| Pages:
1
2 |
EnsenadaDr
Banned
Posts: 5027
Registered: 9-12-2011
Location: Baja California
Member Is Offline
Mood: Move on. It is just a chapter in the past, but don't close the book- just turn the page
|
|
How much does the good doctor charge for a consult? | Quote: | Originally posted by Paula
| Quote: | Originally posted by EnsenadaDr
Your white blood cell count is normal, platelets are a little on the low side though not dangerously low, just get the tests done in a lab and they
will give you the reference range, only if the results are outside the reference range you need to see a doctor...more important what is your fasting
blood glucose? | Quote: | Originally posted by goodhealthyoga
i went to a doctor in T Santos.... my white blood cells are low4.7 and platelet 147 my calorie intake is high im always hungry and tired all the
time i did take vermox plus for parasites but need a good doctor to run blood checks for thyroid ,adrenalin ,,liver and spleen problems and test
for hep b
should i see a specialist in the hospital or just a general doctor
my spanish is limited so a doctor that speaks english would be alot easier
can anyone advise or recomend someone  |
|
If a person doesn't feel well and for whatever reason they suspect they may have liver or spleen problems and possibly hepatitis they should go to a
doctor, not a lab.
Dr. buenaventura Lopez would be the person to see, and he will determine what tests are needed. If it turns out that nothing is wrong, the cost of
the appointment will not have been wasted, as he will be an established patient of an excellent doctor for future concerns. |
|
|
|
Mula
Super Nomad
Posts: 1656
Registered: 8-16-2011
Location: San Nicolas y Lopez Mateos
Member Is Offline
|
|
Dr. Buenaventura Diaz Lopez
Medico Internista - Internal Medicine Specialist
Speaks Excellent English
Located at Fidepaz in LaPaz.
Detección y Tratamiento de padecimientos relacionados con Diabetes, Hipertension Arterial, Osteoporosis, Tiroides, Hipofisis, Obesidad, Medicina
Interna Integral
Monday - Friday 10 -2 and 4 to 8pm. Saturday 10- 3
Consult fee - 500 Pesos
Office Address:
Delfines 110
Fidepaz
La Paz
Baja California Sur, 23090
Tel. 612 124 1001, Celular Emergencia 612 348 5728
Mail: drdiazlop50@hotmail.com
|
|
|
Paula
Super Nomad
Posts: 2219
Registered: 1-5-2006
Location: Loreto
Member Is Offline
|
|
| Quote: | Originally posted by EnsenadaDr
How much does the good doctor charge for a consult? | Quote: | Originally posted by Paula
| Quote: | Originally posted by EnsenadaDr
Your white blood cell count is normal, platelets are a little on the low side though not dangerously low, just get the tests done in a lab and they
will give you the reference range, only if the results are outside the reference range you need to see a doctor...more important what is your fasting
blood glucose? | Quote: | Originally posted by goodhealthyoga
i went to a doctor in T Santos.... my white blood cells are low4.7 and platelet 147 my calorie intake is high im always hungry and tired all the
time i did take vermox plus for parasites but need a good doctor to run blood checks for thyroid ,adrenalin ,,liver and spleen problems and test
for hep b
should i see a specialist in the hospital or just a general doctor
my spanish is limited so a doctor that speaks english would be alot easier
can anyone advise or recomend someone |
|
If a person doesn't feel well and for whatever reason they suspect they may have liver or spleen problems and possibly hepatitis they should go to a
doctor, not a lab.
Dr. buenaventura Lopez would be the person to see, and he will determine what tests are needed. If it turns out that nothing is wrong, the cost of
the appointment will not have been wasted, as he will be an established patient of an excellent doctor for future concerns. |
|
With all due respect, Ensenada Dr, the cost of the consultation is $38.54US. This is money well spent if a person has concerns about
liver/spleen/possible hepatitis. Lab results alone do not answer a patient's questions, and an interview with a good internal specialist could lead
to tests not thought of by the patient without a doctor's advice. Again, money well spent. In fact, I don't remember goodhealthyoga mentioning that
money was an issue here.
As Mula has said, Dr. Buenaventura Lopez is THE guy to see in La Paz.
Goodhealthyoga, I hope you have found the best answer to your question here, and are on the road to good health!
|
|
|
EnsenadaDr
Banned
Posts: 5027
Registered: 9-12-2011
Location: Baja California
Member Is Offline
Mood: Move on. It is just a chapter in the past, but don't close the book- just turn the page
|
|
By all means, a consult is in order if questions cannot be answered. Just wondering why you italicized DR?? Is there some doubt in your mind about my
credentials?
|
|
|
Hook
Elite Nomad
Posts: 9011
Registered: 3-13-2004
Location: Sonora
Member Is Offline
Mood: Inquisitive
|
|
Surprisingly, I find myself agreeing with EnsenadaDR on this.
There is no reason to pay for an office visit to get a blood test done. Even the results of the test can be interpreted for possible problems with
info you get on the internet. If any of the categories are out of range (the lab report will give you the range), then by all means, schedule a doc
visit and take the results in with you. He/she can then give you the physical inspection AND be able to use the results of the lab test to make a more
educated guess.
