Servicios para Pacientes

Nephrology:


The nephrology specialty focuses on early diagnosis with the support from the Clinical laboratory, Immunology, Pathology and Diagnostic Imaging, and early treatment of acute and chronic renal diseases.

Rheumatology:


Rheumatology is a subspecialty which approaches the diagnosis and treatment of immune systemic diseases affecting the muscle-skeletal system. Our service focuses on comprehensive incremental treatment designed to ensure the best prognosis for our patients.

Pulmonology:


At our pulmonology unit we offer comprehensive care to people with respiratory diseases based on the best diagnostic methods and the work of a team of healthcare professionals focused on prevention, diagnosis, treatment and rehabilitation in one place.

Preparing for your laboratory tests:

 

Our laboratory is equipped with state-of-the-art technology, serving as a referral  center for the city and for the Caribbean region.

For drawing of samples, please remember the name of your test and the following recommendations:

If you are coming for any of the following tests, remember that fasting of 8 to 12 hours is required:

Aldosterone

Androstenedione

Calcitonin

Carotenes

Ferritin

Folate

Phosphorus

Gastrin

Glycemia

Serum iron and combination capacity

Growth hormone

Insulin

Somatomedin transporter protein (ICGFBP-3)

Parathormone (PTH)

Renin

Somatomedin

Free testosterone

17-OH Progesterone

Transferrin

Vitamin B12

 

Lipid determinations:

If your doctor orders a lipid profile (triglycerides, total cholesterol and high and low density cholesterol [HDL and LDL]) please come to the Clinical Laboratory in the morning, after 12-14 hours of fasting. Do not drink any alcoholic beverage during the 24 hours before taking the sample.

 

Prolactin:

Please come to the laboratory 2 hours after getting up from bed. No fasting is required.

 

Urinalysis:

It is better to use the first urine of the morning but, if needed, the sample can be taken at any time. Please follow the steps below in order to prevent your urine sample from becoming contaminated:

Wash your external genitalia with water and soap.

Then dry (for women, separate the labia majora).  Let the first and last part of the urine run.

Collect the intermediate part of the urine in the sample flask provided by the Clinical Laboratory (or in any urinalysis bottle with tight cap closure).

Once you have collected the urine, deliver it immediately or within the hour at the Clinical Laboratory.

 

Urine culture:

The best thing is to collect the first urine of the morning but, if needed, you can collect the sample at any time. The laboratory will provide you with a sterile container. Please make sure you follow these steps for hygiene:

Men: Wash the genital area gently with abundant water and soap. Collect the urine sample in the container provided by the Clinical Laboratory, letting the first part of the urine run down the drain and collecting the sample from the intermediate micturition.

Women: Wash the genital area gently with abundant water and soap. Open the labia majora of the external genitalia with your left index and middle fingers. Let a few cubic centimeters of urine flow and then collect the rest directly in the sterile container.

Babies under 2 years of age:  Wash the genital area gently with abundant water and soap. Dry and place the bag around the penis in boys and in girls over the entire labia majora, with the adhesive touching the skin, making sure it fits tightly at the back to avoid leakage.

 

Glucose tolerance test:

You must arrive early in the morning (7:00 a 9:00 a.m.) at the laboratory, after an 8-hour period of fasting.

Please remain seated without walking or exercising during the time of the test.

If you feel any discomfort such as dizziness, headache or other, please report it immediately to the laboratory technician.

Do not eat or drink anything during the time of the test. If you need to drink some water, please remember to do so before starting the test.

Please abstain from smoking until the test is completed.

 

Deoxypyridinoline (D-Pyrilinks)

Collect a urine sample after 2 hours of retention, preferably the second micturition before 10 a.m., in order to avoid the effect of biological variation.

 

Fungal culture:

Do not apply any topical medication on the area 8 to 10 days before taking the sample.

