Oncology in Monterrey

Oncology is the branch of medicine that focuses on the research, prevention, diagnosis, and treatment of cancer. A medical professional who specializes in diagnosing and treating people with cancer is called an oncologist.

An oncologist can design a treatment plan based on detailed pathology reports that shows the type of cancer the patient has, how much cancer has developed, how fast the cancer is likely to spread, and what parts of the patient's body are involved.

The field of oncology has three main areas, which include:

• Medical oncologists use chemotherapy, hormonal therapies, and other types of targeted treatments to treat cancer. Most people think of medical oncologist as their primary cancer doctor. Medical oncologists help monitor and maintain patients' well-being, as well as helping patients manage side effects. Often patients follow up with their medical oncologist once their treatment is complete.
• Surgical oncologists perform the surgical removal of the tumor and surrounding tissue. They will help patients prepare for and recover from any surgical procedure they undergo during their cancer treatment. If your primary doctor suspects that you have cancer, a surgical oncologist is likely one of the first doctors you see. Surgical oncologists can perform biopsies, which involves removing a small tissue sample to be checked for cancer cells.
• Radiation oncologists treat cancer using radiation therapy. They use high-energy photon beams to target and destroy cancer cells. Approximately one-half of all cancer patients will undergo radiation treatment during their cancer care.

Because most cancers are treated with a combination of therapies, you could see two or all three different oncologists during the course of your treatment.

Besides the three main areas, there are also several other areas of oncology. These include:

• Pediatric oncologists diagnose and treat cancer in children. Some types of cancer appear more often in children and teenagers, such as leukemia, brain tumors, osteosarcoma, and Ewing’s sarcoma. Some pediatric oncologists focus on conducting research on childhood cancers, while others specialize in certain types of cancer.
• Gynecologic oncologists treat cancers that affect women, such as cancer of the ovary, cervix, uterus, vagina, and vulva. Additionally, they also treat complicated gynecological conditions that are not cancerous, such as fibroid tumors and endometriosis.
• Hematologist-oncologists diagnoses and treats blood cancers, such as lymphoma, leukemia, and myeloma. They may also specialize in the management of solid tumors.

Oncologists usually work with a variety of other medical professionals, including pathologists, diagnostic radiologists, oncology nurses, and oncology social workers. They may also work with doctors from other areas of medicine, such as neurologists, dermatologists, or urologists.

What does Oncology Involve?

There are many types of procedures to treat cancer. The types of procedures that you receive will depend on the type of cancer you have and how advanced it is. Some people who have cancer will only have one treatment. However, most people have a combination of treatments, such as surgery with radiation therapy and/or chemotherapy. Below are the types of procedures to treat cancer:

Chemotherapy

Chemotherapy is a type of treatment that uses drugs to kill cancer cells in the body and prevent them from growing. The drugs can prevent cell division, target the food source of the cancer cells’ (the hormones and enzymes the cells need to grow), and trigger apoptosis (a process in which cancer cells kill themselves).

• Chemotherapy drugs can be given in several different ways, including.
• Oral – taken in a pill or capsule form.
• Intravenously – through an infusion into a vein.
• Shots – injected with a needle.
• Topical – applying creams or gels into the skin. This type is used to treat certain types of skin cancer.

Chemotherapy drugs can also be given directly to cancer or directly to an area of the body, such as the abdomen or central nervous system.

Immunotherapy

Immunotherapy, or biologic therapy, boosts your body’s natural defenses to fight cancer. It uses substances made by your own body, or in a laboratory, to improve or restore your immune system function. It can stop cancer from spreading to other parts of the body, stop or slow the growth of cancer cells, and help your immune system work better at destroying cancer cells.

There are several types of immunotherapy to treat cancer, including immune checkpoint inhibitors, T-cell transfer therapy, monoclonal antibodies, treatment vaccines, and immune system modulators. Different types of immunotherapy may be given in different ways, such as intravenous (IV), oral, intravesical (directly into the bladder), or topical.

