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August 18, 2010

Cancer costs the world more in productivity than AIDS, malaria and the flu combined.

Filed under: cancer — Tags: — @ 12:25 pm

Did you know that cancer costs the human race more lost  in productivity and lost life than the flu, malaria, AIDS,and other diseases that spread person-to-person?   Nevertheless, cancer is way way down on the list of global health priorities. So says the American Cancer Society  in its first major report looking at the economic cost of cancer in terms of global productivity.

About 7.6 million people died of cancer in 2008 (the latest statistical reports available). About 12.4 million new cases of cancer are diagnosed each year.

Cancer is the world’s costliest killer, as well as being the  leading cause of death.  As well, cancer’s economic toll  on society – excluding the cost of treating the disease itself- was $895 billion in 2008 — an amount that is equivalent to 1.5%  of the world’s gross domestic product, reports the American Cancer Society. That’s in terms of disability and years of life lost — not the cost of treating the disease, which wasn’t addressed in the report.

The researchers who compiled the analysis  used the World Health Organization’s death and disability reports, as well as  economic data from the World Bank.  Disability-adjusted life years, which reflect the impact a disease has on how long and how productively people live,

Researchers used the World Health Organization’s death and disability reports, and economic data from the World Bank. They calculated disability-adjusted life years, which reflect the impact a disease has on how long and how productively people live.

The Center for Global Development, a Washington policy group, reports that chronic diseases such as heart disease,  diabetes and cancer account for greater than  60% of all deaths worldwide,  but comprise less than THREE percent of total  public and private funding for global health, said Rachel Nugent of the Center for Global Development, a Washington-based policy research group.

“The amount of funding devoted to cancer is way out of whack with the impact it has,” states the society’s chief medical officer, Dr. Otis Brawley.

Experts posit that the growth of cancer diagnoses are due on part to increased levels of tobacco use and obesity, which have fueled an overall rise in chronic diseases, even as the rate of infectious disease has declined.

“How we are going to deal with this rising burden of chronic disease”  is a topic for the United Nations according to Dr. Andreas Ullrich, the medical officer for cancer control at WHO has said on the subject.  The United Nations General Assembly will address this in meeting planned for 2011, a move that may have the same impact on cancer funding that a similar global  initiative  had in leading to significant increases in AIDS spending a decade ago.   But despite the urgency of the issue, any review of existing priorities is sure to be contentious.

In a separate article by the British medical journal Lancet, cancer scientists and advocates both urge more  spending to fight cancer in poor countries.

“That has become a more and more common way of looking at the global burden of disease,” said Wendy Max, a health economist at the University of California, San Francisco, who is familiar with the work and the methods the researchers used.

Cancers tend to strike people much earlier in their life cycle compared to heart disease, partly accounting for its greater financial burden.  Lung and related cancers account for $180 billion of the $895 billion total. Heart disease follows cancer, with an economic impact of $753 billion.

More than 4 in 10 Americans will receive a diagnosis of cancer some time in their lifetime.  The Hospital Angeles Functional Oncology program takes a five step approach to our Smart Cancer Program, with a team approach that gives the patient a full seat at the treatment table with specialists in traditional as well as integrative medicine.  Click the links below to learn more about this innovative approach to treating chronic disease:

  1. Assessing the patient’s  individuality
  2. Cellular nutrition
  3. Detoxification
  4. Immune support and regulation
  5. Cancer suppression
  6. Follow-up

Initial Thoughts On Physical Therapy Needs For Post-CCSVI MS Patients

The National Multiple Sclerosis Society has posted notice that  investigators at the University of Alabama (Birmingham) are recruiting a study of  relapsing-remitting, secondary-progressive, or primary-progressive MS patients.   The study intends to recruit up to 66 patients to receive different types of physical therapy that have been designed to increase movement of the arm in MS sufferers.  The study will assess the relative effectiveness of different therapeutic approaches to reducing the impact of what is commonly called ‘learned nonuse’ in MS patients.

