LFSC is a worldwide humanitarian program whose aim is to spread the culture of “stoma care”. It is an “operational service” created to teach doctors, nurses and health authorities to change their attitudes regarding stoma patients.
Excluding the West, there is a lot of indifference among public opinion and in governments. Even the media are hardly interested in highlighting these issues because they do not make news and the stoma is still seen as a dirty thing of which we are ashamed and which must be kept hidden. LFSC aims to bring this “silent suffering” to light and to help the ostomates of needy Nations to regain self-confidence and the awareness that they can live a normal life.
The “LFSC service” is not an improvised initiative! It derives from the long work experience and social commitment of Prof. Carlo Pezcoller (founding member of the Lions Club “Modena Wiligelmo”, MJF 2004-05), colorectal surgeon at the Policlinic University Hospital of Modena-Italy, who since 1983 has taken an active interest in the problems of ostomates.
The “Lions For Stoma Care” Project was born in 1999 in the Lions Club “Modena Wiligelmo” District 108Tb-Italy with the help of the following Clubs: Modena Host, Carpi Alberto Pio, Carpi Host, Pavullo, Vignola Castelli Medioevali, Leo Club Vignola e Dominii Estensi, Finale Emilia, Cento , Bardi Valceno , Parma Maria Luigia.
In the year 2002-03 it was ” District Service ” of District 108 Tb-Italy, and in the years 2006, 2007 and 2015 it obtained from the Lions Clubs International Foundation (LCIF) three contributions of US$ 10,000 each for the development of the project in India, in South America and in Sri Lanka.
In 2007 the Project was financed by the Lions Clubs of District 108 TB – Italy, thanks to the sale of a prestigious collector’s calendar, whose photos had been generously contributed by the famous international photographer Franco Fontana.
From 2011 the LFSC service has been adopted by the Lions Circumscription of Modena and Province , which includes 15 Lions Clubs and 3 Leo Clubs.
Prof. Carlo Pezcoller participated in the 5th Congress of the AOA (Asian Ostomy Association) on the island of Penang (Malaysia). On that occasion, he exposed to Datò John Cardosa, President of the AOA, his idea to involve the Lions, which is the largest social-humanitarian organization in the World, to help the ostomates of poor countries. He immediately supported the project and we decided to start this new experience with the most in need countries of Asia.
The idea was submitted and approved by the shareholders of the L.C. Modena Wiligelmo, with the involvement of other Clubs of District 108Tb-Italy. It was formed an international team of teachers: International Traveling Teaching Team (ITTT) who travels in various countries to teach the “stoma care”.
At the University Hospital of Modena, we organized the first course which was attended by two doctors from Indonesia (Dr. Benny Philippi and Dr. Dieta Parengkuan) and 2 doctors from Pakistan (Prof. Shamim Ahmed Khan and Dr. Tariq Parvez).
In Jakarta and Bandung (Indonesia) we ran the first course for 25 nurses. The course was conducted by Prof. Carlo Pezcoller, together with Datò John Cardosa, Dr. Benny Philippi, Dr. Dieta Parengkuan, the ET Phang Yoong Fook and Saadiah Daud (Malaysia).
The second training course at the Policlinico of Modena was attended by two doctors from Iran (Dr. Mohammad Vafaie and Dr. Saaed Derakhshani) and 2 doctors from Sri Lanka (Prof. Kamal Deen and Dr. Nandadeva Samarasekera) .
On his return to Iran Dr. Vafaie and his colleagues founded the Iranian Ostomy Society, registered on 14.7.2001
The third course at the Policlinico of Modena was attended by one doctor from Bangladesh (Dr. Abdul Kader Khan), one doctor from Nepal (Dr. Bhakta Man Shrestha) and 2 doctors from Vietnam (Dr. Vo Tan Long and Dr. Nguyen Trung Tin) .
In Tehran (Iran) Dr.Mohammad Vafaie with the help of the tireless Mrs. Maryam Sarlak and collaboration of Dr. Saaed Derakhshani and Dr.Bahar Mahjoubi , organized together with the ITTT the first course for 30 nurses.
The fourth seminar at the Policlinico of Modena was attended by two doctors from Mongolia (Dr. Bayarsaikhan Luvsandorj and Dr. Yansan Erdene-Ochir), one doctor from Myanmar (Dr. Kyaw Sint) and one doctor from Laos (Dr. Rasachak Bouachanh)
The month of June-July (27/6 – 1/7)
Dr. Bayarsaikhan Luvsandorj and Dr. Yansan Erdene-Ochir, with the collaboration of the Rotary Club of Ulaanbaatar Khuree (RI District 3450) and the ITTT, organized in the “National Cancer Center of Mongolia” in Ulaanbaatar, a training course in “stoma care” which was attended by 8 doctors and 27 nurses.
