Posts Tagged ‘Bogota’

Readers –

My current assignment in Texas is coming to an end – so the blog content will be shifting back; less photography and more medical news.  I’d like to thank all my loyal readers for staying with me as I indulged my creative side for the last few months, and drifted away from our original foci.

But I hope, that for your part – it hasn’t all been eye-rolling, deep sighing, shoulder shrugging ‘tolerance’.  I hope that you have enjoyed the chance to connect on a more personal and less formal level.

That’s how I feel when I read other bloggers pages about photography, travel, sewing, art or any of the other interests that define me outside of nursing and health care.  I hope that you get that same sense of familiarity, of enjoyment when each of my blogs is posted.

If I can recreate that same, “I wonder what she has today?” anticipation that I feel when reading the Mexfiles, seeing the latest creations at the Renegade Seamstress or vicariously enjoying the tasty travels of Bunny and Pork  Belly; well, that’s success in its own right.

My blog certainly isn’t up to the caliber as the others I’ve enjoyed – but I think if I can get each of my subset of readers (photography fans and medical / health readers) to remain interested and engaged, even when I stray off topic..

with fellow Nurse practitioners in Texas

with fellow Nurse practitioners in Texas

These last few months, since returning from Colombia have been fun.  Figuring out photography and trying to get past point-and-shoot has been frustrating, frustrating, jaw clenching, foot stamping frustrating at times..

But – it’s good photography practice for my future writings, and it’s also a bit less strenuous.  Writing and posting research based articles (with relevant citations) can be a bit onerous after a long day in the hospital.. Tired eyes tend to make for more spelling errors..  I could just post less often when on assignment, I suppose..

Yet – I am always hesitant to leave the blog for too long because it has come to be a place for me to indulge my ‘nerdy’ side with a friendly audience.

The blog lets me address and talk about the issues in medicine and patient care, explore relevant medical discoveries and emerging research as well as passing on some of the information (and patient education) that I have gained as part of my years of taking care of people.  It lets me talk about all the nerd stuff that people at work don’t really sit around and talk about –

Like everyone else, they talk about families, finances, home life. Taking kids to soccer, going to church, socializing with friends, landscaping the lawn..   All good things, great community and friendly folks.. But it doesn’t fill that ‘Dora the Explorer’ inside me; or the inner Florence Nightingale.

It also doesn’t mesh with my family; the vagabond roving band of travelers that we are, so it is sometimes hard to relate.  I mean, right now, I live in a hotel, my ‘home base’ is a storage shed in another state – where we stop in and swap out clothes.. My husband and I are sometimes working in different states (or countries) for weeks or months at a time – so we aren’t the best candidates to join leagues or make long-term commitments.  All of it sounds wonderful but it sometimes makes us feel like outsiders looking in.

So I come here to wordpress; to enjoy Serapa, Nicephore’s diary, and the return of Miss Christina and all the other people I will never meet – but sure enjoying knowing about a little corner of their lives..  I hope it is the same for all of you.


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the country homes and farms surrounding the city of Medellin, as seen by air

After spending several days in the beautiful city of Medellin – I am heading back to Bogotá in the morning.   I always tell myself I will fall in love with Medellin, but then I immediately find fault – it’s too hot, it’s too relaxed..

As beautiful as Medellin is – I think I will always prefer Bogotá..  (I realized I had a serious bias when I heard myself complaining to a friend here, “Oh, I could never live in Medellin; people walk too slow.”)

Ridiculous, of course.. But there are always great excuses – when your heart is elsewhere, and my heart prefers Bogotá..  Medellin is a city-lover’s delight; abundant sunshine, warm, eternal spring climate, busy but not overcrowded.. nestled in the foothills with breathtaking views..

While there is still significant crime, particularly in the poorer neighborhoods, things have markedly improved since the late 1980’s – and early 1990’s, when Pablo Escobar single-handedly destroyed this city’s image and reputation.