Evidence that physical therapy has a positive effect improving neurological disorders such as stroke and cerebral palsy has researchers wondering if learned nonuse in MS could similarly be successfully targeted for therapeutic improvement – two different approaches will be assessed.

To date, Hospital Angeles has treated and scheduled more than 50 patients; while there is not yet an adequate quantity of date to speak in quantitative terms about CCSVI outcomes in segmented (i.e. by type of MS) rather than overall terms, a few consistent observations are emerging.

Initially, it appears that most patients are experiencing some level of returning function, some almost immediately.   A number report, post procedure, find themselves overdoing physical activity.  Unaccustomed to increased sensation, motility and other symptom relief, patients report unwittingly engaging in too much activity for legs and feet not yet accustomed to restored function.

CCSVI patients can plan for this by discussing with a neurological therapist before receiving the Liberation procedure, what exercises and movements might aid in the preparation for increased activity, as well as relieve soreness and reduce the likelihood of post exertion-related spasms.

Patients planning/scheduled for CCSVI treatment are strongly encouraged to consider available therapy options accessible from their homes in advance of their CCSVI treatment abroad.   Although a number of CCSVI treatment providers may offer a type of rehabilitative services, any rehabilitative activity immediately post-treatment is necessarily limited to a sort of maneuvering of the contently changing unknown.

The real work of rehabilitation and the path it will take will only occur over a period of time as the shifting limits of returned functionality are better understood.

Despite this limitation, rehabilitative exercises immediately post procedure can assist patients making the transition to an unaccustomed level of activity, navigating the unexpected challenges that can accompany restored mobility.

Keeping a journal of post-procedure changes in function (Motor Activity Log) will help patients not only track changes in function over time (e.g. at six months, twelve months, etc), but will also help track the otherwise difficult-to-attribute progression of response to rehabilitative activity.

The medical team at Hospital Angeles looks forward to working with CCSVI patient –neurologist teams to maintain the Motor Activity Log immediately, six months, and 12 months after the end of treatment., as well as plan for the tracking of other clinical scales of measure of disease activity (such as measures of changes to brain structure on MRI scans), overall function, and quality of life.

August 14, 2010

The Real Costs of Obesity: Diabetes, Heart Disease, Stroke, and $1,429 in Added Annual Medical Costs

The CDC released a report this month that makes it inarguable: Obesity has reached epidemic proportions in the US, and the problem is getting worse.  More than 72 million U.S. adults are now classified as obese (Body Mass Index > 30), making obesity  a major public health threat according to the CDC, which is calling for immediate, comprehensive and ongoing efforts to address the problem.

Risks of obesity are well-documented, including heart disease, stroke, type 2 diabetes and certain types of cancer – some of  which are the leading causes of death today.

Nine US states have obesity rates of more than 30% – compared with NO states at this high level just a decade ago.  As in previous surveys, Mississippi had the most obese people and Colorado the fewest.

This increase, dramatic as it is, is based on self-reported data and so is likely to be understated according to the CDC

Annual medical costs of obesity are estimated as high as $147 billion – the CDC report states that  persons who are obese have medical costs that are on average $1,429 more than persons of normal weight. These costs are disproportionately borne by blacks and Hispanics, who have higher obesity rates: 36.8% of  U.S. black adults have a  BMI of 30 or more ; this number climbs to 41% for  black women.  More than 30 percent of Hispanic adults are obese.

“Obesity is a societal problem and it will take a societal response” The federal government and some states are looking to legislation to reduce obesity through exercise and eat healthier foods.  New York and California are considering a tax on sweetened soft drink.  First Lady  Michelle Obama and cabinet secretaries are focusing initiatives on childhood obesity in particular, discussing expanding programs that provide fruits and vegetables to schools, hospitals and communities.

