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Death and Dying in Mexico: The Real Facts

By Lee Carter

Mitigare Hospice has been operating for one year in San Miguel. Dr Tejeda is the Medical Director and one of only a very few doctors in Mexico who hold the advanced degree certification in palliative medicine (hospice). Mrs Hamill is a specialist in hospice care for the family and patient facing end-of-life issues. Hamill has a thanatology degree and has been practicing for more than 20 years. She is also a specialist in bioethics and serves at the General Hospital consulting on bioethical issues. Thanatologists are experts in the spiritual and emotional care of families, including grief issues.

Rotary Presentation
“Death and Dying in Mexico: The Real Facts”
By Dr. María de Lourdes Tejeida and Martha Hamill
Tue, Jan 23, 12pm
Hotel Misión
Salida a Querétaro 1

Mitigare is a full-fledged hospice organization offering end-of-life care in the same manner that you would find in the US or Canada. It is a nonprofit organization, and its fees are structured to offer a sliding scale option for those with fewer economic resources. See for additional information. All of Mitigare’s staff, doctors, nurses, and social workers have taken postgraduate classes in hospice care.

Dr. Tejeida completed a one-year internship at the National Institute of Cancer (NCAN) before returning to San Miguel to set up the palliative care unit at Hospital General. She has treated more than 500 dying patients during the last four years. Mitigare will be sending all of its nurses, doctors, and social workers to INCAN in 2018 to complete mini-internships of two to three weeks. Dr. Tejeida is also a member of the Latin America Palliative Care Association (ALCP), and she and Hamill will be attending the biennial hospice care conference in Santiago, Chile, in April of this year.

Dr. Tejeida says that, “One of the biggest misconceptions among the expat population regarding choosing to die in Mexico is the confusion over advanced directives and palliative sedation. This will be the topic for discussion on Tuesday’s presentation.

The Rotary Club of San Miguel Midday has a long history of supporting end-of-life care, and members of the Rotary Club of San Miguel are providing free consultations on improving Mitigare’s presence in the community.

Join us Tuesday, January 23, to meet the leaders of Mitigare hospice and receive definitive answers of how end-of-life care is delivered in San Miguel. For questions, please contact Rotarian Lee Carter, Mitigare’s treasurer at


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