But Medellin as a mecca for culture and diversity – certainly; with a thousand choices for everything; food, fashion, etc.   Art museums, Boteros by the dozens and galleries galore.

church in Medellin, mountains in the distance

Good public transportation, bustling commerce, culture and arts..  Lower cost

 of  living, making the city more affordable for retirees and tourists alike.  Medellin has it all – and in much more manageable city size (2.5 million versus almost 10 million in Bogotá)..

So just know it’s not Medellin, it’s me..

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Hospital de Simon Bolivar

Good week this week.  Spent Wednesday in the operating room at Simon Bolivar with my professor for an altitude-related condition.  As soon as I finish writing up the case I will post it at the sister site.

Then – yesterday – at Cardioinfantil with Dr. Garzon and Dr. Tellez .  They are preparing to start a new lung transplant program – one of just a few at elevated altitude.

Dr. Tellez, Director of Thoracic Surgery at Cardioinfantil

(Hopefully, I can interview Dr. Tellez more about the program in the future..)

Getting ready to take a trip to talk to some more surgeons about thoracic surgery soon.

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The Chicago Tribune ran a new story of medical tourism and all of the options and ‘health savings’ it offers patients.  We’re talking about it over at BogotaSurgery.org today.

A study published in Gastroenterology Update reports that advanced age is not a contraindication to HIPEC. (sorry, no free text available).  As we’ve discussed before at Bogotá Surgery – HIPEC (cytoreductive surgery with intraoperative hyperthermic chemotherapy) is a procedure that brings hope to patients with advanced abdominal cancers.

(I’ve attached links for new readers – for more information about HIPEC.)


Heading back down to Colombia in a week with stops in both Bogotá and Cartagena..

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As this site continues to evolve to meet the needs of our readers, we will continue to change formats, add features and other topics.  After receiving excellent feedback over at Bogotá Surgery.org and inquiries about the HIPEC procedure (as described in an interview with Dr. Fernando Arias), I am excited to announce that I will be interviewing Dr. Dan “Trey” Blazer III, a general surgeon at Duke University in Durham, NC.  The interview is tentatively scheduled for later this month.

I am happy to bring more information about this life-saving procedure and the surgeon who performs it to my readers who are unable to travel to Bogotá.

Additional information on domestic medical tourism – in the area of Lung Transplant was recently published in a series of articles on Cirugiadetorax.org

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This article happens to be about two Colombians posing as plastic surgeons – but it could have been people from anywhere, and these frauds were operating on unsuspecting people in Las Vegas, Nevada, USA.  These criminals were trading on the reputations of the very doctors I interview day in and day out – surgeons with excellent educational background, training, surgical performance and reputations. The difference is the surgeons I interview have verifiable credentials, legitimate medical licenses, and practice in accordance to international standards. How do I know – because I check it all out myself. To bring to you.

This highlights why I consider my book to be so important – to protect people by scrutinizing surgeons, interviewing them personally and following them to the operating room.  This woman died – and that’s a horrible price to pay for wanting to look better.

Article by Paul Harasim of the Las Vegas Review Journal

Lupe Negrete, right, and her mother, Guadalupe Delgado, talk Wednesday about how they fell victim to Colombians posing as doctors in Las Vegas. Delgado says parts of her legs turned black after she got treatment of minor spider veins.

By Paul Harasim

Posted: May 8, 2011 | 2:09 a.m.
Updated: May 8, 2011 | 8:36 a.m.

Guadalupe Delgado felt sick to her stomach when she saw the newspaper photos of the two Colombians charged with the murder of a Las Vegas woman as a result of a botched buttocks enhancement.

When the story recounted how Elana Caro died April 9 after receiving injections of an unknown substance from a couple posing as medical practitioners, Delgado almost became paralyzed by fear.

“What could they have put in me?” she asked her daughter, Lupe Negrete. “This is why my legs hurt so much now.”

Early evening sunlight sliced through Delgado’s Spring Valley home Wednesday as she and her daughter recounted their association with the two Colombians.

Ruben Dario Matallana-Galvas, 55, and his wife, Carmen Olfidia Torres-Sanchez, 47, are being held at the Clark County Detention Center without bail because they are a flight risk and a threat to the community.

Las Vegas police arrested the couple at McCarran International Airport the day after Caro died as they tried to flee the country, attempting to change tickets that had been purchased for an April 22 return to Colombia.