On this occasion was established the Ostomy Association of Mongolia with President Dr. Geleg Davaasambuu.
Dr. Vo Tan Long and Dr. Nguyen Trung Tin, supported by ITTT organized in Ho Chi Minh City (Vietnam) first training course in “stoma care” for 30 nurses
February (16-19) (22-25)
Prof. Harikesh Buch and Prof. Carlo Pezcoller have realized two courses in the Indian State of North Karnataka. The first course (Feb.16- 19) was for 5 doctors and 25 nurses of the city of Dharwad and Hubli and the second (22-25) was for 10 doctors and 25 nurses of the city of Belgaum.
The event was welcomed with special warmth by the Lions of District 324-D2 India which promised to help both the construction of stoma clinics in several hospitals and the newborn association.
Prof. Carlo Pezcoller and Dr. Rita Silanos represent Italy in the international “twinning conference” organized by EOA in Vilnius (Lithuania).
Prof. Carlo Pezcoller exposed the LFSC Project to the EOA delegates, who greatly appreciated the initiative and promised to spread the message to the Lions in their respective countries
Di Bracken (IOA) and Prof. Carlo Pezcoller (LFSC) participated in Hong Kong at the 16th biennial congress of WCET, where, together with the ET Susan Stelton (WCET) and Prof. Katsuhisa Shindo (ASSR), completed the “Visitor Training Guidelines”.
Prof. Desen Wan invited Prof. Carlo Pezcoller to participate as a speaker to explain the LFSC project at the conference in Guangzhou (China) called “Guangzhou International Symposium on Stoma Therapy & Rehabilitation”.
On that occasion, along with Di Bracken and the other Chinese colleagues, the program for the training course in Lanzhou ( China ) was developed.
Workshop at the Tata Memorial Hospital in Mumbai (India) called, “Train the Trainers” organized by Prof. Harikesh Buch and the ITTT. The course was attended by 4 doctors, 18 nurses and 18 ostomates.
The workshop took also the Past International President of Lions, Dr. Ashok Mehta, who could realize personally the importance and effectiveness of the service. It has been signed an act of friendship and cooperation between the Districts 324D2-India and District 108Tb- Italy, to help the development of the LFSC Project in India.
With this solemn commitment has been sanctioned the internationality of LFSC service. PIP Ashok Mehta has been activated at the LCIF to allocate the sum of US $ 10,000 for the development of “stoma care” in India.
Printed manual for ostomates from Mongolia and Vietnam
Prof. Carlo Pezcoller wrote an informational booklet for ostomates from Mongolia and Vietnam which was translated into both languages. The illustrations was prepared by a member of the L.C. Modena Wiligelmo, Enrico Manelli and printing was funded by the same L.C.
PRINTED THE 2007 CALENDAR OF FRANCO FONTANA
FRANCO FONTANA, famous international photographer, donated 12 fantastic photos to print the 2007 calendar in support of the LFSC service .
The L. C. Modena Wiligelmo submited a grant application to LCIF, and obtained a loan of US $ 10,000 to start the LFSC project for Latin America
Professors Desen Wan and Zhi Wei Zhou together with Dr.Chen Gong and ITTT, organized in Lanzhou (China), a course which was attended by 20 doctors and 150 nurses.
October (15 – 18)
Dr. Nguyen Trung Tin, with the financial help of the LFSC Project, achieved in Ho Chi Minh City (Vietnam), the second training course in “stoma care” for 30 nurses. The team of teachers was entirely made up of doctors and nurses from Vietnam, previously trained at our courses.
Fifth seminar at the Policlinico of Modena for doctors from South America: Dr. Hugo Heredia (Santa Cruz-Bolivia), Dr. Jose Fernando Soria (Cordoba-Argentina), Dr. Jorge Medina Gutierrez (Asuncion –Paraguay
Prof. Carlo Pezcoller was invited to the 5th Congress of the ASSR in Kuala Lumpur (Malaysia) to introduce the LFSC project.
