Yes, I am back from my medical sojourn to California. Let's just say that I am better and I think that will be the last that is said about my medical history (unless I change my mind).
Since most of my blog centers around the problems I encounter living here (and there are many), I decided to try to describe some of the more pleasant experiences of my life. If it sounds a little mundane and boring to you, well that is what the "problems' are for (to add some spice into my life). You do have to be tough and you must be open to new ways of living and experiencing life. It may not be for everyone, but at my advanced age, it suits me just fine. Many people ask me what I do all day, so I will take your through a typical day.
My morning begins with coffee and a cigarette on my balcony where I watch the early stirrings of life in Puerto Vallarta. People going off to work, little kids patiently wait for buses to take them to school (some are accompanied by their mothers). Most mornings a truck arrives full of freshly picked tomatoes, onions and peppers to sell them to the two restaurants on my street. Then a man arrives with one of those stick brooms and a scoop. He managed to get most of the leaves and the debris left over from the previous nights revelries. It is not as effective as the power hoses used in Paris, but it helps. If I am up quite early I will catch a homeless man carefully fold up a large piece of cardboard and place in the the V of the tree across the street. It was months before I realized why that piece of cardboard was always in the tree.
Later when I am capable of managing the 17 steps to my deck, I will finish my coffee up there, while checking on my potted plants (I now have 25 of them). A lot of my time is spent tending to all my plants and I do love them all. You may notice how my haliconia has grown and I took a photo of two new hibiscus plants whose blooms resemble camellias.
After freshening up a little, I will walk to two blocks to my coffee shop. It is nothing to look at and most people would just pass it by. But they have very good coffee and fresh organic food. They are also very pleasant and I know almost everyone who stops there. While sipping my iced latte, I plan my day (or days). I have a small "Day Timer" that I use and write everything down. Yes, I know that is very old fashioned. I should use an Ipod, or at least a Blackberry. You must realize that computers were not invented until I was already middle aged. I also make up shopping lists. Because of all the books I read, often I will walk another few blocks to another coffee shop that has a much wider selection of used books.
It is located next to Plaza Cardenas. Sometimes I will walk through the park on my way home. Last year the Garden Society replanted it. It will take another year, but after all the rain, it is looking pretty.
With my day planned I start off. If I need money (and too often I do), it is necessary to cross the river to the bank that is affiliated with my bank. It is also one of the safest ATM's in the area. Shopping means lots of stops. Guadalajara Pharmacy is good for most house hold supplies, but carries no produce (they do have a small deli, however). If you want fruit (I go through lots of bananas and they are cheap) there is a small store that sells fruit and nuts, but no vegetables. For those I either stop at Los Mercados (where the white people shop). It is more expensive but the produce is better than either the open market or the few items the corner Tiendas carry. About twice a month, I will have to take a bus to Walmart or Costco. If I buy more than my back pack will carry, I take a taxi home (about $5.00).
I read a lot and love my little reading area with my equipauli chairs and lamp table (sometimes I just lie in bed and read). Of course there is the gym. It seems that every few months, I have to start all over again. I try to go at least 3 times a week (usually 4, and sometimes 5). Every Thursday, I play duplicate bridge. It gets quite competitive during the season when we will have as many as 14 tables. I almost always have lunch out. I don't mind eating alone for lunch but do not like to for dinner. I will either eat something at home (sometimes take out) or something I have cooked, or just skip it if I had a late lunch. Yes, I do go to a bar most evenings, but limit myself to two drinks (at the bar anyway).
At least once a week I will go to the beach. Many people just sit under the palapas, but I like to get some sun as well. I always have a few drinks and sometimes food. The water is shallow, but the surf can be rough, so normally I just walk from one end of the beach to the pier at the other end. Since it is summer and low season here, there are very few people on the beach (or anywhere else). The water now is warmer than bath water.
I have also started my Spanish lessons with a new tutor. For some reason he likes to give his lessons at the Page in the Sun Coffee Shop. Maybe he thinks all the book shelves are conducive to study. I pick up several books a week there and one day my tutor asked me how many books I read a week. I proudly told him that I read three or four books a week and he said, "And how many hours to you spend studying Spanish" OUCH!!
Whether I go out to a bar or dinner, I also begin (and end) my evenings up on my deck with a cocktail (or two). I recheck my plants and just love sitting there under my cabana. Now that we are getting the summer rains, I really love to sit there and watch the rain pour down around me. Yes, it is hot and humid during the summer months, but the rain does help a lot. In some ways I like summer better than winter for Puerto Vallarta does become a small little village. As I walk through the streets here, I will see someone I know on almost very block. It is a quiet simple life that suits me in my old age.
