June 2020 Newsletter

To Mask or Not to Mask?

Back on May 20th, Chief Public Health Officer Dr. Theresa Tam made the announcement that she was recommending Canadians wear a face mask/covering where physical distancing wasn’t possible.  Wearing face masks is not something Westerners are used to.  It’s almost a stigma to have one on, however, in East Asia and China, there is no shame in wearing a face mask.  In fact, it has been going on there since the pneumonic plague in 1910 and is seen as a sign of civic responsibility to do so.  If someone is seen not wearing a face mask during a public health emergency, it is greatly frowned upon and people are actually afraid of that person because they would be considered to have low civic responsibility and disrespect.

Now that things are slowly opening up, we will be exposed to more human contact than we’ve had in the past 2 months.  Social distancing is a new term for us and we are still trying to understand what is acceptable and what is not.  Based on what Dr. Tam has suggested, if you are not able to distance yourself in a situation where you will have 2 meters space, then the recommendation is to wear a non-surgical face mask.  An example would be if you routinely take the train to work.  You cannot guarantee you will be able to keep a 2 meter distance with someone else.  In a situation like this, it makes sense to wear a covering.  If you take your own car to work, you would not need to wear your mask as you were driving.

COVID-19 is a new virus.  We are learning more and more about each day.  We already know you can be asymptomatic.  Even though you feel well, you may be a carrier without even realizing it.  By wearing a face mask in situations where there will be close contact with others, the chances of spreading it are decreased significantly on both ends.  Not only are you protecting yourself, you are also protecting the more vulnerable such as a senior or immunosuppressed individual.  While it is not mandatory, it does show that you are willing to make a difference in combating this virus and are respectful of others around you.  Plus, it is a temporary inconvenience and there are some pretty cool looking face masks being made out there!

What Are The Health Benefits To The Approaching Summer?

We can feel the sun on our face and it brings excitement and joy every time we realize that summer is almost here.  It is by far our favorite season.  Being able to shed winter layers for flip flops and shorts is what I look forward to every single year.  Some of the great things about summer are of the many.  High on that list are the health benefits it offers.  Below we have shared some of those:

Fresh Fruits & Vegetables

Doesn’t it seem like we associate winter with heavy, comfort food?  But when summer approaches and we start to shed the extra layers, heavy meals suddenly don’t seem as appetizing but the colorful fruits and vegetables do. That is because the summer heat drives our hunger down as our bodies do not need to expend as much energy to keep us warm.  It tells our minds we only need something lighter to sustain us.

Fruits and vegetable look so much more vibrant in the summer.  I am more apt to grab a piece of fruit as a snack now than I would in the winter based on esthetics alone.  It’s also time for the local Farmer’s Market’s to open back up with local vendors presenting their organic, wholesome, fresh food.  While some are open during the winter, the summer months present more excitement and color.

More Opportunities for Exercise

There is nothing worse than sitting behind a desk and staring outside to the beautiful sun shinning, envious of those out there enjoying it.  The sluggish feeling of winter fades and we are suddenly energized making us more productive, even at work.  This also affects the way we exercise.

People naturally want to be outside.  Summer gives us more options on how and where to exercise.   Not everyone is a gym rat.  That can seem like a daunting, monotonous task but summer opens doors to activities that people love to do.  Things like gardening, mowing the lawn, hiking/walking, riding a bike, playing a game or sport with our children/grandchildren or swimming.  And what happens when you are in the sun and exercise or work outside?  You sweat!  Sweating detoxifies your body, which is another excellent health benefit.

More Vitamin D

Vitamin D is one of the most important vitamins in our body for optimal health.  It strengthens our immune system, can play a role in cancer prevention, strengthens our bones, speeds up metabolism and improves the overall emotional health.  The easiest way to get a significant amount of Vitamin D is through the sun.  We are meant to get 80% there and only 20% through diet.  When exposed to the sun, our Vitamin D is replenished and stored.

Over the years, with more awareness of the dangers of too much sun, we have been taught to block the rays out with sun screen.  People are also working more hours keeping them indoors and shielded them from the rays.  Due to this, many now suffer from a Vitamin D deficiency.

Having a Vitamin D deficiency can cause you to have bone pain, muscle cramps, stooped posture, loss in height and weakness and tingling.  During the summer months it is easier to store up on your Vitamin D.  We wouldn’t suggest you to disregard the yields to applying sun screen, but newer research has shown that exposing your body to a little bit of sunshine can actually be good for you.

Overall Feel Good Attitude

Have you ever wondered why you instantly feel good when you see the sun?  That is because it boosts your level of serotonin, which is the body’s natural happy hormone. Summer time offers us longer days and more opportunity for the sun to shine.  Having the extra daylight gives us more time to be outside and possibly get outdoor exercise in.  This can produce the happy endorphins more so than if you exercised indoors.  Regular sun has also been known to halt moderate depression.  There are individuals that have an illness called Seasonal Affect Disorder (SAD), which is normally present during the fall and winter months.  Once summer arrives, it magically disappears.

Vacation!

Nothing rejuvenates your spirit and mental health like a vacation.  Taking a vacation, whether it’s a quick 3-4 day weekend get-away or a week off, can be beneficial to your overall well-being.  Summer presents more time for people to take time off work and spend it with their families.  Studies have shown over and over that stress can contribute to heart disease and high blood pressure.  Making the time to take a vacation not only gives you a break from the normal stressors of daily life but it can strengthen your relationships by spending quality time together.

Summer is often a short lived season in Canada.  Make the most of it by watching less TV, putting the devices down and getting outside to explore all of the wonderful things available to us. A little bit of sunshine can go a long way!

Happy Father’s Day!

Happy Father’s Day to all of our favorite men out there!  In light of Father’s Day, Canada also celebrates Canadian Men’s Health Week (June 15-21st)  This is a time to focus on challenges men have regarding healthy lifestyles.  To find out more, visit the Canadian Men’s Health Foundation: https://menshealthfoundation.ca/campaigns/menshealthweek/

Newsletter May 2020

How Long Will You Be Waiting for Your Elective Surgery?

Canadians deal with medical wait times even with no pandemics.  In the past few weeks, all the healthcare resources were directed towards treating Covid-19 patients, rightfully so, and an estimated 100,000 patients had their elective surgeries cancelled or postponed. People are patiently waiting in pain to find out when they will be seen by a specialist or when their new surgery is going to take place.