Another tool in the fight against obesity is weight loss surgery. While gastric bypass has traditionally been considered the gold standard of bariatrics, newer, less invasive restrictive procedures have become extremely popular, with more than 50,000 patients seeking adjustable gastric banding each year, drawn by the affordability and simplicity of the procedure.   In 2010, gastroenterology debuted a new restrictive procedure called gastric plication.

Bariatric surgeons are excited about the procedure because it is offers similar weight loss outcomes to the more invasive gastric bypass and vertical sleeve gastrectomy, while significantly reducing the risks associated with those procedures. The plication procedure, which is available from only a handful of particularly skilled obesity surgeons, offers patients greater and faster weight loss than LAP-Band, without the use of devices or the need for follow-up for band adjustments and fills.

August 13, 2010

Hospital Angeles Tijuana Announces Functional Oncology Treatment Medical Travel Program

Hospital Angeles Tijuana, a popular “medical tourism” destination for Americans, Canadians and Europeans, offers cancer patients around the world an integrative approach to disease management with its Functional Oncology treatment program. Hospital Angeles Tijuana Director Paulo Yberri describes the Angeles Functional Oncology treatment plan as “a more current approach to cancer treatment by integrating the best of what is available in Oncological and Integrative Medicine.

According to Mr. Yberri, the Angeles Functional Oncology treatment program is characterized by the concept of a more inclusive approach to the patient’s overall health and includes professionals in fields such as internal medicine, nutrition, chiropractic, biological dentistry, Functional Medicine, and Psychology.

“The Angeles Functional Oncology treatment program is one of the most innovative, advanced integrative cancer treatment approaches available anywhere in the world, “ says Yberri. “Cancer patients treated at Hospital Angeles Tijuana will have the benefit of working with one of the most experienced functional medicine teams, at one of the most state-of-the-art hospital in all of North America.”

The Functional Oncology treatment program at Hospital Angeles Tijuana is spearheaded by Dr. Ariel Perez. Dr. Perez has developed functional oncology programs for several Mexico-based hospital systems; he has received certified in Functional Medicine by the Institute for Functional Medicine.

In addition, Dr. Perez holds certification in Bioenergetics by the Vega academy Germany, Hyperthermia, by the Heckel Academy Germany, and Medical Ozone Therapy by the Medical Society for Ozone.

“Our mission is to improve patient outcomes through prevention, early assessment and comprehensive management of complex, chronic disease, this by identifying and healing the underlying clinical imbalances of chronic disease, creating momentum towards health, “said Dr. Perez.

In the U.S., traditional cancer treatment generally includes surgery, radiation therapy, chemotherapy, hormone therapy, and biological therapy; methods that are known to damage healthy cells and tissues with persistent, debilitating side effects.

As distinguished from traditional cancer treatments, the Angeles Functional Oncology treatment program focuses on cell biology and cell function, as well as environmental factor and immunotherapy. Throughout the three week treatment program, patients will experience treatments specifically designed to target cancer cells while shielding healthy cells from collateral damage.

“The functional oncology program goes beyond conventional therapy by integrating functional tools for fighting cancer,” says Dr. Perez. “All patients begin the program with an Integrative multidisciplinary assessment. This is first and foremost a science-based medical treatment program, and many of our treatments – for example Ozonized Hyperthermia – require a hospital-controlled environment.”

The Functional Oncology treatment program plans average three weeks long; a five-day “day program’ is also available.

About Hospital Angeles Tijuana is a state-of-the-art medical complex that is part of the largest private hospital network in Mexico. Located just minutes from downtown San Diego, Hospital Angeles Tijuana is a technologically innovative hospital with a patient-centric approach to care that has made it a premier destination for medical travelers, serving more than 7,000 patients from the US, Canada and Europe in just the past few years. In 2009 Hospital Angeles launched Angeles Health International, an internal international patient program providing medical travel concierge services to US patients.

