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Found 24 results

  1. I use a CPAP and it from time-to-time needs replacement parts. Can anyone kindly recommend a store in lakeside or Guadalajara that carries CPAPs or parts? Thanks in advance for your help.
  2. If you are familiar with Regenerix in Guadalajara, maybe you know of the place in Ajijic, near Dental Express, where we can now get similar services here at Lakeside? My friend gave me the name Dra. Justine, but that's all she had. They do injections of collagen, stem cells, etc. Anyone have contact info?
  3. I see a lot of info about stem cell therapy for knees and other issues, but has anyone had stem cell therapy for hip problems? I am told I have a bone spur in the hip joint and need a hip replacement, but maybe could delay that process by pumping up the cartilage in the joint (mine is osteoarthritis, not rheumatoid). Anyone with experience with alternatives to hip replacement (especially stem cells), which doctor did you use, how much did it cost, and what has been the outcome?
  4. Came back from the States with parts of 2 CPAPs left behind. I need to make one of them work. One is a ResMed AirSense 10 for which I need the plug that goes in the right side when one is not using a humidifier. The other is a Resperonics REMstarPlus M Series for which I need a 12V-3A power cord. Any help you can send my way will be greatly appreciated. Trying to sleep in the recliner is getting really old. Thanx.
  5. Hello. Can anyone tell me if Oxireyes in Riberas is the best option for renting a portable oxygen tank? Or is there a better or less expensive option in Guadalajara? Thanks in advance for any response.
  6. My spouse just checked into Casa Nostra. He has moderate dimentia and has been in the hospital in Guadalajara for 3 weeks. He could stand and walk with a walker before that but can't now. If I can find someone to come into CN regularly and teach us both how to help him it will improve his quality of life. Any recommendations appreciated
  7. Mexican Medical Treatment and Your Medical Records NOM-004-SSA3-2012 Many people come to Mexico for medical procedures or already live here and take ill or injure themselves and need the services of a doctor or hospital. In most cases people are happy with the services provided and they go on living their lives. A problem arises when a patient wants to obtain their medical records from their doctor or hospital. We have found that many doctors and hospitals are reluctant to give patients their medical records due to fear of lawsuits, sloppy record keeping that does not comply with the law or general laziness. This can often place the patient's life in jeopardy as oftentimes these records are requested for use by other medical professionals for surgeries or other procedures which are urgent and the hospital or doctors place many roadblocks for the release of records. This article will focus on patient rights and doctor and hospital responsibilities and obligations. The right of a patient to request a full copy of their medical file (and not some quick summary made up by the doctor or hospital) is a human right under Mexican and international laws. The Mexican Constitution guarantees health rights in articles 1 and 4 as well as in international treaties such as part 25 of the Universal Declaration of Human Rights and article 12 of the International Covenant on Economic, Social and Cultural Rights. Mexico publishes official guidelines for a number of products and services and they are called NOMs (Norma Oficial Mexicana). There is a specific NOM, NOM-004-SSA3-2012 regulating the handling of medical files and patient´s rights to receive their medical file and exactly what it should contain. The NOM can be found here: http://dof.gob.mx/nota_detalle.php?codigo=5272787&fecha=15/10/2012 The above mentioned NOM in section 5.4 states that the patient who gives information as well as the person who receives medical attention has ownership rights over the information for the protection of their health as well as the protection of the confidentiality of their information in the terms of this law and others. Some doctors refuse to give records saying they do not have anything even though a year or two has passed or even less from the last visit, this would be a violation of the NOM which in the 2nd paragraph of section 5.4 states that "due to the foregoing, for documents prepared in the interests of and for the benefit of the patient, they shall be kept for a minimum period of 5 years starting from the last medical act." Sections 5.5.1 and 5.6 state that any requests for medical information must be made in writing and only given to third parties when requested by the patient, guardian, legal representative or another doctor authorized by the patient, guardian or legal representative. If you are living outside Mexico you can grant a power of attorney to someone to be able to request the records on your behalf. Many times when a patient asks for their medical records they are given a one sheet summary instead of their medical file. Section 6 to 6.4.3.3 of the NOM clearly explains what makes up the clinical file for general and specialty consultations. The NOM states that the clinical file must contain a clinical history, questionnaire with family and substance history, physical exploration, prior and current results of laboratory studies and tests and others, diagnosis or clinical problems, prognosis, recommended therapy , progress