Last week brought in some positive news. Some provinces are starting to call cancelled patients to evaluate and possibly reschedule. According to this article, BC is to restart its elective surgeries on May 18th. They estimate that it will take them up until June 15th to come back to the same capacity as they were pre-COVID-19. The province cancelled 30,000 elective surgeries. It may take up to 2 years to catch up, with maximizing their operating room capacity and extending surgeries to happen on weekends.

Ontario Ministry of Health released directives to help hospitals and regional centres plan for a gradual resumption of cancelled surgeries. Although no date was given, each hospital has a responsibility to evaluate its resources and adhere to the released framework. The emphasis was given to the word gradual. As a requirement, 15 % of acute care should be reserved (or made available on a moments notice). According to the document the surgeries are only to resume if the hospital has had a stable number of COVID-19 cases and has:

  • available space and this space was evaluated in the context of physical distancing, so no care in the hallways
  • supplies of PPE, medications, swabs and reagents are available
  • health human resources are available and are not affecting urgent and emergent care

Alberta resumed their elective surgeries on May 4th and is expecting to have 26,000 to 30,000 urgent and non-urgent surgeries performed over the next six weeks. New Brunswick started rescheduling priority elective surgeries on May 11. Manitoba and Prince Edward Island are following suit, but no certain dates have been announced.

Many news reports stated the difficulties of reopening and all the challenges that may arise with its safe implementation. In this article, the issues of asymptomatic COVID cases, the availability of PPEs, anaesthetic drugs and ventilators are raised. Everyone scheduled for surgery will have to get a negative COVID-19 test within a certain time frame prior to the surgery. So that is an additional burden on the testing centres.

All the above is promising, and one can hope that the wait will not take years. While you are waiting to hear back from your doctor’s office, there are some things you can do.

  • Reach out to your physiotherapist or chiropractor to ask them what exercises you can do at home. If your condition changed, be sure to mention all the details.
  • If your condition worsens dramatically, contact your doctor to tell them the new information. Most family doctors are able to do a phone consultation or a virtual appointment.
  • Consider your private options for the future. By getting a medical records review done with Health Vantis you are not obligated to proceed. However, should you decide that your post-COVID wait time is too long, you will be ready.

Private Surgery After Covid-19

With medical wait times most likely increasing for elective surgeries due to Covid-19, some of you may be searching for information about your potential private options. We wanted to give an update on what is being done or considered being done at the private surgical facilities we work within Canada and the US.

As you already know, some of the southern United States are lifting the COVID-19 restrictions. Depending on the state, some are allowing elective surgeries to take place. Certain provisions and requirements must be met. Those are mandated by the state’s Department of Public Health.

Each facility we work with is accredited not only by the state (which is a requirement) but by another accrediting body in the US. We reached out to two of them, AAAASF (American Association for Accreditation of Ambulatory Surgery Facilities) and AAAHC (Accreditation Association for Ambulatory Healthcare) to ask what they have in place.

AAACH advised that they have a number of resources available to their members on their website, but that they defer to a state department of public health for further guidance on reopening as those will differ from state to state.

AAAASF offered a similar answer and added that they conduct onsite resurvey and that they ask all facilities in their resurvey year reopening to submit policies and procedures to ensure that all infection control and patient safety requirements are in place.

Health Vantis is keeping an eye on the states governments announcements and their public health departments directives. So far, we see that there are several things that are being mandated by each opening state, such as pre-op COVID testing requirement: negative Covid-19 test results within 48h or 7 days, depending on the state. Some require staff and doctors continuous testing as well.  Another one is sufficient supplies of PPE to be stocked at a facility and enhanced cleaning protocols.

We are also keeping in touch with all the facilities we work with so that we get pertinent information on their developments. It is not clear yet how soon we will be able to send someone for medical travel.

 

 

Newsletter March 2020

Weight Loss Before Total Knee Replacement

Have you been told by an orthopaedic surgeon that prior to your knee replacement you need to lose some weight? If so, you may feel disappointed or upset. When your mobility range is limited such recommendations may seem unrealistic or even absurd. Should a BMI (body mass index) of 30 or more preclude your surgeon from scheduling an operation?

There is a good reason doctors make this recommendation to their patients. Our knees are weight-bearing joints and the amount of weight we put on them matters. Studies have shown that losing weight can greatly improve arthritic pain. Every pound of excess weight puts about 4 pounds of extra pressure on the knees. Every pound you lose relieves pressure and stress on the joints.

Losing weight, in general, is healthy, not just for your joints. People that are obese often suffer from certain diseases and conditions such as diabetes, hypertension, depression and others. These conditions, or secondary diseases, are called comorbidities. The more comorbidities a person has the more risk there is in surgery.

However, a relatively new study came out and it concludes that “obesity in itself should not be a deterrent to undergoing a joint replacement to relieve symptoms”. It reports that obese patients reported excellent pain relief and substantial function gain, similar to other, non-obese patients.

Yet another review of studies for total knee replacement states that obesity still contributed to a greater risk of overall complications, such as infections rates. In addition, the need for revision surgery was higher in obese patients.

So, what is the magic number of pounds to be lost prior to surgery? This study states it is 20. The researchers found that people who were morbidly obese and lost at least 20 lbs were more likely to:

  • Have shorter hospital stays
  • Be discharged to their homes, rather than to rehabilitation facilities

Talk to your doctor about the risks of your total knee replacement. If weight loss is recommended, doing so will lower these risks and ensure a successful outcome.

 

When Is the Right Time for Your Private Knee Replacement?

If you have been experiencing knee pain and all other non-surgical methods are not helping, your doctor may recommend a total knee replacement. You may be wondering when is the right time for you to get it done. Although there is not a definite answer to this question, certain things have to be considered and discussed with your orthopaedic surgeon. Here are some questions to ask yourself and concerns to bring to your doctor.

  • Is your mobility severely compromised?

If you have been struggling to perform your daily physical activities such as walking, climbing stairs or simply moving around running errands and or getting to work, this could be a good indicator that surgery may be in order.

  • What is your pain level and does it stop when you rest?
  • Is your pain so severe that you have a hard time getting on with your daily routines?
  • Is your knee joint swollen?

Do you experience inflammation and swelling that does not improve after taking medications or resting?

  • Are you having restful sleep?

Do you experience lasting pain that continues while you are resting? Does it keep you up at night and prevents you from getting a good night sleep?

  • How much damage due to arthritis do you have according to the X-ray?

Your doctor should be able to help you answer this question by reviewing the X-ray with you. Severe arthritis damage can not be reversed and the pain can only be relieved by undergoing a total knee replacement

  • How old are you?

Your age matters, but should not be the deciding factor. In general, your knee implant should last 15-25 years, thus most people with arthritis only need one knee replacement in their lifetime. However, younger adults are now undergoing knee replacements and there is a chance that they will need revision surgery later on in life.

Although there is no perfect rule to timing waiting too long or going in too soon is not optimal. If you wait too long, your mobility is decreased and due to this, you may have a hard time exercising and start developing other health issues such as cardiovascular problems. There is a chance you will experience depression because you are unable to do things you once enjoyed. Another problem with delaying knee replacement surgery is that the surgery will be less effective because you will not get as much function back. However, having a total knee replacement too soon may mean that the benefits will be minimal and you may require a revision later on in life.

Bring up all your questions and concerns to your orthopaedic surgeon to discuss your options. If you were put on a long wait list and are seeking private total knee replacement we can help. Reach out to us and we will discuss your private options.

Dangers in Medical Travel

We hear the news reporting on the horrors of medical travel quite often. It is quite unsettling to read the details and understand how it became a harsh reality for someone. CDC periodically issues warning about infections being spread in other countries at the facilities that may see foreign patients. Several outbreaks of infectious disease among medical tourists have been documented. Recent examples include surgical site infections caused by nontuberculous mycobacteria in patients who underwent cosmetic surgery in the Dominican Republic and Q fever in patients who received fetal sheep cell injections in Germany. If you are planning to travel to get medical care, be assured that many medical facilities deliver successful outcomes. And even though all surgeries carry risks, there are certain steps you can take to minimize yours.

Dangers To Avoid

  • The facility does not have a US, Canadian or JCI Accreditation
  • You cannot verify the surgeon’s credentials and what they are certified to perform in, that they are up to date and what their actual training was in
  • The facility doesn’t publish their infection rate
  • There is no procedure in place if there is an emergency or something goes wrong during the operation

But It’s Cheaper

While cost is important it should not be your deciding factor.  Many people think it’s just breast implants or simple hernia surgery.  They do these every day.  What could go wrong?  If the right standards are not met, A LOT!  Sometimes you get what you pay for and your health should not be compromised to save a few dollars.

Having a safe, successful surgery should be your number 1 priority.  That can be achieved if you gather all the facts.  This can be incredibly time consuming but well worth the effort.  Hiring a Medical Facilitator that does all of this for you will ensure no detail or question is left unanswered.  It also gives you a guide through the entire process.  If you are in need of such knowledge and expertise, contact Health Vantis today!

February Newsletter 2020

3 Easy Steps to Working with Health Vantis

Have you ever been subject to a lengthy delay in medical services that left you looking for alternative options?  If so, you probably know how frustrating and time consuming it is trying to find a private facility to have it done sooner.  Many people do not even know where to start so their first jab at it usually involves making countless phone calls to places found on the internet, most of which lead you to dead ends.  If you do get a call back and need a price for a surgery, they will have you going in circles to get an all-inclusive price.  The whole process can be daunting and even more frustrating when you compound the emotions of already having to wait.  

By the time we get the phone call, the customer is already exhausted from all of the work they’ve spent trying to locate someone on their own. Many are incredibly frustrated and appalled by the fact they can’t be seen in a timely manner and are left to feel like no one cares about their health or situation.  It makes them feel helpless.   We understand these feelings because we’ve been in their shoes before.  

Health Vantis was created to help those left in these kinds of situations to provide them with immediate pricing and pre-vetted, leading health care professionals and facilities to meet their needs.  The countless hours you would spend doing this yourself can be achieved quickly with Health Vantis.  Our process is designed to make things seamless so all you need to do is focus on your health and recovery.  It can be broken down into 3 easy steps.

Initial Contact: Evaluation and Medical Overview

Our initial contact involves us getting details to your needs, concerns and expectations.  Most of the time we can offer an initial ballpark price.  (*Challenging or uncommon cases may require one of the doctors to review your records prior to getting a price).  If you would like to get an exact price, we would need to collect your medical records to be sent off to a couple of facilities for a medical review. To start the process, we require a $100 CAD non-refundable administrative fee to do this.  Our Consent and Release form need to be signed at this time to allow us to safely receive and transfer your medical records and facilitate obtaining information you need to make an informed decision.  You are under no obligation to proceed with a surgery or treatment.  

Decision Making:  You Are In Control

After the medical review is completed, we provide you with the accurate pricing, facility and surgeon credentials, any requirements such as blood work or EKG that might be needed prior to surgery, time frame the surgery can be done, how long you will be required to stay and any other information you may need so you can make an informed decision.  If you need to speak directly with the surgeon prior to making your decision, we can make the arrangements for that to happen.  Once you’ve made the decision to proceed, we start planning the remaining details to your surgery.  This includes your transportation, hotels, and any post-op treatment you might need.  We charge 10% of the cost of the surgery (in CAD dollars) to do this and it is collected at this time.  

Logistics:  Scheduling, Traveling and Follow Up

A personalized medical travel guide will be provided to you.  This includes every detail necessary for your surgery such as pre-op instructions, what to expect post operatively, appointment times, facility location, hotel and transportation details and any other information pertinent to your trip.  Once your surgery is complete, we continue to check in with the surgeon, you and your companion until you are fully recovered.  

It is important to note that we do not contract out any of our services.  We care a great deal about our customers and like to be involved from start to finish to ensure a successful outcome.  We are always available and spend a great deal of time walking you through the process.  

If you are considering private options, contact Health Vantis prior to investing hours of searching and making phone calls.  Your time is valuable and your health is important.  Our level of dedication and due diligence in finding the right facility for you will provide the stress free process you need to ensure a smooth and safe surgery!

The Hidden Costs Of Medical Tourism

Considering traveling abroad to get a medical treatment, diagnostics, and/or second opinion and wondering how much it costs? We addressed cost issues in several of our blogs in the past.  Today we wanted to bring to our reader’s attention the hidden costs of medical tourism.

It could be broken down into two categories – financial and non-financial. Monetary hidden costs are a bit more manageable if one prepares and asks the right questions before going.

Potential Unexpected Financial Costs

  • Unexpected medical complications.  All surgeries carry a risk of complications. Talk to your medical tourism professional about them. Arrange an interview with prospective doctors to better understand the rate of complications. We highly recommend looking into purchasing a medical complications insurance for traveling abroad to receive medical treatment such as Global Protective Solutions.
  • Hidden hospital charges. Ask how much it costs if you need a longer hospital stay.
  • Is the price you were given an all-inclusive price?  Questions you need to ask are: Does this price include the surgeon fee, facility charge, anesthesia, pre and post op medications, and pre-op testing such as blood work or EKG.  In some situations such as a GYN surgery, there might also be a biopsy required.  Would this be included?  In the case of an orthopedic surgery such as a joint replacement, is the implant included?  No one likes an unexpected bill so be sure to ask all of these questions upfront!
  • Additional testing for diagnosis such as a CT Scan or MRI.