Targeted therapy

Targeted therapy uses drugs that are designed to specifically “target” cancer cells without affecting normal cells. It targets the cancer’s specific proteins, genes, or other tissue environment contributing to cancer survival and growth. These proteins and genes are found in cancer cells or in cells related to cancer growth.

The targeted drugs can block or turn off chemical signals that tell cancer cells when to divide and grow, stop making new blood vessels that feed cancer cells, change proteins within the cancer cells so the cells die, trigger the immune system to kill cancer cells, and carry toxins in the cancer cells to kill them.

• There are two types of targeted therapy:
• Small-molecule drugs, which is given through pills or capsules that you swallow
• Monoclonal antibodies, which are given through a needle in a blood vein.

Radiation Therapy

Radiation therapy uses intense energy beams to kill cancer cells and shrink tumors. It most often uses X-rays, but other types of energy, such as protons may also be used.

Radiation therapy can be done in two ways:

• External-beam radiation therapy – this type of radiation therapy delivers radiation from a machine outside the body. You will lie on a table, and the machine (called a linear accelerator) moves around you to deliver radiation from several different angles. It is a quick and painless procedure.
• Internal radiation therapy – also called brachytherapy, involves both temporary and permanent placement of radioactive sources in the body. During the placement of the radioactive sources, you will be given anesthesia.

Hormone therapy

Hormone therapy stops or slows the growth of cancer that uses hormones to grow. It works by blocking your body’s ability to produce hormones or interfere with how hormones behave in your body. It can reduce the chance that cancer will return by stopping or slowing its growth, as well as preventing or reducing symptoms in men with prostate cancer.

Hormone therapy is usually used to treat breast and prostate cancer. It can be taken in many ways, including orally, through an injection, and surgery.

Stem Cell Transplant

People whose blood-forming stem cells are damaged by the very high doses of radiation therapy or chemotherapy can undergo stem cell transplant to restore the cells. Blood-forming stem cells are vital since they grow into different types of blood cells that you need to be healthy. The stem cells will be given to you through an IV catheter. The process is very much like receiving a blood transfusion.

Surgical treatment

Surgical treatment for cancer is a procedure to remove cancer from your body. There are many types of surgeries to treat cancer, which differ based on the part of the body that requires surgery, the purpose of the surgery, the amount of tissue to be removed, and your preference. In general, the surgery can be open or minimally invasive.

• During open surgery, one large incision is made to remove the tumor, some healthy tissue, and some nearby lymph nodes.
• During minimally invasive surgery, a few tiny incisions are made instead of a large one. These incisions are made to insert a laparoscope (a long, thin tube with a camera on its end) and special surgical tools. The laparoscope allows your surgeon to see the inside of the body, and the surgical tools are used to remove the tumor and some healthy tissue.

How Long Should I Stay in Monterrey?

For chemotherapy, radiation therapy, immunotherapy, hormone therapy, and targeted therapy, the treatment schedule may vary. You may have treatment every day, week, or month. It may also be given in a cycle, which is a period of treatment followed by a period of rest to give your body a chance to recover. For surgical treatment, you may need to stay in the hospital for a few days, and you need to stay in Monterrey for at least 10 to 14 days. Your oncologist and/or medical tourism team will advise you on the length of stay in Monterrey.

What's the Recovery Time?

The type of procedure you undergo determines the recovery period. While you may be able to get back to your normal routine within 10 days after laparoscopic surgery, you may need to wait around 6 weeks to fully recover from open surgery. Your oncologist will give you a detailed recovery timeline.

What About Aftercare?

You will be given instructions on how to take care of yourself. Your surgeon or nurse will explain how to control your pain, how to take care of your wound, activities you can and cannot do, and how to spot signs of infections. You may also need to talk to a dietitian to help with eating problems caused by the treatment. You will need to attend follow-up checkups to monitor your condition.

