Back in the OR with Dr. Sergio Abello


Clinica Shaio

Spent part of yesterday back in the operating room with Dr. Sergio Abello.  Dr. Abello is an orthopedic surgeon who specializes in foot and ankle surgery.  (He also have a specialized computer system in his office for truly customized orthodics).

Dr. Sergio Abello de Castro, Foot & Ankle Center 

It  was a chance meeting in the hallway, but as always, with the gracious and genial surgeon – it led to the operating room.  He apologized, “it’s just a small case,” but everything went perfectly.

Dr. Sergio Abello (right) with orthopedic resident, Dr. Juan Manuel Munoz

 

Patient was prepped and draped in sterile fashion, with no breaks in sterile technique.  Case proceeded rapidly (previous surgical pins removed).

The was no bleeding or other complications.

Yvonne (left), surgical nurse

Anesthesia was managed beautifully by Claudia Marroqoon, RN – with a surgical apgar of 10.  The patient received conscious sedation and appeared comfortable during the procedure.  There was no hemodynamic instability or hypoxia.  Oxygen saturation 100% for the entire duration of the case.

Looks like Panama may bite off more than they can chew..


In a recently published story, the government of Panama is now offering medical  insurance for all tourists to Panama for free.  This insurance is not  ‘Complication Insurance’ which is offered by private surgeons in Colombia and other countries for patients traveling specifically for medical tourism.  Complication insurance covers all possible medical complications resulting from medical procedures at the designated clinic or destination..

No – Panama is taking the European and socialized medicine approach and is offering general medical coverage for ALL short-term travelers to Panama.  (The long-term exclusion is a wise move given the numbers of Americans and other overseas residents who make Panama their retirement home.)  This insurance resembles typical travel policies in that it covers injuries, accidents and other medical situations that may occur while on vacation..  I just hope the Panamanian government hasn’t underestimated its tourists and their injury/ illness potential.

Now readers – don’t get any wild ideas.. This is not the time to stress that ‘trick knee’ while hiking to visit the Naso-Teribes..

Meanwhile, Costa Rica is making a pitch for more corporate clients such as Pepsi-Cola.  These multi-national corporations can potentially bring hundreds of millions of healthcare dollars by diverting their employees to medical tourism destination such as Costa Rica.  (Like Colombia – Costa Rica is an ideal destination for North Americans due to proximity, quality and diversity of services available.)

Now available in the Kindle Lending Library!


Now you can read Bogotá! for free in the Kindle lending library..  (I hope this inspires some generosity among critics for impoverished medical writers – leave some positive feedback about the book!!)

 

 

Clinica Shaio & Dr. Hernando Santos


Fundacion Clinica Shaio – the first cardiac hospital in Colombia has recently unveiled the updated english-language version of their website, as part of an effort to aid international travelers, and attract medical tourists.  As long time readers know, I spent quite a bit of time at Clinica Shaio, with the Doctors Santos, (and several others).    Now as part of our new podcasting project – we will be sharing one of my favorite surgery videos from the operating room of Dr. Hernando Santos.  (If you’ve spent time here at www.BogotaSurgery.org than this video will be familiar to you.)  To my new readers from iTunes – welcome & enjoy!

Brief introduction to Dr. Hernando Santos, MD.

Images of Surgery in Colombia


I have published several Images of Surgery in Colombia to the web to give outsiders a glimpse into the operating rooms here in Bogota.  But since Yahoo! has overhauled their site – I will publish images here for readers, including photos from some of my other travels (Mexico, Medellin).

However, please do not use/ copy/ alter these images without my express written permission.  (All photos by K. Eckland)

This slideshow requires JavaScript.

 

 

Dr. Celso Bohorquez, plastic surgeon


When we first met Dr. Celso Bohorquez, he was donating his time and surgical skills for the repair of congenital facial malformations in Chia, Colombia as part of Operacion Sonrisa.

I went back, yesterday, to Clinica Shaio, to learn more about the man, and the surgeon that so generously contributes to improving the lives of the less fortunate.

Dr. Celso Bohorquez, plastic surgeon

We spent the day in the operating room, watching Dr. Bohorquez perform several techniques including a case with facial endoscopy as part of a face-lift. The results of the cases were striking.


 

In other news, we are discussing pre-operative and intraoperative risk reduction for peri-operative/ post operative MI (along with the high incidence of missed diagnosis) over at our sister site.

The Doctors Luna at Clinica Shaio


Interviewed the father and son, Dr. Ruben Francisco Luna Romero and Dr. Ruben Daniel Luna Alvaro this morning, before following Dr. Luna (Alvaro) to the operating room. Dr. Luna was joined by the remaining doctor in the Grammo practice, Dr. Cesar Guevara.

Due to some technical issues – i will post photos later.

