caliber of Surgeons/Doctors in Peru....

Answers to your qestions about moving to, and living in, Peru,
elf.painter
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caliber of Surgeons/Doctors in Peru....

Postby elf.painter » Thu Mar 25, 2010 8:27 pm

I live in Costa Rica. I am going through some medical tests that may call for spinal surgery. One of the doctors I have seen said that if I do need that surgery I should go to the U.S. because Costa Rica does not have that kind of neurosurgeon. Now Costa Rica boast some of the best medical facilities and doctors. Yet one of it's own said I should go to the U.S.
Since we are planing on moving to Lima this year I would like to know the groups feeling about the caliber of Surgeons/Doctors in Peru. Could I find a Top notch neurosurgeon in Lima or would I also be told to go to the U.S. for that surgery?


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calygirl
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Re: caliber of Surgeons/Doctors in Peru....

Postby calygirl » Thu Mar 25, 2010 8:34 pm

Get yourself to the US for any kind of surgery. If you have the choice, why would you consider having it done anyway else?
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Re: caliber of Surgeons/Doctors in Peru....

Postby ibanker » Fri Mar 26, 2010 5:44 pm

If you can afford the US, the best qualified doctors are there. If money is an issue, Peru isn't a bad choice vs. CR. I've never had problems with small check ups here. Surgery is obviously a whole other ball game though. Good luck.
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Re: caliber of Surgeons/Doctors in Peru....

Postby chicama » Sat Mar 27, 2010 12:16 am

In Peru, just like in the US, it depends what doctor you go see. Both countries have good and bad doctors. Do your research to learn which doctors are the the most competent at the specialty you need. Maybe if you post the specific spinal problem that you need fixed, someone here may have a good referral for you.

Also, just because your doctor told you that you need the surgery, it does not mean that you do. Get a second opinion. I have got plenty of bad advice from doctors in the US and Canada.
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Re: caliber of Surgeons/Doctors in Peru....

Postby elf.painter » Sat Mar 27, 2010 9:48 am

chicama wrote: Maybe if you post the specific spinal problem that you need fixed, someone here may have a good referral for you.


The Spinal problem: Spinal cord arteriovenous dural fistula with spinal cord edema. The fistula creates pressure on the spinal cord nerves which damage the the nerves.
Procedure: A MRA of the upper and lower thoracic cord to identify the fistula. Perform a Laminectomy and obliteration of the fistula.

There is another procedure for obliteration of arteriovenous fistula/s, Catheter Embolization. Embolization is a minimally invasive treatment that occludes, or blocks, one or more blood vessels or vascular channels of malformations (abnormalities).
In a catheter embolization procedure, medications or synthetic materials called embolic agents are placed through a catheter into a blood vessel to prevent blood flow to the area.

I hope this info will help.
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Re: caliber of Surgeons/Doctors in Peru....

Postby sonia » Mon Mar 29, 2010 8:56 pm

I recommend taking all your Costa Rican medical records, lab test results, xray films, CAT scans, MRI films, etc. (everything!) to the US, and seeking medical advice in a US university medical center. If you decide on surgery, have it in the US also.
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Re: caliber of Surgeons/Doctors in Peru....

Postby anuta » Mon Mar 29, 2010 11:35 pm

elf.painter wrote:I live in Costa Rica. I am going through some medical tests that may call for spinal surgery. One of the doctors I have seen said that if I do need that surgery I should go to the U.S. because Costa Rica does not have that kind of neurosurgeon. Now Costa Rica boast some of the best medical facilities and doctors. Yet one of it's own said I should go to the U.S.
Since we are planing on moving to Lima this year I would like to know the groups feeling about the caliber of Surgeons/Doctors in Peru. Could I find a Top notch neurosurgeon in Lima or would I also be told to go to the U.S. for that surgery?


