Sunday, January 31, 2016

Elective/Critical Surgery: To Go or Not to Go - That is the Question

When it comes to surgery, elective or critical, more and more people are opting to travel out of the country to have the procedure done despite warnings. You may recall that Coretta Scott King died shortly after arriving at a Mexican clinic back in 2006. Apparently she was seeking treatment for advance ovarian cancer and a stroke she had suffered a few months before.  That clinic shut down within a week of her passing.  However, it seems to me that you can just as likely encounter issues even if you have the procedure done right here in the country. Remember Donda West, Kanye West’s mom? She died back in 2007 after undergoing cosmetic surgery which included liposuction, breast reduction, and a tummy tuck. Apparently she had heart disease which may have contributed to her passing one day after the rigorous procedure. It was also noted that she was alone the night before she died and did not receive “good” after care. In either case, there was a lot of blame going around. Some blamed the doctors and/or facility and yet others contribute the death to "poor" after care. Most recently in Atlanta, two doctors (Nedra Dodds and Kevin McCowan) were indicted by a Cobb County grand jury after two of their patients (April Jenkins and Erica Beaubrum) died in 2013 after undergoing liposuction procedure. No matter what the reason or underlying cause, it goes to show that fatality can occur in or outside of the country.


Fatality may not always be the only negative end result. Sometimes things can go horribly wrong and end in permanent scaring. These results are known as “botched” procedures and they happen more often than you would think. I know someone who decided to have some work done to correct the negative effects childbearing had on her body.  Excited about the prospect of having her ‘pre-childbearing’ body back again she saved and borrowed until she had enough to cover the cost.  She did some research to find a doctor who would do the procedure on her budget as she didn’t have a lot to spend.  Unfortunately her research was apparently not thorough enough as she settled on a doctor that, unbeknownst to her, was under investigation by a local news station for malpractice a year before she chose that doctor to do her procedure.  The end result was horrific. Not only did the procedure cause her physical scaring, it also caused mental scaring as well as excruciating physical pain.  Attempts to correct the problem never materialized as the doctor’s office kept cancelling her appointment to have the correction done. In frustration she opted to let it go, along with her dreams of having the perfect body, which still haunts her.  Like “Jane” and so many others, their dream of having the perfect body became a gamble which they soon realize escaped them as their procedure became botched.

Until my exposure to Jane’s plight, I had no idea how wide spread this epidemic had become. In fact, I recently became aware of a television show that is dedicated to fixing just such mishaps. That’s great for those who don’t mind having their face and personal business exposed. But what about those who want anonymity? With the cost of the procedure costing a pretty penny to begin with, no doubt fixing the botched job can be just as expensive if not more so. Don’t get me wrong - it’s great to have the prospect of being selected as a candidate on this tv show and having the tab picked up by the show’s producers, but what if you don’t get selected? Then what? The answer is not that simple as there may not be many options left. Which is why I recommend that you do diligent research in the beginning to make sure you find a reputable doctor and the proper aftercare to ensure you recover properly and reduce the chances of a botched job to begin with. 

With that being said, I also know someone who did just that. “Mindy” made it her business to research lots of doctors and their affiliated hospitals. She looked at doctors and facilities both inside and outside the country. The cost of the procedure was one of the defining factors in her decision.  Turns out for what she needed done it would cost almost $15,000 if done in the state where she lives, but only a fraction of that if she had it done in her native country – Dominican Republic.  Mindy discovered that the Dominican Republic is home to one of the top rated hospital in the region - Hospital Metropolitano de Santiago (HOMS) http://www.homshospital.com/.  So she had the procedure done there and a year later she is still very happy with the results.

Wikipedia list HOMS as “the largest hospital in the Dominican Republic and one of the most modern hospitals in Latin America and the Caribbean, with 300 doctor’s offices, 400 beds, 16 operating rooms, a hotel, and other specialized units.” HOMS not only take care of the health and wellbeing of its citizens, but also allows foreigners to have the opportunity to receive high quality health care at low prices in what is called "health tourism". HOMS has an investment of more than $80 million US dollars. With doctors who are the top performers in their field, so you can have your pick of any one of them regardless of the nature of your need, i.e. cardiologist/heart surgeons, neurologist/nerve surgeons, orthopedists/spinal surgeons, breast augmentation/plastic surgeons, etc. From prenatal and neonatal care, to robotic surgery and endocrinology – the doctor’s at HOMS are making their mark and breaking new grounds in the medical field. It is no small wonder that they are the first choice for many when the decision to travel outside the country for medical purposes arises.
As with any country that depends on tourism for its survival, the professionalism and hospitality of the people of the Dominican Republic is impeccable. Both the doctors and their staff go out of their way to ensure their patients receive the best care humanly possible. 

