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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 transplant is a surgical procedure that replaces a liver that is diseased or no longer functions properly with a liver from a deceased donor or a portion of a healthy liver from a living donor. The living donor can be:
Someone who is emotionally related to the recipient such as a good friend, a significant other, or a spouse.
A family member of the recipient, such as a parent, adult child, brother, or sister.
Other biologically related relatives, such as an aunt, uncle, or cousin.
A person who has heard about the transplant candidate’s need.
Altruistic donation or non-directed living-donor. This means that the donor does not know or name the recipient of the donated liver. The match is based on blood type compatibility and medical need. The donor may choose not to know the recipient or may meet if both agree.
When the living donor is a family member, it is called a living related donor liver transplant.
Living related donor liver transplant is usually used as an alternative to waiting for a deceased donor liver or an altruistic donation to become available. A liver transplant from a living donor is possible because the human liver can regenerate and return to its normal size, capacity, and volume within a couple of months after surgical removal of part of the organ. The transplanted liver portion in the recipient will grow and restore normal liver function as well.
Not everyone can be a living related donor. The donor has to be healthy and able to safely undergo major surgery. In addition, the donor’s blood type, age, and organ size are critical considerations in determining whether the recipient and the donor are a match. Extensive health and psychological evaluation are required to make sure that the donor and the recipient are a match, as well as to assess the donor’s mental and physical health.
A liver transplant surgery from a living donor is usually scheduled in advance.
The surgeons will first operate on the donor. The surgery is done under general anesthesia, a portion of the donor's liver is removed through an incision in the abdomen. Both the left and right lobe of the liver can be used for donation. The specific part of the liver donated depends on the donor liver’s size and the recipient’s needs. Around 40% to 70% of the donor’s liver is removed for transplantation.
Once the donor's liver is ready, the surgeons will perform the liver transplant on you (the recipient). During this surgery, an anesthesiologist will give you a general anesthetic. After you are anesthetized, the surgeons will create an incision under the ribs on both sides of your belly and separate the diseased liver from the nearby organs and structures to carefully remove it. Then, the donated liver portion will be placed in your body by connecting the bile ducts and blood vessels to the new liver. The final step is closing the incision with stitches or surgical staples.
After a living related donor liver transplant, you should expect to spend 5 to 10 days in the hospital. Expect to stay in Monterrey for at least a month after you are discharged from the hospital as you need to attend follow-up checkups. Your liver transplant team will design a checkup schedule for you. Laboratory blood tests are typically obtained twice a week after transplantation and will be reduced gradually. You must attend all of the follow-up checkups and blood tests because your doctor needs to check your condition.
The recovery period depends on the severity of your condition before your liver transplant surgery. In general, the full recovery time until you feel fully healed after your liver transplant surgery can take around six months or more. However, you should be able to return to some of your normal activities, including work (office job) within 2 to 4 months following your surgery. Simple activities of daily living may be resumed within a few weeks.
You will take medication for the rest of your life – the medications are called immunosuppressant (anti-rejection medicines), which works by keeping your immune system from attacking your new liver. They are used to help the transplanted liver survive in your body.
You will take other medications – you may need other types of medications to help reduce the risk of other complications.
Avoid crowds or anyone who has an infection – anti-rejection medicines affect your immune system, increasing your risk of infections. Therefore, you need to avoid contact with anyone who has an infection or crowds for the first few months.
Eat a well-balanced diet –to help you recover and keep your new liver healthy. A dietitian from your transplant team will discuss your nutrition and diet needs. In general, your diet should be low in fat, salt, cholesterol, and sugar. You also need to avoid alcohol.
Exercise regularly – walk as much as you can soon after your transplant. Then, start to incorporate more physical activity into your daily life. Make sure to check in with your transplant team before starting an exercise routine.
The success rate of the liver transplant depends on your specific situation. In general, around 75% of people who have a liver transplant live for at least five years. People who receive a liver from a living related donor usually have longer survival rates than those who receive a deceased donor liver. Also, people who have a living related donor liver transplant seem to experience fewer medical problems.
The risks and side effects associated with liver transplant include rejection of the donated liver, bleeding, bile duct complications, failure of donated liver, infection, mental confusion, seizures, and recurrence of liver disease in the transplanted liver.
There are currently no alternatives to a liver transplant. However, the alternative to living related donor liver transplant is to wait for a deceased donor liver or an altruistic donation to become available. Make sure to discuss with your doctor the best option for your case.
Before a living related liver transplant, you may have acute or chronic liver failure, which may be caused by a variety of conditions, or you may have certain cancers that originate in the liver. After the procedure, these conditions may be cured. Your survival rates will be increased significantly after the procedure.
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: