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Excellent place, very good attention, trained staff
I worked there in 1994 it was my first job at that time so it was very cleanIt was when Juan Tabarez of the liberation group was internedAnd Lic Joel Manzina hired meVery good personThen he went to the Santa Engracia hospitalWas or is in the same hospitalI have not heard from him
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A liver biopsy is a medical procedure performed to collect a small piece of liver tissue, so it can be examined closely under a microscope for signs of disease or damage. This procedure is usually carried out to detect the presence of abnormal cells in the liver, such as cancer cells. Your doctor may suggest a liver biopsy if the result of your blood tests or imaging studies shows that you might have a problem in your liver. Although biopsies are usually associated with cancer, it does not necessarily mean that you have cancer if your doctor recommends this test.
A liver biopsy is most often used to:
Identify the cause of unexplained jaundice (yellowing of the skin), persistent abnormal liver blood tests (liver enzymes), a liver abnormality found on CT scan, ultrasound, or nuclear scan, as well as unexplained enlargement of the liver
Determine the severity of the liver disease
Grade and stage hepatitis B and C
Monitor the liver after a liver transplant
Help develop the best treatment for liver damage or disease.
Laparoscopic biopsy
Laparoscopic biopsy uses a laparoscope, which is a tube-like instrument with a tiny camera attached to it, to collect the sample.
Before the laparoscopic biopsy, you will be given a general anesthetic. Your doctor will create several tiny incisions in your abdomen. The laparoscope and special surgical tools are inserted through these incisions. The camera within the laparoscope projects images on a monitor. Your doctor uses these images to guide the surgical tools to your liver to take some tissue samples. When the samples are taken, the tools are removed and the incisions are closed with stitches.
Transjugular biopsy
To start the procedure, a small numbing medication is applied to one side of your neck. Your doctor will then create a small incision at the numbed area and then inserts a thin, flexible tube through the incision into your jugular vein. The tube is then guided through the jugular vein and into the hepatic vein (the large vein in your liver). Once the tube reaches your hepatic vein, your doctor will inject a contrast dye into the tube and creates a series of X-ray images. The contrast dye will show up in the vein, which enables your doctor to clearly see the hepatic vein. Afterward, a biopsy needle is inserted through the tube to take the liver sample.
Percutaneous biopsy
Percutaneous biopsy, also known as a needle biopsy, is the most common type of liver biopsy. It involves the use of a thin needle through your abdomen and into the liver. To start the procedure, your doctor will tap your abdomen or use ultrasound images to locate your liver. Ultrasound is sometimes used to guide the needle into the liver. Your doctor will apply a numbing medication and then creates an incision near the bottom of your ribcage. The needle is then inserted through the incision and your doctor will remove a small tissue sample.
You can leave the hospital on the same day as the procedure. However, since it takes around a week until the result of your biopsy comes back from the pathology lab, plan to stay in Monterrey for about 7 days. Once the result is ready, you will have to attend a follow-up appointment to discuss the results with your doctor. If everything is fine, you will be allowed to travel home afterward.
You need to take it easy and rest for at least 1 day. You should be able to resume your normal activities after a few days. However, avoid strenuous activities and heavy lifting for a week following your liver biopsy.
Your doctor will give you detailed aftercare instructions that you need to follow. In general, you need to avoid taking aspirin or products that contain aspirin for a week. Your doctor will prescribe pain medication to help with your discomfort, make sure to take them as directed.
A liver biopsy is a safe procedure with high success and accuracy rates. Although it is safe, there are still some possible risks and side effects that you will need to be aware of. These include:
Bleeding
Pain
Infection
Injury to a nearby organ.
A transjugular biopsy carries very rare risks of hematoma in the neck, puncture of the lung, temporary voice problems, and temporary problems with the facial nerves.
In some cases, your doctor may be able to make a diagnosis of liver disease based on physical examination, medical history, and blood testing. Doctors may also use imaging techniques as an alternative to liver biopsy. The simplest imaging technique that’s used is elastography (mostly known as FibroScan), which is similar to an ultrasound and can measure the stiffness of a liver.
Before a liver biopsy, you may experience unexplained symptoms and your doctor may not be able to make an accurate diagnosis of your problem. After the procedure, your doctor should be able to make a diagnosis and know for sure the condition of your liver. The results will allow you and your doctor to create a treatment plan.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Nuevo León, a northeastern state in Mexico, takes pride in its capital, Monterrey, a major financial hub for the nation. Serving as a manufacturing and industrial center, Monterrey is also home to a plethora of large Mexican and international businesses. With an impressive GDP (PPP) amounting to US$ 123 billion, it holds the distinction of being the second-most productive city in Mexico. Additionally, its population marking of 5 million residents simultaneously places it as the country's third-most populous city.
Monterrey has successfully carved out a reputation in the tourism sector, particularly drawing global attention as a favored destination for medical tourism. The underlying factors for this growing attraction can be attributed to the following reasons:
It has a dry climate and is one of the hottest cities in Mexico, winters tend to be moderate, while summers can reach high levels of heat. The hot season, which spans from May to September, is often accompanied by rainfall. For the rest of the year, the climate remains mild with relatively minimal temperate fluctuations, and there's hardly any rain during the cold season.
Monterrey can exhibit drastic shifts in its weather scenarios. For instance, a sudden shower during the summer can cool the temperatures down significantly. Conversely, the winter season might witness balmy temperatures in the absence of city-crossing winds. Instances of ice, snow, and sleet are quite the rarity in this region.
In Monterrey, there are primarily two airports dedicated to catering a variety of air traffic. The main airport used for commercial flights is Monterrey International Airport. The secondary airport, comparatively smaller, primarily serves private and cargo aircraft traffic. Monterrey International Airport efficiently accommodates a mix of both international as well as domestic travel audiences.
American, United, Delta, and Copa are some of the international airlines that connect it to Houston, Los Angeles, Atlanta, Chicago, Detroit, Dallas, Las Vegas, San Antonio, etc. People can travel to the nearby Mexican cities of Guadalajara, Mexico City, Cancun, Mazatlan, Puerto Vallarta, and Tijuana using Interjet, Aeromar, Magnicharters, and Volaris. At the same time Interjet, Aeromexico, and Viva Aerobus cater to both domestic and international travelers.
Monterrey houses the largest bus terminal in the northern region of Mexico, offering a significant connectivity advantage. Individuals can travel to and from Monterrey and various other bus stations dispersed across Mexico and the US using trans-border buses. Given Monterrey’s closeness to the US-Mexico border, a car ride from the US is another feasible transportation choice.
Moving around within the city is quite feasible and straightforward. Although efficient, the subway system's coverage is relatively limited. The optimum choice for commuting is the taxi service, which may come with a slightly higher cost compared to bus rides. It's advisable to request the driver to go by the meter to guarantee fair charges.
Citizens of 67 countries, including Australia, Canada, Schengen countries, the USA, the UK, and Japan, do not need a tourist visa to visit Monterrey, Mexico, for up to 180 days, as long as their trip does not provide any monetary benefit to them. People who have a valid visa to the US and PR in Canada also do not need a separate visa to enter Mexico. The exemption is available to many countries in South America and the Caribbean Islands also. You can check your eligibility on the official website of the Mexican government.
Citizens of other countries will need to obtain a tourist visa to visit Monterrey, Mexico. The tourist visa is valid for six months from the date of entry. You can apply for a visa at the Mexican consulate in your country.
Required documents for a tourist visa: