Aging, Alzheimer's, Dementia, Health & Wellness, Long-Term Care, Mental Health, Mexico, Senior Care Mexico

International Geriatric/Gerontology Conference Guadalajara 2016 – Focus on Dementia

The Hospital Civil “Fray Antonio Alcalde”, also known as the Old Civil Hospital, produced its 21st International Geriatric and Gerontology Symposium July 7-9, 2016, at the Hilton Hotel auditorium in Guadalajara, Mexico. The theme was “Enfermedades Neurodegenerativas en la Vejez”, or, Neurodegenerative Illness in Older Adults.

There were about 250 attendees as well as one pharmaceutical company (Asofarma de Mexico, S.A.), one hospital supply company from Switzerland, and a private pay day care senior center (www.vidavi.mx) offering business cards, pamphlets, free pens, and carry bags to participants in the registration area.

Four geriatric physicians from the hospital organized the event – Dr.David Leal Mora (the international section), Dr.Hector Ivan Cruz Neri, Dr. Julio Alberto Dias Ramos, and Dra Rocio Garcia Talavera. Guest speakers were from Guadalajara, Leon, Mexico City, and the U.S.

Old Civil Hospital Geriatrics Symposium, Guadalajara, 2016
Old Civil Hospital Geriatrics Symposium, Guadalajara, 2016   Dr. Rocio Garcia is at the podium, Dr. David Leal is the first man on the left with dignitaries from the public hospital system

There were memorable talks about the Use and Abuse of Antipsychotic Drugs, Managing the Symptoms of Parkinson’s, When a Day is 36 Hours, Evidence-Based Geriatrics, Government Assistance Programs for Older Adults, and Can We Prevent Dementia?

Peter V. Rabins, MD, MPH, Professor of Psychiatry, Johns Hopkins
Peter V. Rabins, MD, MPH, Professor of Psychiatry, Johns Hopkins, and author

 

 

 

 

 

 

 

 

What stood out most were the physicians, both American and Mexican, who are exploring and interested in alternative non-drug options for dementia prevention. The common theme – we must all be vigilant in keeping our cognitive skills sharp to the very end, if possible.

Topic-Related Resources:

Israeli physicians have developed a surgery to remove shaking due to Parkinson’s disease http://healthamazing.co/2016/07/13/first-in-israel-surgery-that-removes-shaking-due-to-parkinsons-disease/

http://www.latimes.com/opinion/op-ed/la-oe-stone-solvadi-drug-pricing-20160705-snap-story.html   By Daniel Stone, MD, internal medicine and geriatric specialist, Los Angeles, and, Pres of LA Society of Internists. Another physician calling for a stop to the increasing costs of drugs and “pharma greed”.

http://www.AlzheimersDementiaSummit.com focusing on dementia prevention and alternative remedies that already exist for protecting our brains and our minds. Produced by Jonathan Landsman, a natural health advocate with physicians and others as guest speakers – Dr. Russell Blaylock, Dr. David Jockers, Donna Gates, Dr. Mark Hyman, Josh Axe, Sayer Ji, Michael T. Murray and many others. I missed this July 2016 summit on line but believe it might be available to listen to.

http://goodlifeawareness.com/men-may-be-able-to-avoid-dementia-by-marrying-intelligent-women-researchers-say/  Don’t know if the studies are true, but this article caught my attention. 😉

http://yournewswire.com/harvard-professor-says-prescription-drugs-are-killing-population/utm_content=buffer7c70d&utm_medium=social&utm_source=facebook.com&utm_campaign=buffer   article is not professionally written, has a sensational headline, and, requires quotes and some fact-based evidence.
http://seniorhousingnews.com/2016/08/17/communities-turn-to-marijuana-to-treat-memory-care-residents/?_hsenc=p2ANqtz-9Kxe5ppADrvnIp22h1hj0wP4zRi3r8rV1Y_cRXvTORbY5Zis0oK9cbZtcGubP25n_orIdb35T0M8nX7GJuMFljm_Bygw&_hsmi=33083300    article about successful use of marijuana (with family permission) instead of drugs to calm patients in northern California dementia care residence
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End-of-Life Care, Expats, Hospice, Palliative Care, Palliative Care Mexico, Senior Care Mexico

Mexican Palliative Care Thought Leader Dr. Susana Lua Speaks to Expats about Unmet Pain Relief Needs

Dra Susana Lua Nava, a palliative care physician based in Guadalajara, Mexico, spoke to over 200 North Americans and locals at Open Circle on the Lake Chapala Society grounds in Ajijic, Mexico about pain relief for chronic conditions and end-of-life.