The Angeles Functional Oncology treatment program provides all medical travelers with a personal Case Management team to provide patients with information about requested procedures, surgeons and specialists, medical records transfer, consults, procedure scheduling, financing and payment options. Also included is a Travel Concierge to handle all patient and patient companion traveling plans.

August 12, 2010

Webinar: CCSVI Diagnostic Testing & Treatment in North America

Filed under: CCSVI, Mexico hospitals — @ 4:08 pm

Yesterday Angeles Health International held a free webinar for MS sufferers: CCSVI:Diagnostic Testing & Treatment at Hospital Angeles. Panelists included Dr. Jorge Luna, the interventional cardiologist and Dr.Janis Gruska, CCSVI Case Coordinator.

Dr. Luna received his medical degree at Universidad Autonoma de Baja California in Mexicali, Mexico, specializing in Internal Medicine. He has completed fellowships with the National Institute of Cardiology (Mexico City, Mexico) and in Cardiovascular Medicine/ sub-specialty Cardiology, and Cardiac Catheterization / sub-specialty Invasive Cardiology at Stanford Medical School in Palo Alto California, where he specialized in clinical research in the Intravascular Ultrasound Core Laboratory, the development and clinical testing of medical devices, experimental research on atherosclerotic plaque characterization, and the percutaneous treatment of mitral regurgitation.

More than 30 patients attended the webinar, in which Dr. Luna described the outcomes the Angeles CCSVI medical team has seen with the ~30 patients treated in the past two months at Hospital Angeles. Dr. Luna provided a detailed explanation of the advanced Angeles protocol, with CCSVI diagnostic testing and treatment
conducted under the aegis of a medical treatment team that includes an interventional neurologist, an interventional cardiologist and an interventional radiologist.

Cardiovascular interventionists are migrating what been learned from vascular arterial beds, but the inclusion of neurology is essential as well, as Dr. Luna pointed outThe Angeles medical team is clearly looking at the CCSVI issue long term. “Two different points of view will always yield more information,: Dr. Luna noted, also pointing out that “Many neurologists are not familiar with CCSVI. Some show some skepticism even,”

Enter neurovascular interventionism, a new subspecialty of neurosurgery, developed to expand treatment options to patients with central nervous vascular conditions. It is a field dedicated to responding to the need of vascular interventions in the neck and above, as is the case with treatment for CCSVI.

Admitting that “we cannot disregard the fact that this is a newly recognized condition and that there is not wide experience anywhere in the world,” Dr. Luna discussed with webinar participants the balloon angioplasty protocol as well as balloon angioplasty with stent. The possibility of stent dislodgement was reviewed in detailed, as well as full discussion of the risks posed by venoplasty and stenting. The webinar also discussed, at length, when venograms are ordered, and the amount of vascular stenosis required to qualify for treatment, for example what conditions indicate treatment when stenosis for one or more veins is less than 50%.

CCSVI patients treated at Angeles include MS sufferers from the UK, US and Canada, and include Relapsing-Remitting, Primary-Progressive and Secondary Progressive, with all but one patient experiencing immediate relief of at least some symptoms. Though outcomes cannot be discussed in statistical or clinical terms, the observed improvements in function post-procedure have been quite consistent and sometimes even dramatic.

Additional webinars are scheduled through September, all webinars start at 12:00 noon PST and last about 90 minutes. Patients are able to submit questions in writing or live chat with the medical team.
Families of patients are of welcome to participate/ask questions as well. Patients who do not quality for CCSVI are also welcome to attend and discuss stem cell therapy options for MS patients (near end of session).

Tuesday August 24th

Tuesday September 14th

Tuesday September 28th

The webinars are free but space is limited – sign up is available at the website here http://angeleshealth.com/procedures/ccsvi/webinar-ccsvi.aspx, or contact the CCSVI Case Director, Dr. Janis Gruska, at 866.668.9263 ext 126.