notes. As well as the aforementioned, for each doctor visit the following information should be gathered: evolution and update of the clinical profile (including any substance abuse or tobacco use), vital signs as necessary, relevant results of any tests done or diagnosis and treatment that were previously requested, diagnostic or clinical problems, prognosis, treatment and medicines prescribed, for medicines note at the very least the dose, how administered and how often. Medical notes for hospitalization must contain at a minimum: vital signs, questionnaire, physical exam and mental state as needed, test and lab results, treatment and prognosis, clinical history, evolution notes and should be prepared daily by treating physician. There are other requirements in the NOM for postop medical reporting. As you can see the records required to be kept are quite detailed. The problem we have seen is that few doctors are aware of the NOM and their obligations to keep detailed records or visits and tests. Doctors and hospitals may only make you put your request in writing and not put any other further conditions on your request for your medical records although for hospitals you may want to put the approximate date of admittance so they can more easily locate your records. If they place more restrictions you may complain to the State / Federal Medical Arbitration Board (CONAMED) or your state agency that oversees doctors and hospitals. We have experienced doctors and hospitals refusing to accept written requests so then we filed complaints with the aforementioned agencies and then all of the sudden they complied. This is your health and your life and the law, do not let them bully you or wear you down when it comes to requesting your medical records. Do not let them give you a one page summary instead of copies of tests, lab results, EKGs and the like so that another doctor or hospital can read them and diagnose you or view the development or recovery of your illness. A good practice would be to sit down with your doctor to make sure they are aware of the NOM so that if they are not, then can start to keep proper, complete medical records to provide to you or another doctor in the future. An even better practice would be to request and maintain records in an accessible place in your home so your family will know where they are in the event you are in an accident or hospitalized and need to access them.
  8. I would like to highly recommend Jahydi Corpus Campuzano (pronounced Jaydee or Heidi) for in home physiotherapy. Jahydi is extremely competent, a lovely lady and English speaker. She is very gentle, thorough and explains what she is doing and why. If you have a severe injury/injuries she will seek permission to contact your medical practitioner so she is fully aware of your injuries and adjust her treatment accordingly. If you are in need or know of someone who could use a physiotherapist please give Jahydi a call at 33 1053 0356
  9. Hubby needs to have his INR taken regularly BUT we have a small problem. I haven't been able to get the Coaguchek XS strips for his monitor. It is NOT the same as a blood glucose monitor. I can find them in GDL but they are a bit of a PITA to get. So our other option is to have someone come and take his blood for the test. NO, I can't take him to a clinic - both arms and both legs have fractures, so he doesn't fold and getting him in and out of a vehicle is well - you get the drift. SO - has anyone found any strips locally??? OR - do you happen to know which clinic might make a house call? Thanks.
  10. A friend is considering leukemia treatment for their parent in Tijuana, at either the Bio-Medical Center (Hoxey Clinic) or the Immunity Therapy Center. I'm not at all familiar with facilities in Tijuana. Anybody here have input, good or bad? Would also appreciate comments on places to stay in that area... for family, traveling with the person to be treated. If there are better options for treatment at other places in Mexico, that info might be welcome also. Thanks! Heather
  11. The Right Chemistry: Brazilian 'healer' John of God leads cancer patients by the nose “Up your nose with a surgical clamp!” That is Joao Teixeira’s prescription for treating breast cancer. I first came across this Brazilian “healer” known as John of God, in 2005 when he was featured on the ABC television program Primetime Live.
  12. This note is a search for medical doctors. In the four years that we've been lakeside, we've heard of (and visited) Dr León and Dr Lastra many times. No complaints, but we are hoping to expand our two choices to something more like twenty. So: - Do you have a doctor to recommend? - Does a listing of lakeside doctors exist? - We're interested in doctors with regular office hours. (This rules out some or all clinics because the doctors rotate schedules.) - About language. I think that with patience on both sides, we could work with a Spanish-only doctor. However, from what we saw at the "Hospital Clínica Ajijic", some knowledge of English seems to be a common medical trait. Thanks, Greg and Paul Weeks
  13. Fees change each year in February, the fees for 2015 to 2016 are as follows for people who only have medical insurance (afiliacion voluntaria) 0 to 19 years old $1,900 pesos 20 to 29 years old $2,250 pesos 30 to 39 years old $2,400 pesos 40 to 49 years old $3,400 pesos 50 to 59 years old $3,600 pesos 60 to 69 years old $5,200 pesos 70 to 79 years old $5,450 pesos 80 and older $5,500 pesos