Non-Financial Costs

  • The cost of not talking to your primary care provider in your home country can be very high and it is potentially harmful to your overall health. Your family physician has the most knowledge about your situation and if you inform her of your intended travel you will place yourself in a much better position to mitigate the risks. She will be able to talk to you about different health scenarios for your particular condition. It will be easier to consult her when you are back home. No one likes surprises and it’s not worth the risk. Sometimes it can be difficult to bring up this conversation but is well worth the efforts. All Canadian doctors are aware that medical tourism exists and for the most part are supportive of it.
  • Access to the doctor who performed your surgery or treatment can be limited. This one should be closely discussed and reviewed as you are going through your quotes and selection of medical specialists and facilities.
  • Arranging follow-up care can be challenging and costly. Find out the recovery time and what you need to do. Your medical tourism facilitator can provide you with a quote and connect you to a physiotherapist so that you can continue the recovery process when you are back home. If you have supplemental health insurance your physiotherapy may be covered.  If not, the cost of a therapist traveling to your home is about $90 per session.

All these considerations are a lot to think about and are easy to forget. Ensure you either have a good medical facilitator to keep track of these or print this list and keep it as you go through your research.

World Cancer Day

February 4th was World Cancer Day.  There are currently over 100 types of cancer people battle with every day.  Not all cancers present noticeable symptoms, however,  knowing what some of them are may provide you with the knowledge of when to have something checked out.  See the infographic above for some of the more common symptoms. *Infographic courtesy of World Cancer Day.Org

Newsletter January 2020

How Long Will You Wait for Surgery in 2020?

According to the Fraser Institute, over a million Canadians were waiting for a medical procedure in 2019. The median wait times from GP referral to treatment was reported as 20.9 weeks.

Usually, if the medical matter is urgent, one gets treated promptly here in Canada. When it does not involve a medical emergency, the provincial government health plans consider these elective procedures and/or non-urgent.  It doesn’t mean that the provincial insurance won’t cover what you need to have done, in most cases, however, you may just have to wait.

When it involves something that creates limitations in your day to day function, then it sure seems like it is urgent.  Constant pain is physically limiting and distracting with difficulties in focusing. The quality of life suffers. If you are a working adult, a decrease in your productivity or ability to work occurs.

Pain is the main indicator that something is wrong. Living with severe pain may produce a chain reaction. You may not be able to develop the coping skills required.  This may cause you to become unproductive, unable to exercise or possibly put you into a depression. Although doctors are getting more cautious with giving opioids out for pain control, they still do. This is considered a risk. Being on them in the short term may be appropriate but long-term usage will have more serious consequences such as addiction. Also, when you take an opioid it masks the pain. This could result in you to pushing yourself more than you should which can create or complicate your problem further.

The longer you have an ailment that is being untreated, the higher the chance of making things worse. For example, take a knee replacement. Our knees bear all of our weight when we walk or run, or simply are upright. They are the main hinge between the ground and the rest of our body. They allow us to get around. Waiting too long for your surgery can be counterproductive.

Your function going into surgery dictates how you will function afterwards. The longer you wait, the more muscle tone you lose which will make your recovery much longer and harder. Something spotted early may only require a minor procedure. Delaying that could cause, in the case of a knee, destruction to the knee joint to where it is so severe that a total knee replacement is now needed.

Needless to say, waiting in line to get medical help can be hurtful. To get help sooner, consider your private options. Call Health Vantis to find out the costs of private surgeries and how to obtain them in a safe and affordable manner. We are here to help. Toll-free 877 344 3544.

 

How Long Does a Private Joint Replacement Last?

Private Hip Replacement

Those suffering from arthritis in their joints are probably aware that a hip or knee replacement will relieve the pain for good. However, going through a total joint replacement surgery is undertaking a serious, albeit considered very successful surgery. If all non-surgical methods fail, your doctor will recommend a total hip or knee replacement.

One of the questions for your doctor should be “How long will my hip or knee last?”. It is an important factor to consider. Younger people are advised to wait to avoid future revisions. A standard answer to the longevity of the joint replacement has been 10-15 years.

A new study for hips and knees that came out in February 2019, tells us that joint replacements last longer. The study looked at almost 300,000 total knee replacements and over 200,000 total hip replacements. 58% of total hip replacement lasted 25 years. Total knee replacements had even longer longevity – 82% lasted 25 years.

Those numbers are encouraging for the aging population of North America. It is worth to note, however, that the study collected data from joint replacement surgeries performed in New Zealand, Australia, Denmark, Finland, Norway and Sweden. The results can differ in Canada. One of the private medical facilities we work with in the USA uses implants that are rated to last for 40 years. They also use robotics for the highest accuracy for private knee replacements.

It is ultimately your decision if you prefer to wait or get it done sooner. If you are put on a waitlist for a joint replacement and no longer can deal with waiting, Health Vantis can help access private hip or knee replacements. Give us a call to find out the details. Toll-Free 1 877 344 3544

Pre-op Testing: What Is Needed?

Once you make your decision to proceed with the surgery Health Vantis makes all the arrangements for you. One of the moving parts of preparation for surgery is pre-op testing. The requirements can be different, depending on the procedure you require and your individual health.

The two most common tests the doctors we work with ask our clients to complete are bloodwork and EKG. Blood work within the last 3 months prior to surgery is usually accepted. If more recent blood work is required, you can schedule a visit with your family doctor and ask for a requisition of what is needed. It usually takes a couple of days to get the results and those can also be picked up at your family doctor.

If you are over 65 and/or have high blood pressure or other cardiological issues, an EKG test is required. In most provinces, it is fairly easy to get. Again, this can be done through your family doctor.

If the results of the EKG are concerning, a cardiological clearance is required. This one is not as easily obtained as the EKG or blood work. Most of the facilities we work with can suggest a local cardiologist that can schedule a consult on short notice to accommodate your surgery date. The cost varies per doctor and location and will be communicated to you by Health Vantis upfront.

Sometimes, when there is a GYN surgery involved, the surgeon would like to see the results of the most recent PAP test. This is done to ensure the overall health of the client is acceptable for surgery.