Her passionate presentation about the unmet needs in Jalisco state and throughout the country triggered many questions from the audience, plus more interest in bringing such services to the lake. Lake Chapala is about an hour’s drive from Mexico’s second largest city Guadalajara. An estimated 20,000 North Americans reside there during high season.

Dra Susan Lua Nava, palliative care physician, addresses Open Circle
Dra Susan Lua Nava, palliative care physician, addresses Open Circle

It is a goal of Dra Lua’s non-profit Juntos Contra el Dolor, A.C., (United Against Pain), http://www.juntoscontraeldolor.com, to educate communities throughout Mexico about what palliative care is, and show how to offer comfort care to those with life-limiting diseases. Ideally, there would be models for this care in each state. Currently, palliative care is primarily found in three large cities at regional hospitals – Guadalajara, Mexico City, and Monterrey.

In 2009 the Ministry of Public Health of Mexico established guidelines for palliative care entitling all residents of the nation to relief from pain. The challenge has been that most people do not know exactly what palliative care is, nor where to find it. Palliative medicine is often confused with pain clinics which may offer medications but do not necessarily include a holistic support team for the patient and family members during such trying times.

As of yet, there is no dedicated palliative care/hospice team  – physicians, nurses, psychologists, social workers, clergy, and volunteers working together at Lake Chapala. There have been previous efforts to establish a hospice.  (The main cities at the lake are Ajijic, Chapala, San Juan Cosala, and Jocotopec. It takes around 40 minutes to drive from Chapala on the east end to Jocotopec on the western end).

There are a number of highly talented retired palliative care and hospice administrators, physicians, nurses, clergy, social workers, and others from Canada, the U.S., South Africa, and other countries at the lake. Several groups have formed to discuss how to establish a service that can serve all populations and will endure.

DVDs of the chat by Dra Lua can be ordered at http://www.opencircle-ajijic.org

DSCN1311
Wendy Jane Carrel acts as translator for Dr. Lua’s talk on palliative care in Mexico

I performed a Cliff Notes version of Dr. Lua’s talk as there was much to cover in a short amount of time.

A week after the presentation to North Americans, Dr. Lua gave a public health talk on the same subject to local Mexicans at the Ajijic Cultural Center.

Aging, Health & Wellness, Mexico, Palliative Care Mexico, Retirement, Senior Care Mexico

Aging – Mexican Physician Advocates Eating Less, Walking More

Dr. Jose Gustavo Valladores, President of the Gerontological Society of Jalisco, addressed a group of older adults in a meeting room at Juntos Contra el Dolor Hospital in the parish of San Bernardo, Mezquitan Country, Guadalajara, a few days ago.

Valladores, a spry, humorous, and fit 75 year old advocated eating less, walking more, sleeping about seven hours, and learning to breath slowly and deeply for a more healthful life.

Dr. Valladores contends we do not need to eat as much as we continue to age. His comments remind me of a movement afloat in senior living in the U.S. called Grind Dining, serving small, elegant portions that are easy to see, easy to consume, and easy to manage, especially for those with arthritis, dementia, etc.  Studies show health outcomes with such meals are positive.

Harvard-trained physician and gerontologist Bill Thomas of the Green Project and Eden Alternative has a not to dissimilar approach for aging well that he calls MESH. Move, Eat, Sleep, Heal.

The conversation for wellness in aging continues with this notable consensus among two gerontologists from two different cultures. A return to basics. Wise.

Dr. Gustavo y Dra Susana 21 de mayo 2016
Dr. Jose Gustavo Valladores y Dra Susana Lua Nava

Dra Susana Lua Nava, the founder of the 24/7 palliative care hospital and hospice, was Dr. Valladores’ medical school student 20 years ago.