Wound Care

Wound care is one of the most important aspects of post-surgery care, and it is actually pretty simple. You can use sterile gauze, medical tape for sensitive skin, Curad, Nexcare, or generic bandages for sensitive skin. Tegaderms are amazing and work very well and keep the incision sites super clean. All supplies can be purchased from any Rexall, Rite Aid, Walgreens, Walmart, Dollar Store, or most pharmacies.

The steps for properly taking care of your wounds are as follows:
  • Wash your hands and prepare the area in which you want to change your dressing.

  • Set out all the supplies you may need – tape, gauze, spray, bandages, etc.

  • Remove the old dressing carefully and slowly. Wash the incision sites with Hibiclens or generic brand of chlorhexidine or any antibacterial soap like Dial.

  • Spray Rifocin or an antiseptic spray onto the incision sites. Allow to dry.

  • Cover with a small piece of gauze and then apply the tape or bandage or a Tegaderm to the area. If the incision site seems open, stick the tape or bandage to the bottom of the incision site and pull up to bring the two edges together, then stick the tape at the top.

  • Wash the incision sites daily and change the dressing twice daily for the first week or as needed.

    Some incision sites may need the dressing changed more frequently, especially if they are draining. Some sites will dry up sooner, while others tend to weep and drain for up to two weeks post-surgery. This is very normal.

Watch for and report any signs of fever, chills, pus, blood, foul odor, pain, or a lump forming under the incision sites. As the incision sites heal, they may look a little strange, almost like an eye winking at you. They can be a little bit red and itchy. Once they have scabbed over and are dry, you can let air hit them.

You should avoid tub bathing and swimming in pools, lakes, rivers, and oceans for 4 to 6 weeks post-surgery. Make sure the incision sites are completely healed and closed up before participating in these activities.
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Dr. Almino Ramos Joins Elias Ortiz & Company

Dr. Almino Ramos is a world famous bariatric surgeon and former president of the IFSO who we are excited to welcome to our team!

CREDENTIALS

Dr. Elías Ortiz, Bariatrics

Professional License Number: 8684409

Federal Taxpayers Registry: OIGJ810323D28

CURP: OIGJ810323HBCRMS08

Qualifications

Undergraduate Degree in Medicine (1999–2004), Faculty of Medicine of the Autonomous University of Baja California
– Overall average: 8.85 / 10

Undergraduate Internship (2004–2005), Regional General Hospital No. 1, IMSS, Tijuana, Baja California, Mexico.
– Overall average: 9.49 / 10

Social Service (2005–2006), Mobile Unit No. 19, SSA, Tijuana, Baja California Mexico.

Graduate Professional XXXI National Aspiring medical residencies
– Place finish in specialty group (Surgery): 32 of 3602.

General Surgery Specialty (2008-2012), Medical Unit of High Specialty, West National Medical Center, Mexican Social Security Institute
– Total Rating: 96.40 / 100.

Certifications

Certificate of Accreditation of Foreign Language Skills: English. April 22, 2006, at the Autonomous University of Baja California, Mexico

Resident Coordinator of General Surgery, generation 2008–2009, Regional General Hospital No. 45, Mexican Social Security Institute, Guadalajara, Jalisco, Mexico.

Chief Resident in General Surgery, 2011–2012 in Medical Unit of High Specialty, West National Medical Center, Mexican Social Security Institute, Guadalajara, Jalisco, Mexico.

Professional Experience

2nd Regional and International Congress on Obesity conducted by the Association for the Study of Obesity and its complications AC.
– May 2004, Tijuana, Baja California, Mexico.

Natural Orifice Transluminal Endoscopic Surgery
– General session speaker
– Regional General Hospital No. 45, May 15, 2008, Guadalajara, Jalisco, Mexico

Natural Orifice Transluminal Endoscopic Surgery
– General session speaker
– Zapopan General Hospital, November 5, 2008, Guadalajara, Jalisco, Mexico

ERCP (endoscopic retrograde cholangiopancreatography)
– General session speaker
– Regional General Hospital No. 45, February 12, 2009, Guadalajara, Jalisco, Mexico.

1stCourse News and Controversies in Surgical GERD
– April 2009, Regional General Hospital No. 45, Guadalajara, Jalisco, Mexico

Laparoscopic Surgery Program in the Regional General Hospital No. 1
– Social Security Institute, April–May 2010, Tijuana, Baja California, Mexico

Laparoscopic Surgery Program in the Regional General Hospital No. 1
– Social Security Institute, June–August 2011, Tijuana, Baja California, Mexico

Gastric Plication Surgery Mini Fellowship
– Hospital Angeles Tijuana, November 2011

Adjustable Gastric Band Surgery Mini Fellowship
– Hospital Angeles Tijuana, December 2011

Bariatric Surgery Program at Hospital Angeles Tijuana
– November–December 2011, Tijuana, Baja California, Mexico

Theoretical and Practical Course XIV of Endoscopic Surgery, AMCE, AC
– Medical Unit of High Specialty, West National Medical Center Gdl, Jal. January–February 2012

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