Frequently asked questions

When you have a cough lasting more than 3 weeks, shortness of breath during activities you used to do without trouble, wheezing (a whistling sound when breathing), loud snoring with breathing pauses, chest pain when breathing, or you already have a diagnosis of asthma or COPD but still have symptoms. Also if you smoke or used to smoke and want your first lung evaluation.

No. You can book via 55 9170 8334 or book online. If another doctor referred you, bring your summary and previous studies so we don't repeat them and can move faster.

Between 45 and 60 minutes. It is the longest appointment because it includes a complete medical history, examination, review of previous studies and an initial plan. Follow-up appointments last 25 to 30 minutes.

A list of your current medications with doses (including inhalers and those you take occasionally), previous studies in print or digital form (X-rays, CT scans, spirometry, polysomnography, blood gases), hospitalization summaries and, if your recollection of symptoms is limited, a family member to accompany you.

Yes, recommended. Especially if you are an older adult, have memory impairment, or if the person who best describes the symptoms (snoring, pauses during sleep, episodes) is your partner or a family member.

No. Appointments are by prior booking. If you have severe shortness of breath at rest, chest pain, coughing up blood, bluish lips or high fever without a diagnosis, go to the emergency room of the nearest hospital. Afterward you can book a follow-up with me.

Yes. Video telemedicine is ideal for a second opinion, interpreting studies already done, adjusting treatment for controlled asthma or COPD, and follow-up of fibrosis or apnea. For an initial evaluation with suspicion of a new disease, I prefer an in-person visit. Available throughout Mexico.

Hospital Santa Coleta, Saturnino Herrán 59 Office 507, San José Insurgentes, Benito Juárez, 03900 CDMX. Monday to Friday 4:00 – 8:30 PM. Saturday and Sunday 12:00 – 4:00 PM. Always by prior appointment.

Asthma usually starts in childhood or youth, is reversible (symptoms improve with a bronchodilator) and is associated with allergies. COPD starts after age 40, is linked to smoking or wood smoke, and the obstruction is fixed: it can be slowed but not reversed. A spirometry with a bronchodilator distinguishes them clearly.

Snoring by itself is not apnea, but it is the most common clue. If you also wake up tired, your partner has seen you stop breathing, you fall asleep while driving, or you have hard-to-control high blood pressure, a respiratory polygraphy is advisable to confirm it.

Post-COVID lung sequelae are real and treatable. We perform spirometry, a diffusion test (DLCO), possibly a CT scan and, depending on the findings, a pulmonary rehabilitation plan. The sooner you start, the faster you regain capacity.

Yes, always. Quitting smoking is the only intervention proven to slow the progression of COPD and reduce the risk of lung cancer. We treat smoking cessation with medical treatment, not just advice.

A second opinion is justified. Many respiratory diseases (poorly controlled asthma, apnea, early fibrosis) require specific studies that only a pulmonologist orders. If symptoms persist, don't wait: diagnostic delay is what changes the prognosis.

No. Spirometry is painless. It only requires you to blow forcefully into a mouthpiece for 6 seconds, repeated 2 or 3 times. It may cause mild coughing or brief dizziness. It takes 20 to 30 minutes in total.

Flexible bronchoscopy is performed under sedation. It takes 30 to 45 minutes with continuous monitoring. It is usually well tolerated. You may have mild coughing or expectoration with a little blood in the first 24 hours. It does not require hospitalization in most cases.

Home respiratory polygraphy is the study we use: it records your breathing, oxygen and effort while you sleep in your own bed. It is accurate for diagnosing sleep apnea and, in most cases, avoids the need for an in-hospital study.

Spirometry and FeNO: same day, I explain them to you during the visit. Respiratory polygraphy: 3 to 5 business days. Bronchoscopy with biopsy: 7 to 14 days depending on pathology. I'll let you know via WhatsApp as soon as they are ready.

• No coffee, tea or caffeinated drinks in the 4 hours before
• No smoking for at least 1 hour beforehand (ideally the whole day of the study)
• Avoid a large meal in the 2 hours before
• Rescue bronchodilator (salbutamol): stop it 6 to 12 hours before
• Long-acting bronchodilators (LABA/LAMA such as formoterol, salmeterol, tiotropium): stop them 12 to 24 hours before, only if your doctor advises it
• Wear comfortable clothing that is not tight around the chest or abdomen
• Bring the list of your current inhalers

If you have any doubt about a specific medication, ask me via WhatsApp before the study.

It depends on the study. For spirometry with a bronchodilator: stop short-acting bronchodilators 6 hours before and long-acting ones 12 to 24 hours before. For polygraphy: nothing is stopped. I'll send you specific instructions via WhatsApp when confirming your appointment.

We work with several insurers. Before booking, contact us via WhatsApp with the name of your insurer to confirm coverage and method: reimbursement or direct payment.

The cost varies depending on the type (first visit, follow-up, telemedicine) and whether it includes studies. I'll send you the updated cost via WhatsApp before you confirm the appointment, with no surprises.

Yes. We accept cash, bank transfer and card (debit and credit) at the office. For telemedicine, payment is by bank transfer or payment link prior to the appointment.

Yes. The invoice is issued the same day. Request it at the time of payment with your tax details (RFC, business name, CFDI use).