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Trials and triumphs of an American retiree coping with a recent move to Puerto Vallarta, Mexico
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Tuesday, July 30, 2013
Sunday, July 7, 2013
MEDASIST RE-ASSESSED
You probably did not expect a new posting on Mexican Medicine so soon, did you. Well, neither did I, but these posts are written mostly as stuff happens. I also don't like to talk about my personal life and especially not my illnesses (too many old people do that). But this was too good to resist, so here I am again.
My stay at Medasist last December was about what was determined to be a bad attack on my pancreas. I do remember when I asked "How did this happen?" One of the doctor said it might have been caused by my gall bladder. When I was in the States the following March, I told my doctor but he did not seem to think that any further tests were necessary (HMO !!) I have had some very bad symptoms since (like really horrible pain) but not bad enough to go back to that hospital. Then the last time, I decided that I would have to return to the States and get a full physical. But first I needed something for the pain. I first went to the local clinic. She (yes, most of my doctors here are female) told me she was pretty sure it was not the pancreas, but my gall bladder. She gave me some medicine which helped a little, but in any case I felt I must get back to California.
I put a call into my doctor there (of course you don't get to speak to a doctor, just a nurse). I explained my problem and said I would like him to set up a meeting with a specialist. She said that he would have to exam me first before any referral and that might take a month. I told her that it was just not possible for me to wait a month just for the first appointment. Could she speak to the doctor and see if I could not get in right away to see a specialist? She said, "That is NOT the way it works !" (I think her name was Nurse Rachett.) That was on a Friday.
I tried again the following Monday and this time got a human who did speak to my doctor and came back with the number of a specialist. When I called to make an appointment I realized that this was The Fourth of July Week. Not only were there no empty seats on flights, but the doctors offices were closing on Wednesday. I went for the following week. This nurse was extremely helpful and pleasant and suggested that I try to get a hold of my insurance company so it would be preapproved. (Good Luck, I thought after my last experience with them) Then she also suggested that I have a sonogram done before flying off. Good idea ! I went to see my Dr. Lupita and she set it up for the following morning.
My doctor here was also concerned for I was turning jaundiced. I called back to the specialist to say that I did have an appointment for a sonogram and mentioned I was now jaundiced. She asked a lot of other questions, left the phone and came back and said I should speak to my primary care doctor. I did not call him, but apparently she did and he called me to say that I should not risk the flight and to have to surgery done in Mexico immediately. In some ways this was a relief, if I could talk the hospital into waiting six months for my insurance .to pay anything. I decided to call my insurance company There were about 6 numbers on my card, but sadly it is all push button phone. If you keep insisting on speaking to someone, you get the same woman who has nothing to do with the insurance company but is paid to answer medical questions. After I wound up with her three times from three different numbers, I gave up.
At 8;30 the following morning they were all ready for me, a nurse took some blood, then a technician led me to a room for the sonogram. His English was quite limited, but he did understand when I asked if he could see a stone in my gall bladder. He said "No stone, gall bladder good" Somehow this was not good news to me. I tried to ask what was wrong and he mentioned "grasse" or fat on my kidney.
Then he proclaimed that I had two kidneys (like this was supposed to make me feel better). Then he asked me to wait ten minutes and he took me to another room where they put me through a CT Scan. No one could explain why or what was going on and I was told that I could not see Dr. Lupita until 1:00 when the test results would be back.
The lab tests showed that my pancreas and gall bladder with were within normal range. The liver count was slightly elevated (not a surprise), but nothing else unusual. The CT Scan and sonogram showed no stones in the gall bladder. So basically they have no clue what has called my illness. The doctor proudly pushed the result (all in Spanish) in front of me like I should be pleased. I was not.
This should have been good news, but I wanted an answer. So I decided there was nothing to do but to fly back home and have a complete physical done there. I had the results of my tests faxed to my doctor (unfortunately in Spanish) but hopefully he can figure it. So I booked a one way flight for the following week. All my doctors are on vacation this week. The first chance I had to call was Monday. At one doctor's office I left a message for an appointment and made an appointment to see my primary care doctor. The first office called back to say my doctor was out of the country until August. Then a nurse for my primary care doctor called to say that it was still risky for me to travel and the doctor suggested I stay here for more tests. MORE TESTS ?? I had blood tests, a sonogram, a CT Scan, (all of which the hospital said they faxed to him. What more did he want. I called back and said, "Tell the doctor I am coming anyway.
