David A. Kulber, MD, FACS Plastic and Reconstructive Surgeon

David Kulber, MD, FACS, is board certified in both hand and plastic surgery. As a longtime member of Cedars-Sinai Medical Group, his practice covers the full spectrum of plastic, reconstructive, hand and aesthetic surgery. After graduating from UC Berkeley with a degree in european and medical history, he pursued his medical degree from the University of Health Sciences/The Chicago Medical School.

He completed his internship, residency and fellowship at Cedars-Sinai Medical Center, New York Hospital-Cornell Medical Center, University of Maryland R Adams Cowley Shock Trauma Center, Hospital for Special Surgery in New York and Memorial Sloan Kettering Cancer Center.

He is the director of the Plastic Surgery Center at Cedars-Sinai Medical Center, a member of the Cedars-Sinai Orthopaedic Center, and a professor of plastic surgery at the Keck School of Medicine of the University of Southern California. Dr. Kulber is a diplomate of the American Board of Surgery, the American Board of Plastic Surgery, the American Association of Plastic Surgeons and the American Society for Surgery of the Hand. He has been appointed a board examiner for the American Board of Plastic Surgery, Vice President for the Musculoskeletal Transplant Foundation (MTF), and a grant review board member for the National Institutes of Health (NIH).

Through his commitment to research Dr. Kulber has been involved in countless studies involving stem cell-based bone and soft tissue regeneration, innovative surgical approaches to arthritis in the hand, structural improvements in breast reconstruction and the use of plasma to help heal joints. He has been awarded nearly two dozen research grants, published more than 115 papers and abstracts, and presented his findings nationally and internationally. He has appeared on half a dozen television shows as a subject matter expert.

In association with Mending Kids International and now Ohana One Dr. Kulber has undertaken numerous medical missions to Africa to help children who otherwise would not get the medical care they need and train local surgeons in cutting edge surgical techniques.

Now available at Punta Mita Hospital.

Schedule your consultation with Dr. Kulber prior to your trip to Punta Mita.

+52 329 688 0059

Pmhappointments@puntamitahospital.com

Announced for Mexico this week regarding the vaccine.

Dear Friends,

Good news has been announced for Mexico this week regarding the vaccine.

Punta Mita Hospital is actively waiting for the laboratory companies to finish their gubernamental preorders contracts.

We are waiting for the different companies to complete the necessary procedures at the international level and in Mexico for the import options and approvals for domestic levels

Punta Mita Hospital is in communication with the Ministey of Health to become a hub for the vaccine federal campaign, we have offer to the Ministery our infrastructure, since we have a refrigerator (-80’C) for any vaccine that needs it.
We are also making our specialized doctors available to provide support to our area if necessary for the vaccination and contingency campaign.

We will be sharing more information through our social media channels, and those of Punta Mita Club.

We wish you a nice weekend

Cheers

Requirement for Proof of Negative COVID-19 Test or Recovery from COVID-19 for All Air Passengers Arriving in the United States

If you plan to travel internationally, get tested before you travel by air into the United States (US), or be prepared to show proof of a recent positive viral test and a letter from your healthcare provider or a public health official stating that you were cleared to travel.

On January 12, 2021, CDC issued an Order requiring all air passengers arriving to the US from a foreign country to get tested no more than 3 days before their flight departs and to present the negative result or documentation of having recovered from COVID-19 to the airline before boarding the flight. This Order will go into effect at 12:01am EST (5:01am GMT) on January 26, 2021.

When it goes into effect, this Order will replace a  previous order currently in effect and signed by the CDC Director on December 25, 2020, requiring a negative pre-departure COVID-19 test result for all airline passengers arriving into the United States from the United Kingdom.

Frequently Asked Questions

Does this requirement apply to US citizens?

This Order applies to all air passengers, 2 years of age or older, traveling into the US, including US citizens and legal permanent residents.

Are foreign nationals no longer subject to Presidential Proclamation travel restrictions if they can show a negative test or documentation of recovery?

The CDC order does not replace the Presidential proclamations. Therefore, a negative test result for COVID-19 or documentation of having recovered from COVID-19 to the airline before boarding the flight does not exempt a foreign national from the travel restrictions outlined in the Presidential proclamations.

With specific exceptions, several Presidential proclamations suspend and limit entry into the United States, as immigrants or nonimmigrants, all aliens who were physically present within specific countries during the 14-day period preceding their entry or attempted entry into the United States.

For a full list of countries and links to the proclamations on the White House website, visit Travelers Prohibited from Entry to the United States.

Are territories or possessions of the US considered foreign countries for the purposes of this Order?

No, the Order to present a documentation of a negative COVID-19 test or recovery from COVID-19 does not apply to air passengers flying from a US territory or possession to a US state.

US territories and possessions of the US include American Samoa, Guam, the Northern Mariana Islands, the Commonwealth of Puerto Rico, and the US Virgin Islands.

When do I need to get a test to travel to the US? And what kind of test do I need?

Get tested no more than 3 days before your flight to the US departs. Make sure to be tested with a viral test (NAAT or antigen test) to determine if you are currently infected with COVID-19. Also make sure that you receive your results before your flight departs and have documentation of your results to show the airline.

What if I recently recovered from COVID-19?

CDC does not recommend getting tested again in the three months after a positive viral test, as long as you do not have symptoms of COVID-19. If you have had a positive viral test in the past 3 months, and you have met the criteria to end isolation, you may travel instead with documentation of your positive viral test results and a letter from your healthcare provider or a public health official that states you have been cleared for travel. The positive test result and letter together are referred to as “documentation of recovery.”

Who is checking to make sure that people have a negative test or documentation of recovery before they board a plane to the US?

The airline will confirm a COVID-19 negative test result or documentation of recovery for all passengers before boarding.

What happens if I don’t take a test and want to travel to the US?

Air passengers traveling to the US are required to present a negative COVID-19 test result or documentation of recovery. Airlines must confirm the negative test result or documentation of recovery for all passengers before boarding. If a passenger chooses not to present a test result or documentation of recovery, the airline must deny boarding to the passenger.

What happens if I test positive?

People should self-isolate and delay their travel if symptoms develop or a pre-departure test result is positive until they have recovered from COVID-19. Airlines must refuse to board anyone who does not present a negative test result for COVID-19 or documentation of recovery.

What is a verifiable test result?

A verifiable test result must be in the form of written documentation (paper or electronic copy) of a laboratory test result. Testing must be performed using a viral test (NAAT or antigen), and negative results must be presented to the airline prior to boarding. The test result documentation must include information that identifies the person, a specimen collection date and the type of test. A negative test result must show test was done within the 3 days before the flight. A positive test result must show the test was done within the 3 months before the flight.

What kind of documentation of my test result do I need to present?

CDC requires that air passengers arriving in the US have a paper or electronic copy of their test result for review by the airline before you board and for potential review by public health officials after you arrive in the US.

If I tested negative before my flight, do I need to get another test when I get to the US?

CDC recommends that travelers get tested 3-5 days after travel AND stay home or otherwise self-quarantine for 7 days after travel. Even if you test negative, stay home for the full 7 days. If you don’t get tested, it’s safest to stay home for 10 days. Always follow state and local recommendations or requirements related to travel.

All travelers (including those who have recovered from COVID-19) should remember to wear a mask, stay at least 6 feet apart from people who are not in your household, and wash their hands often with soap and water for at least 20 seconds after blowing their nose, coughing, or sneezing and before eating. Travelers should look for symptoms of COVID-19, and take your temperature if you feel sick. Anyone sick with symptoms of COVID-19 should self-isolate and delay further travel.

For more information, visit After You Travel Internationally

Do I need to get a test before leaving the US?

CDC recommends that you get tested with a viral test (NAAT or antigen) 1-3 days before you travel internationally. Travelers should additionally follow any requirements at their destination.

When does this order take effect?

This Order will go into effect on January 26, 2021.

Does this order apply to all flights?  Or just commercial flights?

This order applies to all flights, including private flights and general aviation aircraft (charter flights). Passengers traveling by air into the US are required to have proof of testing regardless of flight type.

Does the testing requirement apply to aircraft crew members?

Crew members on official duty, whether working or in an assigned deadhead status (transportation of a flight crew member as a passenger or non-operating flight crew member), are exempt from the testing requirement as long as they follow industry standard protocols for the prevention of COVID-19 as set forth in relevant Safety Alerts for Operators (SAFOs) issued by the Federal Aviation Administration (FAA).

If I have one or more connecting flights to the US, does the 3-day period apply to the first flight or the last one?

If you are arriving on a direct flight to the US, your test must be done within the 3 days before your flight to the US departs. If you are arriving to the US via one or more connecting flights, your test must be done in the 3 days before the first flight in your itinerary, but only if the connecting flights were booked as a single passenger record with a final destination in the US and each connection (layover) is no longer than 24 hours long. If your connecting flight to the US was booked separately or a connection in your itinerary lasts longer than 24 hours, you will need to get tested within the 3 days before your flight that arrives in the US.

What happens if my flight is delayed and it goes over the 3-day limit for testing?

If your flight is delayed before departure, you will need to get re-tested if the delay causes your test to fall outside of the 3-day pre-departure testing period requirement.

If I am connecting through the US to another country, do I still need to get tested?

Yes.  Any flight entering the US, even for a connection, will require testing before departure.

What should airlines and operators of private flights or general aviation aircraft do with passenger attestations?

Operators of private flights and general aviation aircraft must maintain passenger attestations for two years, per the Order.

Do airlines and operators of private flights or general aviation aircraft need to keep copies of passenger test results?

No, passengers must show a copy of their test results to airline employees or the aircraft operator before boarding, but the airline or aircraft operator does not need to retain copies of test results.

What if I have had a COVID-19 vaccine?  Do I still need a negative COVID-19 test or documentation of recovery from COVID-19?

Yes, all air passengers traveling to the US, regardless of vaccination status, are required to present a negative COVID-19 test result or documentation of recovery.