What's the Success Rate?

Cancer survival has improved significantly due to constant advancement and improvements in the field of oncology, including improvement in treatments and screening (allowing for earlier diagnosis). Still, you need to be aware of the risks, such as infection, bleeding, nerve damage, fatigue, nausea, vomiting, and hair loss.

Are there Alternatives to Oncology?

There is no other alternative than to see an oncologist when it comes to cancer treatments. Some people may choose to undergo meditation, hypnosis, and acupuncture as well, usually to relieve the stress, anxiety, and pain that cancer can bring.

Oncology in and around Monterrey

About Monterrey

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:

• The healthcare industry, banking, and telecommunication are the pillars of the City’s economy.
• The City has some acclaimed hospitals that offer cutting edge treatments. Most hospitals have JCI accreditation, a certification that ensures safety and quality across the healthcare industry.
• Low prices and above-average quality of medical care are the two main reasons that attract medical tourist attention.
• Proximity to the US also provides a big advantage to patients and tourists from the United States of America.
• The most popular procedures are breast augmentation and liposuction and are performed at Dr. Sauceda Plastic Surgery, Dr. Alvar Garcia Plastic Surgery Monterrey, and Dr. David Kirsch M.D. Cosmetic Surgery

Popular Areas in Monterrey

• The Macroplaza is the largest park in Mexico and is surrounded by many historical buildings and museums. It is a popular spot for locals and tourists alike to relax and enjoy the outdoors.
• Fundidora Park is a heritage museum and public park that was once home to a steel mill. Today, the park is a popular destination for families and tourists alike, with a variety of attractions including a museum, a zoo, and an amusement park.
• The Museum of Modern Art displays the works of Ricardo Mazal, Antony Gormley, and Jenny Holzer. The museum is noted for its sculpture yard and restaurant.
• Cerro de la Silla, Is popular for its great urban hiking trail up the tall mountain for its fantastic view of Monterrey and the surrounding areas.
• Cerro del Obispado is a historical site that houses a museum and offers panoramic views of the city. It is a popular spot for tourists and locals alike to learn about the history of Monterrey and enjoy the views.
• To get a glimpse of a traditional wrestling match, Coliseo is the place to be. If you are lucky and brave enough, then you may even get to see a traditional bullfight.

Weather and Climate in Monterrey

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.

Getting around in Monterrey

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.

Tourist Visas in Monterrey

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:

• Valid passport with at least six months of validity remaining beyond your planned date of departure from Mexico.
• Visa application form.
• Two passport-sized photos.
• Proof of onward travel, such as a return flight ticket.
• Proof of financial resources, such as a bank statement or credit card statement.
• Visa processing fee.

Additional Information

1. The local currency used in Monterrey, Mexico, is the Mexican peso (MXN). The exchange rate for the Mexican peso fluctuates daily, but it is currently trading between 20 and 21 Mexican pesos to the euro and 18 to 19 Mexican pesos to the US dollar.
2. You can use a credit card for payment at big stores, hospitals, and restaurants. Smaller merchants and establishments may not accept credit cards. Therefore, it is better to carry some local currency. You can also use the ATMs available in the city to withdraw local currency. The use of cards may involve certain transaction charges. Tipping is not compulsory. However, people appreciate some form of tipping; somewhere between 10 to 15 % of the total bill is the norm. Porters also get tipped, say, 10 pesos per bag.
3. Mexico Spanish or Castilian Spanish is the main language here. Locals can also communicate in English as well. It would still be an advantage if you can say some basic phrases in Spanish.
4. The majority of the people living in Monterrey are Christians.
5. Mexicans observe holidays on Christian festivals and some national holidays. Christmas and New Year’s Day are the two main public holidays. Independence Day on 16th September and Revolution day on the third Monday of November are the two main national holidays. Apart from this, there are many other holidays.