I had the opportunity to see how Deborah Bickel works..and believe me, she is in a league of her own. I was sooo amazed and impressed how she handles herself. Her professionalism – and her compassion – are rare…and, as said by others, SMA is soo lucky to have her There is nobody in town whom I would recommend more highly !!

- Jackie Brummund (2017) -

I had to take a friend to the hospital and called Be Well San Miguel to walk me through the process. Sue Leonard was incredible… She came to the friend’s house, called the ambulance and we took him to UNIMED. Sue has stayed on top of this situation and I can’t say enough good things about her. She is a wise and very compassionate person who knows her way around health care. If ever you are in a medical situation and need help, I would highly recommend Deborah Bickel and Sue Leonard.

- Louise (2017) -

I met with Juan from Be Well
to carry out a respiratory testing. Juan was kind, patient and excellent in his translation. I speak some Spanish and am a retired RN, but I never would have understood some of the technical terminology without Juan’s assistance. All my questions were answered. I highly recommend the translation services from Be Well as well as the other services Deborah Bickel offers. They were extremely kind and patient

- Kathleen (2017) -

Your talk at St. Paul’s let me know that I want you to be the care manager for me down the road. I also have some friends without adult children who will need a care manager in the future. Most of these children know nothing about healthcare in SMA and will need a care manager to advise. Having a savvy and qualified person like you in our community is a blessing.

- Ellie (2017) -

Deborah Bickel was a great asset…she stepped into the breach with great advice and on the scene presence.

- John Hunger (2017) -

Deborah, it was a delight to meet you, and what an amazing service you offer!
Best to you!

- Christine (2017) -

Nothing quite like the awareness that you are in serious trouble at 1 AM on New Year’s Eve! After a failed attempt to get care at the hospital, Sue Leonard with Be Well San Miguel met me back at the hospital the next day. Sue stayed with me and advocated for me to get the care I needed until surgery was scheduled. She was with me for the next few days, either by phone or in person and answered my many questions. Yes, I would have stumbled my way through this shocking life event, alone, defensive and in so much pain, but having Sue Leonard in my corner, smoothing the path ahead for me, gave me great comfort.

- Victoria Schneider -

Recently I was diagnosed with coronary heart disease. Sue Leonard, with Be Well San Miguel, helped me cope with it by attending appointments with a cardiologist with me, answering my emails with questions about my new medications, exercise, and myriad other things. Sue provided timely support when I needed it. Her solid medical knowledge and experience gave me confidence to deal with the physical and psychological adjustments necessary. With Sue’s help, I could relax and know that I was in charge. She is warm, encouraging, and there when I needed her.

- Susan Deveaux (2016) -

I had the opportunity to see how Deborah Bickel works..and believe me, she is in a league of her own. I was sooo amazed and impressed how she handles herself. Her professionalism – and her compassion – are rare…and, as said by others, SMA is soo lucky to have her There is nobody in town whom I would recommend more highly !!

- Jackie Brummund (2017) -

I had to take a friend to the hospital and called Be Well San Miguel to walk me through the process. Sue Leonard was incredible… She came to the friend’s house, called the ambulance and we took him to UNIMED. Sue has stayed on top of this situation and I can’t say enough good things about her. She is a wise and very compassionate person who knows her way around health care. If ever you are in a medical situation and need help, I would highly recommend Deborah Bickel and Sue Leonard.

- Louise (2017) -

I met with Juan from Be Well
to carry out a respiratory testing. Juan was kind, patient and excellent in his translation. I speak some Spanish and am a retired RN, but I never would have understood some of the technical terminology without Juan’s assistance. All my questions were answered. I highly recommend the translation services from Be Well as well as the other services Deborah Bickel offers. They were extremely kind and patient

- Kathleen (2017) -

Your talk at St. Paul’s let me know that I want you to be the care manager for me down the road. I also have some friends without adult children who will need a care manager in the future. Most of these children know nothing about healthcare in SMA and will need a care manager to advise. Having a savvy and qualified person like you in our community is a blessing.

- Ellie (2017) -

Deborah Bickel was a great asset…she stepped into the breach with great advice and on the scene presence.