The month of June-July (30/6 – 4/7)
Dr. Fernando Jose Soria, following the guidelines that had been developed during the course in Modena, in collaboration with ET Beatriz Reynoso, laid the groundwork for setting a Stoma Nurse school in Cordoba. They organized also in Cordoba, at “Aula Istituto Oncologico Hospital Nacional de Clinicas” the first theoretical and practical course in “stoma care” for nurses.
Prof. Harikesh Buch, with funding from the LFSC project and with the collaboration of ET Hassina Wani, organized at the Sher-e Kashmir Institute of Medical Sciences (SKIMS) Srinagar (State of Jammu & Kashmir – India) a first course for 8 doctors and 32 nurses.
Dr. Hugo Heredia with ITTT, in Santa Cruz ( Bolivia ) organized the first course for doctors and nurses. All presidents of L.C.s District S2-Bolivia together with the Governor Roberto Avila Castellanos, signed a protocol of friendship and cooperation with the L.C. Modena Wiligelmo and the District 108 TB – Italy to develop the LFSC project in Bolivia and in Central and South America
During the recent “54th European Forum of the Lions International” in Cannes (France), a delegation of the District 108Tb – Italy, had the opportunity to illustrate the immediate Past International President of Lions ,Mahendra Amarasuriya, the “Lions For Stoma Care” service for Latin America .
The meeting was attended also by PIP Ashok Mehta and both Lions International Authorities have shown great interest and appreciation for this project.
At the initiative of the LFSC project and financing of FAIS, the nurse Elsa Beatriz Reynoso of Córdoba (Argentina) has refined his training by attending the Ostomy Rehabilitation Centre in Turin (Italy), directed by Dr. Roberto Aloesio.
September (10 -12)
On the occasion of the “VII Congreso Paraguayo de coloproctology” held in Asunción (Paraguay), Dr. Jorge Medina Gutierrez had organized an information seminar on “ stoma care”, addressed at doctors, nurses and ostomates. The ITTT composed by Prof. Carlo Pezcoller and Prof. Hugo Heredia (Bolivia) with the collaboration of local teachers, imparted the first basic information for about 50 participants.
During his stay in Asuncion Prof. Pezcoller met the Lions of District M – 1 Paraguay: Luis Emilio Barrios Sanabria (Governor 2007-8) and Ruben Martinez Quervedo (1st Vice Governor 2009-10) who had shown interest and enthusiasm for the LFSC project. They promised to help the Ostomy Association of Paraguay, and to contact the Lions of Bolivia and Argentina to expand LFSC in Central and South America
At the Hospital Nacional de Clinicas of Córdoba (Argentina) Lion Dr. Fernando Soria organized the course called “Primera y Jornadas Internacionales de Ostomìas Heridas. Curso theoretical y practico para medicos y enfermeras “. The course was sponsored by the Universidad Nacional de Córdoba, the Hospital School of the UNC, the FAODRA (Federación de Asociaciones Ostomizados la Republica Argentina), the FAIS, IOA, the Lions Club Modena Wiligelmo (District 108Tb Italy) and the Club de Leones Alta Córdoba (District “O” 1 Argentina).
The ITTT together with a group of teachers from Argentina played theoretical and practical lessons for over 100 doctors and nurses from other hospitals of Córdoba, the city of Santa Fe, Rosario, Santiago del Estero, Villa del Rosario (Argentina) and Santa Cruz ( Bolivia ).
In the presence of the Governor of the Lions District “O” 1-Argentina: Pedro Mario Morello, it was inaugurated the first school for ” Enterostomal Therapists” of Latin America. Thanks to LFSC project, now it will be easier to assist the ostomates of Latin America . It will no longer be necessary to spend valuable resources to train nurses from abroad of South America. LFSC sponsored the fledgling school with 1,500 US $
During this year, the LFSC project supported financially the training courses for nurses organized in Argentina, Bolivia and Paraguay by Doctors Hugo Heredia, Jose Fernando Soria and Jorge Medina Gutierrez.
Thanks to the promotion of the LFSC project and the constant involvement of Dr. Jorge Medina Gutierrez, the Parliament of the Republic of Paraguay on November 8, 2010 approved the Law No. 4143 which provides care for the ostomates.
Starting from scratch, in just three years Paraguay has become aware of the problems of the ostomates and enacted a specific law for their protection. It is an extraordinary success that decreed definitely the absolute quality of our service.
