April 2021

Volume XX | Month Day 20XX
Chapala Med April 2021 Health Newsletter
Happy Spring to our Chapala Med patients and Lakeside friends.
Thank you for taking the time to read the latest news and updates for Chapala Med in this, our April, 2021 newsletter.
The last 5-6 months have been stressful to say the least. In addition to opening our new state-of-the-art hospital, Ribera Medical Center, as well as Chapala Med II, we were dealing with the ongoing PANDEMIC. Getting the hospital and new clinic off to a successful start has been quite challenging and humbling.
I have come to terms with the fact that there are only 24 hours in a day! I was spreading myself too thin with my responsibilities at the hospital, two clinics, seeing patients both in Guadalajara and Lakeside and being active in Rotary Club of Ajijic and my district leadership duties as a Rotarian. It is a recipe for burnout and an increased risk for professional errors.
During this pandemic, the incidence of depression and substance abuse has increased substantially for the entire population but even more so for my colleagues in the medical field. We have been adversely affected by the stress and anxiety in our personal and professional lives. I am grateful to God that I have managed to maintain my sanity but am conscious that I am also at risk to these stress factors. Taking care of myself is perhaps the best thing I can do to take care of my patients.
Reading has helped me gain perspective and regain my focus on what has made Chapala Med successful in the past and what will help maintain its hard-earned excellence in the future. Two books that I have recently read have helped me realize two important things. –
GRIT: The Power of Passion and Perseverance by Angela Duckworth and
Twelve Patients: Life and Death at Bellevue Hospital by Eric Manheimer, MD. In
Grit, I learned about Warren Buffett’s 5/25 strategy which reminds us that “it’s not what you do, it’s what you don’t do that drives your productivity and performance.”In
Twelve Patients (the book on which the “New Amsterdam” TV series is based) I learned what a medical director or leader of a medical team should ideally be like. I realized my stress level was increasing, I was wearing myself out and I often caught myself overlooking details in my
work that could have life or death consequences.
After meeting with the RMC Board of Directors a few weeks ago, we decided that my role in the hospital would be as an Associate and as a member of the Board of Directors rather than as the medical director. I truly would have liked to be like the Medical Director in the “New Amsterdam” series but focusing on my duties at Chapala Med will serve my community and RMC much better than keeping all my positions at the hospital, the two clinics, and my Rotary
Club. Since stepping down from my position at the hospital I have regained my peace of mind and tranquility. I have no doubt that the Chapala Med team will continue to grow and excel in providing healthcare to the Lakeside community especially now that we have a great, modern hospital in the area.
Remember if you require urgent care or have a medical emergency you should call or contact us at our emergency number. We can evaluate your problem and see if it merits an office visit, home visit or hospitalization. I am pleased to report that Dr. Cherry Adjchavanich has returned from Houston so please help us welcome her back after her leave of absence. She and the other GPs, Dr. Afonso Garcia, Dr. Rebecca Vasquez, and Dr. Eva Flores will continue to help with the workload at the clinics and the hospital.
April is Alcohol Awareness Month, National Parkinson’s Disease Month and World Immunization Week.I am proud of the work Rotary International has done to nearly eradicate polio worldwide through immunizations and we hope we will soon eradicate
Wishing you the best of health,
Santiago R. Hernandez M.D.
Dr. Cherry is BACK!
Dr. Cherry returns from her leave of absence from Houston. She is healthy and has gotten her COVID-19 vaccines. She is available for appointments at both Chapala Med I in the evenings and Chapala Med II during the days. Please join me in welcoming her back and call our office for an appointment with her,
IVERMECTIN for post COVID-19 therapy
There has been some controversy about the efficacy of Ivermectin for acute and chronic COVID therapy. Here is a credible article for it’s use for patients who have recovered from acute COVID-19.
There has been a great amount of news regarding the few cases of blood clots that some patients have presented after getting their COVID-19 vaccines. Here is an article which can shed some light on this issue.
Young Adults can get REINFECTED from COVID-19
Young adults can get COVID twice. Practice safety measures when around these social beings.
Rampant Loneliness in Seniors during Pandemic
In my years of medical practice, I have concluded that Loneliness is often far worse than most diseases that afflict most of my patients. Below are two articles and how to deal with this loneliness
Psychological Well-Being during COVID lockdown
Maintaining our emotional health is as important as managing our physical health, if not more. Remember that at CHAPALA MED we have a behavioral therapist and a psychiatrist on our staff. We are here to help you with all of the aspects of your health. Below is an article that addresses our mental health during this time of the pandemic lockdown.
Convenience Over Reputation: Study Looks at How Older Adults Pick a Doctor
APRIL is Alcohol Awareness Month
Here at Lakeside it is easy to increase your level of drinking. I advocate responsible drinking. Please be mindful of how much you are drinking on a daily basis and talk about it with your doctor. Remember we are not here to judge you but rather to help guide you help you get help if need be. Here are 2 articles and one video about the effects of alcohol on your body and signs of abuse or dependence of alcohol.
Dr. Hernandez and Dr. Cesar Fonseca from CRYOVIDA will be holding a presentation and Q&A talk LCS on Friday April 23, 2021 at 12 noon.
There will be snacks, refreshments and gifts for all those who attend.
Spaces are limited so please arrive early.
Books Dr. Hernandez Recommends
The daughter of a scientist who frequently noted her lack of “genius,” Angela Duckworth is now a celebrated researcher and professor. It was her early eye-opening stints in teaching, business consulting, and neuroscience that led to her hypothesis about what really drives success: not genius, but a unique combination of passion and long-term perseverance.
, she takes us into the field to visit cadets struggling through their first days at West Point, teachers working in some of the toughest schools, and young finalists in the National Spelling Bee. She also mines fascinating insights from history and shows what can be gleaned from modern experiments in peak performance. Finally, she shares what she’s learned from interviewing dozens of high achievers–from JP Morgan CEO Jamie Dimon to 
New Yorker
 cartoon editor Bob Mankoff to Seattle Seahawks Coach Pete Carroll
I feel very much connected to this author especially because of his love of
Mexico and the Latin-American culture. This is the book which the series
NEW AMSTERDAM is based upon. Clearly he sets the bar for leadership in the realm of the medical field.
Eric Manheimer, M.D. was the Medical Director at Bellevue for over thirteen years and is a Clinical Professor at the New York University School of Medicine. He is an Internist who trained at Kings County Hospital in Brooklyn, New York in Internal Medicine. Following his Chief Residency there, he moved to Hanover, New Hampshire where he was a member of Dartmouth Medical School and the Hitchcock Clinic for many years.
He has had a long interest in international health working in Haiti and Pakistan and in medical anthropology, history, the social sciences and literature particularly of Latin America. Along with his wife Diana Taylor, who is a University Professor at New York University, Eric travels extensively in Latin America and Mexico. He has two children and one grandchild, who was born at Bellevue
Purpose-Driven Medicine for Purpose-Driven Lives
“We pledge to preserve our humility, integrity, and all the values which brought us to the practice of medicine. We will engage in honest self-reflection, striving for excellence but acknowledging our limitations, and caring for ourselves as we care for others. We will seek to heal the whole person, rather than merely treat disease, committing to a partnership with our patients that empowers them and demonstrates empathy and respect. We will cure sometimes, treat often, and comfort always.” 


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