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Preparing for an operation at the Espanola in Uruguay

Posted by urufish on January 5, 2009

 

espanola1

Last month, my wife was told she needed some surgery done.   Our medical provider is Espanola.  She started the process in early December.  Last week, she was given a surgery date of January 7.  Here are the things we learned about this process.

Like Canada, the patient visits a few doctors before the surgery can be booked.   If you have any cardio condition like HBP, you need clearnace from a cardiologist.  Then you get to go back to your specialist.  He approves the surgery and you get to meet with the anaesthesiologist.  Assuming he approves, you go the hospital and they give you a date.

It turns out, my wife signed us up for ward coverage.  We’ve always had semi-private in Canada so we went to Espanola to upgrade.   Because a family member is usually present 24/7 when someone is incapable of looking after themselves, we decided to pay for a private room so I could stay with her.  Up north, we can pay for a surcharge for a private room.   Here, it works a little different.  The ‘private room’ surcharge is equivalent to the yearly fee for the option, plus any months remaining in the current year.   The cost at Espanola is UYU12,034  for one year of the private option.  Plus we signed up for autodebit of UYU1,003 per month so she would maintain the priviledge now that I know what’s involved.

The hospital asked her for her antitetanus vaccination.   Being a Uruguayan, she didn’t have to go through the vaccination when we moved here and frankly, she couldn’t remember the last time she ever got a shot.  So they treated her like a newbie, gave her a shot and told her to come back in a month for #2. 

The last hurdle was the blood donation.  At Espanola, if you go for surgery, you or someone else must make a donation in your name or you do NOT get the operation.  You must prove this the day you are admitted.  I found this out last Friday, so today I presented myself as her donor.  But guess what?  They refused me because I wasn’t fluent in Spanish.  They said unless I was fluent, I couldn’t answer the questionaire accurately.  My wife offered to translate, but they said it was a privacy issue and she could not translate for me.  They gave us a form that said I was refused which allows her to book the surgery Wednesday, but we were warned if she came back Wednesday morning without a certificate saying blood was donated in her name, she’d be refused entry. 

We thought this was a minor issue since she has a large family and several of them had volunteered to give blood when they found out she was going to have the surgery.  We came home and called around the family but one after the other couldn’t qualify.  Both of her nephews recently had tattoo’s.  You must wait 6 months after a tattoo before you can give blood.  Another family member was just diagnosed with anemia.  Finally, one of her nieces came to the rescue.  She lives in Maldonado, but she said she’d take the bus into Montevideo tomorrow morning.  But guess what?  Tomorrow is King’s day.  Espanola blood donation isn’t open tomorrow. 

So now it’s down to the wire.  The niece has to arrive here in Montevideo at 9am to give blood so my wife can be admitted at 10am. 

In fairness to Espanola, when they discovered I wasn’t qualified, they told my wife to go to any police or fire station and ask for a volunteer.  If a member of the public service donates blood for someone, they get a paid day off.  Apparently, it’s very common to do this. 

Let’s hope the buses dont go on strike Wednesday morning (or the doctors for that matter).

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Posted in Medical | 2 Comments »

SUAT

Posted by urufish on September 23, 2007

 

SUAT, (http://www.suat.com.uy/index.asp) is one of the many medical care providers here in Uruguay.  Not sure if it’s a private company or a mutualista.  It looks like a private operation.  When we came here, we joined Espanola…  But we were told to also join something like SUAT, because it provides ambulance service. 

I never thought much about ambulance service back home.  In Ontario, all medical comes under one umbrella… government run.  Here, it’s all private.  It wasn’t expensive, so we took it on.  I think it’s billed with the Espanola invoices.  They’re connected somehow. 

Anyway, my wife took quite ill a couple of weeks ago with a bad chest cold which quickly became pneumonia.  Nothing threatening, but definitely a pain.  Always the faithful, dutiful husband, I followed her a couple of days later.  My course followed a different path but by yesterday 3am, I felt it was time I turned this over to the professionals.

She had gone to Espanola emergency, which did a very effective job on her.  They’ve got this big room for people with respiratory problems.  Something called ‘nebuliosa’ or something like that.  There were respirators all up and down the walls.  You went in there, someone brought over what looks like a small oxygen mask, hooks it up the wall, it’s got medication in it, and everyone sits in the room, staring at each other and breathing through these things.  First thing that came in to my mind:  David Cronenberg 🙂

They also senther  for an xray.  At the end, theyIV’d her with antibiotics,  prescribed 2 extra strength antibiotics and sent her home.   A few days later, she was back to see a ‘pneumologist’ who prescribed a ton more tests.. which are still ongoing. 

