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Surgeons and their patients are award that basal absoluteness can abate the affliction and accent of operations – and it’s safer and cheaper than sedatives. Jo Marchant campaign to a Mexican mountaintop apple to appointment a dispensary with a difference.

Ana Maria has never been to Machu Picchu. The 61-year-old consistently basic to appointment the abundance charcoal but she suffers from hypertension, and doctors warned that the acute distance could account her claret burden to acceleration alarmingly high. Today, dressed in a white clothes and hairnet, she will analyze its age-old walls and pyramids for the aboriginal time.

She’s in a clandestine medical dispensary in Mexico City, and action nervously as she’s wheeled into a windowless operating room. The surgeon takes a Sharpie and draws a ample amphitheater on her larboard thigh, paints on several layers of iodine, afresh injects a bounded anaesthetic into the skin. Central the amphitheater is a blubbery lump, a lipoma about 6 cm across, which he is about to remove.

Ana will be animate for the operation, and she’s action scared. As the surgeon readies his scalpel, her claret burden is 183/93, alike college than usual. Patients ability procedures like this generally accept to be sedated to cope with the affliction and all-overs of actuality below the knife, but not today. Instead, José Luis Mosso Vazquez, wis authoritative the operation, fits a sleek, atramentous angle over Anna’s eyes and adjusts the Velcro straps.

The surgeon makes his aboriginal cut and the claret spills in a blood-soaked beck bottomward Ana’s leg. She’s amidst by medical accessories – stools, trolleys, swabs, syringes, with super-bright surgical lamps abeyant aloft the bed and her basal signs displayed on monitors aloof behind. But Ana is oblivious. She’s absorbed in a three-dimensional account of Machu Picchu. She begins her adventure with a amazing aeriform appearance of the age-old burghal adhering to the mountainside, afore aerial bottomward to analyze the capacity of stepped terraces, moss-covered walls and tiny bean huts.

Mosso watches her carefully. A 54-year-old surgeon at Panamerican University in Mexico City, he’s on a mission to accompany basal absoluteness into the operating room, application the high-tech aberration address to backpack out surgeries that would commonly crave able painkillers and sedatives, with annihilation added than bounded anaesthetic. He’s aggravating to prove that abbreviation biologic doses in this way not alone slashes costs for Mexico’s cash-strapped hospitals, but cuts complications and accretion times for patients, too.

But today, he’s not abiding if his angle is action to be enough. He hopes the basal absoluteness will advice Ana to abstain accidental medication, but if she becomes afraid during the surgery, her already-high basal signs ability spike. He has able an intravenous

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