If you are considering private surgery and have any questions, we are here to help! Toll-free 1 877 344 3544

December 2019 Newsletter

How Does Canada Perform On Universal Health Care Compared to Other Countries?

If you listen to some of the presidential candidates south of the border, you would hear that Canada has the greatest health care system in the world, a system to model.  But is that just an opinion or is it based on fact?  Recent data suggests something far worse than what the debaters might have you believe.

A recent study completed by the Fraser Institute compared universal health care systems to determine how well Canada’s system really ranks.  The overall conclusion was that although Canada is the most expensive system in the OECD (Organization for Economic Cooperation and Development) and the performance is modest to poor.  Below are the 5 areas in which the data was measured:

Expenditure on Health Care

Of the majority of high income OECD countries that utilize universal health care systems, Canada spends much more. After an age adjustment, it ranks 2nd highest for expenditure as a percentage of GDP and 10th highest for health care expenditure per capita.

Availability of Resources

Canada has substantially fewer human and capital resources than many like jurisdictions that spend comparable amounts of money on their health care.  Canada has significantly fewer physicians (26th out of 28 countries), acute care beds (27th out of 28 countries) and psychiatric beds (25th out of 28 countries) per capita when you compare them to the average OECD countries.  Nurses rank close to average at 15th out of 28 countries.  On medical technologies such as MRI & CT Scan, Canada again ranks very low.  For MRI it is ranked 22nd out of 26 countries, CT Scan 22nd out of 27 countries and PET Scan 17th out of 22. Canada has fewer other medical technologies than the average high income OECD county.  One area we rank high is on Gamma Cameras 2nd out of 21 countries.

Use of Resources

After age adjustment, Canada ranks 9th (out of 26th) for doctor consultations,  14th (out of 25th) for MRI examinations, 12th (out of 25) for CT Scans and last at 28th (out of 28) for hospital discharge rates.  Other areas examined were for cataract surgeries, coronary angioplasties, coronary bypass grafts, appendectomies, cholecystectomies, hernias, hip replacements and knee replacements.  Canada’s performance is mixed.  We performed well or at higher rates than the average OECD country on about half of the indicators examined but lower rates on the rest.

Access to Resources

Access to resources can be measured by the timeliness of care, ie. waiting lists.  Canada tied last place (out of 10) for percentage of patients making a same day appointment when sick, 4 (out of 10) for after hours care, 10th (out of 10) for waiting 2 months or more for a specialist appointment, and 10th (out of 10) for waiting more than 4 months for elective surgery.  These findings place them at the bottom or near the bottom on 4 out of 5 indicators.  

Quality and Clinical Performance

Canada performs 17th (out of 24) for primary care, 4th (out of 21) for acute care, 12th (out of 16) for mental health, 6th (out of 16) for cancer, and 19th (out of 19) for patient safety.  Measures of longevity was also compared.  Canada ranks 14th (out of 28) for life expectancy at birth.  

Canada is the most expensive universal health care system that participates in the OCED.  The overall performance for availability and access to resources is below the average country.  Performance for resources and quality and clinical performance is mixed.  This presents a huge imbalance in the value of health care Canadians receive when you look at how high the spending is. The spending is financed by taxes all Canadians pay. In other words, what we pay for taxes we do not get back in return for good health care – we wait, wait and wait….

 

 

Medical Travel Success – Plan and Ask Questions!

There are numerous reasons to travel outside one’s local area to receive medical treatment.  A procedure may not be available where you live, the wait for it is too long, or the price is too high. With the world becoming so well connected and easy to communicate, all one has to do is to look up a reputable hospital and hop on the plane or drive. Sounds simple right? But traveling for medical reasons is far more complicated and involved than regular travel. If you have determined that you are going to take your health matters in your hands and take a pro-active approach, this article will give you a couple of points to be aware of.

DO: Communicate and be transparent with your local family physician or specialist

First and foremost, we cannot emphasize the importance of communicating with your family doctor and/or specialist.  It matters tremendously at all stages of your medical journey, but especially before and after. Before the travel, give your doctor an opportunity to voice all of his/her concerns with your plans.  It will help you mitigate the risks associated with receiving medical care abroad. Remember, only your doctor will have the medical facts and necessary expertise to raise such concerns. You can ask for a second (or third) opinion, or do your own research, but it all starts with you and your doctor.

When you come back from your procedure, your doctor will not be surprised and unprepared to learn about your journey and if necessary, provide or advise post op care. In many, if not all surgeries, the recovery time and post op care are so important.  The success of the procedure largely depends on it and therefore, you have to have the medical support you need when you come back home.  Talk to your family doctor 4-6 weeks or earlier before you go!

DO:  Go to a hospital that is able to provide their HAI (Healthcare Associated Infection) rates and prevention mechanisms

Many internet articles and government health authority bodies warn medical travelers about accreditations and standards for out of the country hospitals and doctors, and rightfully so. Not only do you need to make sure that your hospital and doctor are properly accredited and certified, you need to make sure the hospital has an ongoing prevention plan for preventing Healthcare Associated Infections (HAI). 

Are you aware that there are multi-drug resistant bacterias in hospitals and other health care facilities around the world?  For example, there was a rapidly growing Mycobacterium outbreak among medical tourists in the Dominican Republic: 21 cases identified in 6 states, 13 of them or 62% underwent surgery. Significant time and resources were spent for recovery, including therapeutic surgical intervention, hospitalization and 3+months of antibiotic treatment.  In Jan of 2019, the American CDC placed warnings about being treated at certain hospitals in Mexico due to antibiotic resistant infections.

Outbreaks among medical tourists are inherently difficult to detect due to patients returning to broad geographical areas, non-notifiable conditions and the fact that communications between countries can impact detection of outbreaks.

The US and Canadian healthcare authorities make an effort to publish results, however, other countries’ healthcare systems may differ.  Ask your provider for a discussion of HAI rates and what is being done to prevent them.

DO: Have a plan B

Have you thought about the fact that there is a chance that your doctor may advise a different treatment plan? There are cases of “change of treatment plans”. For example, a hip replacement client may be given a less invasive, less costly alternative that would keep the quality of life for a few years before she has to have surgery.  While it doesn’t mean you cannot have your surgery, it does mean that there may be more health related decisions made on location and you have to be open and ready to discuss those. To prepare yourself, don’t be afraid to ask questions.  Work with your doctor on the plan B before you leave.  The more planning you do the less stressful your medical journey will be.