Today, I just didn’t feel like going to Hotel Espanola (it’s big – like a hospital back home).  I felt like going to a smaller, more intimate place… like our walkin clinics back up north.  That’s when I decided why not go to SUAT.  SUAT provides the same services that Espanola does, for considerably less money (not that it matters).  But more importantly, they’ve got a local walkin clinic 3 blocks from where we live.  So my wife (translator) bundled me up and off we went this morning.

The place was just remodeled.  Looks like a fancy walkin clinic from back home.  I was taken right away.. no waiting.  Saturday mornings are good like that here.  Sunday mornings too.  The nurse spoke perfect English.  She’d lived 7 years in New Jersey before coming back to Uruguay..  She missed the place.  The doctor also spoke perfect English.  He had lived here all his life but his parent sent to english school. 

They dont have that wall of respirators like Espanola does.  They have portable ones.  They stuck a big pipe in my mouth and told me to breathe deeply and hold it for a minute.  At 15 seconds, they told me to let the air out.  Said I was turning blue 🙂

Anyway, they sent me home with a puffer, Ventolin, the same one I had back home once or twice.  For good measure, they put me in Moxifar Plus… some tradename for amoxicillin.   My wife was on 500mg.  I’m on 125mg.  Guess I’m not in as rough shape. 

It was a pleasant experience all in all, less than 30 minutes from leaving the house to getting back.  Add another 10 minutes for walking to the end of my block, picking up the medication and walking back home. 

Definitely, a very civilized place for every day health care. 

Posted in Medical | 7 Comments »

OTC (over the counter) medication

Posted by urufish on September 21, 2007

 ‘Itching and  burning making you uncomfortable?’

A few days ago, a dear friend of ours had a run in with a runout…  Hemorrhoids (actually remembered how to spell that !!!). 

Playing the ‘know-it-all’, ‘best medication’ northerner, we just happened to have a spare tube of Preparation H that made it’s way here in our container.  After an hour or so, our friend screwed up her face a bit and said ‘what kind of crap’ was that? 

At her behest, I went out to the local farmacia and picked up a tube of Scheriproct Pomada.  Sounds a little German doesn’t it.  I think it is . 

I brought it back.  Several minutes later, she exited the bathroom, clearly happy and relieved.  Curiousity got the best of me and I thought I’d take a look at the ingredients. 

Now Prep H is a household name back in Toronto.  It’s like Coca Cola, Wal Mart or IBM.  It’s a respected and trusted product the whole family can turn to when you need relief, fast.  When you look at the ingredients.. you see (are you really ready for this… )  Shark Liver Oil, Yeast as a live cell derivative (Bio-Dyne Skin Respiratory Factor)… Duuuuhhhhhh!!!  What the heck was that again???  I’m used to reading an ingredient list and actually seeing what’s in there.  This one I dont get…  Where’s the ‘snake oil’? 

When I looked at the ingredients on the Scheriproct Pomada I near sh.. my pants… The ingredients/100g, in this order are:  Caproato de prednisolona (190mg) and Clorhidrato de cincocaina 500mg.   I’m no doctor… no pharmacist… no chemist (Shirley???)  but someone tell me that those two words have nothing to do with COCAINE!!! and Prednisone

I can certainly attest (as an onlooker only) to the analgesic effects of Cocaine applied to mucous tissue, like the linings of the mouth, nose, etc. and other tender body parts.  Prednisone was (probably still is) an extremely powerful anti inflammatory.  I never heard of it or any derivate product in an over the counter product up north.  Heck, it still is a core drug for transplant patients. 

So here we are, supposedly in the 2nd world, where you can go to a local pharamacy and walk out with something like this…  heavy artillery for what ails you down there. 

 Oh forgot to mention that it states on the box, ‘control medico recomendado’.. translation:  ‘doctor prescribed’ recommended…  But in practice, that dont happen.

(I’ll be looking for those double entendre’s Gaberoo)

Posted in Medical | 8 Comments »

Do you suffer from allergies?

Posted by urufish on June 21, 2007

 sneezing.jpg

There was a post on the Southron forum about air quality in Montevideo.  Consensus amongst us ex-pats is that it’s so little, it’s nothing to bother a northerner about. 

