October 2017

CHAPALA MED’S Monthly Health Newsletter 
January 2018 Health Newsletter
Happy New Year to all of our patients and readers. I hope that all of you had a delightful, warm and cheerful holiday season thus far and hopefully have avoided getting the dreaded respiratory infection that seems to be going around.  Due to the number of patients I had hospitalized in December and the end of year engagements that I had to attend to, I found it difficult to find time to write a newsletter worth your time.
January is the month for awareness for Glaucoma, Cervical health, Thyroid disease month as well as National Drug and Alcohol Facts week from the 22-28th.  Regular check ups and a guided plan with your doctor can help maintain a good quality of life and independence by early detection of Glaucoma and Thyroid disease as well as Cervical Cancer.  

I’d like to reiterate that this newsletter includes articles that I believe will be of great interest and value to the EXPAT population of the Lake Chapala area as well as the Guadalajara metropolitan area. Please feel free to share this newsletter with anybody whom you believe may benefit from the information or articles included within it.
This upcoming 2018 Chapala Med will continue to expand the number of services that it provides as part of PRIMARY CARE. We will also be welcoming a new full time GP and a Geriatrician whom will hold regular office ours and be part of the Palliative Care team at Chapala Med.  Dr. Adrian Chaurand Morales will head our Palliative Care department and our network of specialists will continue to grow.   It has been an honor and a privilege to serve you all in whatever capacity we could.  Thank you for that that honor.
In closing I’d like to remind our readers of our
MISSION STATEMENT so that you are all aware of what we are striving to accomplish everyday and hold us to this mission.

Our medical team and staff pledge to you that we will provide purposeful medical care catered to the purposes of your lives. We will cure sometimes, treat often, and comfort always. We will always provide purpose-driven medical care to provide our patients with care that will allow them to enjoy the best quality of life and maintain or improve their level of independence. 

Santiago R. Hernandez M.D. 
 Chapala Med would like to formally welcome and announce the addition of Dr.  Cherry Adjchavanich as a full time healthcare provider. Dr. Adjchavanich, a general practitioner, is a native of Houston, Texas. She graduated from U.A.G. in 2007 and received her license to practice in Mexico in 2010 after completing her year of Social Service. She has been working in research and academia in the U.S. and her most recent position was doing research at Baylor College of Medicine.

Dr. Cherry (as she likes to be called) embodies the principles that Chapala Med has been built upon and is an empathetic and caring doctor. Her roles will include home visits, women’s health examinations and implementing cardiology testing under Dr. Sobrino. Her role and number of responsibilities will grow as the year goes on and as Dr. Santiago Hernandez’s role as medical director of the Ribera Medical Center Hospital has been fully implemented.  Stop by and meet this warm and caring soul that is Dr. Cherry.  She leaves smiles on people’s faces wherever she goes.

Palliative Care at Chapala Med
Dr. Claudia Fuentes 
 Chapala Med’s Geriatrician & Palliative Care doctor
Dr. Gawande’s book,
BEING MORTAL has helped shape in large part my philosophy and manner in which I practice medicine. After reading this book I have had the “HARD CONVERSATIONS” with my patients and parents. I only wish some members of my family had read his book before my mother was at the end of her journey on this earth. I believe my mother’s suffering and agony could’ve been for the most part avoided. Placing a family member of loved one in HOSPICE or PALLIATIVE CARE
 does not mean “GIVING UP”. In fact, patients who chose hospice care over surgery or chemotherapy for some diseases live 25% longer than those who do.
Imagine if there was a pill called PALLIATIVE CARE, who wouldn’t take it?
Keeping in mind the lessons and philosophy that I have learned and internalized from Dr. Gawande I have sought to partner with healthcare professionals whom have been specifically trained in this relatively new realm of medicine. Dr. Adrian Chaurand Morales recently finished his doctoral degree in Spain in Palliative Care and has an entire team of healthcare providers, nurses and counselors whom can help our patients and their loved ones during such a difficult time.
Below are links that I hope you may find helpful information on HOSPICE and PALLIATIVE CARE according to Dr. Gawande’s research has shown.
Sunday mornings I regularly listen to NPR’s
ON BEING podcast.  I was delighted to hear that their guest one week ago was Dr. Atul Gawande. I am posting a link to that interview as well as a link to a PBS/FRONTLINE documentary on the very subject of his book. For those of you whom have not had the chance to read his book, I STRONGLY RECOMMEND that you at least listen to the podcast or view the documentary.
FRONTLINE follows renowned New Yorker writer and Boston surgeon Atul Gawande as he explores the relationships doctors have with patients who are nearing the end of life. In conjunction with Gawande’s new book, Being Mortal, the film investigates the practice of caring for the dying, and shows how doctors – himself included – are often remarkably untrained, ill-suited and uncomfortable talking about chronic illness and death with their patients.
6 Percent of Cancers Caused by Excess Weight, Diabetes 