- John Hunger (2017) -

Deborah, it was a delight to meet you, and what an amazing service you offer!
Best to you!

- Christine (2017) -

Nothing quite like the awareness that you are in serious trouble at 1 AM on New Year’s Eve! After a failed attempt to get care at the hospital, Sue Leonard with Be Well San Miguel met me back at the hospital the next day. Sue stayed with me and advocated for me to get the care I needed until surgery was scheduled. She was with me for the next few days, either by phone or in person and answered my many questions. Yes, I would have stumbled my way through this shocking life event, alone, defensive and in so much pain, but having Sue Leonard in my corner, smoothing the path ahead for me, gave me great comfort.

- Victoria Schneider -

Recently I was diagnosed with coronary heart disease. Sue Leonard, with Be Well San Miguel, helped me cope with it by attending appointments with a cardiologist with me, answering my emails with questions about my new medications, exercise, and myriad other things. Sue provided timely support when I needed it. Her solid medical knowledge and experience gave me confidence to deal with the physical and psychological adjustments necessary. With Sue’s help, I could relax and know that I was in charge. She is warm, encouraging, and there when I needed her.

- Susan Deveaux (2016) -

I had the opportunity to see how Deborah Bickel works..and believe me, she is in a league of her own. I was sooo amazed and impressed how she handles herself. Her professionalism – and her compassion – are rare…and, as said by others, SMA is soo lucky to have her There is nobody in town whom I would recommend more highly !!

- Jackie Brummund (2017) -

I had to take a friend to the hospital and called Be Well San Miguel to walk me through the process. Sue Leonard was incredible… She came to the friend’s house, called the ambulance and we took him to UNIMED. Sue has stayed on top of this situation and I can’t say enough good things about her. She is a wise and very compassionate person who knows her way around health care. If ever you are in a medical situation and need help, I would highly recommend Deborah Bickel and Sue Leonard.

- Louise (2017) -

I met with Juan from Be Well
to carry out a respiratory testing. Juan was kind, patient and excellent in his translation. I speak some Spanish and am a retired RN, but I never would have understood some of the technical terminology without Juan’s assistance. All my questions were answered. I highly recommend the translation services from Be Well as well as the other services Deborah Bickel offers. They were extremely kind and patient

- Kathleen (2017) -

Your talk at St. Paul’s let me know that I want you to be the care manager for me down the road. I also have some friends without adult children who will need a care manager in the future. Most of these children know nothing about healthcare in SMA and will need a care manager to advise. Having a savvy and qualified person like you in our community is a blessing.

- Ellie (2017) -

Deborah Bickel was a great asset…she stepped into the breach with great advice and on the scene presence.

- John Hunger (2017) -

Deborah, it was a delight to meet you, and what an amazing service you offer!
Best to you!

- Christine (2017) -

Nothing quite like the awareness that you are in serious trouble at 1 AM on New Year’s Eve! After a failed attempt to get care at the hospital, Sue Leonard with Be Well San Miguel met me back at the hospital the next day. Sue stayed with me and advocated for me to get the care I needed until surgery was scheduled. She was with me for the next few days, either by phone or in person and answered my many questions. Yes, I would have stumbled my way through this shocking life event, alone, defensive and in so much pain, but having Sue Leonard in my corner, smoothing the path ahead for me, gave me great comfort.

- Victoria Schneider -

Recently I was diagnosed with coronary heart disease. Sue Leonard, with Be Well San Miguel, helped me cope with it by attending appointments with a cardiologist with me, answering my emails with questions about my new medications, exercise, and myriad other things. Sue provided timely support when I needed it. Her solid medical knowledge and experience gave me confidence to deal with the physical and psychological adjustments necessary. With Sue’s help, I could relax and know that I was in charge. She is warm, encouraging, and there when I needed her.

- Susan Deveaux (2016) -

As patient advocates we are committed to helping you receive the best health care possible. Our role is not to diagnose or provide treatment but instead to help you get the most out of your interactions with your health care practitioners.

Patient Advocacy

Deborah Bickel, Sue Leonard, and Juan Soria have years of clinical experience and medical training that are put to use on your behalf. We don’t just provide information, we help you understand your important health and wellness options.