Just be sure and tell the lab you want the complete blood work up done. They have varying degrees of blood tests. Might as well get a stool sample and
urinalysis done, while you're at it.
|
|
|
EnsenadaDr
Banned
Posts: 5027
Registered: 9-12-2011
Location: Baja California
Member Is Offline
Mood: Move on. It is just a chapter in the past, but don't close the book- just turn the page
|
|
I believe in a person being as educated as they can about their own condition. They should know what the tests are, why they are being done, and what
the results could mean. It could mean a lot of studying on their own, but an active interest in your own medical condition could help you detect
other problems down the road. Many Doctors, especially the older generation in Doctors believe in letting the Doctor handle the interpretation of
tests. Speaking for myself, f I love it when a patient walks in and gives me his background in a knowledgeable and interested manner. The Doctor and
the Patient then work together as a team. Less likely for a patient to get a wrong diagnosis and less likelihood being charged unnecessarily by the
Doctor for unnecessary testing and consults.
|
|
|
Paula
Super Nomad
Posts: 2219
Registered: 1-5-2006
Location: Loreto
Member Is Offline
|
|
I didn't mean to doubt your credentials, Dr. I just thought it ironic that a doctor suggests that a patient bypass the doctor in interpreting test
results. I completely agree that patients should see their results, and keep records of them, especially those who are seeing doctors in the US and
Mexico.
It can happen that a full panel of tests indicate that all is well, when in fact something not easily seen can be present.
It was pretty clear to me that the guy doesn't feel well. Having a series of tests is not likely to improve his condition without a conversation that
could lead to diagnosis or maybe just some simple life changes.
I really wonder how the guy is doing now, and if he has seen someone, but it seems he has had enough of us.
|
|
|
Alm
Ultra Nomad
Posts: 2745
Registered: 5-10-2011
Member Is Offline
|
|
Turned out to be a funny debate - whether one should go to a doctor if he doesn't feel well ... Could anybody in his sound mind expect a conclusive,
one-for-all answer to that, really?
Lab is not under any obligation to tell you a range of "normal" for any given test, they may or may not do this. The lab will only do the tests that
you ask them to, and how do you know what to ask? Besides, some lab tests are inconclusive and need to be cross-checked by ordering another kind of
test, and lab won't tell you if this is the case, they don't have to tell you, they are not doctors.
Doctors make mistakes too, of course, people are not perfect and medicine is by no way a precise science yet. Then you can obtain a second opinion if
you like. But suggesting NOT to go to a doctor at all is really a strange idea.
|
|
|
Mulegena
Super Nomad
Posts: 2412
Registered: 11-7-2006
Member Is Offline
|
|
Its wise to be established with a medical doctor before one becomes sick, imo.
If one is sick, why in the world would someone not visit a doctor?
That doctor would recommend current tests (or not) based on their most current examination.
Additionally, its been my experience that doctors have preferences in which laboratory to have tests run. This isn't because they own the lab or are
receiving a kickback. Especially here in Mexico there are labs with higher or lesser qualifications, older or newer equipment and greater or lesser
educated technicians.
"Raise your words, not your voice. It's rain that grows flowers, not thunder." ~Rumi
"It's the mark of an educated mind to be able to entertain a thought without accepting it." ~ Aristotle
|
|
|
EnsenadaDr
Banned
Posts: 5027
Registered: 9-12-2011
Location: Baja California
Member Is Offline
Mood: Move on. It is just a chapter in the past, but don't close the book- just turn the page
|
|
I don't recall anyone suggesting NOT to go to a Doctor, least of all another Doctor The person that asked seemed to know alot about tests, except an
"adrenaline" test, which I didn't know what he was referring to. I also don't think it's wrong for a person to take a battery of lab work without a
Doctor's ok. | Quote: | Originally posted by Paula
I didn't mean to doubt your credentials, Dr. I just thought it ironic that a doctor suggests that a patient bypass the doctor in interpreting test
results. I completely agree that patients should see their results, and keep records of them, especially those who are seeing doctors in the US and
Mexico.
It can happen that a full panel of tests indicate that all is well, when in fact something not easily seen can be present.
It was pretty clear to me that the guy doesn't feel well. Having a series of tests is not likely to improve his condition without a conversation that
could lead to diagnosis or maybe just some simple life changes.
I really wonder how the guy is doing now, and if he has seen someone, but it seems he has had enough of us. |
|
|
|
gnukid
Ultra Nomad
Posts: 4411
Registered: 7-2-2006
Member Is Offline
|
|
Most doctors won't tell you what blood test results to ask for or what the results mean. And there is nothing wrong with choosing which tests to get
based on your own broad research and interpreting them based on broad knowledge research.
