HealthCare Resources Blog

Basic Questions on Vitamins & Supplements

If you are receiving this newsletter in error, or would like to be removed from our mailing list – please accept our apologies and notify us – we will remove you immediately. On the other hand, feel free to send this newsletter on to your friends!

We are very proud to work with Nathalie Batilliot de Celorio, a licensed dietician. She covers all aspects of nutrition including weight loss, cardiac (lowering of cholesterol), weight gain and others but particularly enjoys working with diabetic patients. Please contact me if you would like a consult with her. She is multilingual.

We thought for our first interview with her, we would ask a few basic vitamin questions.

HCR: As a nutritionist, do you feel that even someone who is in good health, with no diseases, should take supplemental vitamins?

Nathalie: It depends a lot on the person’s habits. If they have good health but do not eat correctly or do not eat certain foods then they can be missing some important vitamins. I would discuss with the person more as to what foods they are eating, how they eat it and exercise habits.

HCR: Let’s talk about “B” vitamins. Many people take these. Are they necessary and who should be taking them?

Nathalie: The B vitamins are being absorbed into the intestines but a certain amount of acidity is necessary to fully absorb them. Some people do not have that acidity (older adults, post-bariatric surgery patients). In that case then yes, it is good to eat food fortified with Vitamin B or take a supplement but never more than is needed. Excess in anything is bad! If the person is a heavy alchohol drinker, then more B6. A vegetarian, more B12.

HCR: Is there a lab test or tests that someone can have done to determine what vitamins/minerals they should be taking, or are lacking?

Nathalie: Yes. There are two options, a basic or a complete and results take approximately 1 week.


Travel-Related Thrombosis

If you are receiving this newsletter in error, or would like to be removed from our mailing list – please accept our apologies and notify us – we will remove you immediately. On the other hand, feel free to send this newsletter on to your friends!

HealthCare Resources works closely with Dr. Hector Escoto who is a vascular specialist/vascular surgeon. Because it is the time for so many to return to the area for the winter months which means long airline flights or car travel, we thought it would be a good time to ask him some questions regarding travel-related thrombosis.

HCR: What is Travel Related DVT?

Dr. Escoto: DVT is a clotting of the blood in any of the deep veins, usually in the calf.  If a clot develops, it usually makes its presence known by an intense pain in the affected calf. Medical attention should be sought immediately if this occurs, especially after a long journey.  In some cases, this can be fatal, if the clot breaks off and makes its way to the lungs where it can then affect the lung’s ability to take in oxygen.

HCR: What are the symptoms? How will I know it is a DVT?

Dr. Escoto: A DVT can occur some days or even weeks after a trip. In most situations, the person will have no symptoms and through normal movement, the clot will break up. If the clot is larger, it can cause an obstruction and prevent the blood from flowing through the veins. When this happens, a person might experience pain, redness and swelling in the calf – the pain is made worse when walking or standing.  If these symptoms are experienced you should see medical attention immediately.

Spider Veins!

If you are receiving this newsletter in error, or would like to be removed from our mailing list – please accept our apologies and notify us – we will remove you immediately. On the other hand, feel free to send this newsletter on to your friends!

Spider Veins are quite common, more in women than men. HealthCare Resources interviewed Vascular Specialist/Surgeon, Dr. Hector Escoto to learn a bit more about this condition.

HCR: What is the medical term for “spider veins”?

Dr. Escoto: Spider veins are a common, mild variation of varicose veins. This condition is medically called “telangiectasias”.

HCR: What are the causes?

Dr. Escoto:

  • Age: The development of spider veins may occur at any age, but usually occur between the ages of 18 and 35 years, peaking between 50 and 60 years.
  • Gender: Females are affected approximately four to one over males.
  • Pregnancy: Pregnancy is a key factor contributing to the formation of varicose and spider veins.  The most important factor is circulating hormones that weaken vein walls.  There is also a significant increase in the blood volume during pregnancy, which tends to distend veins, causing valve dysfunction which leads to blood pooling in the veins.  Later in pregnancy, the enlarged uterus can compress veins, causing higher vein pressure leading to dilated veins.  Varicose veins that form during pregnancy may spontaneously improve, or even disappear a few months after delivery.
  • Lifestyle/Occupation: Those who are involved with prolonged sitting or standing in their daily activities have an increased risk of developing spider or varicose veins.  The weight of the blood continuously pressing against the closed valves causes them to fail, leading to vein distension.
  • Family History: If other family members had varicose veins, there’s a greater chance you will too.
  • Obesity: Being overweight puts added pressure on the veins.

HCR: Are they dangerous? Or are they usually removed only for cosmetic purposes?

Dr. Escoto: Spider veins alone are not a dangerous condition but a cosmetic issue. If you have spider veins, plus varicose veins it is important to rule out an underlying condition (such as venous valve deficiency).

HCR: How can they be prevented?

Dr. Escoto: There is no way to completely prevent this condition. But improving circulation and muscle tone can reduce the risk of developing varicose veins/spider veins or getting new ones. The same measures taken to treat the discomfort of varicose veins at home, can help to prevent varicose veins, including: Exercising, watching your weight, eating a high fiber/low salt diet, avoid high heels and tight hosiery, elevating your legs, changing your standing/sitting position frequently.

HCR: How can they be removed?

Dr. Escoto: There are two options for this medical condition.
1) Sclerotherapy: This is the “gold standard” and is preferred over laser for eliminating spider veins and smaller varicose leg veins. A sclerosant medication is injected into the diseased vein so that it hardens and eventually shrinks away.
2) Skin Laser: This is a new technology. With this treatment, we close of smaller varicose veins and spider veins. Laser surgery works by sending strong bursts of light onto the vein, which causes the vein to slowly fade and disappear. No incisions or needles are used.

Each month, HealthCare Resources and Dr. Escoto have a Vascular Clinic. This is a screening clinic for circulation, blood flow, vein evaluation. If you would like further information, please contact us at

Dr. Curiel Interview — Treadmill Stress Tests

HealthCare Resources is pleased to work closely with Dr. Adolfo Curiel, a bi-lingual cardiologist. As we move through various topics/interviews with our physicians, we have interviewed Dr. Curiel regarding treadmill stress testing.

HCR: What exactly is a treadmill stress test? 

Dr. Curiel: Exercise is a common physiological stress used to elicit cardiovascular abnormalities not present at rest and as well, to determine adequacy of cardiac function. Exercise electrocardiography (stress test) is one of the most frequently used, non-invasive modes used to assess patients with suspected or proven cardiovascular disease. The test is mainly used to estimate prognosis and to determine functional capacity, the likelihood and extent of coronary artery disease and the effects of therapy. (more…)

General HealthCare Information: Choosing & Communicating with a Personal Physician

(General HealthCare Information, part 4)

Puerto Vallarta is very fortunate in that there are a wide variety of physicians, of all specialties. The only specialty that we do not have available is a rheumatologist and a pathologist. Unfortunately, any biopsies taken must be sent to either Guadalajara or Tepic, taking approximately five days for results. This, of course, delays a patient finding out if their biopsy is malignant or benign. Hopefully someday we will have a pathologist here, but in the mean time a wait is involved.

It is very important to establish yourself with a personal physician in the area. This makes it easier should a medical emergency arise. If you go to an emergency room, it is very important to tell the hospital who your physician is and request that he-she be contacted. Better yet, if there is time, contact the physician yourself prior or upon your arrival. (And (more…)

Next Page »