A preliminary hearing on their murder charges is set for May 17 in Las Vegas Justice Court.

The 49-year-old Delgado, a casino porter who either speaks in halting English or has her daughter translate for her, showed how portions of her lower legs have turned black since she went to the Colombians for treatment of minor spider veins.

“Before, she just had a couple light blue veins that she wanted gone and her legs did not hurt at all,” Negrete said, holding her 3-year-old daughter, Lilian. “She was doing it purely for cosmetic reasons, to look nice. But now she has big black spots, and she’s in pain a lot when she walks.”


It was the summer of 2009 when Delgado learned about the couple from Colombia who friends said could perform a variety of cosmetic medical procedures safely and cheaply.

“The word of mouth was all good,” Negrete said. “My mother trusted what her friends said.”

Delgado and her daughter met the Colombians at a two-story house near Interstate 215 and Blue Diamond Road.

“They did their work in one bedroom upstairs,” Negrete recalled. “It had a lot of equipment in it, but it seemed clean. They always wore medical clothes.”

What she described is a far cry from a small office of the floor-tile business, Tiles N More, at 3310 E. Charleston Blvd., where the backroom procedure was performed on 42-year-old Caro.

Delgado and Negrete pointed out that the Colombians said they performed plastic surgery in Colombia. They said that impressed them because they had heard that Colombian plastic surgeons had a sterling reputation.

What they heard had been very well-publicized by the media. Even USA Today trumpeted in 2006 that “Tourists were headed to Colombia for plastic surgery, ” with about 3 percent of 1 million travelers coming for medical treatment.

A Florida woman, the paper reported, lost 56 pounds to liposuction, added to her chest and got her nose fixed, all for $8,000 in Colombia. That same surgery would have cost between $25,000 and $30,000 in the United States.

“Add the quality reputation of Colombian medicine to the savings and you’ve got a good product to promote,” the paper reported travel agents and Colombian doctors as saying.

Negrete said that in the Hispanic community Colombian women are renowned for their beauty. While part of it is natural, she said Hispanic publications often report that Colombian women favor plastic surgery to enhance their figures.

“We thought that what Colombia women were getting we could get,” said Negrete, who at one point said she considered getting a breast augmentation. “We like to look nice.”

Matallana-Galvas, who Delgado said performed medical procedures with his wife’s assistance, is not listed as a member of the Colombian Society of Plastic Surgery, nor is he listed as a member of Colombia’s Society of Surgeons.

Medical authorities in Colombia advise people who want to have plastic surgery there to check if the practitioner is part of the Colombian Society of Plastic Surgery.

Las Vegas police said Matallana-Galvas, who is not licensed in Nevada for any medical practice, told them he practiced homeopathic, or alternative, medicine in Colombia. Homeopathic remedies are based on a natural medical science that supposedly works with an individual’s body to stimulate the immune system.

Marc DiGiacomo, the deputy district attorney prosecuting the case, said at this point it does not appear that Matallana-Galvas attended a medical school that leads to licensing as a medical doctor in the South American country.

Scott Coffee, the public defender representing Matallana-Galvas, said his client is devastated by what happened to Caro.

“Anybody portraying him as a guy with a knife that didn’t care about his patients doesn’t know the case,” Coffee said.

Though Coffee said he doesn’t know if his client was licensed to practice surgery in Colombia, he said his client does have “a lot of certificates” showing he had training in homeopathic medicine in South America.


The more Delgado thinks about what happened to Caro, the more terrified she becomes.

“I am scared,” she said as she rubbed her discolored calves. “I have to go to a specialist to see what he put in me. I hope it can’t do anything more (to me).”

Delgado said she received eight injections from Matallana-Galvas over a few weeks in 2009, at a total cost of $2,400, at the two-story suburban house. Four injections were for fat bulges in her upper torso, and the other four were supposed to rid her of spider veins.

In April, Las Vegas plastic surgeon Julio Garcia talked to the Review-Journal about cosmetic injection procedures that had gone bad. He said that eight years ago he had to do six surgeries on a woman who had been injected with floor wax.