My friend here said, "Well, it is good they found nothing wrong with you" My answer was "Just because they found nothing wrong doesn't mean there isn't. I still feel like SHIT and I have no intention of finish my declining years in pain and misery. I don't care if I am old !¨" So off I go California. Stay tuned but it may be a while before another posting..
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My stay at Medasist last December was about what was determined to be a bad attack on my pancreas. I do remember when I asked "How did this happen?" One of the doctor said it might have been caused by my gall bladder. When I was in the States the following March, I told my doctor but he did not seem to think that any further tests were necessary (HMO !!) I have had some very bad symptoms since (like really horrible pain) but not bad enough to go back to that hospital. Then the last time, I decided that I would have to return to the States and get a full physical. But first I needed something for the pain. I first went to the local clinic. She (yes, most of my doctors here are female) told me she was pretty sure it was not the pancreas, but my gall bladder. She gave me some medicine which helped a little, but in any case I felt I must get back to California.
I put a call into my doctor there (of course you don't get to speak to a doctor, just a nurse). I explained my problem and said I would like him to set up a meeting with a specialist. She said that he would have to exam me first before any referral and that might take a month. I told her that it was just not possible for me to wait a month just for the first appointment. Could she speak to the doctor and see if I could not get in right away to see a specialist? She said, "That is NOT the way it works !" (I think her name was Nurse Rachett.) That was on a Friday.
I tried again the following Monday and this time got a human who did speak to my doctor and came back with the number of a specialist. When I called to make an appointment I realized that this was The Fourth of July Week. Not only were there no empty seats on flights, but the doctors offices were closing on Wednesday. I went for the following week. This nurse was extremely helpful and pleasant and suggested that I try to get a hold of my insurance company so it would be preapproved. (Good Luck, I thought after my last experience with them) Then she also suggested that I have a sonogram done before flying off. Good idea ! I went to see my Dr. Lupita and she set it up for the following morning.
My doctor here was also concerned for I was turning jaundiced. I called back to the specialist to say that I did have an appointment for a sonogram and mentioned I was now jaundiced. She asked a lot of other questions, left the phone and came back and said I should speak to my primary care doctor. I did not call him, but apparently she did and he called me to say that I should not risk the flight and to have to surgery done in Mexico immediately. In some ways this was a relief, if I could talk the hospital into waiting six months for my insurance .to pay anything. I decided to call my insurance company There were about 6 numbers on my card, but sadly it is all push button phone. If you keep insisting on speaking to someone, you get the same woman who has nothing to do with the insurance company but is paid to answer medical questions. After I wound up with her three times from three different numbers, I gave up.
At 8;30 the following morning they were all ready for me, a nurse took some blood, then a technician led me to a room for the sonogram. His English was quite limited, but he did understand when I asked if he could see a stone in my gall bladder. He said "No stone, gall bladder good" Somehow this was not good news to me. I tried to ask what was wrong and he mentioned "grasse" or fat on my kidney.
Then he proclaimed that I had two kidneys (like this was supposed to make me feel better). Then he asked me to wait ten minutes and he took me to another room where they put me through a CT Scan. No one could explain why or what was going on and I was told that I could not see Dr. Lupita until 1:00 when the test results would be back.
The lab tests showed that my pancreas and gall bladder with were within normal range. The liver count was slightly elevated (not a surprise), but nothing else unusual. The CT Scan and sonogram showed no stones in the gall bladder. So basically they have no clue what has called my illness. The doctor proudly pushed the result (all in Spanish) in front of me like I should be pleased. I was not.
This should have been good news, but I wanted an answer. So I decided there was nothing to do but to fly back home and have a complete physical done there. I had the results of my tests faxed to my doctor (unfortunately in Spanish) but hopefully he can figure it. So I booked a one way flight for the following week. All my doctors are on vacation this week. The first chance I had to call was Monday. At one doctor's office I left a message for an appointment and made an appointment to see my primary care doctor. The first office called back to say my doctor was out of the country until August. Then a nurse for my primary care doctor called to say that it was still risky for me to travel and the doctor suggested I stay here for more tests. MORE TESTS ?? I had blood tests, a sonogram, a CT Scan, (all of which the hospital said they faxed to him. What more did he want. I called back and said, "Tell the doctor I am coming anyway.
My friend here said, "Well, it is good they found nothing wrong with you" My answer was "Just because they found nothing wrong doesn't mean there isn't. I still feel like SHIT and I have no intention of finish my declining years in pain and misery. I don't care if I am old !¨" So off I go California. Stay tuned but it may be a while before another posting..
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