Superbug originating from India & Pakistan hospitals hits Britain, Canada

Globe Life Health and Fitness reports that Canadian and British patients who have traveled to India for health care have  become infected with a superbug that has proven resistant to almost all antibiotics.

“There will be others. It’s just a matter of time,” predicts microbiologist Dylan Pillai of the Ontario Agency for Health Protection and Promotion.

So far dozens of cases have been reported, including  British, Indian and Pakistani patients, all of whom contracted infections caused by bacteria characterized by “New Delhi metallo-beta-lactamase, or NDM-1″, as the enzyme has been named  in the journal The Lancet Infectious Diseases.

The drug-resistant enzyme originated  in the subcontinent – of the ~2 dozen Britons infected, half had recently  travelled to India or Pakistan,  and 14 had been admitted to hospitals for kidney transplant and cosmetic surgery there.  Two cases have been confirmed among Canadians who spent time in India.

The  infection has also been found in patients from the United States, Sweden, the Netherlands and Australia.

Researchers called the  superbug’s spread a major  health problem. pharmaceutical companies have not yet produced new antibiotics for NDM-1 sufferers.

There have been no reported cases originating from hospitals in North America and Latin America.

Bacteria and viruses originating from hospitals is of course not a new thing; patients are exposed to such no matter what hospital or continent they find themselves in; it is one of the naturally occurring ‘hazards’ of health care.

Should patients stay home? “We’ve had no incidence of the virus at Angeles, but just as was the case for H1N1,  we are aware of the situation and are reinforcing the precautions we already have in place for such events,” notes Hospital Angeles Tijuana director Paulo Yberri.

“We will keep all patients fully apprised of any information about threat as it becomes available, and notify  patients the moment we feel that travel to our hospital creates an unacceptable risk to their health. As of now, we have encountered no instances of the virus and are following the JCI – recommended following best practices for prophylactic measures.”

July 16, 2010

What Exactly Is Functional Medicine, Anyway?

Functional Medicine is a dynamic approach to assessing, treating, and preventing chronic disease systems. Functional Medicine is an allopathic approach to healing – that is, the practice of identifying and improving dysfunctions in the physiology and biochemistry of the human body that go beyond the disease specifics, as a primary method of improving patient health.

Each patient therefore represents a unique complex and interwoven set of influences, intrinsic functionality that has set the stage for the development of disease as well as the maintenance and restoration of health.

The goal of Functional Medicine is to treat the disease condition through more than just symptom treatment, achieving the overall balance and functionality in the body that creates momentum towards health. Conventional medicine normally acts either when a diagnosis can be made, or when signs and symptoms are severe enough to demand a clinical intervention.

Functional Medicine practitioners certainly do intervene when a diagnosis has already been made, but they also move beyond the conventional medical diagnostics and treatments to evaluate the patient’s system functionality at a much earlier stage, with a goal of averting the disease outcome and/or its secondary effects and restoring balance to a dysfunctional system through the strengthening of fundamental underlying physiological processes and adjusting the environmental inputs that nurture or impair them.

Functional Medicine is not a departure from traditional medicine, but rather, acknowledges that chronic disease is almost always preceded by a lengthy period of declining function in one or more of the body systems.

Returning a patient to health requires reversing or substantially improving the specific dysfunctions that have contributed to the disease state. We recognize that a disease does not appear ‘over night’, but rather that the dysfunction of disease is the result of lifelong interactions between our environment and our genetic predispositions.

Truckers, BMI and Sleep Apnea: Recipe for Restrictive Weight Loss Surgery?

The Federal Motor Carrier Safety Administration’s Medical Review Board has  formally recommended that all drivers with a body mass index of 30 or greater be tested for sleep apnea. Sleep apnea occurs most often when throat muscles relax during sleep, which momentarily prevents oxygen from traveling to the lungs. The connection between BMI and sleep apnea is well-established, and the potential dangers that sleep apnea poses to over-the-road truckers is too serious to ignore.

