Comment this post (10 comments)

  1. Bruce Landau
    February 3, 2012

    Ms. Little

    In your research would have any data on which hospitals have hybrid operating rooms.

    Thank you


    Bruce Landau, R.T. (R)
    Lead Radiology Technologist
    Penn Vascular Surgery
    Hospital of the University of Penn
    3400 Spruce St Philadelphia, PA 19104 USA

  2. The short answer:
    Neither T4H, nor our company collect data regarding O.R. configuration. At the same time, when we credential hospitals for our network, I do conduct a walk-thru of the OR facilities.

    To the best of my recollection, only one hospital in our network, Clinica DIME’ (di-mea) in Cali Colombia has this setup.

    It is unique specialty hospital for Neuro-Cardiovascular treatment that was founded by Colombia’s first interventional radiologist. It is the ONLY 50 bed hospital I know of that has a 3.5T MR (that is a powerful statement!).

    The longer answer:
    In general, while minimally invasive technologies are commonly used by top tier doctors, it does not necessarily reflect in OR structure.

    Since cost of OR time and ancillary labor is fairly low, it (generally) outweighs the need for a capital investment in advanced OR environment.

    In the US OR and related labor are very costly, thereby providing incentive to the facility to fix the costs associated with OR turnaround, versatility.

    Furthermore, competition is a key driver in facility spending on “nice to have” Vs. “must have” resources. Equipment manufactures and doctors are powerful advocates for “keeping up with the competition”.

    With few exceptions, such as Alert Einstein Hospital in Sau Paolo; Clinica Las Condes in Santiago Chile, Latin American and Caribbean hospitals are much more utilitarian in their approach.

    While OR turnaround is an issue in busier facilities. Hospital owners are rather conservative when it comes to capital investment. Doctors have less expectations from the facility because there is not much choice as to when to practice.

    As for the patients (we tend to leave them out of the equation…), for 97% of the patients just being in a hospital environment, is a sufficient “high tech” experience. The other 3% “vote with their wallet” by purchasing an insurance policy for treatment in the USA. For these people, HIGH TECH facilities, equipment is part of a status statement and belief that outcomes in the USA are superior to their home country.

    I hope the answer helped address your question. If you wish to chat more about the issue, feel free to call me.


    S. Shai Gold

  3. Rose Camoro
    February 8, 2012

    I’m planning to travel in Panama and I’m glad to have this Hospitals ready to assist me Ilene.

  4. Gerald Cifaldi
    May 1, 2013

    Dear Madam:
    I am thinking about coming to Panama City for a “smart-Lipo” because I know the prices are much more realistic than in the US. Can you recommend any doctor affiliated with this hospital…or other doctor who would be a good choice for this surgery?
    Thank you,
    G. Cifaldi

  5. Robin Kitchen
    November 5, 2013

    My Husband and I are considering moving to Panama.
    We are both Radiologic Technologists.
    I am also certified in Nuclear Medicine and PET.
    Would we be able to find jobs in Panama? I am 57 with over 30 years of experience. My husband is 56, has a degree in landscape design, and has been an XRay Technologist for 5 years.
    Thanks for any information that you could offer.

  6. I am interested in being treated for a type of hemochromotosis which, my GI doctor here has been unsuccessful in diagnosing as I am just a carrier and do not carry both chromosones. So far my doctors have been reluctant to begin therapeutic phlebomonies although my ferratin level, iron binding capacities and blood/iron serum levels continue to deteriorate. I have already developed “iron-induced” cirrhosis of the liver and the treatment phase has begun to slow considerably. My concern at this point is the endoscopic nodules becoming cancerous. For many years a friend and I have discussed the aspect of moving back to Panama for retirement. Are there hospitals/doctors there who would be able to help me with my present medical condition or am I better off here “hoping for the best”? With our current US medical system in a shambles, I wonder should this condition become extreme if I would even be considered for a liver (or partial) transplant because of my age and health (perhaps those who mentioned “death panels” years ago should not have been dismissed so casually as I honestly believe we are headed in just that direction).

    Thank you for your help and consideration.

    • B. L. Bomar
      February 4, 2014

      Why do these posts not have replies?

      • Ilene Little
        February 4, 2014

        My philosophy is to reply offline so that I can speak w/candor and point people to resources I trust. The goal is to build a track record of trust and to respect privacy.

        However, other viewers can replay as they wish. I do monitor for spam and obvious self-advertisement.


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