 

Preparing for your procedure

 

To ensure a successful procedure, please be aware of the following instructions and conditions:

Gastroenterology:  Colonoscopy

In order for the exam to proceed smoothly and to ensure reliable visualization of the colon, you must prepare adequately in such a way as to ensure cleansing of your large intestine from all food and fecal residues. Therefore, we ask you to comply rigorously with the following preparation:

Diet on the day before the colonoscopy:

Your diet must consist essentially of clear fluids such as broth, juice (prepared in water), green or yellow gelatin, herb tea, and abundant water or Pedialyte. Apart from the fluids for the preparation, drink a glass of water every half hour starting at 2:00 p.m. and until 10:00 p.m. the day before the exam. Please abstain from drinking milk or dairy products, red-colored drinks or solid foods.  You will need to buy the following:

Clearovac or Nulitely, 3 sachets (oral use).

Travad enema 1000 ml (rectal administration).

At 2:00 p.m. the day before the exam start taking the Nulitely as follows:

1) Dissolve the content of the first sachet in 1 liter of water, stir well and start drinking one glass of the solution every 10 minutes, until it is finished.

2) At 5:00 p.m., continue with the process. Dissolve the content of the second sachet in another liter of water and drink as instructed above.

3) At 8:00 p.m., continue with the process. Dissolve the content of the third sachet in another liter of water and drink as instructed above.

4) At 6:00 a.m. on the day of the exam, apply the Travad Enema and retain it for 10 minutes before going to the bathroom.

Please remember:

Inform the nurse or the physician if you suffer from renal or cardiac failure or if you are taking anti-platelet aggregation agents like Aspirin, Plavix, Coumadin, anti-inflammatory agents like Advil, or homeopathic drugs.

Please remove any finger polish.

You must come to this procedure in the company of a relative or a responsible adult.

If you have any questions, contact the CHSM Gastroenterology Service.

GastroenterologyGastrointestinal endoscopy

Complete fasting is required (no solids or liquids) from 10:00 p.m. the previous night.

Please remove all nail polish.

You must come to this procedure in the company of a relative or a responsible adult.

If you have any questions, contact the CHSM Gastroenterology Service.

 

Gastroenterology24-hour pH monitoring or impedance monitoring plus 24-hour pH monitoring

Please do not eat anything eight hours before the procedure.

When you make your appointment, please make sure you inform of the medications you are taking, particularly those that may alter esophageal or gastric motility (antacids, anti-ulcer agents and anti-emetics).

Please come in person 3 days before your exam, with the authorization, to collect the catheter at the pharmacy. The procedure shall not be possible without it.

On the day of your appointment, bring a bottle of water and the catheter.

On the day of your appointment, bring prior imaging tests (radiographs, ultrasound  and endoscopy images).

Complete the diary according to the instructions given to you on the day of the exam.

A device will be installed and you will leave the hospital with it. Please make sure the device does not get wet and is not subject to shock.

If, during the procedure, you have any questions or you notice device malfunction, please contact the Gastroenterology Unit.

 

GastroenterologyEsophageal pressure monitoring or impedance monitoring plus esophageal pressure monitoring

Do not eat anything for a period of eight (8) hours before the procedure.

Bring a bottle of not carbonated, not flavored plain water.

Bring any previous imaging studies (endoscopy and radiology).

Wear comfortable clothing.

 

GastroenterologyRectal pressure monitoring

Eat a light meal before the day of the exam (clear fluids, mashed food, green or yellow gelatin).

Apply a 133 m rectal  enema (intestinal lavage) 12 hours before the procedure.

Apply a second 133 ml enema 3 hours before the procedure.

Bring other previous imaging or other studies (endoscopy, radiographs and pressure monitoring) relevant to your disease condition and the procedure to be performed.

UrologyProstate biopsy

On the day of the procedure, it is important to bring the result of a urinalysis performed no more than two weeks before. Also, bring the result of a rectal culture intended to identify residing germs that may modify the results.

