Madam Speaker, I rise today to honor the life and accomplishments of an extraordinary neurosurgeon, professor, mentor and hope-giver, Dr. Alfredo Quinones-Hinojosa. The New York Times, May 13, 2008, carried a story which described Dr.…
Madam Speaker, I rise today to honor the life and accomplishments of an extraordinary neurosurgeon, professor, mentor and hope-giver, Dr. Alfredo Quinones-Hinojosa.
The New York Times, May 13, 2008, carried a story which described Dr. Alfredo Quinones-Hinojosa's incredible journey from Mexicali, Mexico, to the world-renowned halls of the Johns Hopkins School of Medicine. His story is the story of America and what immigrants in every chapter of our history contribute to our Nation.
Below is the full text of the article:
A Conversation With Alfredo Quinones-Hinojosa: A Surgeon's Path From
Migrant Fields to Operating Room
(By Claudia Dreifus)
At the Johns Hopkins School of Medicine, Alfredo Quinones-
Hinojosa has four positions. He is a neurosurgeon who teaches
oncology and neurosurgery, directs a neurosurgery clinic and
heads a laboratory studying brain tumors. He also performs
nearly 250 brain operations a year. Twenty years ago, Dr.
Quinones-Hinojosa, now 40, was an illegal immigrant working
in the vegetable fields of the Central Valley in California.
He became a citizen in 1997 while at Harvard.
Q. Where did you grow up?
A. Mexicali. My father had a small gas station. The
family's stability vanished when there was a devaluation of
the Mexican peso in the 1980s. My father lost the gas
station, and we bad no money for food. For a while, I sold
hot dogs on the corner to help. As the economic crisis
deepened, there seemed no possibility for any future in
Mexico. I had big dreams and I wanted more education. So in
1987, when I was 19, I went up to the border between Mexicali
and the United States and hopped the fence.
Some years later, I was sitting at a lunch table with
colleagues at Harvard Medical School. Someone asked how I'd
come to Harvard. ``I hopped the fence,'' I said. Everyone
laughed. They thought I was joking.
Q. After you crossed the border, what kind of work did you
find?
A. I was a farm laborer in the San Joaquin Valley, seven
days a week, sunup to sundown. I lived in this little trailer
I paid $300 a month for. It didn't take long to see that farm
work was a dead end.
After a year of it, I moved to Stockton, where I found a
job loading sulfur and fish lard onto railroad freight cars.
My eyes burned from the sulfur, and my clothes smelled from
fish lard, but it paid me enough so that I was able to go to
night classes at San Joaquin Delta Community College. There,
I met this wonderful human being, Norm Nichols, the speech
and debate coach. He took me into his family and mentored me.
Norm helped me apply for and get accepted to the University
of California, Berkeley.
Once at Berkeley, I took a lot of math and science classes
to up my G.P.A. Science and math are their own language. You
didn't need to write in perfect English to do well in them. I
pulled straight A's in science. In my senior year, someone
told me to go see this guy, Hugo Mora, who helped Hispanics
with science talent. I brought him my transcript and he said:
``Wow! With grades like these, you should be at Harvard
Medical School.'' That's how I got to Harvard. All along, I
had much luck with mentors.
Q. Did you find Harvard tough?
A. Not really. Compared to working in the fields, it was
easy. The question was what kind of doctor should I become?
For a while, I thought I'd be a pediatric oncologist, because
I wanted to help children. But then I thought, I'm good with
my hands. Maybe I should do surgery.
One day, I was waltzing through Brigham and Women's
Hospital and I saw Dr. Peter Black, the chairman of
neurosurgery. I introduced myself, and he invited me that day
to come to watch him do an operation. As it happened, he was
doing an ``awake'' surgery, where the patient's brain is
exposed and the patient is awake so that the surgeon can
ask questions. As I watched that, I fell in love with
brain surgery.
Q. What about it spoke to you?
A. Imagine, the most beautiful organ of our body, the one
that we know least about, the one that makes us who we are,
and it was in Dr. Black's hand. It was in front of me. It was
pulsating! I realized I could work with my hands and touch
this incredible organ, which is what I do now. I cannot
conceive of a much more intimate relationship than that. A
patient grants you the gift of trusting you with their lives,
and there is no room for mistakes.
Dr. Peter Black, he was a very humble person. And he took
me under his wing. So here again, I was very fortunate with
mentorship.
Q. I'm told that you do something that not all surgeons do:
you spend a lot of time with patients before an operation.
Why?
A. I meet them several times, and their families. They
don't know if they are going to wake up after the operation.
Not all the time am I successful. I do about 230 to 240 brain
tumor operations a year. The majority make it. Some have
complications. And some--2 to 3 percent--it takes a while for
the patients to wake up. I need to meet everyone so that they
know the risks. But getting to know these patients, it's the
most painful part.
I was at a funeral yesterday. This was a 21-year-old man
with a young wife, pregnant. Three surgeries, and the tumor
kept growing and growing. And he told me, ``There's no
possible way I'll give up.'' He fought so hard. He trusted me
with his life. Not once, several times. I owed him my
presence.
Q. How do you handle such losses?
A. One of the ways I work it out is through research, the
laboratory. I'm trying to learn about the causes of these
recurring tumors. The patients, they can donate tissue, which
we will examine.
My hypothesis is--and there are quite a few scientists who
believe this--there are within these brain tumors a small
subset of cells that can keep growing, even when you think
you've taken them all out. We call them brain stem cells.
They can keep making themselves, and they can make ``daughter
cells'' that can become anything else in the brain. They have
the ability to go to sleep for a little bit and then wake up
and do it again. So we're trying to identify this small
subset of cells we may be leaving behind when we make these
beautiful surgeries.
Q. Have you actually found them?
A. Yes, but only in the laboratory. When we've found them,
they may be a product of the experimental conditions of the
laboratory. We haven't found them yet in live patients. The
next challenge is to see if they truly exist in the human
brain while the patient is alive.
Q. When you hear anti-immigrant expressions on talk radio
and cable television, how do you feel?
A. It bothers me. Because I know what it was that drove me
to jump the fence. It was poverty and frustration with a
system that would have never allowed me to be who I am today.
As long as there is poverty in the rest of the world and we
export our culture through movies and television, people who
are hungry are going to come here. There's no way to stop it.