DO NOT: Make your provider selection off of price alone

While this may be the obvious one,  but we are always alarmed at the low amounts people are quoted.  Figuring out price differences may prove to be daunting.  You have to go through each quote to see why they differ and if the difference is going to affect the quality of your treatment and stay.  Ensure that all quotes are detailed and figure out what different hospitals consider extra to the quote to get a better picture of your final bill. Also, look for hidden costs and always know how the Medical Facilitator gets paid. It should not be hidden in your hospital costs.  Always remember, you get what you pay for!

In addition, be prepared for complications and what the cost may be. It is best that you talk to a medical complication insurance agent about this as this may end up being very costly. In addition, your insurance agent will be able to spot hospitals that had bad cases and will not be able to insure you at that particular facility.  That’s an additional risk management step you absolutely must take.

If you have any questions or concerns or would like to discuss any of the medical travel issues further, please reach out to us.  We are here to listen and give you the best answer today! Health Vantis specializes in making your medical travel more enjoyable by giving you our most personal support and care along the way, start to finish!

 

5 Tips For The Next 2 Weekend Holidays And Eating

This time of year is full of cheer and over indulgence.  We all love to have a good time but here are some tips to help get you through the next few weeks when you are at a party!

1. Chose fresh fruits, dark chocolate, sweet potatoes, beans, vegetables or whole grains.  All of these are natural appetite suppressants.

2. Pick foods that you don’t eat often during the year. It will give you a chance to try the special food without filling up on the typical fare

3. Overindulging in alcoholic beverages is common during this time of the year. Have a glass of water before and in between your adult beverage. Not drinking 3 hours before you go to bed can also be of benefit in affecting your sleep cycle.

4. Watch for the ‘sigh’ which is your body’s natural way of letting you know you are full.   When you ‘sigh’, you are actually making room in your stomach.  Pay attention to this to avoid overeating and know that is your body’s queue that it’s time to stop.

5. Have a strategy before you go to a party.  Set limits and know what you plan on doing.  Easier said than done, isn’t it?  If you at least think about it before you go, you may have a chance at actually following it!

Have a wonderful holiday season!

October 2019 Newsletter

 

Carson MacLeod – Private Hip Replacement

Recent Health Vantis Client

We had the pleasure of meeting and helping a wonderful gentleman named Carson MacLeod from Truro, NS a few months back.  He came to us in need of a timely hip replacement surgery.  

Up until 3 years ago, this healthy and fit 78 year old was still playing hockey and able to do all of his normal day to day things. The pain in his hip got so severe, he could no longer do them.  After a trip to the doctor, it was confirmed he needed to have a hip replacement.  Unfortunately, there was a lengthy wait to have this done.

When he realized he would not be getting his hip replacement in Canada any time soon, he decided the pain was severe enough that he could not wait.  He spent a great deal of time researching his options on having the surgery done privately in the US.  A facility in Boston proved to be challenging to get an actual quote on the cost.  His daughter came across our website site and suggested he call us.  

We had the perfect doctor in mind for him.  He was quickly given a surgery date and his trip accommodations were booked.  He traveled to the US at the end of June 2019 and had his surgery on July 1st.

The most amazing part of Carson’s story is that this hip replacement was done on an out-patient basis and he was up and walking within a couple hours after his surgery.  This would have been unheard of 5 years ago, especially for someone in their 70’s.  Most doctors are still doing joint (or hip) replacements on an in-patient procedure.  While not everyone is a candidate to have a hip replacement on an out patient basis, the benefit is that it allows for a quicker recovery time and less chance of developing an infection while in the hospital.  

Carson had a walker for 2 days, was able to have a cane by the third day and was fit to travel back home only 4 short days after his surgery.  It is remarkable how well he has continued to do since then.  He has reported that he never felt better and has not had any hip pain whatsoever since his surgery.

If you would like the same result, please give Health Vantis a call at 877-344-3544.

Watch Carson speak about his experiences here.

 

The Value of a Second Opinion

Two years ago I had a L5 S1 spinal back fusion.  After 20+ years of treatment for a herniated disc, my options on pain control were exhausted.  The cortisone injections, facet joint blocks and rhizotomies were no longer working.  The only option I had left was to have a back fusion.  This is a major back surgery and one many doctors avoid at all costs until it is absolutely necessary.  

My Spinal Orthopedic Surgeon gave me a plan on how the surgery would work. I decided to get a second opinion due to the nature of the surgery.  I took my records to a Neurosurgeon.  He reviewed them, did a physical exam and while he did agree I needed the fusion, he offered another approach to doing the surgery.

The original surgery was to include 2 incisions on my back cutting through muscle, 4 screws and an in-patient hospital stay.  My second opinion offered a procedure called an ALIF (Anterior Lumbar Interbody Fusion), where they went through my belly, did not need to cut through muscle, 2 vs 4 screws and could be done on an out patient basis, making the recovery time so much easier and quicker.  

I can happily report, I went with my second opinion and had an excellent result.  Could I have had the same result with the other suggested technique?  Most likely, however, I would have had 2 additional screws, which were ultimately not needed, 2 incisions and they would have cut through my muscle creating more recovery time.  This would have been on an in-patient basis thus increasing the risk of infection.  

The value of a second opinion is to give you more information so that you can make the most educated decision about your health. It is not to discount the original doctor’s opinion, but instead to consider his recommendation with others that may be available.  In my situation, this was a major surgery.  I wanted to make sure I was doing the right thing and that there were no other options available to me.  But there can be numerous other reasons why someone might want to have a second opinion:

  • The doctor says there is nothing else they can do for you
  • You didn’t feel the doctor listened to your concerns
  • You are looking for an alternative treatment or other options
  • You want to confirm the diagnosis and/or treatment plan
  • Peace of mind you are doing the right thing 
  • You want to know if there is newer technology or an advanced, easier or safer method to the approach your surgery has been recommended be done.

If you would like to have a second opinion and are not sure how to go about it, please contact us and we’d be happy to help!  info@healthvantis.com, 877-344-3544

 

 

Flying South for the Winter?  Combine Your Trip with Private Surgery

Fall is here and this is the time of the year that the Snowbirds start making their plans to travel south for the winter.  If you’ve considered having a surgery done privately, this would be a great time to start planning it.  