  14. Seeking information regarding cost of an echo-cardiogram. Any information greatly appreciated. Thanks.
  15. I was at IMSS today and they gave me the new 2014 rate schedule, the fees change every February. 0 to 19 years old $1,600 pesos 20 to 29 years old $1,900 pesos 30 to 39 years old $2,000 pesos 40 to 49 years old $2,850 pesos 50 to 59 years old $3,050 pesos 60 to 69 years old $4,400 pesos 70 to 79 years old $4,600 pesos 80 and over $4,650 pesos
  16. As of Feb. 2014, I will be volunteering at the TEPEHUA COMMUNITY CENTER in Chapala. Below is the link to the Community center. http://www.tepehua.org/home.html Although the indigenous peoples of the Tepehua community will be getting free medical consultations it will do them little good if they cannot get medications that they may need. Please help by dropping off your unused medications that are NOT expired at my office in Chapala at Hidalgo 293 in CHAPALA during normal business hours 9 am- 5 pm. Thank you in advance. Santiago Hernandez M.D.
  17. I have a friend who has recently undergone a Hip Replacement. She is looking for a Certified Therapist, familiar with after hip surgery therapy, to go to her home in San Juan Cosola.
  18. Since I am still uncomfortable about driving in Guad I will be in need of someone who can transport me to a medical appointment and possibly assist with translating for me. I would appreciate any recommendations.
  19. This article was forwarded to me by a friend of mine who is a Pioneer in Medical Interpretation in the U.S. and here in Mexico. She is also an EXPAT. Makes me wonder just how much the "COMMUNICATION BARRIER" here in Mexico is a cause of "OVER-HOSPITALIZATION" for the senior population here in the Lake Chapala area? -------------------------------------------------------------------------------------------------------------- "I have my own opinion. Remembering a doctor's visit where I accompanied my mother-- The Dr. treated her like a child and was terribly condescending when she was totally functioning mentally, used her first name without asking first--an insult in her generation, and explained diagnosis to me and not to her." Failure To Communicate: Why Seniors Are Readmitted To The Hospital So Often Seniors continue to be readmitted to the hospital too frequently. But when it comes to explaining why, patients and providers are on Mars and Venus. The patients blame doctors and nurses. Doctors and nurses blame patients. And everybody blames the hospitals. The problem, everyone seems to agree, is that hospital discharges are a mess. Patients dont understand what they need to do after they go home: They dont see their primary care doctor, they dont take their medications properly, and they land back in the hospital. That revolving door jeopardizes their health and costs Medicare billions of dollars. A new report by the Robert Wood Johnson Foundation looks at hospital readmissions from two perspectives. A new study by the Dartmouth Institute for Health Policy and Clinical Practice finds there has been little improvement in hospital readmissions, despite an intense new focus on the problem by Medicare. The study also finds a huge variation in readmissions from one part of the country to another, which suggests that, with the right motivation and tools, health systems can get a handle on this challenge. After all, if they can do it right in Minnesota, they ought to be able to do it in New York. But perhaps even more interesting was the second part of the same study: a report by PerryUndem Research and Communication based on 28 interviews with patients and health providers in Washington, D.C., New York City, and Dallas. These, of course, are anecdotes, not data. But they are incredibly revealing and show a yawning chasm between the perceptions of health professional and patients. What we have here, as the captain said in the classic film Cool Hand Luke, is failure to communicate. In these interviews, doctors and nurses saw patients who are, in the dreaded term, non-compliant. From the perspective of these health professionals, elders often are so anxious to leave the hospital that they are not honest about whether they can manage their discharge. They say they understand instructions when they really dont. They say they have caregiver help even if they are alone. Then, once they get home, they fall back on the same bad habits that got them hospitalized in the first place. And when they get sick, they go to the ER instead of calling their primary care doctor. But when the interviewers asked elders, their story was completely different. To them, hospitalization is overwhelming and terrifying. It is, in the words of one an alien world. They say doctors expect them to understand complicated instructions and make decisions while they are in pain or in the fog of medication. Instructions are written in jargon that may be second nature to doctors, but is incomprehensible to their patients. To older patients, a new diagnosis of a chronic disease can be frightening. After the shock of hearing such news, they may need extra help understanding what to do. At the same time, while doctors assume patients who have been living with a disease for many years understand how to manage it, patients say they often do not (after all, if the disease was well-controlled, they probably wouldn't be back in the hospital). Men, especially, are often alone when they go home. They have no one to care for them or to call a doctor if their condition deteriorates. And what may be obvious to a health professional may not be to an elderly patient. In one case, a patient got an infection when he refused compresses on a surgical wound. No one told him he couldnt. Both doctors and patients agreed that hospitals are under tremendous financial pressure to discharge patients quicklya step that often puts more burden on discharged seniors to care for themselves. They are right. Hospitals are being pushed by Medicare to both discharge quickly and prevent re-admissions. Walking that fine line wont be easy. Thats why it is more important than ever that doctors and nurses learn to talk to patients and that hospitals vastly improve discharge programs that, too often, are the broken link in the health care chain.
