he told me. But, how important is the fruit for a good wine? “Pretty significant; good fruit and a good winemaker can make good wine. Ordinary grapes would be difficult to make a great wine.” His philosophy is to spend as much time as he can in the vineyard, which has been replanted and made different from the one that once produced that famous 1973 Cabernet Sauvignon. When I had the opportunity to taste “en premieur” the 2013 anniversary edition, it gave me the impression of an elegant, balanced and classy California Cabernet that has made history for the second time because of its own very distinctive personality. You need to try it.

48 • May / June 2016

CELLAR

Stag’s Leap Wine Cellars SLV Cabernet Sauvignon 2013 Region: Napa; Stags Leap District Varietal: Cabernet Sauvignon Price: $135 Aromas: Licorice, Red Currant, Black Cherries Flavors: Pure fruit concentration, dark chocolate, raspberry Impression: Classy, muscular, complex and succulent Structure: Silky and powerful, without being overwhelming Drink with: Pork Chops, Roast Beef, Filet Mignon Why I loved this wine? Impressive, elegant and rounded My Rating: 97 pts.

Stag’s Leap Wine Cellars KARIA 2014 Region: Napa Valley Varietal: Chardonnay Price: $34 Aromas: Butterscotch, vanilla, candied mango Flavors: Pineapple, spiced, tropical fruit Impression: Dry and complex Structure: Full body Drink with: Grilled salmon, sushi, grilled chicken Why I loved this wine? Excellent balance My Rating: 92 pts.

Finca Villacreces “Pruno” 2013 Region: Ribera del Duero, Spain Varietal: Tempranillo and Cabernet Sauvignon Price: $23 Aromas: Cherry, pepper and fruit jam Flavors: Tobacco, mineral, hibiscus Impression: A little closed and young Structure: Concentrated, good tanins Drink with: Spanish Tapas Why I loved this wine? Great acidity yet very fruity and vibrant My Rating: 90 pts.




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