Generally, it's up to individuals to manage their own health care. Doctors are clearly not incentivised to be beneficially informative to patients,
quite the opposite they appear to be afraid or disincentivised to ask the required questions or inform pertinent information-at least in the USA.
|
|
|
Alm
Ultra Nomad
Posts: 2745
Registered: 5-10-2011
Member Is Offline
|
|
| Quote: | Originally posted by gnukid
Most doctors won't tell you what blood test results to ask for or what the results mean. |
My experience has been a bit different. Many doctors - probably the majority - will share their knowledge if you ask. Ex, you tell that you would like
to eliminate the suspicion of cancer - and they will tell you what blood tests you should done and what indices or markers are needed to be present in
the results. They may also tell you to do tests other than blood, like imaging or colonoscopy or some other kind of "*scopy".
I agree, there is a lot of info now on the web for those willing to do their own research, and personally I always do this first, but then always go
to doctor to confirm (or exclude) my findings.
|
|
|
Posada-BushPilot
Nomad
Posts: 126
Registered: 9-4-2006
Location: Carson City NV/Posada Conception, Mulege
Member Is Offline
Mood: Baja Brained
|
|
SINCE WE ARE ON THE SUBJECT
I was just diagnoised with giardia lamblia by a doc at the fidepaz hospital in La Paz. This after it showed up in a lab test.
The perscription: Flagenase 400, every 8 hours for 10 days. This drug is not available in the US, only metronidazol is, according to web MD. The
doc said the metron is not as affective. Giardia is hard to detect and hard to eradicate, say the doc.
So after this regimen I will be looking to restore fauna with nonfat yugurt and other "good" stuff.
But would be interested to know, Dr. Ensenada, what your experience has been with giarda lamblia?
|
|
|
captkw
Ultra Nomad
Posts: 3850
Registered: 10-19-2010
Location: el charro b.c.s.
Member Is Offline
Mood: new dog/missing the old 1
|
|
fidepaz is great !!
the purple place is relly good !!and they fixed me up over some bad amiba from centrail ameraca.. test result came back in less tha 1/2 hr took some
meds and was up and running fisrt thing in the morning !!! did alot of tests in the states with no results for 2 years...they pinned it down in under
a hr !!! Thumbs up from all reports tha t I've heard about them !!! K&T 
|
|
|
bajaguy
Elite Nomad
Posts: 9247
Registered: 9-16-2003
Location: Carson City, NV/Ensenada - Baja Country Club
Member Is Offline
Mood: must be 5 O'clock somewhere in Baja
|
|
Sounds like
A Thyroid problem.......
Oh, I'm not a Doctor, but I did stay at a Holiday Inn last night..
|
|
|
Hook
Elite Nomad
Posts: 9011
Registered: 3-13-2004
Location: Sonora
Member Is Offline
Mood: Inquisitive
|
|
So, have you looked into why Flagenase 400 is not available in the US?
|
|
|
Posada-BushPilot
Nomad
Posts: 126
Registered: 9-4-2006
Location: Carson City NV/Posada Conception, Mulege
Member Is Offline
Mood: Baja Brained
|
|
HOOK
No I haven't, other than its not FDA approved.
|
|
|
EnsenadaDr
Banned
Posts: 5027
Registered: 9-12-2011
Location: Baja California
Member Is Offline
Mood: Move on. It is just a chapter in the past, but don't close the book- just turn the page
|
|
Flagenase is available and FDA approved in the United States. Flagenase is a combination of two drugs, Metronidazole and Iodoquinol. They are not
approved for use in the treatment of Giardiasis in the US. I prescribed Metronidazole for my patients in Mexico because that was the recommended
treatment for Giardiasis by the Mexican government. Furazolidone is the drug of choice and FDA recommended treatment for Giardia in the United
States. A mild case might be relieved by rest and plenty of fluids. However, if symptoms are severe, then antibiotic treatment may be necessary.
Since Giardiasis is spread by the fecal oral route, the best prevention is to wash your hands frequently. Also check to make sure that the food
handlers at the restaurants you eat at wash their hands frequently as well, especially after using the bathroom.
|
|
|
BajaNuts
Super Nomad
Posts: 1085
Registered: 5-11-2008
Location: eastern WA, the DRY side
Member Is Offline
Mood: no worry, no hurry....it's all good!
|
|
I've always wondered why they call it "practicing" medicine. At what point is the doctor done "practicing" and can then "perform" medicine?
Aw Well~~~Here's hoping the persons seeking answers have found the persons to supply those answers and are getting healthy.
|
|
|
EnsenadaDr
Banned
Posts: 5027
Registered: 9-12-2011
Location: Baja California
Member Is Offline
Mood: Move on. It is just a chapter in the past, but don't close the book- just turn the page
|
|
A possible answer to your question...
I believe the answer might be very simple...you "practice" medicine but "perform" surgery. The practicing could include the diagnostics and the
performing could be hands on physical exam and surgery | Quote: | [i.]Originally posted by BajaNuts
I've always wondered why they call it "practicing" medicine. At what point is the doctor done "practicing" and can then "perform" medicine?
Aw Well~~~Here's hoping the persons seeking answers have found the persons to supply those answers and are getting healthy. |
|
|
|
| Pages:
1
2 |
![[*]](images/xmbforum/default_icon.gif){kind=icon}