It is possible for people to suffer symptoms of sleep apnea and be unaware that they are actually suffering from the condition. BMI is an objective measure whose high correlation to the condition of sleep apnea allows the FMCSA to identify truckers who at risk for sleep apnea.

Example: if you are a trucker who is 5 feet 10 inches tall and weigh 210 pounds,  you would be considered obese and would have to be tested.

What is BMI? BMI combines a person’s height and weight into a  single score.  According to the CDC (Centers for Disease Control and Prevention), an adult’s BMI can be calculated by dividing a person’s weight in pounds by inches squared and multiplying that number by 703. A BMI number of 30 indicates obesity, according to the BMI system. Calculate your BMI here.

BMI and weight loss surgery

Truckers with a BMI over 30 may consider restrictive weight loss surgery as a noninvasive way to lower their BMI and health complications associated with a high BMI, which range far beyond sleep apnea. Obesity is recognized by the World Health Organization as a disease that is the principle cause of the following diseases:

  • type II diabetes
  • coronary disease
  • stroke
  • gallblader disease
  • predisposes to various types of cancer:  kidney, prostate, colon, breast

A BMI > 30 poses the following risks:

• increase in mortality
• increase in coronary artery disease
•  increase in stroke
•  increase in diabetes

At a  BMI > 40 poses even more serious threat to health and longevity, for example, 25-35 year old males have 12x the mortality of normal weight men

Restrictive weight loss surgeries that are noninvasive, ambulatory (2 night hospital stay) include gastric banding (LAP-Band, Realize Band) and Gastric Sleeve Plication.  Gastric Sleeve Plication is a particularly interesting procedure , offering weight loss that is comparable to the much more invasive gastric bypass, but with a number of benefits that are not offered by other procedures – benefits that have bariatric surgeons very excited:
- no devices (no fills or follow-ups needed)
-no stomach resection
-reduced risk of complication
The Gastric Sleeve Plication is only available at a few North American bariatric surgery centers.
  • Mahendra Narwaria MS, FICS, Asian Institute of Gastroenterology Surgery
  • Daniel R. Cottam M.D. Surgical Weight Loss Centre of Utah
  • Sunil Sharma, M.D University of Florida
  • Juan Lopez Corvala M.D. Hospital Angeles Tijuana Weight Loss Surgery Center of Mexico (the only surgeon in Mexico trained on the EndoFlip, a device used to properly size the ’sleeve’ to avoid reflux complication while ensuring restriction that will lead to weight loss. Gastroenterologist surgeon Dr. Lopez Corvala has performed more plications than any surgeon (>50).

To learn more about gastric sleeve plication, attend the free About Gastric Sleeve Plication webinar sponsored  by the bariatric surgical team of Hospital Angeles Tijuana.

June 18, 2010

Angeles Health International Reduces LAP-Band® Package Price to $5,995

Angeles Health International, the international patient division of Grupo Angeles hospitals announced today that adjustable gastric banding surgery will be offered to patients at $5,995, a $500 reduction.   The price reflects a full service medical travel package including complimentary travel planning service and all medical fees including doctor, surgeon, hospital, pre- and post-operative testing, round-trip ground medical shuttle transportation from  San Diego International airport, and free follow-up fills for one year.

Estimates report gastric banding accounts for nearly half of all bariatric weight loss surgeries performed in North America today.   Industry reports suggest that RNY gastric bypass – long considered the gold standard of obesity surgery – has dropped from more than 8 in 10 of all weight loss surgeries performed, to less than half.

Since it was established in 2006, Hospital Angeles Tijuana emerged as an early leader in the medical tourism or medical travel industry, processing more than 6,000 international patients from Canada, the United States, Europe and Africa.   The hospital has in particular drawn weight loss surgery patients who sought the popular adjustable gastric banding procedure in Mexico years before it received FDA approval in the United States.