Both obesity and diabetes are preventable causes of cancer for which intervention is possible at multiple levels — in individuals, communities, health care systems, and policy,” said Dr. Graham Colditz, of Washington University School of Medicine in St. Louis.

Baby Boomers at High Risk for Death From Prescription Opioid Overdose

Overuse of Opioids medications is not only a problem in the U.S. but also in the EXPAT communities here in Mexico. Many of the EXPATs in Mexico are BABY BOOMERS.
Sugar increases risk of heart attacks

The latest medical research has clearly demonstrated that it is indeed SUGAR that is more likely to cause coronary artery disease instead of eggs and meats.

Chapala Med |  | (331)950-9414

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CHAPALA MED’S Monthly Health Newsletter
October 2017 Health Newsletter
October is
Breast Cancer Awareness Month!


Greetings and thank you for taking the time to read this health newsletter for the month of October 2017. October is one of the months with a high number of health observances which include the following: Healthy Lung month, National Physical Therapy month, Domestic Violence Awareness month, Mental Illness Awareness Week,  Bullying Prevention month, Latino AIDS Awareness Day, World Food day, National Latino AIDS Day among may others.
Of particular interest to myself, professionally and personally speaking are BREAST CANCER MONTH  and WORLD POLIO DAY(October 24) because I recently lost my mother to breast cancer and because I am a member and President-Elect of the Rotary Club of Ajijic A.C. So, this month’s newsletter may include some information that may be more focused to those two topics.

Other than skin cancer, breast cancer is the most common cancer among American women. Getting mammograms regularly can lower the risk of dying from breast cancer. The United States Preventive Services Task Force recommends that if you are 50 to 74 years old, be sure to have a screening mammogram every two years. If you are 40 to 49 years old, talk to your doctor about when to start and how often to get a screening mammogram.

Being a “SMALL TOWN DOCTOR” in the Lakeside community  many of my patients have come to know some aspects of my personal and family life. Some know that BREAST CANCER has become very important in my life in particular since Feb. 2015, since we diagnosed my mother with it and having lost her this past July. For those past two years I have been living with all that it does to the family and the patient whom it has stricken. I know now, more than ever the importance of cancer screening. I hope that my mother’s story can give some insight and persuade at least one person to go through the recommended cancer screening. She did lead a very healthy life. She never smoked, rarely drank alcohol, ate a very healthy diet and worked out at the gym at least 5 days per week. So, she thought that she was exempt from getting cancer and she didn’t get her screening as it had been recommended to her. She often ignored that she had a first degree relative, her sister who had breast cancer 13 years ago. I’ve seen a very similar scenario repeated in my patients. Baby Boomers feel invincible in many respects. They are more physically active and healthcare conscience than their prior generations and it is for that reason that some believe that they are not suitable candidates for cancer screenings. I wish I could agree with that mindset.

As a member or Rotary International, the eradication of Polio from the earth is of particular importance to me. It is quite evident that the campaigns to vaccinate the world’s population have beard fruit. Since 1988, we’ve seen a worldwide reduction in polio cases of 99.9%.Last year we only saw wild polio cases in three countries.

In this newsletter I like to share information that is of particular interest and affects the EXPAT populations of the Lake Chapala area as well as the Guadalajara metropolitan area. If you find that this newsletter and the information contained herein may benefit a friend or loved one then please feel free to forward it or share it with that special person.

Wishing you the best in health and in life,

Santiago Hernandez M.D.


