"I underwent a Lap-Band to VSG revision surgery on 3/16/15 with Dr. Alvarez of Endobariatric (www.endobariatric.com). And the bottom line is, I couldn't be happier with process from start to finish.
The long version, including some details you may find helpful is as follows:
I learned of Dr. Alvarez from a Band to Sleeve revision support group on facebook. One of the members had her revision done with him and highly recommended him. Of course there are a lot of options when it comes to going to Mexico for surgery and I knew I wanted to explore Mexico because I was going to be completely self-pay/no insurance coverage for this revision. My insurance had covered my band placement in 2010 and followup care for a few years until I had to switch jobs and my new insurance would not cover anything relating to obesity. Due to the state I live in, I also could not get coverage on the healthcare exchange that would include obesity.
I was very successful with my Lap-band and lost 95 lbs in about 9 months and maintained that loss for another year +. Then I started having complications such as a dilated esophagus and achalasia. It was not safe to have fluid in the band so I got a complete unfill. Of course, I started gaining weight back immediately and despite my best diet attempts, I gained back 50 of the 95 lbs I had lost. I couldn't afford the constant maintenance of the band without insurance coverage and worse, I knew if I ran into trouble again, I'd have no coverage even in case of an emergency band removal. That's when I decided revising was my only option.
I researched surgeons in my area but the closest ones to me that had good reputations were still 3+ hours drive and $25,000 of more for self-payers. I also would have had to jump through most of the normal hoops like pre-op classes, counseling, etc. It would have meant a lot of time off work before even being approved for surgery.
When I found Dr. Alvarez, it was like a dream come true. I could complete everything I needed to online, travel once, and get my revision done for $9,000. Of course, I was warned it may not be possible to perform the band removal and revision all at once, due to the unknown amount of damage in my stomach. But even if I required 2 surgeries, the price would be $12,000 - still half of my US price.
The entire process of working with Endobariatric from start to finish was incredible smooth. The patient coordinator, Susan, is one of the most responsive customer service professionals I've ever had the pleasure to work with. Rarely did more than a couple of hours go by without an answer to my questions via email. And I have no doubt she is interfacing with dozens of patients daily, not just me.
When I finally did make it to San Antonio, TX to be picked up and taken to the surgery location just over the border in Piedras Negras, again everything could not have been more smooth or well done.
There are few big differences between this hospital and all other US hospitals I have been in. I found these differences to be positive for the most part, but I was not expecting them. So for the sake of an honest review of the experience, you might like to know about them.
1. This is specific to Dr. Alvarez, not a "Mexican hospital standard" I'm sure. But there is a very high ratio of nurses to patients here. It feels like one on one and you never have to wait for your needs to be addressed. When I got my Lap-Band at a busy Baltimore, MD hospital in 2010, I had to wait 5 hours after surgery for my first doses of anti-nausea and pain meds. I had to wait for a doctor to write orders for things, I was miserable, and no one cared. I had to wait a couple of hours to get up to pee even though I'd been pushing the call button nonstop. You will find the exact opposite at Endobariatric. I have barely been in pain for a moment since coming out of surgery. they are on top of the med schedule and the times I've been particularly nauseous they will give me more medicine right away and not insist I wait 2 more hours till my next scheduled dose.
2. The hospital that Dr. Alvarez operates out of is not shiny and new on the insude but it is cleaner and more comfortable than any US hospital I've been in. It is QUIET above all. There are not constant announcements on loud speakers. No constant beeping machines. No yelling or crying in the background. I think I am on a private wing only for Dr. Alvarez's patients, but even so, the whole place just has a different feel than US hospitals.
3. I was surprised at the lack of glove use that is so prevalent in US hospitals. Nurses are touch specimen cups and patients without gloves. This doesn't bother me too much but if you are very concerned I would ask in advance about requesting nurses to wear gloves around you at all times.
4. You can actually rest and recover in this hospital! What an idea, right? Instead of being hooked up to machines that beep and disturb you, you'll have an IV for fluids and meds but they will only come by once in a while to check blood pressure and temperature. And you get compression socks and instructions to walk and move but are not hooked up to auto-inflating leg pillows that squeeze and beep you all night. I was able to sleep as much as I wanted, undisturbed.
5. There will be a slight language barrier but it is not bad at all. Dr. Alvarez has nurses that are bilingual and make it very easy but they do leave at night. I was told they are accessible by phone if there's a problem requiring translation but since everything has gone very well for me, I haven't had a problem. I know some basic Spanish and I've used google translate to ask for specific things.
6. The wifi is not as great as I was hoping. Whereas in the US, hospitals seem to be built with wifi access throughout, this is an older hospital with heavy walls, and it doesn't reach the patient rooms. This is not an issue for me because I've enjoyed coming out of my room and sitting in the hallway or near the nurse's station to get a good signal. But if I had any "complaints" at all, it would be for wifi in my room so I can watch netflix in bed.
That is all I can think to mention right now. Again, bottom line, Dr. Alvarez is a skilled surgeon with a great personality and his staff exceeded all expectations. I am a HARD person to please and it is rare that I can write a glowing review. But these folks deserve it.
"
"I am almost 1 year post op and I still have a very high opinion of Dr. A and his entire staff. I have had a great experience with them so far and my only "complaint" is that sometimes minor questions are not answered. If I had a real serious issue I would call back and make sure I got in touch but I've had a couple of small things that ended up being no big deal where I left messages and never got called back. "
"I've only met Dr. A once but I think he's wonderful. So far, nothing could have been better with him and his office staff. The process has been as easy as I could have imagined and I'm 1 month pre-op. "