“You never know what these guys are putting in you, and the women generally never look as good afterward,” Garcia said. “And sometimes, as we know, it can be deadly.”

The Clark County coroner has not yet reported what was injected into Caro.

Dr. Samir Pancholi, a Las Vegas plastic surgeon, said injections by someone who is not medically trained is dangerous.

“If you don’t know what you’re doing with injections, you can easily go straight into a blood vessel, and whatever you’re injecting will go to the heart and lungs and kill you.”

Delgado said the Colombians kept trying to get her to have a buttocks enhancement, but she found the $3,000 price tag too steep. “They said it was what they were really good at.”

Many American plastic surgeons charge up to $18,000 for a butt lift.


Delgado was so impressed with the professionalism of the Colombians — “they talked like they really knew what they were doing” — that she had her daughter take a massage course that they offered.

“It cost me $500 for a week of massage courses that are supposed to remove fat from people,” Negrete said. “I thought it would be great if I could be trained for a job in a week.”

When she went to a salon looking for a job, however, she found that the certificate signed by both Colombians was worthless.

“They said I needed to be licensed in Nevada to do that kind of work,” she said.

About the time that her daughter found out that her certificate of course completion wasn’t worth the paper it was printed on, Delgado realized that none of the injections she received worked as she was told they would. Though the fat injection marks went away, the fat was still there. And her legs started having patches of black and they started to burn and throb.

Both women were going to complain to the foreign couple when they learned that they had returned to Colombia.

“We thought about going to the police, but they had gone back to Colombia and we didn’t think it would do any good,” Negrete said.

Las Vegas police officer Laura Meltzer said a number of former patients of the Colombians have complained to police about what happened to them. “So far, what they’ve reported hasn’t been too serious.”

Delgado said she didn’t go to a doctor immediately after her legs started hurting, because she hoped they would get better on their own. While she was upset that the treatment didn’t work, she never believed that she could have been injected with something dangerous, “something that could still hurt me.”

“They seemed like nice people,” she said.

The next time Negrete saw the couple was at the Miami airport just last March.

“I was speechless. I had been visiting down there and was hurrying to get on the same plane they were to Las Vegas. I said hello to (Torres-Sanchez), but it was very evident she didn’t want to talk to me. She did say they were coming back to treat people in Las Vegas.”

A month later, the Colombians were arrested on murder charges in Caro’s death.

Now, Delgado and Negrete say they will always look up the credentials of people who say they are medical practitioners. And they plan on talking to authorities about what happened to them.

Delgado and Negrete still find it hard to believe that people without proper medical qualifications would engage in practices that would put others’ lives at risk.

“What kind of people would do that?” Negrete said.

She also wonders if she and her mother had complained to authorities two years ago whether the Colombians could have been stopped from coming back again.

“It’s something I think about,” she said

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A round up of our recent discussions on Medical Tourism

In several previous posts, we talked about various Medical Tourism topics:
– including medical tourism in India due to recent publicity; including Superbug (New Delhi – 1 ) contamination of water sources in India, and
President Obama’s adoption of India’s medical tourism industry (and the medical tourism industry in general) as a target for his derision, rather than more justly, as a symbol of America’s failing health system.

I’ve also talked about why I see Colombia, as an ideal medical tourism destination, for several reasons; many of which I outlined in an article published on Colombia Reports.com**  and a new article on Yahoo! Associated content.

We’ve even discussed the Colombian government’s role and support of medical tourism, and medical tourists.

We’ve talked about the global effects of medical tourism, and the ethics of medical tourism

** Astute readers may notice that I have referenced Colombia Reports.com several times (links). Colombia Reports.com is the largest, in country English language newssource, and is widely relied upon by English speakers, like myself, living in Colombia.
Colombia Reports.com has published my work in the past – as part of their series of articles (by various writers) on medical tourism in Colombia so back in April, I traveled in April to interview Adriaan Alsema, the editor -in -chief.

Hope you enjoyed this retrospective review of Cartagena Surgery, and medical tourism in Colombia.

UK doctors say medical tourism to India spreading superbug

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