  20. Time: Tuesday Feb. 26th, 2013 at 10 a.m. Place: Private residence in Ajijic If you haven't RSVP'd me at CHAPALAMED@gmail.com, please do so and I will provide the address and directions. Information/Itinerary - This will be the first of hopefully many and regular DIABETES SUPPORT GROUP meetings. At this meeting there will be no sales pitch or solicitation of any sort from anybody, including myself, Dr. Hernandez. My role will be a support role to educate and clarify any information that a diabetic patient and his/her loved ones should know. I plan to speak for about 30-45 minutes. I plan to give a brief overview of what diabetes is, it's course, it's complications and how to prevent or curb the progress of such complications. I will then open the floor to questions that anybody may have and try to answer them as best as I can. I will have to limit this to about 15 minutes. I will then open the floor to those whom have faced and overcome challenges that a diabetic may have encountered since moving to the Lake Chapala area. I will provide some refreshments such as diet soft drinks etc. What to bring: 1. Notebook or Pad and Pencil 2. List of questions and/or challenges 3. Open mind and positive attitude. I will then close the meeting at 11:30 sharp. I would not like to impose on our gracious guest. I would take suggestions as to how often the group will like to meet. I will stress that this will not be Dr. Hernandez's (Chapala Med's) group. My role will be only to provide support, education and guidance. It will be up to it';s members to decide how often to meet and perhaps on future venues etc. I hope you can make it and I look forward to seeing you there and please forward this information to anybody whom you feel may benefit from such a meeting. Warm regards, Santiago Hernandez M.D.
  21. I have gotten a good amount of responses from enough interested parties to make this group a reality. Please stay posted. I will be setting up the time and date in the next couple of days. I think that my role will be limited to guidance and clarification of current medical recommendations and the medical science behind what causes Diabetes. And for those who responded in the past, please respond with name, and contact info to my email address: chapalamed@gmail.com Thank you.
  22. I am interested in starting a support group and/or network for persons with Diabetes and their spouses/partners. I am finding that it is a bit tricky at times to make certain dietary and life-style modification recommendations to my patients and friends whom are dealing with this horrible but manageable disease. Some people I've seen have been managing quite well while others seem to be completely lost when it comes to diet and exercise. In my past experience it has been helpful for persons who are dealing with diabetes as a patient or who live with somebody with diabetes to have a place to exchange ideas and offer support to one another rather than be told by their doctor/healthcare provider what to do. I think that patients are often encouraged and motivated by the success stories of others who are dealing with similar issues. I was thinking of offering a space with my professional guidance once a month and limiting it to initially 10-20 people to start off such a group. I would volunteer my services and medical knowledge to answer any questions and clear up any misconceptions that there may exist. In the building I work at there is a limited amount of space but after the initial meeting, folks can perhaps suggest of another venue to meet regularly. Is there already such a group in the LAKESIDE AREA? If there is such a group, I'd like the information to be able to refer patients to it. If not, can I see a virtual show of hands posted or via PM that would be interested in such a group/network?
  23. I am interested in starting a support group and/or network for persons with Diabetes and their spouses/partners. I am finding that it is a bit tricky at times to make certain dietary and life-style modification recommendations to my patients and friends whom are dealing with this horrible but manageable disease. Some people I've seen have been managing quite well while others seem to be completely lost when it comes to diet and exercise. In my past experience it has been helpful for persons who are dealing with diabetes as a patient or who live with somebody with diabetes to have a place to exchange ideas and offer support to one another rather than be told by their doctor/healthcare provider what to do. I think that patients are often encouraged and motivated by the success stories of others who are dealing with similar issues. I was thinking of offering a space with my professional guidance once a month and limiting it to initially 10-20 people to start off such a group. I would volunteer my services and medical knowledge to answer any questions and clear up any misconceptions that there may exist. In the building I work at there is a limited amount of space but after the initial meeting, folks can perhaps suggest of another venue to meet regularly. Is there already such a group in the LAKESIDE AREA? Can I see a virtual show of hands posted or via PM that would be interested in such a group/network?
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