I've gone plenty of advice here from doctors which seemed incorrect based on the latest research, so I'm not sure about a top notch neurosurgeon. Most of the research is performed in developed countries and the technology is developed there as well, so I would think that if you were advised to go to the US, probably it's better to do that. Even in Canada, the medicine is the US is considered to be very good, maybe because so many Canadian doctors chose to work there :lol:.
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Re: caliber of Surgeons/Doctors in Peru....

Postby Ron » Thu Apr 01, 2010 5:28 pm

Alot of the top docs in Lima may have done post-grad and specialist training in the USA/CAN/UK. Ask potential surgeons about where they studied and if they are familiar with the procedure. Get their CV. Also find out are there are more minimally invasive procedures, like the catherization, to treat the fistula. After the laminectomy they may have to do a spinal fusion. Once you find a surgeon check out what hospital he/she will do doing the operation at. Check their infection and complication rates.

IF you do plan on going to the US, do the same things. Also, make sure your insurance will cover the procedure and that the hospital will take your insurance. Otherwise you may have an enormous bill to pay!!!

On a personal note, I went to see the eye doc last time I was in Lima. I called around to a few clinics and choose the most expensive one. I asked to consult with the doc before consenting to the appt. He did his schooling at the U of Boston, spoke perfect english and reduced all my fears to zero. The exam was S/.170 and the meds were S/.160. Money and time well spent.
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Re: caliber of Surgeons/Doctors in Peru....

Postby american_in_lima » Thu Apr 01, 2010 7:29 pm

I also have had great experiences with doctors here at the private clinics.

Two years ago, I had my left knee operated on at the AngloAmericana and the doctor was great. He had worked years in the US at a surgeon and came back to enjoy Peru. I didn´t speak to him in English, but my assumption would be that it be solid.

I had the choice to do the operation in the US, but chose this doctor as he was supposedly one of the best around. Very pleased. My rehab, which was supposed to be six months, was only 8 weeks until I was given the green light to be good as new. He actually went to one of my rehab sessions to check out my knee for 10 minutes. I was impressed. Once in while, he will shoot me an email to say hello to see how I am doing. That never happened to me once in the US.

I also had an eye infection which the eye doctor at the same clinic was able to take care. I have only seen care at El Golf and La AngloAmericana, but have benn quite impressed with the quality and also the care...Doctors here, care about their patients a little more..At least it seems that way.

Friends of mine have never had problems with ESSalud, but I am not a fan.
Regards,

George
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Re: caliber of Surgeons/Doctors in Peru....

Postby Kelly » Fri Apr 02, 2010 10:24 am

Doctors here, care about their patients a little more..At least it seems that way.


I have to second that. In my experience, anyway. Actually, my doctor in the US was Peruvian, and I liked him because I was always impressed with how he didn't mind spending time with me, and really listening and explaining things. As opposed to most doctors who want to rush in and rush out to the next patient.

I had a very minor surgery here - not at a top clinic. Although the equipment was older, it was well maintained. After the procedure was done, the doctor said if we could wait about 15 minutes, he'd give us a ride home. And a week later, he was back at my house to check on me and remove sutures.
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Re: caliber of Surgeons/Doctors in Peru....

Postby cuymagico » Sat Apr 03, 2010 8:19 pm

My confidence in the Peruvian medical system was somewhat shaken during the recent debate over mandatory malpractice insurance--apparently most doctors here don't have it, and won't be getting it since the bill failed. At one point, Pres. Garcia said something like, "if you amputate the wrong limb, the patient should get compensation." Oh boy...

I'd second the recommendation of the Anglo-Americana in general, but for neurosurgery???
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Re: caliber of Surgeons/Doctors in Peru....

Postby sonia » Sun Apr 04, 2010 3:47 pm

If the option exists to have the spinal problem studied by physicians in the US, and any surgery done there, that's the route I would take. I hope that all possibilities for medical care can be explored in the US. Without private insurance, explore Medicaid, Medicare, and the federally funded community health centers for referral to a major medical center.

Medical negligence is a big problem here. Every family has stories of relatives or friends injured or killed due to medical negligence. Medical malpractice suits are practically unheard of and there is never any compensation.

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