Content source: National Center for Immunization and Respiratory Diseases (NCIRD), Division of Viral Diseases

Negative PCR laboratory test taken within 72 hours before the scheduled departure, must be presented to the airline prior to boarding the flight to Canada

Due to the increased surveillance efforts implemented by the Government of Canada, documentation of a negative PCR laboratory test taken within 72 hours before the scheduled departure, must be presented to the airline prior to boarding the flight to Canada 🛩️🇨🇦

Schedule today your PCR COVID-19 test  🔬🩺 at Punta Mita Hospital to avoid any delays in your return to Canada. Results delvered in 12-24 hours
.
Punta Mita Hospital and Consular Agency of Canada together we can beat COVID-19. 

📞+523296880059
✉️pmhappointments@puntamitahospital.com

Global Affairs Canada is committed to continue providing consular services and to be accessible to Canadians 24 hours a day, 7 days a week. Due to ongoing concerns related to the spread of Coronavirus disease (COVID-19), preventative measures have been enacted throughout our global network of offices. Your email will be answered however given the high volume of requests that are being received, service standards may be affected.

While regions in Mexico are beginning to reopen after closures related to the COVID-19 pandemic, the Embassy of Canada in Mexico City and offices of the Government of Canada across Mexico are not yet resuming regular operations. Until further notice, Consular points of service in Mexico are closed to the public and will continue to offer only essential consular services: urgent passport services, emergency medical/welfare concerns and COVID-19 related services. Notarial services continue to be suspended. Depending on the service required, assistance and support may be provided through email exchanges, by phone, by mail, by fax or other electronic means.

Service standards for passport applications and renewals do not apply at this time. Anticipate delays. We are unable to provide updates on passport applications that have been submitted. Should you require urgent passport services (for travel in less than 60 days or residency requirements), please call 55-5724-7900 ext. 379-3348 or send an email to mxicocs@international.gc.ca to initiate a request with any Canadian consular point of service in Mexico.

Please note in Canada, passport services are reduced. While you may be issued an emergency travel document to return to Canada, you may be unable to renew your regular passport until normal services resume. For more information on passport services offered in Canada at this time, please visit: https://www.canada.ca/en/immigration-refugees-citizenship/services/coronavirus-c ovid19/passport.html#canada

For all other consular emergencies, contact the Embassy of Canada in Mexico City at 55-5724-7900 ext. 379-3348 or Global Affairs Canada’s 24/7 Emergency Watch and Response Centre in Ottawa at +1 613-996-8885 (call collect where available) or email sos@international.gc.ca.

Check the Government of Canada’s Coronavirus disease (COVID-19): Travel advice regularly (https://www.canada.ca/en/public-healt h/services/diseases/2019-novel-coronavirus-infection/latest-travel-health-advice.html) and take the recommended health precautions. Check the World Health Organization’s Coronavirus (COVID-19) advice for the public https://www.who.int/emergencies/diseases/novel-coronavirus- 2019/advice-for-public)

We would like to remind you that even though regions are starting to reopen in Mexico, the COVID-19 pandemic is still very present in the country. These preventive measures are being taken to keep everyone safe. We hope to resume regular operations in the near future.


Affaires mondiales Canada s’engage à continuer de fournir des services consulaires et à être accessible aux Canadiens 24 heures par jour, 7 jours par semaine. En raison des préoccupations persistantes liées à la propagation de la maladie à coronavirus (COVID-19), des mesures préventives ont été adoptées dans l’ensemble de notre réseau mondial de bureaux. Votre courriel sera répondu mais, compte tenu du volume élevé de demandes reçues, les normes de service peuvent être affectées.

Bien que les régions au Mexique commencent à rouvrir après les fermetures liées à la pandémie COVID-19, l’ambassade du Canada à Mexico et les bureaux du gouvernement du Canada au Mexique ne reprennent pas encore les opérations régulières. Jusqu’à nouvel ordre, les points de service consulaires canadiens seront fermés au public et continueront à n’offrir que des services consulaires essentiels : services de passeport urgents, assistance médicale et de bien-être urgente et les services reliés à la COVID-19. Les services notariés sont toujours suspendus. Selon le service requis, l’assistance et le support peuvent être fournis par échange d’e-mails, par téléphone, par courrier, par fax ou par tout autre moyen électronique.

Les normes de service en matière de demandes et de renouvellement de passeport ne s’appliquent pas présentement. Prévoyez de délais. Nous ne pouvons pas fournir de mises à jour concernant les demandes de passeport qui ont déjà été soumises. Si vous avez une raison valable pour présenter une demande de titre de voyage d’urgence (principalement un voyage urgent ou des exigences en matière de résidence), veuillez appeler le 55-5724-7900 poste 379-3348 ou envoyer un courriel à mxicocs@international.gc.ca à l’avance pour prendre un rendez-vous avec n’importe quels points de service consulaires canadiens au Mexique.

Veuillez noter qu’au Canada, les services de passeport sont présentement réduits. Ainsi, même si un titre de voyage d’urgence peut vous être délivré pour rentrer au Canada, vous pourriez ne pas pouvoir renouveler votre passeport régulier jusqu’à la reprise des services normaux. Pour plus de renseignements sur les services de passeport offerts au Canada en ce moment, vous pouvez consulter ce lien : https://www.canada.ca/fr/immigration-refugies-citoyennete/services/coronavirus-covid19/pas seport.html#canada

Pour toutes les autres urgences consulaires, contactez l’Ambassade du Canada au Mexique au 55-5724-7900 poste 379-3348 ou le Centre de surveillance et d’intervention d’urgence 24/7 d’Affaires mondiales Canada à Ottawa au +1 613-996-8885 (appelez à frais virés si disponible) ou envoyez un courriel à sos@international.gc.ca.Consultez.