Sixth seminar in Modena at the “New Civil Hospital S. Agostino-Estense” .The doctors trained, came from the following countries: the Philippines (Dr. Manuel Roxas Francisco), El Salvador (Dr. Jose Victor Rodriguez Mendoza), India (Dr. Srinivas Chunduri), Romania (Dr. Moldavan Cosmin) .In addition to Italian teachers, the ITTT was represented by ET Louise Forest Lalande – (Canada), and Prof. Harikesh Buch – (India)
October (14 – 17)
The ITTT, represented by Prof. Carlo Pezcoller and Prof. Harikesh Buch, went to Tehran (Iran) to participate in the training course for Enterostomal Therapists organized by Prof. Mohammad Vafai, President of the Iranian Ostomy Society (IOS) with the collaboration of Dr. Roubik Behboo, Mrs. Maryam Sarlak and the ET Farzaneh Naghibi Ghane.
The theoretical and practical lessons were held at the headquarters of the IOS with the participation of 20 nurses from different regions of Iran.
AIOSS, FAIS and LFSC, have funded two nurses from Nigeria to attend the course for Enterostomal Therapists organized by AIOSS
LFSC had participated in financing the transport of 22,000 bags for ostomates in Romania. ( Trucks from the Italian Red Cross – CRI ). The initiative was promoted by Mr Stefano Piazza (Vice President of FAIS) and the bags were donated to the Romanian Ostomy Association (APSCR) which is responsible for distributing them free of charge to needy patients.
At the hospital “THE MEDICAL CITY” in Manila (Philippines), it took place the first course for Enterostomal Therapists. The event was organized by Prof. Manuel Francisco Roxas together with ITTT. The course was attended by 30 nurses.
At the “District Hospital” City of Kisumu (Kenya), a course consisting of 41 doctors and nurses , was coordinated by Prof. Carlo Pezcoller in collaboration with Prof. Harikesh Buch (India) and the ET nurse Rosine Van Den Bulck ( Belgium ).This city of 400,000 inhabitants was chosen for his strategic position ( on the banks of Victoria Lake , near the border with Tanzania and Uganda), which would allow the participation of doctors and nurses from all three countries.
LFSC project landed for the first time in Africa , Continent where the number of ostomates is constantly increasing. This situation is explained by the fact that nowadays there are more hospitals in Africa and therefore it is possible to treat those diseases which before were not cured at all and quickly wore patients to death. Unfortunately, even children can suffer for a stoma and Dr. Enock Oduor Odero Mwanza (Tanzania) who attended the course, told us that on the Lake Victoria banks in Tanzania, many children are born with imperforate anus (ie without the presence of the anus), and this is incompatible with life if you do not practice urgently a stoma. The reason of the high incidence of this malformation is unclear.
There were 41 participants who took training during this course. Out of these 3 doctors & nurses from Uganda, 4 were from Tanzania & rest were from Kenya including a surgeon from Kisumu. Ms Sally Agallo, secretary of “ Stoma World Kenya “ from Nairobi, also participated in this workshop.
The reception and the participation of local Lions was incredible! Since our arrival in Kisumu, have been lovingly cared for by the President of the L.C. Kisumu Host Hasmukh Pabari and Past Governor (1994-95) of District 411 C. Mehta Ramesh who incurred the cost of our stay.
After the course, we were received in Nairobi by Past International Director Manoj Shah (Honorary President of the course), the Governor of District 411 A- Varish Sheikh, and the President of the area Govind R. Shah
All the Lions authorities of District 411 are more than happy to collaborate with Lions of Italy to realize the LFSC service in Kenya, Uganda, Tanzania and Ethiopia
Prof. Kamal Deen, along with ET Geethani Rathnayaka and ITTT organized in Jaffna (Sri Lanka) at the meeting room of the “ School of Nursing of the Hospital of Jaffna” a course for 50 doctors and nurses of the Territory. The course was advocated by PIP Mahendra Amarasurija and PIP Ashok Mehta. The entire program was funded by LFSC in collaboration with the Lions of District 306 B1, the Jaffna Medical Association and the Hospital in Jaffna.
At the end of the course was founded the local Ostomates Association and the Lions V. Thiyagarajah, in collaboration with the Hospital, promised as soon as possible to open a stoma clinic to help all the ostomates of the area.
On involvement of PIP Mahendra Amarasurija and the PIP Ashok Mehta, the LCIF has awarded to the Lions of Sri Lanka the sum of U.S.$ 10.000. to organize the stoma care in the region of Batticaloa (Sri Lanka). Prof. Kemal Deen in collaboration with ET Geethani Rathnayaka and ITTT organized a course for 30 doctors and nurses in this area .
