Chatting With Dr. Ortiz: Episode #4

What’s discussed in this episode with Dr. Elias Ortiz

  • Can you tell us more about your team that works with you during surgery? (24:49)
  • Is it normal to have a lump under the incision site after surgery? (27:00)
  • What’s the drain tube for? (28:25)
  • Can you tell us about the upcoming conference in Tijuana and what role you’ll be playing in at the conference? (30:20)
  • You have a lot of dogs, what kind of dogs do you have? (33:10)

Transcript

We always talk about you, but you actually have a whole team that works with you in the OR. Can you tell us a bit about them?

Dr. Ortiz: Oh, yes. I’ve had the same team since the beginning, for the last seven or eight years. Our anesthesiologist, has a lot of experience—more than twenty thousand procedures under his belt. He’s a really nice person. We also have Marie, my surgical nurse. She’s great at her job; she’s always with us. We also have my assistant, Dr. Morales, whom everybody meets inside the OR. I’m the only one who’s outside the OR seeing the people; the others, my surgical team, are always inside the OR. Outside the OR, you’ll meet Dr. Cordero, the internal care physician. He’s the one who talks to you about your EKGs, your labs, everything. We have two younger doctors as well, the post-op care physicians.

We get a lot of questions about patients’ incisions and lumps forming underneath them. Can you tell us what that is and what to do about it?

That’s more common in the incision around the belly button. All the other incisions are too small, so it’s extremely rare that you develop something under there, but the one around the belly button is the biggest one. It’s a little bit less than one inch. Sometimes a pack of fluid called a seroma develops under the skin. You might feel a bump there that hurts; if you squeeze it and liquid comes out, that’s serum from the fatty tissue. Nothing to worry about. There’s also scar tissue that’s produced immediately after the surgery, so you can feel the bump there. Of course, you can have some issues—for example, a hernia. You’d feel a bump, but it’s extremely rare. If you develop a hernia, you’re going to have more pain, but that’s more in the long run. It’s rare that a hernia occurs in the beginning. Most of the time, the bump is only scar tissue.

What is the purpose of a drain tube?

Some doctors in the U.S. say they don’t need drains. I always leave a drain, 100% of the time, and it’s taken out twenty-four hours after the surgery. The drain is like our eyes inside of you, because if something happens, we see it immediately in the drain. If you leak, for example—which is extremely rare—we’ll see the drainage through the drain. If you bleed, we’ll see it in the drain immediately—plus, the drain sucks out the blood, which irritates the intestines. If there’s no drain, that blood is going to stay in the abdomen and cause more pain. And if we don’t leave a drain, we’re not going to know what’s going on inside of you. We’d have to give you CAT scans and send you to do studies that take up a lot of time and sometimes don’t even help us diagnose you. I know the drain can cause pressure and is uncomfortable, but it’s a good thing.

Exactly. Now, you have a conference coming up in Tijuana. Can you tell us what that is and what role you’re going to be playing in the conference?\

Last year in Tijuana we developed a college for the weight loss surgeries of Baja California, including Tijuana. We didn’t have a college because we weren’t united; this is the first year we have a Baja California included in the Tijuana College of Bariatric Surgeons. I’m lucky enough to be part of the first board of that college, working as the speaker of the board. We’re going to have the first international congress developed from this college. We have nine world-renowned surgeons coming here to Tijuana November 21–23 for the first conference. We’re going to have folks from Canada, Brazil, Spain, France, America, Italy—all over the world. And we plan on performing live surgeries; Christine, our coordinator, is going to be one of the patients.

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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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