What are the Benefits?:

  • You can recover in the comfort of your own home.  While recovery can be done in a hotel, there is nothing better than your own bed.  Plus, you save the expense of a hotel room!
  • The ability to follow up with the surgeon who did your surgery.  Most people who travel for surgery will stay on average 5-7 days and then return to Canada.  Your doctor in Canada is able to do your follow up visits and the surgeon in the US can continue to follow you via phone, email and/or Skype.  However, being local and having the ability to do your follow ups in person is more optimal.
  • There is less risk since you do not need to fly home right away.  The doctor would not release you to fly home unless he was confident you were fit to do so.  However, flying after surgery does present risk.  If you combine your surgery with an already planned trip to stay for a couple of months, that risk element is removed. 
  • You are already familiar with the area.  Traveling to another country to have surgery can be overwhelming, especially if you are unfamiliar with the area.  If you have the surgery in your winter destination, chances are you will already know your way around.
  • Avoid the delays and wait times in Canada.  Most facilities in the US can accommodate you within a couple of weeks time.
  • By coming to the US, you may have access to treatment for procedures or surgeries that are not available in Canada.  There are many things unavailable to Canadians that are available in the US.  This would be an optimal time to explore alternative options.
  • There is convenience of already being in the area so you avoid an additional trip and expense.  If you combine your south of the border winter trip with a surgery, you will save money by not making a separate trip to do so.

Contact Health Vantis to connect you to an already vetted, safe and affordable facility in the area you are traveling.  We take the guess work out of finding the appropriate surgeon for your needs.

 

September 2019 Newsletter

We welcome September as the first month of the Fall, still warm and beautiful, with crisper air and golden leaves peeking through. Things start settling into routines as we head towards cooler weather. In this issue, we bring to you some news about a promising new Alzheimer’s blood test, some information on how to get your medical records in Canada and a list of Medical travel Do’s and Don’t.

September is Alzheimer’s Awareness Month

Alzheimer’s disease is the most common cause of dementia. It is progressive and not reversible, causing memory problems that become severe over time. Eventually, people with Alzheimer’s can not perform their daily tasks.

Detection and Diagnosis

Diagnostic methods have improved in recent years, but there is still not a single diagnostic test to determine if someone has Alzheimer’s disease. A number of tools and tests are used to help with diagnosis. They usually include physical exam and review of medical history, a neurological exam, mental status test and brain imaging, such as CT scan or/and MRI. All other diseases should be ruled out prior to diagnosing someone with dementia.

Early Diagnosis

Getting an early accurate diagnosis is beneficial for several reasons. The person is able to participate actively in their own health-care decisions and future plans. They are able to focus on what is important to them, make informed decisions about legal, financial and care matter and ensure that their families and friends know.

Starting medications early, when they are most effective, is another benefit. While current medications can not stop the damage Alzheimer’s causes to brain cells, they may lessen or stabilize symptoms for a limited time. Also, people that are diagnosed early are able to participate in clinical trials of new medications and diagnostic tools. All current medications help mask the symptoms of the disease but do not treat the underlying causes or delay its progression. Several new medications are in development and testing. However, they need more volunteers. Trials are recruiting people with Alzheimer’s and mild cognitive impairment, as well as healthy individuals to be controls. To find out more about participation in a clinical trial click here.

Future of early diagnosis

Two proteins are linked to Alzheimer’s disease, one is called tau and the other one is beta-amyloid. The disease is described as having tangles and plaques on brain MRI images. Tau forms tangles and beta-amyloid form plaques in the brain.

Tau proteins play a vital role in how nutrients and other important materials are transported in the brain and keep the brain cells alive. In unhealthy brain areas, tau protein collapses and twists, thus “tangles”. These tangles prevent nutrients from reaching brain cells, resulting in cell death.

Beta-amyloids molecules clump and those clumps form plaques. As plaques spread, the cells of the brain are unable to receive signals between nerve cells and cause cells to die.

Beta-amyloid spreads throughout the brain at an early stage, decades before the patient notices signs of the disease. Tau, on the other hand, starts to spread at a later stage, from the temporal lobes to other parts of the brain.

Early detection of these proteins enables earlier diagnosis of Alzheimer. Two of the recent detection research findings are worth noting.

The first one is a tau-PET scan. Researchers developed a PET scan to determine the presence of tau. When tau begins to spread the neurons start dying and patients start experiencing the first problems with the disease. A tau-PET scan detected 90-95% of all causes of Alzheimer and only gave a few false positives in patients with other diseases.

The second one just recently made the news. It is a blood test that can identify Alzheimer’s almost 20 years before symptoms appear. The blood test developed can detect the start of beta-amyloids build up in the brain. PET scans can already detect these build-ups, so researchers looked at the results of the newly developed blood test and the results of the PET scans. They saw that the results agreed 88% of the time. In an attempt to refine the results and improve the blood test accuracy the researchers then took into account other risk factors such as age and a specific genetic variant. The accuracy went up to 94%!

Also of importance is the fact that those participants flagged as false positives based on the results of their PET scans showed positive test results years later. This may suggest that some of the early blood tests were more sensitive than the brain scans in detecting the disease in the very early stages.

Blood tests are much easier and faster to perform than PET scans and if these findings are approved then Alzheimer’s will be easier to diagnose, treat early and recruit participants in clinical trials.

To learn more about these two researches we provided the links to the first one here and the second one here. To learn more about Alzheimer’s disease click here.

Medical Records and How to Obtain Them in Canada

When we start working with a prospective client, we ask them to collect and submit their medical records for a doctor’s review. This part of our process sometimes takes the longest. We came across a few cases where people were unaware how to get them, other than asking their family doctor. Asking your family doctor will probably get you as far as the visits in her office and sometimes blood work, but other important records can be at a hospital or a diagnostics facility you were treated at.

So how do you get your medical records at a hospital or a diagnostic facility? Under the Freedom of Information and Protection of Privacy Act (FIPPA), a request must be made in writing. Depending on the province you reside in the request can be usually faxed or emailed to a hospital’s Health Records Department. They, in turn, have up to 30 days to provide you with an electronic or paper copy of your medical records. There is a small charge involved in this and usually depends if you wanted your diagnostic records on a CD, if you prefer printed copies, etc. The fees range between $35-$85, from our experience, although they may change in the future.

In Nova Scotia, where we are based, all the records have to be requested by either faxing or emailing in a request form.

In Alberta, you can access your medical records online. Once you create an account and digital ID, you should be able to view your records any time.

In British Columbia, you will need to reach out to your local health authority. This can also be done online. For example, for those belonging to Island Health, you can go here, or if you are under Vancouver Coastal Health the form can be found here

In Ontario, the process is very similar to that of BC. You will need to contact the Health Information custodian and submit a form via fax or email. Health Information custodians are defined as doctors, hospitals, pharmacies, labs, etc. We always advise calling the hospital or facility you were treated at and ask them what their processes and fees are, as they may have their own form to fill out.