In the event of an illness or injury, finding an English-speaking physician may not be enough. While many physicians in the area do speak English, few are completely fluent and even fewer have an English speaking staff. We bring to our practice both fluency in Spanish, English and a professional understanding of both US and Mexican medical services, which can dramatically improve the quality of care you receive in Mexico.

It is important to note that medical practices can vary greatly from one country to another, and at times the medical culture of Mexico will be quite different than in the US or Canada. An example of this is that private practice physicians in Mexico are not required to keep patient records beyond the patient’s name and day of the visit. Having a fluent and medically capable advocate at such times will be critical to your continuity of care and your peace of mind. As with any visit to a physician or other health practitioner the right outcome will depend upon clear communication and understanding between patient and practitioner.

A short phone call will help us identify what your needs may be and is usually followed by an hour-long appointment to orient you to medicine, health and well-being in San Miguel de Allende.

Our Team

Deborah Bickel

As the founder of Be Well San Miguel, I utilize my extensive knowledge and experience as an international health worker to ensure that every need of each one our clients is met with utmost professionalism, compassion, and confidentiality. I am a graduate of the Stanford University Physician Assistant program, and hold a Master’s degree in Public Health from the University of California at Berkeley. I have lived and worked in many countries including the United States, the Netherlands, Mexico, Guatemala, Cuba, Nicaragua, Zambia and Mozambique…

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I moved to San Miguel in March of 2014 and am delighted to call this community my home. Previously, I practiced medicine in a busy inner city clinic for nine years while teaching medicine at Stanford. I also did post graduate work in nutrition at the Tropical Institute in Amsterdam. I am fluent in Spanish and have practiced medicine in the United States, Mexico and Guatemala.

I have a particular interest in geriatrics and helping people choose the highest quality of living even when that may mean shortening our span of years but vastly improving our experiences moment by moment.

Phone : +52 1 (415) 115-7815
Skype : BewellSanMiguel
Email : deborah@bewellsanmiguel.com

 

Sue Leonard

Sue Leonard is a Nurse Practitioner with 25 years of nursing and nurse practitioner experience in the US, Southeast Asia, the South Pacific, Central Asia, South Asia, Africa, and now Mexico. She has considerable training experience on many subjects for a variety of groups including US school administrators and teachers, South Pacific Governors, village mayors, community groups, and international and local NGO leaders from around the world. She also trained nurse aides and orderlies, and has experience as a psychiatric nurse, in hospital and clinical settings in the US.

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Sue has worked to bring better communications and working relationships between local governments, communities and their health facilities. Sue strives to deliver better community driven preventative and curative health care. She has evaluated the quality of health care and training delivered to community clients, and has developed interventions for addressing health issues. Here in San Miguel, Sue has functioned both as a patient advocate, that includes giving support and instruction to home care providers, and as a community leader, as former President of the non-profit Jovenes Adelante.

Home Phone : +52 (415) 121-8118
Mobile Phone : +52 1 (415) 103-3952
US Number : 1 (206) 414-1370
Email : Sue@BeWellSanMiguel.com

Kristopher Kegel

Native San Miguelense Kris Kegel manages our patients when they need home care. Bilingual and bicultural, he is service oriented, with 20 years of experience in personal assistance, hospitality, and the culinary arts. Kris has exceptional technical and organizational skills, and a strong interest in architectural design, aimed at creating safer homes for the aging. He also has a long history of and non profit involvement.



Mobile Phone : (415) 105-1045
Email : Kris@BeWellSanMiguel.com

Juan Soria

Mr. Soria a certified nurse who has lived and worked in San Miguel de Allende nearly his entire life and has provided nursing and medical services for more than 10 years. He completed his nursing training in Irapuato, Guanajuato at SIDAD. As part of his training he completed courses at the military hospital as well as working full time in management and patient care at the City Hospital, Mexico, DF.

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While at the Mexico City Hospital, he specialized in the care of diabetic, hypertensive and geriatric patients. Juan has also worked as a critical care nurse, including caring for patients with acute respiratory and cardiac disease. Mr. Soria is dedicated to high quality health care in the home as well as the hospital. His services are in great demand among expatriate patients because he is both highly skilled and English-speaking. He works closely with many local physicians and care providers at various levels of training as well as a growing number in Celaya and Querétero. He is also the main referral for home nursing services for Deborah Bickel and Sue Leonard at BeWellSanMiguel.com patient advocacy practice.

