ENTA Physicians Drs. Shawn Ciecko (Staten Island ENTA) , David Bough (Oradell & West Nyack ENTA) and Mark Carney (Staten Island ENTA) travelled to Guatamala City, Guatamala with ISMS Team ENT performing thyroidectomies for thyroid cancer. ISMS Team ENT provides first world care to those without access to medical care in Latin America.