As usual, the local Lions welcomed us warmly and thanked us for the help we have given to their territory. The Lions Dr. (Mrs.) Chandrakantha Mahendranathan, (Region Chairperson / Region, 10, District 306-C2) has published an article in their language and script of Sri Lanka with photos of the important events that can be viewed by connecting to:
At the invitation of the organizing committee of the “9 th BIENNIAL CONGRESS of ASIAN SOCIETY OF STOMA REHABILITATION (ASSR)” held at the “THE MEDICAL CITY” hospital of Manila (Philippines), Prof. Carlo Pezcoller has participated as a speaker at the Congress of Manila dealing with the following argument:
LIONS FOR STOMA CARE PROJECT
The sufferings are not all the same: there are the obvious ones such as blindness and deformities that are clear, easily understood and supported, and the hidden ones that are often completely ignored even by the Medical Profession.
One of these hidden sufferings is the “stoma”.
Today perhaps, we surgeons are predominantly involved in the technical aspects of our profession and have lost sight of the patient as a person. In general, the surgeon of 2016 shouldn’t consider himself satisfied if the patient, at the time of discharge, has a poor or unacceptable quality of life.
Such a concept is even more evident if we speak of ostomates.
Currently the time to train an E.T. nurse able to help the ostomates, are too long.
The ostomates around the World cannot wait!
- Not all nurses have the economic resources to pay for the actual E.T. training courses
- Often these courses are abroad
- Not all candidates speak English
Often the nurses have a family with children…
What is the aim of the LFSC project?
- The purpose of the project is to train in different countries, with short and intensive courses, S. N., selected among the local experienced and motivated nurses. An “ International Traveling Teaching Team” ( ITTT) formed by experienced surgeons and E.T. nurses, travels in various countries to do one-week
- The S.N. is not an E.T. formed following the program of WCET
- The S.N. is a trained nurse able to help the ostomates
- The S.N. is recognized by local health authorities
What the LFSC project provides ?
- The first step is to involve the local surgeons in the rehabilitative project and in the training of a N.
- Making contact with the local health and political authorities and explain the project
- Involving, through the surgeons and the directors of the local hospitals, selected nurses interested in the project
- In countries where there are Lions, involving the different Clubs to help the development of the stoma care in the country
- Involving local ostomates
- Organizing, in the same country, a 6 day training course open to 20-30 professional nurses (along with the local participation of ostomates), having as teachers the local surgeons and the
- Opening, in the selected hospitals, a “stoma clinic” for the rehabilitation and the follow-up of ostomates
From 2000 to 2015 we trained doctors and nurses from 22 countries:
Argentina, Bangladesh, Bolivia, Cina, El Salvador, Filippine, India, Indonesia, Iran, Kenya, Laos, Mongolia, Myanmar, Nigeria, Nepal, Pakistan, Paraguay, Romania, Sri Lanka, Tanzania, Uganda, Vietnam
At the request of Dr. Carlos Parellada, colorectal surgeon at the “Centro Medico” of Guatemala City, “LFSC” held the first course entitled “Manejo de Estomas”. This important initiative has been possible, thanks to the economic contribution of FOW-USA association (Friends of Ostomates Worldwide -USA) which works closely with LFSC.
The population of the Republic of Guatemala is approximately 17 million and public hospitals are extremely deficient. All patients, in general, have much needed aid and in particular the ostomates here don’t have rights and assistance. Their total number is not known and it will be not easy to make a census both for the organizational deficiencies and the absence of an ostomy association, the only one able to support the interests of this serious and forgotten handicap.
Guatemala is called the “heart of the Mayan culture” and the presence of this ancient civilization, whose customs and traditions are transmitted orally from generation to generation, is still alive and palpable in the country. In fact, the course was also attended by the Maya nurses who regularly wore their traditional costumes.
The Lions Club of Guatemala has given the patronage to the initiative and the Governor Dr. Ruben Godoy has actively participated in the work and promised to help the development of the stoma care in Guatemala. The International Course Director was Dr. Carlo Pezcoller and the national Dr. Carlos Parellada with the coordination of the doctors Ricardo Fretes and Jorge Medina. Participants, doctors and nurses, were 64 with the active presence of 2 ostomates.
At the conclusion of the course, doctors, nurses and ostomates have agreed to found the Guatemala’s ostomy association and work together to organizing other courses in different hospitals across the nation.