Pollution aside, there is something you should keep in mind if you plan to live here.  Allergens.  If you’re allergic to anything, until you’ve lived here a few years, you wont know if there’s something new here that will set you off.   It’s likely to happen in the first 12 months you’re here, but sometimes things like molds and spores and even pollens, are suppressed for some environmental reason for a year or two.  I wasn’t so lucky. 

As a kid, I had hay fever, took the scratch tests, found out I was allergic to everything, but only ragweed was bad enough to do something about.  For many years I lived on Chlortripolon in September, then switched to the new drugs, like Claritin.  By the 2000’s, it hardly bothered me.   But last November, it (or something else), hit me like a truck. 

A few days before my birthday in late November, I awoke one morning to a stuffy nose, itchy eyes and scratchy throat.  Over the next 2 days I tried everything I knew, but it just kept getting worse.  It got so bad, I couldn’t sleep.  I was going to book a trip north and hide out for a few weeks until whatever was in the air here, went away.  Fortunately, my wife’s friend knew an allergy specialist and got me in to see her that  evening.  She prescribed me Prednasone, a steroid nose spray and a strong eye drop.  Well, was I surprised.  It was totally gone in a few hours.  After taking the meds for a couple of weeks, I stopped and it never came back.

Moral of the story.  If you are allergic to anything, you may find new allergies here.  Whatever I had was not something the body had ever experienced before and it reacted violently.  If that happens to you here, get in to see an allergy specialist.  If you pay them privately, you can get in same or next day.  I think it was the Prednasone that stopped it cold.  It’s a very, very powerful drug.  I’ve used it before.  Most transplant patients are on it.  It should just about stop any kind of allergic reaction you run into here.

This November, when I see her again, I’m going to ask for a set of scratch tests so I know what it is.  I think it’s a tree.  She thought it was a grass. 

Posted in Medical | 1 Comment »

How good is Uruguay’s medical system.

Posted by urufish on June 9, 2007

 

The inspiration for this post comes from David’s recent post about his experience with the medical system here.  You can find it at   http://www.uruguayliving.com/, titled ‘The Lazarus prospect–a medical adventure begins.’  He described it as ‘superb’.  I agree.  Not only that, but it’s the reason we live here now.    

In the past on this blog, and in other posts on other sites, whenever the issue of our reasons for choosing Uruguay came up, we answered with a number of good reasons, but we never talked about the main reason–the decisive factor.  Until I read David’s post, I felt it wasn’t something to talk about.  But his post has given me the courage to speak the truth.  It’s not something to be embarassed about.  Perhaps someone else is in a similar situation and will be better off knowing they’re not alone.  Pain shared, is pain lessened.    We’re here now because our daughter was losing her life in Canada’s health system.  In Uruguay, she is getting it back.     

In the spring of 2005, her behaviour went from strange to scary.  Those of you who know me, know I’m a little eccentric.  I thought she was just following her dad, until her behaviour crossed the line.  Self-destruction is not eccentric behaviour.  We decided to seek professional help for her. 

Patient:  Doctor, doctor, I’ve only got 59 seconds to live.
Canadian Doctor:  Wait a minute please.

Friends recommended us to a well respected psychiatrist.  We interviewed him to make sure he wasn’t crazy, (most we know are) and he agreed to treat her.  We wish he had actually treated her.  Her last session with him, in December of 2005, ended with him telling me that he didn’t want to treat her any more, but if I insisted, he would.  The next day we flew to Montevideo for our yearly, Christmas vacation. 

For the next 2 weeks, my daughters behaviour got worse and worse and a few days before we were to fly back to Toronto, it became unbearable.  A friend of ours referred us to a local, well respected psychiatrist for a 2nd opinion.  Actually, this wasn’t really a 2nd opinion, because her Toronto psychiatrist, in 6+ months of treatment didn’t have an opinion yet.  If we got real lucky, maybe we’d actually get an opinion. 

We didn’t have to wait long.  After 2 days of intensive testing with a team of 3 mental health professionals, we had a dignosis, and a treatment proposal.  This was the toughest decision of our lives together but we decided that our daughter’s best chance of success lay here, in what all my friends back home call the 3rd world. 

Everyone back home thought we were crazy.  That we had gone Jonestown or something like that.  But we felt we were making the right decision and stand by it still. 

The treatment would take 18 months, possibly longer.   Both of us would have to commit to her 24/7.  That meant early, and mostly unplanned retirement for me.  For my wife, it would mean a permanent return to a country that she wanted to summer in–not live in–in her later years.  