Vérifiez les conseils aux voyageurs du gouvernement du Canada régulièrement (https: //www.canada.ca/fr/sante-publique/services/maladies/2019-nouveau-coronavirus/derniers-conseils-sante- voyageurs.html) et prenez les précautions sanitaires recommandées. Consultez les conseils au grand public de l’Organisation mondiale de la Santé sur le coronavirus. (https://w ww.who.int/fr/emergencies/diseases/novel-coronavirus-2019/advice-for-public)

N’oubliez pas que même si les régions commencent à rouvrir au Mexique, la pandémie de COVID-19 est toujours très présente au pays. Les mesures préventives ci-haut sont prises pour assurer la sécurité de tous et de toutes. Nous espérons reprendre nos activités normales bientôt.

canadian #candianexpats #canadianexpat #puertovallarta #bucerias #sayulita @puntamita #puntademita @rivieranayarit #snowbirds #canadianexpatsinmexico #canadianexpatsinpuertovallarta

Thrombosis

Thrombosis - Trombosis

Is the formation of a blood clot, known as a thrombus, within a blood vessel. It prevents blood from flowing normally through the circulatory system.

Have you ever wondered what stops you from bleeding when you hurt yourself? In a healthy body, blood clots play an important role in this. At the site of a cut, blood platelets and red blood cells are held together by a rope-like molecule called fibrin. This forms a blood clot, which plugs up the cut and stops bleeding. This is an important process, but it can cause major health issues when it happens at the wrong time. When a blood clot forms in the veins, it is known as venous thromboembolism. This can cause deep vein thrombosis and pulmonary embolisms. When a clot forms in the arteries, it is called atherothrombosis, which can lead to heart attack and stroke.

What is deep vein thrombosis (DVT)?

Deep vein thrombosis occurs when a blood clot forms in a major vein, usually in the leg. This blood clot stops blood from flowing easily through the vein, which can lead to swelling, discoloration, and pain in the leg. It is often diagnosed with an ultra sound.

Signs and symptoms of DVT include:

  • Discomfort, heaviness, pain, aching, throbbing, itching, or warmth in the legs
  • Skin changes in the leg, such as discoloration, thickening, or ulceration
  • Swelling of the legs, ankles, or feet

Patients with DVT are at risk for developing post-thrombotic syndrome (PTS). PTS can involve chronic leg swelling, calf pain, calf heaviness/fatigue, skin discoloration, and/or venous ulcers.

Risk factors that contribute to thrombosis include:

  • Immobilization
  • Hypercoagulability
  • Vessel wall damage
  • Age
  • Surgery (especially orthopedic surgery and total knee replacement)
  • Cancer
  • Heredity (including the Factor V Leiden genetic mutation)
  • Pregnancy
  • Increased estrogen levels (due to oral contraception or hormone replacement therapy)
  • Obesity
  • Smoking
  • Crohn’s Disease

What is the treatment for DVT?

The most common and effective treatment is to administer anticoagulants (clotting prevention agents). These drugs block the formation of new clots. Over time the body’s natural processes will begin to dissolve the clots that have already formed. Initially, injections of heparin or low-molecular weight heparin are used because they act within hours. For longer term treatment, patients have a variety of medications that can help. Direct oral anticoagulants (DOACs) are the guideline recommended treatments. They are newer drugs that work by blocking specific clotting factors. Another medication used is warfarin. It is the more traditional therapy and has been used for the past 50 years. It is often sold under the brand name Coumadin and taken orally. Unlike, heparin or low-molecular weight heparin, 3-5 days is needed before warfarin reaches full therapeutic effect.

Can blood clots be dissolved or removed?

The safest way to dissolve a clot is to let the body’s own clot-dissolving processes take effect. This can take anywhere from weeks to years, although some blood clots do not go away. In the case of massive or life-threatening clotting, clot dissolving drugs can be administered via catheter directly into the blocked blood vessels to dissolve recently formed clots. Thrombolytic drugs do come with a risk of bleeding. In certain emergency situations, clots can be removed surgically, but this increases the risk of further clotting.

What are the risks of blood clots recurring?

The chances of a recurrent blood clot is dependent on the circumstances leading up to the first clot. For example, if the blood clot occurred as a result of surgery or trauma, then the chances of re-occurrence is relatively low. On the other hand, for people who developed unprovoked blood clots and have stopped treatment after 6 months, the chance of recurrence is approximately 20% in the first 4 years and roughly 30% after 10 years.

What are the risks of taking an anticoagulant?

With all anticoagulant medications, there is an increased risk of bleeding. Signs of excessive bleeding can include prolonged nose bleeds, severe bruising, bleeding gums, vomiting or coughing up blood, and, for women, increased bleeding during menstruation. Patients with cancer, over the age of 65, and with renal or liver failure, face a higher risk of bleeding.