With so many capable doctors your toughest decision may just be choosing a doctor. Since plastic surgery has become the single most popular surgery most people are traveling out of the country for, I suggest you look at HOMS in the Dominican Republic. I also highly recommend Dr. Aridio Antonio Collado Cruz as he came highly recommended by Mindy who used him for her procedure. Not only is he attentive and easy on the eyes, but his bedside manners is impeccable.  With convenient offices located both inside and outside HOMS, Dr. Collado is very accessible, but more importantly his English is on point.  As an innovator in his field, Dr. Collado takes pride in his work and it shows. In reviewing his website http://www.aridiocollado.com and Facebook page https://www.facebook.com/draridiocollado/, it is easy to see why so many women put their trust in him to restore their body to near perfection if not perfection itself.


Regardless of whether or not what you need to have done is elective or critical, or which doctor you choose, aftercare is the single most important part of the recovery process. As a part of the policy and procedures that governs how doctors’ do business in the Dominican Republic, patients are required to spend at least one 24-hour period in the hospital for constant supervision/observation after their operation. This ensures that the patient has access to emergency care should the need arise, i.e., complications from surgery, etc. The patient is placed in a private room and is assigned a nurse who literally stays by the patient’s bedside all night long.  Her only job is to monitor the patient’s vitals, make sure the patient is comfortable, and ensure all the patient’s needs are met. This also provides the patient with some companionship especially if she traveled from the mainland and may not have a family member or friend with her.



Since most people who travel to Santiago for medical purposes don’t have any family on the island, recovery houses are a major necessity on the island, thus a booming business. One recovery house that stands out from the rest is owned and operated by nurse Ginna Sarria Martos and her husband Hugo who turned their two-story home into a recovery house. Born and raised in Columbia, Ginna and Hugo moved to Santiago about 10 years ago. They both have a working knowledge of the medical field and knows the island like the back of their hands. That knowledge, coupled with their love of people in general, allows them to be effective caregivers. What sets this recovery house apart from the others is the “family” like feel that exudes from Ginna and her staff. The care and attention that they exhibit is like no other. From the time they pick you up at the airport until the time they drop you back off at the airport, every interaction with the patient is one of care and concern.  


Located just outside the city limits of Santiago in Licey Al Medio, Santiago, this beautiful two-story recovery home is nestled in a very quiet, safe, gated neighborhood. The yard is populated with local fruit trees and flowering plants. A typical stay at the recovery house runs roughly about $500 per week. That’s way less than what local hotels charge and does not include any of the following, which comes standard at the recover house: round-trip transportation to and from the airport, transportation to and from hospital and follow-up doctor visits, private air-conditioned room and bath, three meals and two snacks per day, Wi-Fi access, 24-hour nurse care, maid and laundry service.  



As an added optional service Ginna offers personal massages on the premises for an additional cost of about $35 per session. Ginna’s knowledge of the human body and her skills as a masseuse allows her to apply pressure in just the right places for optimum pain and stress relief thus promoting relaxation and aid in the acceleration of the healing process. I can think of no better way to relax while you recover. It's like a recovery vacation.



By now you may be able to ascertain that it’s just as easy to suffer adverse effects from going under the knife right here in the country as it is if you traveled out of the country. Regardless of where you decide to have your procedure done, the most important thing to remember is: 1) do your research first because you have choices; 2) find a reputable doctor and facility that meets your needs; 3) ask questions and take recommendations into consideration from others who had a successful experience no matter where they decided to have their procedure done; 4) once you choose a doctor to do your procedure be sure to share any medical conditions you may have regardless of how insignificant you may think it may be; 5) be sure to eat well, drink lots of water and get plenty of rest before and after your procedure; and finally 6) make sure you have a good “after care” regiment in place. Follow your doctor's instructions and be good to yourself. After all is said and done no matter where you have the procedure done, you are ultimately responsible for the success of your procedure. 


A good diet (iron and vitamin C enriched), exercise, and overall good mental health are key elements to your recovery and continued success. Just don’t be held hostage thinking you can only have success in the United States. There are literally thousands of reputable doctors in other countries who are saving and changing lives of everyday people without reservations or issues. Truth is, you stand a better chance of surviving if you do the research regardless of where you go. I’m just saying – I got issues. What about you?)i(


Contact Information:   
Dr. Aridio Collado  (809) 697-2510*
Ginna P. Sarria Martos (809) 905-7706*

*Both can be reached via WhatsApp on your smart phone

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 The views and opinions shared here are by the Author and are the property of Todos Escribe. 




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