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ward Franke, and step into a belching “tuk
           tuk” that took us to the other side of town
           where she and Anita had rented an apart-
           ment. Both had been preparing for the mis-
           sion for the preceding two weeks.
                After unpacking, I joined them at the
           dining room table where the indefatigable
           duo was alphabetizing files from previous
           missions—one for each patient from up and
           down the Rio Momón, including “Nueva
           York,” 8 hours upriver. I had three days to
           familiarize myself with Iquitos and the mis-
           sion work.
               I can best describe the rough town situ-
           ated at the confluence of three major
           “rios”, the Amazon, Momón, and Nanay, as
           “the Timbuctu of Latin America”. The only
           way in or out is to fly, take a boat, or step
           into the Amazon.
               My friend had arranged for me to meet
           a chef/instructor who runs a school where
           she trains young students in the culinary
           arts. They practice their trade in the
           restaurant and Escuela de gastronomia La
           Mishquina cooking school under the leader-
           ship of the vivacious Pilar Agnini (https://
           www.facebook.com/people/La-Mishquina),
           a specialist in Amazonian cuisine, who in-
           troduced me to her 80-year old chef Jaime
           Yspushima, a 3rd generation Peruvian. “He
           is considered la memoria de Amazonia,”
           she said, as he and I spent the morning as-
           sembling authentic Peruvian ceviche. The
           soft-spoken chef insisted: “I don’t use any
           other fish than the paiche from the Ama-
           zon.” Unlike the Mexican version which is
           marinated several hours in lemon juice, Pe-
           ruvian ceviche is prepared tableside or a
           few minutes ahead, and served up with a
           side of papas, mashed potatoes, and corn
           nuts. The chef’s secret sauce is Leche de
           Tigre, a milky blend of paiche, onion, and
           special spices. “My secret is a touch of
           canned milk,” he said, adding a tablespoon
           to the blend.






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