Neurology:  Electroencephalogram and Videotelemetry

Please bear in mind the following recommendations:

Children between 0 to 5 years need to be sleep-deprived (bedtime 11:00 p.m. and rise at 4:00 a.m.)

Please make sure you wash and dry your hair and do not use any foreign substance like gel or hair spray.

If the treating physician recommends it, you must subject yourself to sleep deprivation.

For 24-hour or longer telemetry, patients must come to the Admissions office for room assignment and to submit the documents required by the medical insurance.

Neurology:  Electromyography, Nerve Conduction, auditory and visual somatosensory potentials

Adult patients do not require preparation.

Children under five (5) years of age must be sleep-deprived (bedtime at 11 p.m. and rise at 4:00 a.m.).

Neurology:  Polysomnography - Sleep studies

On the day of the exam, please report at the Neurology office on the second floor of the hospital between 8:30 p.m. and 9:30; you will be discharged at 6:00 a.m. next morning.

Please make sure you wash and dry your hair and do not use any foreign substance like gel or foam.

Please bring your pijamas and personal care items.

Children or elderly patients are required to remain with a companion during the night. The name of the companion must be reported at the time of scheduling the test.

If you are taking medications, do not interrupt their use and please bring them with you.

Please remove all nail polish.

The price for the sleep study does not include overnight parking.

Results will be delivered eight days after the date of the exam.

Endoscopy:  


Our endoscopy department is equipped with state-of-the-art technology for comprehensive diagnosis of gastrointestinal diseases and the performance of procedures under sedation, plus a spacious recovery room.
 

Obstetrics, Gynecology and Human Reproduction


Our department comprises subspecialties in all the areas of obstetrics and gynecology: maternal and fetal medicine, oncology, gynecology, endocrinology and infertility, menopause, minimally invasive surgery and family planning, to cover the entire perinatal cycle. The work of the subspecialists is supported by diagnostic GE technology for ultrasound and biophysical profiles, among other tools.
 

Radiotherapy and Chemotherapy:


The cancer center at Serena del Mar Hospital Center provides treatment to adult and pediatric patients with neoplastic diseases, supported by all the Hospital Departments, ensuring multi-disciplinary, comprehensive and timely care, associated with state-of-the-art GE technology.
 

Urology 


The CHSM Urology Department is led by a team of well-known urology specialists who provide care for patients with urological diseases, supported by diagnostic, testing and management technology.
 

General and specialized dental care and maxillofacial surgery:

The Oral Health Department offers high technology specialized service aimed at meeting the oral health needs of the patients with dental-maxillo-facial disorders.

Cardiology:  


At CHSM, a team of highly qualified healthcare professionals, supported by state-of-the-art technology, provides comprehensive care including prevention, diagnosis and treatment of cardiovascular diseases. 
 

Endocrinology: 


Our Endocrinology Service focuses on the study and diagnosis of deseases affecting internal secretory glands and metabolism, including, among others, diabetes, thyroid diseases, hormonal imbalances, menopause, osteoporosis, arterial hypertension, lipid disorders, infertility, and short stature.
 

Nephrology: 


The nephrology specialty focuses on early diagnosis with the support from the Clinical laboratory, Immunology, Pathology and Diagnostic Imaging, and early treatment of acute and chronic renal diseases.


Pulmonology:  


At our pulmonology unit we offer comprehensive care to people with respiratory diseases based on the best diagnostic methods and the work of a team of healthcare professionals focused on prevention, diagnosis, treatment and rehabilitation in one place.


Rheumatology: 


Rheumatology is a subspecialty which approaches the diagnosis and treatment of immune systemic diseases affecting the muscle-skeletal system. Our service focuses on comprehensive incremental treatment designed to ensure the best prognosis for our patients.


Endoscopy:

 
Our endoscopy department is equipped with state-of-the-art technology for comprehensive diagnosis of gastrointestinal diseases and the performance of procedures under sedation, plus a spacious recovery room.