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Dr. Jose Manuel Hernandez - Orthopedics and TraumatologyAn interview with Dr. Jose Manuel Hernandez

Dr. what is your specialty?

My specialty is Orthopedics and Traumatology, plus my specialty I have a subspecialty in joint replacement and sports medicine (arthroscopy)

What is joint replacement?

Is a prosthetic replacement joint  to treat degenerated cartilage that is degenerated and change if necessary realignment by prosthesis by either the old or previous trauma autoimmune diseases, they can be within the following most common order.  Spare prosthetic knee, hip, shoulder, ankle and elbow.

Can we talk about the quality standards that the hospital has?

Yes of course, we have the standards that are international, we have the latest technology necessary for performing any surgery and we have highly specialized staff. Here we use the same techniques as in countries like Canada, USA and Europe Indeed something important to the foreign patient should know, is that in Mexico we have infection rates much lower than in countries like the United States, because our quality and hygiene controls to some extent are stricter and bacterial resistance to antibiotics is lower than in other countries.

What are the steps to follow before subjecting a patient to a surgical procedure?

Well, before talking about a surgical procedure we have to exhaust all non-surgical  medical measures to achieve this, we explain to the patient the advantages, disadvantages and possible complications and what will be the procedure  they will undergo and the type of Suggested anesthesia for individual patients, laboratory tests are requested, a cardiac, dental, and urological assessments are performed, (in cases of patients undergoing joint replacement) once everything is in order we can program the surgery, the day of admission the patient fills out a form explaining reasons for their admission as well as other questions about their medical history so that we do not miss any information, patient are required to sign consent forms are for each hospital admission procedure. After the patient is prepared with the appropriate attire, we place intravenous fluids and administered a dose of prophylactic antibiotic then we move to the operating room where we monitor the patient's heart, breathing and vital signs, while preparing the anesthetic, then clean the area where the surgery will be performed and special sterile dressing.

Can we talk about the technology available at the hospital and that you use in your practice?

Our hospital has all the equipment and technology necessary to perform the vast majority of orthopedic interventions.

We have European technology in  all our equipment (instruments, prostheses, fracture fixation systems, arthroscopy) those instruments are  from the most prestigious brands in the world, to name a few Zimmer, Striker, Depuy Synthes, Smith & Nephew, Arthrex. In my practice, after performing a surgical procedure the patient is going to receive a summary of what happened during his surgery we gave them the batch number and other information necessary to remove or replacement.

There is some economic advantages compared to US and Canada?

Before everything else is the quality of service and professionalism to provide services, definitely they will have this plus the economic advantage.

Our operating expenses are lower, our professional liability insurance is cheaper, and available implants are more economical. there is a reason why implants are cheaper here, due to WHO (World Health Organization), there is an agreement in which developing countries are granted preferential rates, for example a knee prosthesis in Mexico worth on average compared to U.S. $ 3.000 worth 5,000 to 6,000 dollars, a hip replacement in the U.S. worth about 14 - 15 000 which would cover the TOTAL cost of a hip replacement in Mexico

Right now Medical Tourism is very fashionable. How does this apply to your specialty?

More than a fashion I would say it is a must, this is because there is a high demand for medical products and services originating from several situations  a significant number of people over 60 years of age especially in countries like the U.S. and Canada called baby boomers are people who were born in the baby boom after the second world war these people still are active most retirees are traveling around the world and because they want to stay active, another reason is that many of these people do not have medical coverage due to the high cost of the policies in their countries and perform a surgical procedure involves considerable expense which sometimes is not possible.

Dr. Jose Manuel Hernandez - Orthopedics and TraumatologyThe flow of tourists looking for some type of treatment is about 24 million per year and it is expected to experience growth of around 20-30% per annum over the next five years.

PV is a world class tourist destination as it offers beautiful scenery with its mountains and unforgettable sunsets, fishing etc. We have all the infrastructure to provide a service of high quality travel medicine with the advantage that our country is communicate with U.S. and Canada.

Dr. Are you certificate for some Association?

I am a certified physician by the Mexican College of Orthopedics and Traumatology. Member of the Mexican Federation of orthopedics and traumatology colleges AC. I belong to the Mexican Association of Joint Reconstructive Surgery and Arthroscopy (AMECRA) Member of the American Society of Orthopedic Surgeons (AAOS) Societies of governing orthopedic medicine in Mexico and in U.S.

Dr. Have you ever participated in a congress?

In our work every day arises new techniques and knowledge that are published and communicated in national and international conferences. In my ongoing training each year I attend most of the meetings of the most important companies in our country and abroad (U.S.)

Also in Mexico we are constantly training conferences, workshops, fortunately now knowledge is more accessible and is within reach of all, you go to a website and you find out all the newest knowledge, if someone in China to name a country invents a new technique it is published to the net and we all learned, it is important to know where that knowledge comes because not all places are serious or ethical in their publications.