Medicine, which is a product of humankind, where everybody and nobody we are its creators, has been positively impacted by the spectacular development of technology, but this requires doctors who interpret and use it with boldness and prudence, It was very gratifying my surprise when at the insistence of my daughter Dr. Karin Palacios decided to interpret a CT and hepatic perfusion, where after it without hesitation and with aplomb, as it must "I think that it was a Hepato carcinoma and a biopsy was required which led the U.S. Cardiologist understood the implications. did and when the pathologist confirmed the cancer and found you in the emergency department, with your hand on his shoulder said that was needed and you offered thermal abrasion and make it did everything without extending any receipt for your fees, unlike donating material to perform and without suffering any complications, no discomfort, which speaks of your generosity to your American friends always grateful for your services live. Manuel also estimated, you shown to medicine, technology and the world that our profession still needs doctors who have eagle eyes to see subtle images that other animals do not see, doctors who have the Lionheart to be determined, courageous to make decisions for this often means a life and women's hands to perform such operations without complications. (Similarly see: Anu Saad). Dear Manuel I have no wealth to pay-as-you deserve your diagnosis, your intuition Your decision, your biopsy and radio frequency, but put at your disposal my eternal gratitude and that of my loved ones, I do not know what life brings me, not I know that fate brought me, that I put in the hands of God, but wherever you are, even in the land or become cosmic dust and going to the stars, you always have my eternal gratitude for what you did for this family Peruvian they always get you in the heart from the sanctuary of Machu Picchu to the last blood erythrocytes of our ancestral Inca Mochica Eternamente grateful.