43. Melba Suárez Peralta indicated that, in June 2006, she underwent abdominoplasty and liposculpture at the Houston Memorial Clinic (Medihouston), in Guayaquil, Ecuador. 35 44. Subsequently, between July 2006 and April 2012, Mrs. Suárez Peralta underwent the following medical procedures, among others: a) On July 18, 2006, she had an echography in the Clínica de Especialidades Moreno following which “it was recommended that she undergo a pelvic tomography for a complementary examination”; 36 b) On September 11 and 16, 2006, she went to the Guayaquil Family Medicine Center (CE.ME.FA), with general discomfort and vomits, and was prescribed different medicines. On October 4, she consulted a doctor in this Center for pain in the lumbar region; 37 c) On August 17 and 23 38 and September 24, 2007, 39 and on November 29 40 and December 11, 2007, 41 she consulted doctors in different health centers. The reasons for these appointments included hypertensive crisis, headaches and fever, and she was prescribed different types of medication; d) On January 30, 2008, she went to the Punto Family Medicine Clinic where she was diagnosed with colitis and non-infectious gastroenterocolitis, and dyspepsia. 42 The next day she underwent abdominal tomography in this Clinic during which the “gallbladder with the presence of thick fluid and microgallstones” was found; 43 e) On May 19, 2008, she was interned in the San Francisco Hospital, owing to abdominal pain. 44 On that occasion, it was indicated that Melba Suárez Peralta had “colic abdominal pain of moderate intensity that increases gradually until it is very intense, accompanied by nausea.” She was released from the hospital on May 22. 45 On August 7, she was again interned in this hospital for precordial pain, and had a doctor’s appointment there on November 6; 46 35 Cf. Certification from the Houston Memorial Clinic (Medihouston) dated February 5, 2009, (file of annexes to the Merits Report, folio 214), and sworn statement by Melba del Carmen Suárez Peralta on April 5,2012 (file of annexes to the pleadings and motions brief, folio 1723). 36 Certifications from the Clínica de Especialidades Moreno (file of annexes to the Merits Report, folios 225 and 226). 37 Cf. Medical certificates from the Family Medicine Center (CE.ME.FA) (file of annexes to the Merits Report, folios 216 to 219). 38 Cf. Prescriptions from the Kennedy Clinic (file of annexes to the Merits Report, folios 221 and 222). 39 Cf. Certifications from the Clínica de Especialidades Moreno (file of annexes to the Merits Report, folios 225 and 226). 40 Cf. Medical certificates from the Family Medicine Center (CE.ME.FA) (file of annexes to the Merits Report, folios 216 to 219). 41 241). Cf. Medical certificates from the Punto Family Medicine Center (file of annexes to the Merits Report, folio 42 Cf. Documentation from the Punto Family Medicine Center (file of annexes to the Merits Report, folio 231). 43 Documentation from the Punto Family Medicine Center (file of annexes to the Merits Report, folio 230). 44 Cf. Documentation, San Francisco Hospital (file of annexes to the Merits Report, folio 250). 45 Cf. Documentation, San Francisco Hospital (file of annexes to the Merits Report, folio 249). 46 Cf. Documentation attached to the sworn statement by Melba del Carmen Suárez Peralta of April 5, 2012 (file of annexes to the pleadings and motions brief, folios 1794 and 1802). 14