Update: 21 April 2011: Photos

Dr. Luna, general and transplant surgeon

Dr. Guevara (left) and Dr. Luna (right) during laparoscopic surgery

Dr. Cesar Guevara, Grammo

In the OR with Dr. Javier Maldonado


Dr. Javier Maldonado, cardiac surgeon

No southern accent, per say, just a gentle, relaxed way of speaking that reminds me of home.. Went to the operating room with Dr. Javier Maldonado at Clinica Colombia this morning, for a three vessel off-pump CABG.  Everything went smooth – textbook perfect..

I followed him to the Cardiovascular ICU  and then to his cardiac clinic to see patients..

After a productive and pleasant morning (and afternoon), I raced over to Clinica Shaio to catch the end of the minimally invasive cardiac surgery symposium, and to interview Dr. Barbosa, one of the first surgeons I interviewed for the Cartagena book..

Dr. Javier Maldonado

Cardiac surgeon, Fundacion Santa Fe de Bogota, Clinica Colombia

In the OR with Dr. Buitrago, in the dentist’s chair and more


Spent the morning at Shaio, in the operating room with Dr. Ricardo Buitrago.. Either my gringa accent is improving (doubtful) or I really have become a familiar face around there..  Observed Dr. Buitrago perform a couple of cases; the second was a VATS thymectomy, which definitely ranks above the traditional sternotomy.

Dr. Buitrago, thoracic surgeon

Ran into some strangely reticent native english speakers in the halls of Shaio today.. (Usually Americans, Brits and the like get real familiar with each other when we see another..) Didn’t introduce themselves even after I made a point of introducing myself.. Something’s up over at Clinica Shaio.. Is it a medical tourism company, or an impending branding agreement?  I’ll see what I can find out.

Next I checked in with Dr. Gamboa, DDS – for those of you reading from afar – dental evaluations are completely different – they require an actual patient visit (no observation here.)  Now that all of my family, friends, classmates and housemates have served as confederates for dental visits – I knew what was next when I cracked a tooth last week.. (Just so everyone knows how dedicated I am to my research – I had several dental repairs without anesthesia of any sort.. (no local, nada).   And truthfully, it went very well.. (and my teeth look / feel great..)

Dr. Gamboa, DDS

last, but certainly not least for today was Dr. Fabian Emura, MD, PhD.  He didn’t have a lot of time today, so I am going back Wednesday so I can tell you more about him, and the Emuracenter, which is doing a lot of interesting things for the diagnosis and treatment of gastric cancers..

New article at Colombia Reports.com


Bogota’s Hottest Young Surgeons is my latest article on Colombia Reports – talking about some of the great young surgeons here in the capital;

1. Dr. Juan Pablo Umana (cardiac surgeon)

2/3. Dr. Ivan Santos and Dr. Freddy Sanabria, (plastic surgeons)

4. Dr. Costanza Moreno (orthopedics)

5.  Dr. Juan Carlos Garzon (thoracic surgeon) and

6. Dr. Jose Felix Castro (general surgeon)

and some of the things they are doing (which all of my loyal readers already know all about!)

It was a different style of writing than I am used to – but I enjoyed it, and hope to do another article in the future.

Update: After getting a few requests – I’ve re-posted the article here.  (But, I’d appreciate it if you went to Colombia Reports anyway, so the editors can know how many people are reading the articles – and hope that they will publish more in the future!)

From Colombia Reports.com

Bogota’s Hottest Young Surgeons
Don’t let their youth fool you. These young Bogota surgeons are well versed in the latest technologies and the newest surgical techniques, and are changing the face of, and bringing new sophistication to the capital’s medical community.

Colombia news - docDr. Juan Pablo Umana, 46, Cardiac surgeon

A Bogota native, Dr. Juan Pablo Umana, with his Stanford education, quintessential rugged good looks and a refreshing outlook, brings a California flavor to Fundacion Cardioinfantil, where he has been the Chief of Adult Cardiac Surgery since 2004.  He, along with Dr. Nestor Sandoval have ushered in a new era of Cardiac Surgery in Bogota with a expanding and state-of-the-art cardiac surgery service line.  Notably, in 1997, Dr. Umana along with Dr. Memhet Oz invented the first mitral clip for percutaneous valve repair. During surgery, he is focused, meticulous and unflappable.  Despite being the most senior of the surgeons listed here, he is just hitting his stride.

Colombia news - doc

Dr. Ivan Adolfo Santos, 41, Plastic Surgeon

Dr. Ivan Santos operates at Clinica Shaio, and is one of a trio of celebrity plastic surgeons here in Bogota. Genetically blessed, he looks ten years younger than his 41 years. In spite of his boyish good looks and shy nature, Dr. Santos is a confident and talented surgeon; more importantly, he gets results. Watching Dr. Santos operate is similar to watching a symphony conductor orchestrate classic music composures with 160 musicians. He never misses a beat, and he is simultaneously aware of everything around him. With his precision in the operating room and aggressive post-operative therapies, patients recover faster, with less pain, and leave his office looking and feeling their best.