Mobile Phone : (415) 101-4363
Email : Juan@BeWellSanMiguel.com

Our Services

/Taking care of your healthcare needs in Mexico

We are bilingual medical professionals. Our mission is to guide our clients through the Mexican health care system. We make sure they can make informed decisions and get quality medical care and treatment.

You may be absolutely confident that no personal information will ever be shared without your explicit permission.

Medical Care

After an initial consultation, we will be able to identify appropriate care providers and assist you in making an appointment. We have a list of excellent physicians and other care providers at our disposal and have working relationships with many of them. Our understanding of their specialties and available technologies will be important to the level of care you receive.

Often, the doctor or specialist will speak English but the staff does not. We can arrange appointments for you, making sure you are aware of any pre-visit requirements and are clear as to the location, time and price of the visit.

In Home Nursing Care

• We work closely with a well-trained, high quality, well-supervised team of home health providers. Costs for services are reasonable and based on minimum wage and follow local labor practices. A care team can be arranged for within 12 to 24 hours. Juan Soria is an experienced bilingual Mexican nurse and handles the placement of the care teams. Sue Leonard and Deborah Bickel also intermittently review care, and work closely with Juan Soria.

Emergencies

We also help you prepare for health emergencies by making a personalized list of emergency numbers. This will ensure the quickest possible response by family members or household staff.

In the event that you need urgent care or hospitalization while in Mexico we can:
• Meet you at the hospital or care facility
• Assist you in the admission process
• Remain at your bedside at key times during hospitalization
• Assist with discharge planning
• Provide post-operative medication advice

Research

We can, when needed, do thorough background research on your diagnosis and its treatment, ensure the fairness and accuracy of billing by medical providers and hospitals, and help you decide what medical insurance is best suited to your needs.

Education

We provide education on the management of chronic disease and wellness care.

Identifying where you can best receive care

We can help you and your loved ones determine whether you can safely seek care locally or if treatment should be sought elsewhere in Mexico, the US or Canada.

Organizing

We can help you prepare for a meaningful consultation or treatment with your health care provider. This includes our reviewing in advance your medical history so that your health concerns can be communicated as fully and clearly as possible.

Advance Health Directives/Medical Directive

We can help facilitate advance directives and end of life decisions. We often serve as the designated patient advocate for legal advanced directives and can assist in communication between the patient and concerned family members friends and community

Translation

We have an excellent bilingual assistant Kris Kegel who along with Juan Soria and Deborah Bickel can translate documents for use of clinicians in the north US establish as well as translations at the time of visits with Spanish speaking clinicians.

Post-Operative Care

We can help with discharge planning and can advise about post-operative care.

Medication

Understanding and reviewing your medication is vital to your overall health. We help you recognize and avoid potential side effects and drug interactions while organizing a system to simplify your medication schedule.

Transportation

Transportation
We are happy to arrange for transportation to and from your medical visits.

Our most cruel failure in how we treat the sick and the aged is the failure to recognize that they have priorities beyond merely being safe and living longer; that the chance to shape one’s story is essential to sustaining meaning in life; and that we have the opportunity to refashion our institutions, culture, and conversations to transform the possibilities for the last chapters of all of our lives.

- Dr. Atul Gawande -

Confidentiality

As members of your health care team, we are committed to the highest standards of professionalism and confidentiality. You may be absolutely confident that no personal information will ever be shared without your explicit permission.

Fees

Fees are based on the amount of time required for services and take into consideration local medical costs. A brief 10 minute free phone consultation in advance will help decide what your needs are.

Fees are currently 900 pesos or dollar equivalent, payable by US check, cash, or Paypal for an hour of our time. An initial evaluation and intake costs 1350.

Payment is due at the time of service. For services exceeding an hour of our time, we reserve the right to ask for payment in advance.

We also offer an annual retainer at 9000 pesos or dollar equivalent. For those needing more service and want to create medical directive this can save money over the year.

Our Skype sessions cost 800 pesos (or dollar equivalent) per hour or portion.