It is important for patients on anticoagulants to immediately seek medical attention if they experience:

  • Head trauma
  • A major accident, such as a car accident
  • Unstoppable or prolonged bleeding

Patients who are concerned about risks associated with taking an anticoagulant should speak with their doctors about their concerns.

More information ask to our specialist https://puntamitahospital.com/contact-us/

Eat Right, Be Nutritionally Aware

Do you follow a particular diet? Are you conscious about your weight?

Do you take any special efforts to eat healthy? Do you eat as per your body’s needs?

Good nutrition is one of the key to living a healthy life. You can improve your health by keeping a balanced diet. You must eat a variety of foods that contain vitamins and minerals. This includes fruits, vegetables, whole grains, dairy, and a source of protein. Your meal must be planned as per your age as well as your nature of work. Do not fall for fad or short-term diets that look tempting. They may promise to help you lose weight fast. However they may be unhealthy in the long run. A good and balanced diet improves the quality of life and helps prevent illnesses. Let us look at the various aspects of nutrition:

Benefits of good Nutrition:

Here are a few ways how a good diet affects your body positively:

  1. Weight loss

Losing weight can help to reduce the risk of chronic conditions. Obesity highly increases your risk of developing several conditions, including heart disease, cancer, type 2 diabetes, osteoporosis.

  1. Diabetes management

Eating a healthy diet can help a person with diabetes lose weight, manage blood sugar levels, manage blood pressure levels, prevent or delay the complications of diabetes.

  1. Cardiac health and stroke prevention

A majority of premature heart disease and stroke cases can be prevented by making lifestyle changes, such as increasing levels of physical activity and eating healthfully. If a person eliminates trans fats from the diet, this will reduce their levels of low-density lipoprotein cholesterol. This type of cholesterol causes plaque to collect within the arteries, increasing the risk of heart attack and stroke.

  1. Strong bones and teeth

A diet with adequate calcium and magnesium is necessary for strong bones and teeth. Keeping the bones healthy is vital in preventing osteoporosis and osteoarthritis later in life. Few sources of calcium rich foods are dairy, legumes, cauliflower, broccoli, bananas, etc.

  1. Better mood

Research suggests that a diet with a high glycemic load may cause increased symptoms of depression and fatigue. Avoid foods made of refined carbohydrates like cakes, white bread, and biscuits which have a high glycemic index. Vegetables, whole fruit, and whole grains have a lower glycemic load.

  1. Improved memory

A healthy diet may help prevent dementia and cognitive decline. Adequate intake of foods with vitamin D, C, E, omega 3 fatty acids, flavonoids and polyphenols helps boost your brain functions.

  1. Improved digestive health

The colon is full of naturally occurring bacteria, which play important roles in metabolism and digestion and help fight harmful bacteria and viruses. A diet low in fiber and high in sugar and fat hampers this process. A diet rich in vegetables, fruits, legumes, and whole grains helps good bacteria to thrive in the colon.

 

Common Nutrition Myths:

  • Carbohydrates make you fat.
    This depends on the quality of carbohydrates consumed that either leads to fat gain or fat loss. Simple carbohydrates like sugar, fruit juices, maida lead to fat gain, whereas complex carbohydrates like whole grains and cereals, whole fruits lead to sustained energy levels and fat loss.

 

  • Too much protein causes hair fall.
    This is not true. Eating a protein-rich diet prevents deficiencies and reduces hair fall.

 

  • Diets don’t work!
    Diets work when they suit your metabolism and lifestyle. Poorly designed weight loss programs are ineffective. Tailor made nutritional plans created by qualified health professionals are effective.

 

  • Too much protein can cause liver damage.
    No, metabolizing protein is a natural work of the liver. Only with a liver problem, one needs to restrict protein.

 

  • Eliminating dairy products leads to weight loss.
    Excluding whole dairy products rich in saturated fats leads to fat loss. One can include low fat dairy products in a fat loss program. Excluding dairy completely is not recommended as it may lead to a calcium deficiency.

 

  • Thirst is an indication to drink water!
    Thirst is an indicator of dehydration. Drink water regularly throughout the day. A dehydrated body compromises on performance and cannot burn fat nor build muscle.

Common nutrition myths for children:

  • Frequent eating will make them healthy
    This is not true. Frequent eating will not advance your child’s growth and development. The fact is that healthy eating habits like fixed time of having meals, eating according to the appetite, healthy snacking and a balanced diet are the growth determinants. Frequent snacking and overeating can result in health issues like obesity, diabetes etc. later in life.

 

  • Fruit Juice is healthy
    Always choose whole fruits over juices. Fibre is extremely important for a healthy body and fruit juice does not contain fibre, which a whole fruit does.

 

  • Hide the vegetables
    Many parents secretly put veggies and other healthy ingredients in their child’s meal. While this may work in the short term, they are not developing the habit to eat a healthy diet. It is important to make them understand the concept of healthy eating and its significance in development.