That was 18 months ago.  Our Canadian friends still think we were and are crazy.    Our immigrant Canadian friends were and are supportive.  They know that just because it’s not the US or Canada, that doesn’t mean that Uruguay cant have excellent medical care.  My friend from India says if you have the money, (which, fortunately for Uruguay, isn’t that costly), medical treatment is often better outside of North America. 

Neurotics build castles in the sky.
Psychotics live in them.
Psychiatrists collect the rent.

In our daughters’s case, she didnt need 5-star clinics, fancy equipment or $300/hour specialists.  She needed people who have the time and the desire to treat her as a person… not a patient.     

How has the treatment been so far?  As David put it, superb and affordable. 

Posted in Love, Medical | 18 Comments »

Our medical care provider

Posted by urufish on May 5, 2007

Espanola clinic

The following is taken, in whole, from the Uruguayan embassy website in Washington, DC.   We prefer to post it here rather than link it, as sooner or later, the link will go dead… probably before us :-)…

It describes the Mutualista Espanola..  like Blue Cross… it provides coverage of all kinds of medical services, including drugs, to members.  The interview process is very simple and easy.  My wife, my daughter and myself are all members now.  Our monthly fees are $4500 pesos.. just under U$S200/mo for a family of 3, 2 of us in advanced stages of decomposition 🙂  You pay for everything, drugs, emergency visits, doctors, procedures, but at a very reduced rate..  That’s one of the advantages, the nominal fees for services, but the other and more important is you have 24/7 access to all the facilities. 

 The Asociacion Española Primera de Socorros Mutuos is a private Hospital founded on 1853. Nowadays there are about 180.000 associates and 460 beds for patients in admission -61 of them private – taking into account the recent inauguration of our Sanatorium Oscar Magurno Souto with 3 exclusive floors for patients under admission, with other 52 private rooms with TV, Frigobar and breakfast for the patient’s companion.

 

In our hospital, you can also find over 2000 very well qualified professionals and the most advanced technological support in Uruguay and 6 Intensive Treatment Centres: General, Pediatric, Cardiac Surgery, Cardiological, Neurosurgical and Neonatal, in addition to an Emergency Room with 27 beds for adults, 4 for children, and other 4 Specialized Internment Centres that has other 114 beds.

 

Our equipment includes 12 Operation Theaters, remarking the specialized ones in: Cardiac surgery, Highly Surgery specialized in Column (White Room), Neurosurgery and Sterotáxica Surgery, Laparoscópic Surgery, Gynecology and Obstetrics, in addition to the one in the Emergency Service.

 

In relation with Diagnosis Techniques, we offer our own services with technological equipment of first level mentioning the most important ones among others: Clinical Laboratory, Molecular Biology Laboratory, Radiology, Ecography and Eco Doppler, Hemodinamia equipment with Digital Angiography, Computed Tomografy, Magnetic Resonance, Nuclear Medicine, Isolation Unit with laminar flow camera, Endoscopy Service, etc.  

 

Highly Specialized Medicine Institutes.

 

We also count with 6 HSMI, that are mentioned in details as follows:

  • Cardiac Surgery Service, where cardiac surgeries are made, hemodinamias, angioplastics and sten implants.

  • Cardiac Electrophisiology Service, emphasizing the same one implants of cardiofibrilators among other procedures.

  • Locomotive Surgery Unit: implants of prothesis of hip and knee Apparatus.

  • Marrow Bone Transplant Unit (adults and children).

  • Chronic and Acute Dialyses Center.

  • Burned Patient’s Center.

Our Services.

 

All of our services cover the medical and surgical specialities not depending on the associate’s age. We also cover outside consultations (specialized clinic, address, urgency, emergency) and the patient treatment in our hospital:

  • Alergology

  • Anesthiology

  • Cardiology

  • Children Cardiology

  • Column Surgery

  • Maxillary Face Surgery

  • Odontologic Surgery

  • Pediátric Surgery

  • Plastic and Repairing surgery

  • Kidnological Surgery

  • Thorax Surgery

  • Vascular Surgery

  • Dermathology

  • Diabethology

  • Endocrinoligy

  • Phonoaudiology

  • Gastroenterology

  • Infantile Gastroentherology

  • Geriatrics

  • Ginecotocology

  • Gineco – Onocology

  • Hemato Infantile Oncology

  • General Medicine

  • Internal Medicine

  • Nefrology

  • Pediatric Nefrology

  • Neumology

  • Pediatric Neumology

  • Neurology

  • Neurosurgery

  • Neuropediatrics

  • Odontolgy

  • Ophtalmology

  • Pediatric Ophtalmology

  • Oncology

  • Infantile Ortopethia

  • Otorrinolaringology

  • Pediatrics

  • Asthma Specialized Clinic

  • Anticoagulation Specialized Clinic

  • Cornea Specialized Clinic

  • Arterial Tension Control Specialized Clinic

  • Stereotaxics Specialized Clinic

  • Specialized Clinic on Menopause

  • Specialized Clinic Osteosintesis

  • Knee Specialized Clinic

  • Fibrilation Treatment Specialized Clinic

  • Infected Illneses- Contagious

  • Rheumatology

  • Dental Radiology

  • Psychology

  • Psychiatry

  • Infantile Psychiatry

  • Traumathology

  • Neonatal Unit

  • Cardiac Insufficiency Unit

  • Pethiatric Urology

Serveices that make the difference.

 

General Medicine. In this area the Institution offers 114 professionals which are chosen by he associates.

 

Ginecotologia. Associates will be able to chose out of the 35 specialists we have.

 

Pediatrics. Our Institution counts with the international accreditation that difference us from others, such as the title “Hospital Children´s friend ” granted on August 14th of 1998, by the Ministry of Public Health, according to initiative of the World-Wide Health Organization and UNICEF. Besides having pediatric doctors in the Central Seat and branches, we also have specialists in all areas: Cardiology, Surgery, Gastroenterology, Hemato oncology, Nefrología, Neumology, Neuropediatrics, Ophtalmology, Ortopethia and Urology.

 

Inferior Tracto Genital Specialized Clinic. It provides last generation equipment, the best experts with a national and international extensive qualification which carries out treatments for uterine neck, vagina, and vulva diseases in an ambulatory way.

 

Specialized Clinic Of Preconceptional Advising And Fetal Malformations Prevention. Unique in the country as much as in public level as in private, and in whose scope the preconcepcional consultation is made that can be more important in the attendance to the health in the context of its effects on pregnancy. 

Center Of Mammary Diagnosis. Where take place the techniques of diagnose for the precocious detection of cancer, treatment and control.

Specialized Clinic Of Adolescent Care. Unique Clinic in the country to offer Customized and Integral Attention through a interdisciplinary equipment, in addition on the exclusive premises where the accent in preventive activities looking for factors or conducts of risk is put that ready to the pathologies or more frequent morbid situations in that etharial group (problems of academic yield, alterations of humor, problems of conduct and nutritional disorder, difficulties in the familiar relationship, etc.), offers in addition advising in the area to sexual education, prevention of accidents, normal process of the puberty.

Center of Quality of Life. The first and only Preventive – Educative Center, in charge of athletical doctors, cardiologists, nutricionist and professors of physical education, that the factors of risk through progressive routines of physical exercises and plans of nourishing reeducation diminish. They count for it with four (4) gymnasiums equipped with eight (8) ergometric s tapes, twelve (12) bicycles and eight (8) equipment of sound-ranging monotorizaction, added to the comfort that offers two (2) masculine clothes and two (2) feminine ones.

 

Psycology & Psychiatry. In this one area our institution offers psychological evaluation, psycotherapy, specialized attention for adolescents and psycology for oncologic patients. Between the therapies that are applied we emphasized: individual, group, and couple.

Specialized Clinic of Tobacco Adiction. It develops a program for different etharial groups to obtain the cessation of consume of tobacco.

 

Specialized Clinic on Diabetology. It includes, in addition to the specialistic professionals, a multidisciplinary equipment for support made of: podology, psychiatrics and psycologist.

Specialized Clinic on Alcohol and Drug Adiction. Specialized clinic in charge of treatment of the illegal use of drugs and alcohol which an interdisciplinary team specialized in recovery and treatment of patients with addiction problems.

Unit of Cardiac Insufficiency. Unique service in the country in promoting a modern, and efficient treatment of the patient with cardiac insufficiency. It includes diagnosis stages and pharmacological therapy, surgical therapy and as much as electrical therapy, as well as the evolutionary control, trying to improve the quality of life of the patients with this pathology.

 

Neonatal Unit. This service offers to the new born a progressive and continuous care, assisted from the intrauterine stage to its birth, attention to the mother – son, intensive cares and promotion of lactancy.

Psicogeriatric Center. Unique service dedicated to the patients of the third age who need specialized psychiatry and psychological attention.

Hospi Saunders I y II. Unique centers of palliative cares with active attention of the patients whose disease does not respond to treatments, with therapeutic services conceived to respond to physical, psychic, social and spiritual necessities.