“What makes the Weight Loss Surgery Center at Hospital Angeles Tijuana unique is the depth of experience our bariatric team provides to the patient,” said Hospital Director Paulo Yberri.

“Most clinics and hospitals in Mexico offer only one type of bariatric procedure, attempting to position this as a ‘specialization.  But obesity is not a one size fits all disease, and different procedures such as the gastric bypass, gastric sleeve for example are options that should be available to all patients.”

Dr. Juan Lopez Corvala is certified by pharmaceutical giant Allergan, makers of the LAP-Band®  adjustable gastric banding system.   He is a member of the International Federation of Obesity Surgery as well as a member of the Council of Advanced Bariatrics.  In January 2010 he was a featured speaker at the American Society for Metabolic and Bariatric Surgery Conference on Extreme Bariatric Surgery and Gastric Restriction in Los Cabos, Mexico.

“Dr. Lopez Corvala was one of the earliest surgeons performing LAP-Band® in North America,” Yberri noted.  “ His experience plus the convenient location of the hospital so colsoe to San Diego makes it very easy for ptatients to mke the decision to have their LAP-Band®  procedure abroad.”

For some patients, LAP-Band® ® surgery at Hospital Angeles Tijuana may be covered by their US insurance policy.   Aetna  announced in May that it has introduced a new health plan allowing members and their families to access health care in California or in the Mexican cities of Mexicali, Tecate and Tijuana, through an agreement with Mexico’s premiere HMO program, Sistemas Medicos Nacionales,

Questions Medical Travelers Should Ask Their Mexico Doctor and Mexico Hospital!

When prices seem too good to be true, they probably are.   Be sure you understand the tradeoffs inherent in those lower prices.  There are many clinics in the Tijuana area, many of them specializing in fairly common procedures.  But even if the risks of a surgery are known, it does not mean that the risk is equal across surgeons and hospitals.  We strongly advise international patients to work with  hospitals rather clinics.  It’s critical that you have access to intensive care and emergency services, and a qualified surgeon available 24×7, including a cardiovascular anesthesiologist.   It is also advisable to work only with board certified surgeons who are members of the major Associations and attendees of the major congresses of their specialization.

All surgery has some risk. It’s smart to minimize/eliminate those  risks you can control, and one of those things you control is what surgeon to see, and at what hospital.

Questions for the surgeon:  (always ask for the surgeons professional bio/CV – often you will be able to verify attendance at association and congress meetings, or identify publications of articles, protocols and clinical trials.

What hospitals do you have operating privileges at?

Where did you obtain your medical degree?

Where was your internship?

Have you authored any medical protocols?

Do you work with any medical device manufacturers?

What types of continuing education congresses  have you attended recently?

What is the most recent advance in your field? What is your experience/plan for training?

How many times have you performed this procedure? What is your current monthly average?

What are the fees including consultation?

What type of availability can I expect as part of my follow up care?

Who’s holding the knife during my procedure? Do you do the surgery yourself, or do your assistants do the surgery?

Good doctors and surgeons will readily provide -  volunteer – their cell phone and email information.

What medical and personal health records do you need to assess my condition and treatment needs?
There are many ways to get your records in the hands of your surgeon in Mexico. If you are not comfortable sending them yourself using USendIt or other similar services, you can work with companies like Records Express, that specialize in the HIPAA compliant records transfer.

Questions for the hospital:

Will you provide travel planning services? How will I get from the airport to the hospital?

What is included in the medical travel package price (surgeon, hospital stay, anesthesia, prescriptions, lab tests, concierge services)

How many hours will I be in surgery and how many nights will I be in the hospital? Will I need to stay in the area after being released from the hospital, to recover?

This is one area where delegation isn’t desirable. You want specific assurances that all the trouble you went through to find the right surgeon isn’t wasted because the procedure will actually be performed by your practitioner’s protégé.


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