 

  • More sugar means high energy levels
    Consuming too much sugar is, in fact, bad for health. It can lead to ‘sugar addiction’ which can harm children both physically and psychologically. This addiction can generate mood swings, irritability, changes in activity levels etc. Hence, you should monitor their sugar intake levels regularly, and not encourage over-consumption of sugar.

 

eat-right-be-nutritionally-aware

How to eat Healthy

Make these smart changes in your diet:

  • Swapping soft drinks for water and herbal tea.
  • Avoiding processed foods.
  • Eating whole fruits instead of juices.
  • Limit your salt and sugar intake.
  • Ensure fruits and vegetables make up 50% of your meal.
    • Instead of frying choose to bake or grill your meals.
  • Reduce any extra fat intake.
  • Read the nutrition labels on foods before you buy them.
  • Eat home-cooked meals as much as possible.

Are you struggling with your weight issues? Get your personalised diet plan with our nutritionist.

Schedule your appointment +52 1 329 688 0059

MESSAGE FROM HEALTH SECRETARY OF MEXICO:

URGENT ALERT, TO ALL THE COMMUNITY
.
Recently there has been described and identified a serious rush in lung damage in teenagers who are vaping in the United States, its origin is not clear yet. Therefore, all the users of these ELECTRICAL NICOTINE DEVICES must be diagnosed urgently by a doctor, primarily if presenting progressive lack of air with cough or fever. WE APPRECIATE YOUR SUPPORT DISSEMINATING THIS INFORMATION. REGARDS, GENERAL DIRECTOR

Source: https://www.gob.mx/salud/iner/articulos/alerta-importante-a-la-comunidad-en-general?idiom=es

Dr. Margarito Castro – General Surgeon & Bariatrics

At Punta Mita Hospital we are proud to have a new member of our staff. Welcome Dr. Margarito Castro

· Surgeon graduated from Universidad de Guadalajara with a degree in academic excellence.
· Specialist in General Surgery performed in the High Specialty Medical Unit National Medical Center of the West endorsed by Universidad de Guadalajara.
· Fellowship in Bariatric Surgery at Hospital Ángeles Tijuana, endorsed by the Universidad Autónoma de Baja California and the Mexican College of Surgery for Obesity and Metabolic Diseases
· Diploma in Advanced Laparoscopic Surgery endorsed by the Mexican Association of Endoscopic Surgery
· Certified Surgeon by the Mexican College of General Surgery
· Member of the Mexican College of Surgery for Obesity and Metabolic Diseases
· Member of the Mexican Association of Endoscopic Surgery

PRP Injection Therapy

PRP Injection Therapy

Baldness and thinning hair is a problem that affects both men and women, and while it’s not physically debilitating, the toll that changes in physical appearance take can be extremely detrimental to your mental and emotional health, causing stress, self-esteem issues, and even relationship problems. If you are concerned about hair loss, you should know that not only is it a common problem, it is also one that can be treated. At Punta Mita Hospital, we are excited to be able to offer patients some of the newest state-of-the-art treatments for restoring hair loss.

Regenerative medicine is a growing area of medical practice that holds promise for a wide range of medical conditions and issues, from joint damage to hair loss. Punta Mita Hospital offers PRP (Platelet Rich Plasma) procedures injections as a way to spur the growth of your own healthy hair in areas where hair is miniaturized or lost. PRP (Platelet Rich Plasma) is derived from the patient’s own blood. Through a special processing method, growth factors found in the platelets are concentrated at 3-5 times what normally would be found in the blood, stimulating the hair follicle to grow.

PRP

PRP is short for Platelet Rich Plasma. Platelets are small disk-shaped cells in your blood that contain powerful cytokines, growth factors, and other regenerative and healing molecules, allowing them to stimulate the healing process. In fact, the cytokines released by platelets are responsible for nearly all repair processes that occur within the body, playing an important role in cellular communication and accelerating tissue and wound healing.

PRP is simply a concentration of these growth factors and proteins. Concentrating them allows us to
harness the regenerative properties to help stimulate repair and regeneration. When used to treat hair loss, PRP can help thinning hair grow thicker. PRP is also widely used in orthopedics. It is a completely natural treatment — after all, it’s your own blood — that is widely used in regenerative medicine, including the treatment of hair loss and thinning hair.

Regenerative medicine is a new and constantly evolving field, and we await long-term clinical data for hair growth or re-growth from PRP treatments. Physicians throughout the US and around the world have used this therapy to treat hair loss with excellent results, and though there is not trial data, the results of clinical studies have been positive. The procedure is well tolerated, minimally invasive, can be performed outpatient, and offers the potential for growing back your own hair without a more intensive procedure like a hair transplant.

What conditions can Stem Cells and PRP Therapy treat?

Stem Cells and PRP therapy can be used to treat hair loss that results from a number of causes,
including:

  • Male Pattern Baldness, including miniaturized hair on the scalp. The therapy is especially helpful in the early stages of balding.
  • All stages of Female Pattern Hair Loss
  • Hypotrichosis (fine or reduced hairs) in the eyebrows or beard
  • Alopecia Areata or Alopecia Totalis
  • Hair loss induced by metabolic causes, including iron deficiency and medication

At your initial consultation, the Doctor will examine you carefully to determine whether you are a candidate for Stem Cells procedures and PRP therapy, and help you understand what to expect from the procedure.

