HealthCare Resources Blog

Basic Questions on Vitamins & Supplements

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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

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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.

Interview with Dr. Javier Diaz Nuñez, Ear, Nose and Throat Specialist

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Summer vacations, hot weather and ways to cool off bring numerous trips to the swimming pool and beach! Nothing can ruin a vacation faster than an earache/ear infection! We sat down with Dr. Diaz-Nuñez, ENT extraordinaire, and posed a few questions:

HCR: After swimming in a pool or ocean, what is the best way to immediately get water out of your ears?

Dr. Javier Diaz Nuñez, Ear, Nose and Throat Specialist

Dr. Javier Diaz Nuñez, Ear, Nose and Throat Specialist

Dr. Diaz: The most traditional way is to tilt your head forward, looking at the ground and shaking your head left and right.  If it is just water that is caught, that should clear it.  If it doesn’t, it may mean that you have some debris or ear wax holding in the water.  Avoid manipulating your ear with keys, pens, pencils or Q-Tips. By the way, Q-tips were not made to clean INSIDE the ear canal, just outside!  If in the next 24 hours it does not clear up, it is best to see an ENT.

Sand will go in to every natural orifice that we have, including our ears.  As soon as we go under water, the canal expands and gets pushed against our ear drum and there is humidity retained behind this plug, increasing the sensation of a plugged ear.  When there is already pre-existing ear wax plug or some other debris in our ears, the sensation is increased.  The humid condition in the ears opens the pores of the skin in the ear canals and makes an easy access for fungi and bacteria to enter and cause an infection. Pain usually equals infection.


Social Diseases — Stress & Viruses … Just say NO!

Posted in How To's & Advice,Personal,Reflections by Pam on February 14, 2011

Today, I was in numerous physicians’ offices and waiting rooms. The hacking, snorting, clearing of throats, sneezing and the cacophony of noses being blown was quite a concert. These sounds I have heard repeatedly at various events over the past few weeks. Seems to be more this year than in years past. Why is that? It is important to make clear that I am most definitely not a physician. I turn to the physicians that we work with for their expertise, on a daily basis. But I do have a few observations that we thought to pass on to people.

  • If you are sick, please stay home and take care of yourself. I promise you, the party will go on without you. There will be a lot of people at the event that you were planning to attend be very grateful to you. How many of us have been at an event recently and been greeted by someone who gives us a hug and a kiss (with good intentions) and then, while wiping their runny nose on a dirty, wadded up Kleenex, launch in to an account of how sick they have been recently?
  • Is there some type of contest going on somewhere in the area that will award a prize to the person who participates in the most events? And then to take it even further, complain the most about how busy they are? As far as I know, there is no charity patrol that twists arms causing someone to say YES to each and every party, fundraiser, open house and social function. While searching for some volunteers last month, I was thrilled to hear someone say to me “I am sorry but the answer is NO. I just can’t take anything else on.” Bravo!
  • I kid you not when I say in the past month, we have received four different requests for a therapist because the person “cannot handle the stress of having so many things going on in their lives.” And I do not mean major and truly significant things. I mean being over-involved in social activities.
  • When I meet with newcomers to the area, we, of course, discuss healthcare. But the conversation eventually leads to things to become involved with in the area. And isn’t it great that there is such a variety? But the advice I usually give is to choose one or two that interest you, that you are passionate about and ease your way into them. If you join in too many from the start, you will begin to hear a sucking sound. That is the vortex that causes burn out way too soon!
  • This social frenzy seriously wears down the immune system. People get sick. They go out socially, pass it around to others who’s immune systems are down and the cycle continues.
  • Be very careful when taking a medication recommended by the friend of your friend’s co-worker. We have seen way too many drug reactions and “backfires” lately. All because “so and so” said it sure worked for her!
  • A lot of what is going around (cold symptoms) is viral. It must just run its course and only the symptoms can be treated. If you have a fever for more than 48 hours, then it is time to seek medical assistance.
  • It is not too late to receive a flu vaccine (this is a personal choice of course). We have an overstock!
  • Siestas are truly wonderful things!

Some of the above is “tongue in cheek”. Some is not. IMHO, embrace the craziness of the high season and the flurry of activities. But proceed with a healthy caution. Take a rest now and then. Take a time out. Block out a day and stay in your jammies all day and read a book or watch movies. Or my favorite as my grandmother used to say:

“Sometimes I sit and think. Sometimes I just sit.”

And we really are here should you need a physician, for reasons large or small.


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…)

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