Prevent, Survive, Thrive: Every Woman’s Guide to Optimal Breast Care
Dr. John West
Dr. John West opened the first breast care center in Orange County in 1988. Since that time, he’s been on the cutting edge of a multidisciplinary, team approach to the care of patients with breast cancer


The National Breast Cancer Foundation i
n honor of Breast Cancer Awareness Month, is giving this helpful guide about breast health to every woman who requests



Dr. Justin West covers everything you ever wanted to know about cosmetic breast surgery, but were too shy to ask.


Catrina 5k to De-Feet Breast Cancer
Rotary Club of Ajijic
will be holding a 5k(Run/Walk) to support
Salvati Guadalajara A.C.. Salvati helps fight breast cancer on a local level by providing free educational campaigns and free breast cancer screenings as well a wide range of support to breast cancer patients. On
Sunday Oct. 29th at 8 am.
We realize this is on short notice so please spread the word. Dress up or wear CATRINA style MAKE UP. It’ll be lots of fun. More details in the next couple of days. We will be having a press release Friday Oct. 6th in Chapala. Members of the Chapala municipal
 government, Fundacion Salvati, Rotary Club of Ajijic as well as doctors and patients who’ve witnessed first hand what Fundacion Salvati has and can accomplish with all of our support.
You will be able to register starting on Wed. October 4th at the
COMUDE offices in Chapala,
Tepehua Treasures Bazar in San Antonio Tlayacapan &
Chapala Med in Ajijic. The donation to register is
$250 pesos (only $15 USD) per participant with various discounts for teams and those with sponsors. Keep posted for further updates.



10 facts on polio eradication
Polio was once a disease feared worldwide, striking suddenly and paralyzing mainly children for life. WHO is a partner in the Global Polio Eradication Initiative, the largest private-public partnership for health, which has reduced polio by 99%. Polio now survives only among the world’s poorest and most marginalized communities, where it stalks the most vulnerable children. The Initiative’s goal is to reach every last child with polio vaccine and ensure a polio-free world for future generations.
The war on science may soon include a war on vaccines. Donald Trump still publicly expresses the idea that vaccines are associated with autism, which is at odds with the conclusion of the CDC, the American Academy of Pediatrics, the NIH, and virtually every other scientific agency in every country that has studied vaccine safety.


Now Trump is reportedly forming a “Golden Vaccine Safety Task Force,” ostensibly to make vaccines “safer” and “assure scientific integrity.” Robert F. Kennedy Jr., an environmental attorney who still openly expresses a belief that vaccines cause autism, is on his list of people under consideration to chair that committee. In this episode, Dr. Paul Offit, an internationally respected authority on vaccine safety, separates vaccine facts from fiction


Local Rotarians to hold a Polio Plus Dinner

Rotary Club of Ajijic &
Chapala Sunrise Rotary Club will be hosting a dinner/fundraiser to benefit POLIO ERADICATION.  Funds raised at this event will be matched 2:1 for each dollar raised by the
Bill & Melinda Gates Foundation. Check with members of either Rotary club for details and information about the event.


Falls in the Elderly: Deadly But Preventable
Despite data indicating that falls among elderly patients remain common, approximately half do not discuss falling with their health care provider, according to findings published in Morbidity and Mortality Weekly Report.
Information from Your Family Doctor Tips for Preventing Falls
Often times we don’t know who to listen to when managing our high blood pressure.
The 2014 Evidence-Based Guidelines for the Management of High Blood Pressure in Adults
, was developed by panel members appointed to the Eighth Joint National Committee (JNC 8) and was endorsed by the American Academy of Family Physicians  (AAFP)

There have been an increased number of patients who have tested positive for DENGUE along the Chapala Lakeside area. I can say that for every patient I have seen and tested in my office he/she can refer of at least two other people whom they believe are also infected with DENGUE due to the similarity and severity of their symptoms.  We haven’t received any official word from government health authorities but by many estimates at least one in ten of the local population has been affected. This is certainly the time of year for an increased rise in such infections. Familiarize yourself with the the signs and symptoms and please seek professional medical help if you believe you have contracted  DENGUE.


CHAPALA MED | 333.950.9414|  |


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