What happens during the treatment?

In this procedure, stem cells are combined with PRP and injected directly into the scalp, encouraging miniaturized hair follicles to become healthier and larger, producing more robust new hair growth.
The entire procedure takes roughly 90 minutes to two hours to complete, and you can get back to work right away.

First, a blood sample is taken which is then specially processed to produce the PRP. A topical anesthetic is applied to completely numb the scalp treatment area (the patient can also be sedated, but sedation requires having someone else to drive you home after the treatment). The stem cells and PRP are combined and then administered via a series of injections to the affected area, using a tiny needle. After the initial injections, another technique called micro-needling is used on the affected areas to cause micro injuries to the scalp, further inducing and stimulating the scalp to release more growth factors. Once this is done, the stem cells and PRP are applied over and into the tiny holes created by the micro-needling to maximize the cellular response. Unlike with a hair transplant, there are no wounds or scarring — in fact after you leave there is no evidence that any procedure has taken place.

Are there any side effects from the procedure?

Stem cells procedures and PRP therapy is generally well tolerated and it does not require a long recovery period. You may experience some discomfort and tightness of the scalp from the injections for 1-2 days, which can be managed with a non-narcotic analgesic like ibuprofen. This generally resolves within 48 hours. You shouldn’t wash your hair for the first 24 hours, but after that, you can wash and style it as your normally do. If there is swelling, avoid vigorous activity until it is gone.

What kind of results can you expect from Stem Cells procedures and PRP Therapy?

Following Stem cells procedures and PRP therapy, new hair growth can be seen in as early as 1-3 months. It is typically seen between 4-8 months, and hair can continue to improve up to a year after treatment. To date, results have been maintained without additional injections for up 2 years in many patients, but more research is needed to determine if this new hair growth is permanent. Though for many patients a single treatment is effective, in some cases as second series of injections about 6 months after the first is beneficial. For optimal results, it is recommended to do this procedure on a yearly basis.

More information, call us: +52 1 329 688 0059

RAPID Now Available for use in Mexico

RAPID grows international footprint and brings Mexico the only clinically validated, next-

generation imaging platform for assessing ischemic stroke

 

Menlo Park, Calif. — June 18, 2019 – iSchemaView, the worldwide leader in advanced imaging for stroke, has expanded its reach across North and Latin America, as the RAPID imaging platform is now available for use in Mexico. RAPID is designed to provide physicians with fully automated and easy-to-interpret imaging that facilitates timely clinical decision-making around stroke.

“Strokes are a medical emergency, and urgent treatment is essential. The sooner a person receives treatment for a stroke, the less damage is likely to happen. That’s why Punta Mita Hospital has acquired the most advanced cerebrovascular imaging platform available, RAPID,” offered Dr. Luis Alberto López Avelar, Medical Director Punta Mita Hospital. “We are committed to offering the best quality in medical care, which is why now with RAPID Punta Mita Hospital provides state-of-the-art technology for the timely and accurate diagnosis of a cerebrovascular event.”

Developed by leading stroke experts, RAPID technology has been selected for use in several ground-breaking trials that have changed treatment guidelines issued by both the American Heart Association and American Stroke Association. The RAPID Artificial Intelligence framework combines deep learning, machine learning and expert feature extraction. Together these provide unparalleled sensitivity and specificity across stroke modules (CT perfusion, MR diffusion and perfusion, CTA and CT ASPECT scoring).

Results are then delivered by the RAPID Intelligence Services Platform via PACS, email, text, the RAPID app or corporate partner workflow systems.

The Complete RAPID Platform includes:

  • RAPID CTP: fully-automated perfusion maps; accurately quantifies reduced

cerebral blood flow, cerebral blood volume and transit time

  • RAPID MRI: fully-automated diffusion and perfusion maps that quantify brain

areas with low ADC values, as well as delayed contrast arrival

  • RAPID CTA: automatically delivers CT angiography maps and identifies brain

regions with reduced blood vessel density in 2D and 3D outputs

  • RAPID ASPECTS: automatically identifies areas of early ischemic change on

non-contrast CT scans, which predicts irreversible injury

“Each day we work to transform stroke care, furthering our mission to provide healthcare professionals around the globe with the most comprehensive and intuitive suite of brain imaging solutions possible.” said Anil Singhal, MD, SVP, Worldwide Operations at iSchemaView. “Based on just the first quarter of this year, RAPID is already on pace to image over 132,500 patients in 2019, process over 250,000 scans

and identify over 40,000 potential patients for thrombectomies. We will continue to expand, across Mexico and the globe, to provide as many hospitals as possible the tools they need to best help their patients and improve outcomes.”

About iSchemaView

iSchemaView is the worldwide leader in advanced imaging for stroke. Installed in over 1,200 hospitals, iSchemaView’s RAPID (automated CTP, MR, CTA and ASPECTS), with enhanced AI framework, is the most advanced stroke imaging platform. In clinical trials, RAPID has been shown to aid in the selection of patients in early and late-window stroke trials, including SWIFT PRIME, EXTEND IA, DAWN, DEFUSE 3 and EXTEND. In addition to achieving the best clinical outcomes and largest treatment effects ever obtained, these landmark studies led to new American Heart Association and American Stroke Association guidelines and have dramatically altered the management of acute stroke around the world. For more information, visit www.RAPID.ai

Why do Canadians and Americans travel to Mexico for their Health care?

