Blog 1352

Almanza/Betancourt-Emmanuel Jerusalem Clinic-TJ, MX

Hi!:thumbup1: Wanted to let you know about my TJ, Mexico experience. Disclaimer a) I have no allegiance to anyone in this company or its representatives and I have not been coerced, cajoled or otherwise persuaded to write this chronology of events; :crying: I write this because I know what it's like to need the surgery but be prevented from having it, for one reason or another. Saturday- Jan. 23: I've not been surprised about the surroundings or the people here. From the airport the driver and I drove directly to the lab to get my bloodwork done, which took about 10 minutes. By 1.00 p.m. we got to the clinic that yes, is among retail stores in a mall-type setting. Across the parking lot is a "Love Boutique". The clinic is on two floors; not one. The top floor is for patients waiting and admin. The bottom has the surgery and recovery rooms. Every hallway and room I was in was clean and cleaning people cleaned all day long. I remember seeing that I was wearing white socks that stayed white. For me, things were a little tough because I had no 'real' water for more than 24 hours. I knew my surgery was to be the last one on the board but wasn't sure what time that would be on what I knew was a very busy surgery day. Because I'm pretty well an "all-in" type of person, I also had my eyes done (Dr. Lara). Sunday - Jan 24, 12.30 a.m.-3.30 a.m.ish: I was in surgery for 3 - 3.5 hours. While coming out of anaesthesia, I remember saying (or perhaps yelling?) "Silencio, por favor...Silencio"! I must have had a headache then...or at least I hope so When I came to, fully, my coordinator and Dr. Betancourt were looking over me and asking me how I was feeling. Yikes? Do you think I was telling them to be quiet? Ah, the things we say when we're partially under... Yes, my coordinator waited for me to get out of surgery to ensure I was doing well. Her name is Melissa Bracker. Yes, she is business minded but she is also a caring person who was there for me. Sunday - Jan 24, 3.31a.m. - to Monday, a.m.: The worst parts -- post-op acid reflux and severe headaches that were so bad I couldn't rest. I really needed to take a Prevacid a few hours before surgery. And I really needed that night nurse to make sure my IV was working properly so I could get acid reflux meds through it. On the headaches, they were from dehydration and the eye surgery and yes, stress. I really wished that night nurse would have remembered that I hadn't had anything to drink for more than 48 hours.:sad0: Monday, Jan 25, - 10-11.00 a.m. I had my blue barium swallow at the clinic. Since I couldn't get down more than that, I used it to get down a Prevacid. This was my "McGyver move" and is not sanctioned by any of the staff. Yep, teeth and lips turned blue from the dye.:biggrin0: The stuff was tricky to get down because it tasted 'metallic'; not because I was necessarily in any pain. Actually, the coolness made my esophagus feel better. Then we headed off to x-ray to make sure there were no leaks. I would have paid not to have to take the next swallow of some clear stuff that I first, had to hold in my mouth until the camera was ready and then gulp. As for taste, it was like, like, oh! like a weak version of the bitter apple you'd spray on something you didn't want your puppy to chew. I haven't figured out what that was yet, but we all had it, we all had various stages of nausea afterward, we all lived. Oh yes, if I wanted to, I could have paid $10.00 for the x-ray photo of my new tummy on a t-shirt....c'mon! I'm just kidding -- There is no such thing...But, I claim patent on the process and copyright on the idea! Then we were taken to one of two recovery houses. Everyone had their own bedroom but perhaps, not their own bath. This is unless you were able to negotiate the Master bedroom in your package, as I did. In my house, there was one cook and 1-2 caregivers every day from 5.30 - 5.00 p.m. Every night, 5.00 p.m. to 6.00 a.m. there is also a caregiver for you, who will also heat up food for your companions. Dr Betancourt saw me Monday afternoon, checked out my stitches and drain, told me I had a reaction to the tape, changed my dressings and made sure I was o.k. He offered to have my hair dried and/or to have my feet rubbed. Dr. Lara saw me and replaced tape with glue -- yep, glue -- on my upper and lower eyelids. Yesterday, Tuesday, Jan 26th: One of the caregivers removed my drain -- after the Dr found out if the reaction had stabilized, etc.-- and in moments, it was out. How does that feel? Well, I liken it to putting your thumb in very firm Jello and then pulling it out slowly. The feeling was one of suction rather than any pain. The caregiver then bandaged the 3/4" wound (no adhesive tape for me). Today, Wednesday, Jan 27th- Before I had a shower this morning, I removed the bandage, showered and then left everything to breathe. After about 5 hours, I saw a 'dime's diameter' of leakage, sprayed no-alcohol antiseptic on the wound and rebandaged. It feels fine but the incision needs cleaning and less of me sitting-up and walking 14 stairs, 10-12 times a day. Dr Lara saw me in a happenstance way and said my eyes were healing as they were supposed to. Dr Betancourt showed up and looked at my incisions again. Then he asked the caregiver to give the drain incision a 'good' rub with antiseptic. I've been ordered to do the same as many times in the day as I can. Improvements I would like to see a) Since I've been here, I've met only one person who was somewhat unmotivated and perhaps over her/his head. But s/he was not in a critical care giving position. However, s/he did work in the clinic. I am not giving out the name because I don't want to have her/him discharged. I have however, given the name to my coordinator so the person can get more training? more sleep? both? as I believe s/he is still a good asset to the team, who could become better. I talked to both my coordinator and Dr Betancourt about the situation. They listened attentively, and promised to address issues with that team member. Best Ofs a) one-hit IV excellent coordinator (Melissa Bracker) - she and Dr. Betancourt kept their promises c) the care in the recovery house, 24hrs/day d) the warming saltiness of chicken broth e) Actually, it's Dr Betancourt who sells the t-shirts across the street from x-ray! Suggestions a) do your research about the country and culture in which your surgery will take place - If you want to have done full research about having surgery done in Mexico, go to where you'll be having surgery, meet the people and understand the culture of the service industry, then find a coordinator who has the same understanding. Then make your decision. negotiate your package c) In all cases, Mexicans' first language is Spanish -- learn some Spanish or be patient with the various levels of English d) if you really want something you're not getting, then ask for it e) do not be afraid to leave tips Thankyous to Other Patients and their Families Because I came here alone, I thought I would be alone. This was very far from the truth. I would like to say a public thank you to those other Posters/patients and their families (I will not post their names) for checking in on me, for buying me sunglasses, for giving me a couple strips of gas-X and for being so very caring: Tyrza and Family Brett and Family Margie Cynthia and Family Kerri and Family Braden, The Rock Star Take care for now, Cheryl Emmanuel Jerusalem Clinic Tijuana, Mexico Dr Almanza: VSG Jan 24/10

2b4me

March 17, 2010

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