Colombia news - doc

Dra. Constanza Moreno Serrano, 40, Orthopedic Surgeon

Dra. Constanza Moreno is orthopedic surgeon specializing in hand and microsurgery such as digital reattachment after traumatic injury, reconstructive surgery and correction of congenital deformities. After training with the famed Dr. Harold Kleinert and Dr. Breidenbach III in Louisville, Kentucky, she returned to Bogota in 2005.  She is currently developing a hand transplant program for victims of landmines. Next week, she is presenting her proposal at the International Hand and Composite Tissue Allotransplantation Society in Atlanta, Georgia.

Colombia news - doc

Dr. Juan Carlos Garzon, 39, Thoracic Surgeon

Dr. Juan Carlos Garzon is a man of action; operating at several facilities across Bogota. Trained in Hong Kong, Dr. Garzon excels at the more difficult thoracic cases. As one of just a few board-certified thoracic surgeons in Colombia, he is using video-assisted thoracoscopy to able to treat complex disease with minimal incisions.  He is also teaching this technique to surgeons across Colombia. During cases, he is relaxed, controlled and ready for anything.

Colombia news - doc

Dr. Freddy Sanabria S., 38, Plastic Surgeon

Dr. Freddy Sanabria, a young Richard Gere look-a-like, makes his own pretty women as one-half of the Sanabria plastic surgery practice. Trained at the University of Pennsylvania and Stanford University, he brings skill, dedication and the latest cosmetic innovations to a well-established surgical clinic. While operating, he is confident, focused and detail oriented, and his surgical team anticipates his every need.

Colombia news - doc

Dr. Jose Felix Castro, 37, General Surgeon

Dr. Jose Felix Castro is a staff surgeon at Clinica del Country. This magna cum laude academic scholar is one of a few of the talented young general surgeons in Bogota who have embraced single port laparoscopy, which means abdominal surgery without a scar. While Dr. Castro is the youngest of our line up, he brings a wealth of experience to the operating room.

// //

Back in the OR with Ivan Santos


Back in the operating room today with Dr. Ivan Santos at Clinica Shaio.  Dr. Santos was in perfect form, as always..  (I swear, watching him in the operating room is like watching a conductor with a 160 member orchestra..He sees and notices everything.)

Between cases with Dr. Ivan Santos, plastic surgeon

He was assisted by Dr. Julie Alfonso today.

with Dr. Julie Alfonso, plastic surgeon

If you want to see & learn more about Dr. Ivan Santos – he has his own YouTube channel.. (It’s in Spanish.)

To the OR with Dr. Abello, Orthopedics


Going to the OR today with Dr.  Sergio Abello, the Foot and Ankle surgeon I mentioned previously. He has six cases today, so it will be a full day. It’s several different procedures, so it should be pretty interesting – and a change from what I’ve been seeing for the last few weeks..

Dr. Sergio Abello, prior to ankle arthroscopy case

 

Met with Dr. Alfredo Hoyos, Plastic Surgeon yesterday – despite his over-the-top website, he seemed pretty down to earth. I’ll be going to the operating room with him at the Santa Barbara Surgical Center on Thursday. He’s actually a pretty interesting guy, and I am really interested in seeing the sculpting liposuction.

Tried to chase down Dr. Camilo Prieto and Dr. Alan Gonzalez yesterday. I heard Dr. Gonzalez is getting married this weekend – so I’ll give him a bit of a pass – I’m guessing his life is probably pretty hectic right now, (so we’ll come back to him later).

Stopped in at Dr. Prieto’s office, hoping to catch him, since my messages haven’t gotten a response – and got stuck leaving another message, but we’ll see if we get any response. I hate to give up – he’s one of the most popular plastic surgeons down here, and well advertised on the internet – so I think he should definitely be included.. But I can’t make people talk to me, so if I don’t get a response this time, I may have to reconsider.

Haven’t gotten anything booked for Saturday, but I am still working on it – I hate to miss any day when the ORs are running..

(center) with nurses at Shaio

**

I apologize to all the great doctors who gave me their time and effort – but didn’t make it on the web page (don’t worry, they will be in the book!)

Dr. Santos, Clinica Shaio


Dr. Hernando Santos, cardiac surgeon at Shaio

Spent the morning with Dr. Hernando Santos, Chief of Cardiac Surgery at Clinica Shaio for aortic valve replacement.

Got some great intra-operative photos (with patient’s permission, of course!) but I’ll spare the squeamish.

Dr. Santos, almost Dr. Hoyos and Dr. Castro


Full day today – met with Dr. Hernando Santos at Clinica Shaio – and I’ll be heading to the OR with him on Monday..

 Dr. Hoyos – he was in surgery when I arrived for our appointment, so I’ll try again soon..

Spent the evening with Dr. (Jose) Felix Castro, a very nice general surgeon, on staff at Clinica del Country.. Followed him to the OR for a case –