Ever since Mexico has upgraded and regularized their standards in health care along with specialized doctors and very modern hospitals, thousands of Canadians and Americans are coming to this country every year for Medical Tourism.  They are specifically planning their trip and their stay to attend to medical and dental necessities.

You may wonder what is the driving force behind these travels.  Well, economics could be one main reason, but there are many others factors to take into account.  The Canadian health system has great hospital infrastructure and health personnel, but they are over whelmed with the amount of patients that are in need of care, specially surgeries, therefore the waiting times for elective/non-emergency procedures can take up to months or years.   Also the appointment times between visits to family health providers, referral to specialists, ordering special studies and scheduling surgeries are very much prolonged, whereas in Mexico all can be done within days, just with previous notification of the patient arriving.

On the US side costs of delivering care are quite high due to overhead expenses, ridiculous high liability insurance malpractice premiums and mark ups in consumables. This makes it almost impossible for an ordinary person to pay the price out of pocket, and health insurance policies limit many procedures and the large deductibles and co-payments may apply.

Modern communication technologies with smartphones and computers have also greatly contributed to the growing numbers of traveling patients. Aside from making them feel at home away from home, they can access and google information.  So citizens of these countries are looking for alternatives elsewhere and Puerto Vallarta has become a favorite welcoming place for Medical and Dental travelers.

There are five major hospitals in the region with state of the art installations, over 350 medical specialists many with top certifications, and dozens of well qualified dentists, besides a Medical and Nursing School that were founded in 2007 by the University of Guadalajara, Puerto Vallarta CUC Campus.  The most common procedures that patients are seeking for are in the field of Orthopedics (Arthroscopic and Joint replacements), Bariatric Surgery and Plastic and Reconstructive Surgery, although many other specialists are keeping quite busy too, as well as the numerous dentists in town.

 

Written by:  Dr. Max Greig, a well-known Orthopedic Surgeon of Punta Mita Hospital and founder of the University Medical School in Puerto Vallarta

PMH & UC San Diego Health

Punta Mita Hospital and UC San Diego Health, an internationally renowned health system for clinical, educational, and research activities based in San Diego, California, USA, have signed a cooperation agreement to collaborate on the care of patients:

  • Punta Mita Hospital may refer patients to UC San Diego Health for medical and surgical care.
  • Our physicians will collaborate to develop telemedicine services for second opinion evaluations by UC San Diego Health physicians for patients at Punta Mita Hospital.

PMH Keeping Busy

Since opening the hospital in May of 2017 we have seen almost 500 patients.  

It’s a number that we are proud to reflect on.  Our founders and staff are proud to serve the vast community and visitors to the Punta Mita area.  

We have 24/7 emergency services and lab ​​available with qualified physicians​ and staff.  Our ER specialist, all doctors, nursing staff and paramedics trained in ACLS ( advanced cardiac life support).

We’ve seen over 400 XRays and we’re still counting.

In this time we’ve also sent our ambulances out over 60 times to help those in need during emergency situations.  Also, we’ve performed over 50 surgeries for a variety of needs from Hysteroscopy, Laparoscopy, Ovarian RRejuvenation, PRP, to Orthopedic & ER surgeries to name a few​.

Community Health Fund

We have created a health fund in Mexico called theFundacion Punta Mita Apoyo a la Salud
AC​, also known as PMH Foundation. This foundation will help improve the health
services in Mexico for the local community. Your donations help offset the costs of care
locals are receiving. The foundation has already raised money to provide a CT Scan C
Arm for the hospital. The focus next is secure funding to render affordable health care at
our hospital​ for local patrons​.
We have also created a 501c3 in the US​called ​PMH Hospital, Inc. where American donors
can contribute toward the Community Health Fund as well.

​To further our reach of providing opportunities to contribute ​we have
​partnered with Amazon Smile​. Our​ account​is ​listed under PMH Hospital, Inc., you
can easily create an Amazon Smile account that attaches to your Amazon Prime account.
For every applicable purchase you make Amazon will make a donation to our non-profit.
All of this information can be found on our website on the donation page where we kindly
invite you to contribute toward our local community and​partner with us to ​
create​a better and healthier environment for all.

Ongoing Hospital Improvements

​At PMH we will be continuing to improve our hospital​ so we may provide
the best quality care to all. By having state-of-the-art equipment we´ll be able to
continue our efficient level of care. By September​2018 ​we will have a new 64 slide CT
Scan.
​ ​
This allows us to have one of the best CT scans in the area, it also gives us the ability
to diagnose conditions in the abdominal, cardiac and brain. Therefore we can evaluate
stroke patients within minutes, coronary angiograms, and we can do​CTscan​s​ for ab
or pelvic lesions​ as well​.

​As we continue these improvements we with take things one step further and
​plan to​open an ICU for these critical patients to get proper recovery care​. Please
follow our updates here, on our website and on our social media accounts.​