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Mitigare Is Set To Launch

By Muriel Bevilacqua Logan

It is really good news for San Miguel that on December 1 of this year a new organization called Mitigare Cuidados Paliativos A.C. will launch with the express purpose of providing palliative care services, better known in English as hospice services, for anyone nearing death in the municipality of San Miguel de Allende including the surrounding communities. The Medical Director and primary energy and force behind this new organization is Dra. Maria de Lourdes Tejeida Bautista, who also serves as the new Coordinator for Community Hospitals for the state of Guanajuato.

Dr. Tejeida received her medical degree in 2003 from Instituto Polytecnico Nacional (IPN), her certificates in Palliative Care from ELNEC: End of Life Nursing Education Curriculum of the American Association of Colleges of Nursing and from EPEC:Education in Palliative and End-of-Life Care, sponsored by Northwestern University’s Feinberg School of Medicine. She also spent a year in an Internship in Palliative Care at the Instituto Nacional de Cancerología (INCAN) in Mexico City, ending in February 2014. In her role as the Palliative Care Director at the General Hospital of San Miguel, Dra. Tejeida treated over 586 patients in palliative care in 2014-2015 in the hospital as well as 56 private patients. To date in 2016 she has treated 166 palliative care patients.. She has also held trainings for 1200 people in the State of Guanajuato as part of her designated responsibilities as Director of Training for Palliative Care for the Northeast District of Guanajuato State.

Mitigare is an A.C. organization, a non-profit private association under Mexican law, whose aim is to serve ALL the citizens of the municipality with trained and sensitive in-home care for any patient with a terminal illness and life expectancy of 6 months or less. Dra. Tejeida believes there should be no one without access to a high level of appropriate in-home care, including pain and symptom management at this stressful time in life, as well as appropriate support for the family.

The first step in obtaining that care will be to place a call to the Mitigare telephone line, 415 138 6145 where the inquirer will answer a few simple questions about the need. The patient and family will then be visited by a hospice-trained physician and a hospice-trained social worker. If the patient does not already have a firm diagnosis of terminal illness, the hospice doctor will make that determination. The social worker will evaluate the patient’s condition, the family home and situation, and the family’s economic level using the same assessment method used by Seguro Popular, The physician will then propose a plan for care, and inform the family of the cost to them for that care. Eventually international and hopefully Mexican insurance policies may cover some of the care services, but that will take some time to become common practice.

Mitigare has acquired 6 hospital beds, 4 oxygen concentrators, 3 wheelchairs, 5 aspirators, and other in-home medical equipment. The medical equipment was purchased by a Rotary grant between Rotary San Miguel-Midday and the Rotary Club of Walla Walla, Washington.

The website will be and is under construction. If you wish to donate to Mitigare’s Patient Assistance Fund, for those patients in the community who cannot cover their own expenses, please call the Mitigare number for instructions.

Mitigare’s next major goal is to provide palliative care training for medical professionals, doctors and nurses, and non-medical personnel such as home healthcare workers, and eventually for volunteers, in order that all workers with Mitigare will be specially trained to provide a high level of appropriate, sensitive and reliable care.

Officers and board of the new association are:

Lic. Edna Martha Hamill de Correa-President

Sra. Vicky Stehn-Treasurer

Dr. Luis Gerardo Vázquez-Secretary


Dra. María de Lourdes Tejeida Bautista-Medical Director

CP. Andrés García Cervantes-Administrator and Accountant


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