Other provinces have similar rules and processes.

Getting medical records can take time and patience. Health Vantis can do this for you, provided the proper forms are filled out and signed by you, our client. For more info, please contact us at toll-free 1 877 344 3544 or by email info@healthvantis.com

 

Medical Travel Do’s and Don’ts

Travelling for medical reasons can be complicated. Not only someone is stressed about their surgery or treatment there are other things to consider when planning a trip to get better. Here we highlight a few do and don’t items to help you plan your medical journey successfully.

DO:

  • Do all the research you can about the doctor and the facility you are going to. Ask if you can talk to some of the doctor’s patients. Sometimes it is possible. Doing your own research will help you make a better decision on where to go for treatment. If you are short on time and are not able to do all the research, consider hiring a medical travel facilitator. A good medical travel facilitator will be able to provide you with feedback on the doctor and the facility.
  • Ask your doctor questions about your procedure. Make sure you understand the risks and possible outcomes. Knowing these things will help you keep calm before and after surgery. Stress hinders recovery and can affect surgical outcomes.
  • Find out the exact pricing and what additional items you may be charged for. This one is sometimes very tough, but most of the time once a doctor reviewed your medical records, they will be able to provide you with an accurate estimate
  • Communicate with your doctor in Canada. It is a good idea to bring up the intent to travel 4-6 weeks before you plan to go. Your medical provider needs to know about your plans because she or he will be able to give you some valuable advice beforehand as well as see you after you come back home.

DON’T

  • Make a selection of the doctor and facility based on price only. Ensure that you will be receiving treatment in a safe manner by a qualified doctor and at a certified facility with known outcomes. Many news stories covered cheap surgeries in the Dominican Republic and Mexico that ended badly. Be wise, and when in doubt, ask questions.
  • Give up on an exercise program or a healthy diet. Even if your mobility is limited, there are a number of programs that allow for gentle exercises, such as swimming (for those with back pain) or walking. Eating healthy will keep your weight in check and prevent unnecessary weight gain.
  • Expect the results overnight. Any surgery is a serious medical procedure and the recovery may be lengthy no matter if you had it at the best place and by the best surgeon possible.

June 2019 Newsletter

 

Canadian Men’s Health Week (June 10-16th)

Canadian Men’s Health week is celebrated the week leading up to Father’s Day.  This week is dedicated to raising awareness of preventable health issues.  It promotes living a healthy lifestyle by being proactive with early detection and treatment of disease in men.

New research shows that 72% of Canadian men demonstrate 2-3 unhealthy habits.  This could be in the form of a poor diet, smoking cigarettes, excessive drinking, not getting enough sleep or not exercising regularly.  An even more mind boggling statistic is that 70% of chronic health conditions are caused by lifestyle, not genetics, which means a lot of them are preventable.  

Genetics you can’t do much about, but modifying your lifestyle you can.  It can be very easy to neglect your health when you work full-time, have families, daily stressors or just lack of time.  By changing some simple habits, huge benefits can be achieved.  Something as simple as:

– Eating a healthy breakfast, or eating one at all, will help start the day off in the right direction.  

  • Playing with your children or grandchildren.
  • Taking the stairs
  • Parking further away from the building
  • Doing yard work
  • Playing a sport
  • Getting regular check ups from your doctor
  • Doing the recommended tests such as a PSA or cholesterol panel when appropriate 
  • Drinking water instead of soda
  • Eating a type of fish or seafood in place of red meat once per week

Canada’s Men’s Health Foundation has some really helpful tools. You can test where you stand health wise with a quick and easy test on their website.  It is free, 100% confidential and provides you with your areas of risk, what you need to know and what you can do to improve.  It takes about 5 minutes to complete.  To take the test, click here!  

They also provide a Maintenance Guide to tell you when certain tests are recommended based on your age.  It is broken down by your age: 20-39, 40-54 and 55+.  There are also some helpful ‘Did You Know’ stats.  To see what you should be having done each year, click here!

Infographic courtesy of Canadian Men’s Health Foundation

 

 

Canadians Leaving Canada For Medical Care (Newsletter)

Did you know that in 2017 there was a reported 217,500 Canadians that left the country for health care according to Statistics Canada?  We spent $690 million on medical care, $1.9 million per day, in other countries.  Numbers like this are baffling.  Why are the numbers of Canadians leaving for medical care increasing?

Lack of Doctors

In the Maritimes alone, there are 175,000 people waiting and without a family doctor.  In Ontario, it was reported that 1.3 million are without access to primary care.  This poses huge issues and contributes to the overcrowding in the ER’s but more importantly, is a bigger problem when it comes time for follow up and that person doesn’t have anyone to follow up with.  It puts people between a rock and a hard place.

Other scenario’s include the wait time to see a specialist or to have a diagnostic test done.  Some of the doctor’s offices we’ve contacted have a recording on their voicemail, ‘If you are in need of a referral to Dr. XYZ, there is an 18 month wait to see him.’  (One of the Neurologists’ message indicated 24 months!)   Talk about discouraging.  If you are in pain, who wants to wait that long for someone to address it?  

Operating Rooms & Diagnostic Machines Rationed

In 2018, a report was done and looked at 15 hospitals in Quebec that had the longest wait times for MRI & CT Scans.  This study found that the majority of the machines were operating far below capacity.  

In theory, these machines should be operating 16 hours a day, 7 days a week.  On average, only 6 of the machines were running approximately 8 hours a day.  Meanwhile, 7,000 people were  on the waitlist to have a scan.  

Due to budget constraints, operating rooms are not booked to full capacity either.  There may be an OR room, surgical team, and surgeon available, however, that surgeon is only allowed to do so many surgeries per week.  When you see the numbers of how many people are leaving for medical care, these reasons noted above may very well be part of the cause.

 

 

Happy Father’s Day!

Teacher to all

Fearless leader

Everyday hero

Ringmaster to the circus

Foundation of the family

New dads, old dads, step-dads, granddads, father in laws, military dads, goofball dads…there are a million fatherly types out there.  What ever category you fall under, Happy Father’s Day!

 

Health Vantis is briefly saying goodby to their newsletter for the summer, however, our business will still be open.  We will resume the newsletter September 2019.  We hope everyone has a happy, healthy and safe summer!!! Looking forward to catching up in a couple of months.

*If there are topics you’d like to see in our upcoming issues, please send us your ideas.  We love hearing from you!