Rehabilitation Center. This center, also unique, precociously rehabilitates the patient who has been taken part of his locomotive apparatus (prothesis of hip, rolls and shoulder) and offers complementary rehabilitation in patients who have undergone great neurological and neurothraumatological events.

Pediátric Cardiosurgery. This service has the best professionals of the country, supervised permanently by professionals of San Pablo, center of world-wide reference in this discipline.  

Laboratory of Clinical Analyses. In our own laboratories the following disciplines are developed: molecular, biochemical biology, citogenetics, cytology, citometry de flow, hematology, inmunology, microbiology and parasitology. Also our branch at solymar (canelones) has a complete laboratory. As much as the laboratories of our central seat as the one in solymar, is connected through a computer system that allows a quick comunication of the information that shortens the times of results and increases the fidelity of the data.

 

PADO (Program of Domiciliary Attention). Its primary objective is to maintain at home the patient that needs second level of care, giving him a customized medical attention and an enfermary support that improves its quality of life during the acute disease or the acute descompensación of a chronic illness.

Odontholgy. It ´s objective is to promote the buccal health, offering the necessary services to obtain: educative, preventive, welfare helth and surgiry. all the doctor’s offices are equipped with last generation technology: pump and micromotors, turbines, sterilizers, , electrical anatomical armchairs, fotocured lamps of suction. We also have laser beams equipment Er-YAG and all the necessary infrastructure for its use.

Woman‘s Center. A center that reunites all the specialties so that the women can receive attention (clinical and paraclinic) in a single place.

 

Secondary Branches, and Doctor’s Offices. Doctor’s offices. The institution counts on 5 zonal units and a service of physical therapy. Incorporating these units of ambulatory medical services, closest took to the remotest districts branches for better access for the associate. In each unit, it had a medicine office, with 400 to 500 pharmaceutical specialties, that are those that asks for and prescribes the doctors of each specialty in each zonal branch. It also had the necessary ones to certain medical emergencies.

Posted in Medical | 1 Comment »

A trip to the emergency room – and the followup

Posted by urufish on April 30, 2007

Last week, my wife complained she needed to get some medication for a recurring condition that is not common to menfolk.  She spoke with one of her friends who suggested she go to the emergency department at Espanola, the health provider we deal with here.

We’re from Canada, and for the past few years in Ontario, a trip to the emergency room requires you to bring enough food and clothing for a good campout.   I thought that was a very poor idea to go to emergency here, but we went anyway.  To my surprise, the lineup wasn’t long.  After a very quick interview process.. as in.  your name and what do you think your problem is and wait a minute–and it really was a minute.  The doctor saw her, wrote a script and a request for a test and away we went.   This particular provider also has its own pharmacy so we went downstairs, filled the script and went home.

The next day she went for the test, and was again, in an out in about 20 minutes.  If this was Toronto, we might still be waiting to see the doctor in the emergency room.  You see, emergency rooms in the Toronto area are really for emergencies, as in life and death.  If you’re not in iminent danger of expiring, you shouldn’t be there.   Come to think of it, during the SARS crisis, many of us thought we may very well hasten that up by going to the emergency room. 

She was told to come back for the test results in a couple of days, and she did.  This time there was a long lineup of people waiting in the emergency… but she saw the doctor who saw her and he saw her and he took her immediately, said the prescription he gave her before wouldn’t work on this germ and gave her another one.  15 minutes in and out. 

Well, that was last week and this weekend, after taking the medication, her problem hadn’t cleared up.  In fact, it had become worse, so we went back to emergency this morning.   Today, there was a lot of people waiting but my wife just walked up to the doctor, told him he made a mistake and he agreed and wrote her another script, 15 minutes.  As of now, it appears this drug is working and hopefully, no more trips to emergency. 

My observations after the past week….  that emergency here is not as terrifying and as difficult as it is back home.  That you dont have to be near death to be seen and if you’re balsy enough to talk to the doctor, he’ll take you out of order.  And no one will complain if you’re to the point, not chatty, and fast.  The care here is competent.  The bells and whistles of a US or Canadian emergency room aren’t there.  The walls could use a good painting.  But the place is clean and the staff courteous and the care good.  

Unfortunately for my wife, she’s paying for all the years we lived in Canada and she was never sick.  She’s being punished for that… plagued by a variety of illnesses… which seems like just a run of bad luck and nothing more serious.  We’re looking forward to when it’s over.  Sometime in the next week, I’ll go over her other experiences.. and one of mine – which in retrospect is quite funny but I wasn’t laughing at the time 🙂

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