Mexican medical matters

DOCTOR AND DENTIST within days of one another. Here’s how it goes in Mexico, amigos. Yet again.

I called my physician in the state capital and made an appointment for the next day. Yes, the next day, easily. That doctor is my main man, whom I call only if I suspect my problem could be serious or — at my advancing age — life-threatening. Otherwise, I have two good doctors here nearby on the mountaintop, and they serve me well for piddling things, routine stuff.

stethMy main man, in his late-40s, is a professor at the state medical school. He is also a surgeon, an internist, a gastroenterologist and has the most soothing bedside manner I’ve ever encountered. Mornings he teaches and practices at a hospital in the public sector. Then there’s the long Mexican lunch. At 5 p.m. he shows up at his private practice where he works until 7 or 8.

His wife, a gynecologist, uses these same facilities for her practice with womenfolk in the mornings. It’s in a modern hospital annex.

I arrive at 4:45, early, the first appointment of his afternoon. I step into the small elegant waiting room that has soft lighting, soothing music and a wonderful leather sofa and accompanying easy chair. There is artwork on the walls. The receptionist ushers me inside, and I describe the problem to the doctor while sitting in his similarly appointed office. He speaks English, but we’ve always conversed in Spanish.

There is no line of cubicles where patients sit, twiddling their thumbs, backsides open, and waiting as the doctor moves down the assembly line.

We step into a small, adjoining, high-tech examination room, and a likely diagnosis is announced. Nothing worrying.

We walk back into the doctor’s private office where I sit again in a big leather chair. There is artwork on the walls, his many diplomas, dark-wood bookshelves and soft lighting. He writes out a prescription and describes the problem, as he sees it. We shake hands, and I step into the waiting room again to pay the receptionist about $45 cash. I depart 25 minutes after I arrived.

A pharmacy charges me $23 for the meds.

* * * *

The dental appointment, also in the state capital about 40 minutes down the highway, was for the following day. I had made that appointment the previous week. I arrived a bit early again, a Gringo habit I cannot break, fifteen minutes before 1 p.m. There is no one ahead of me in the waiting room. Again, it is quiet and peaceful. And no assembly line anywhere.

The office is in what obviously used to be a home. It’s unmarked outside and in a residential neighborhood. Patients come by referral only. He’s not even in the Yellow Pages.

I had come for a routine cleaning and checkup. The cleaning is done by one of two dental hygienists, and they do better cleanings than I ever got above the Rio Bravo. A cleaning runs about $53, and I pay in cash. But on this day, before the cleaning, the dentist checks out my chompers. Sadly, there are problems that I had not noticed.

No cause for alarm. I am in Mexico and in good medical hands.

The doctor, an amiable, middle-aged guy who looks like a movie star if you women are in the dental market, takes a few X-rays for which he charges nothing additional. One tooth way at the rear is fractured, and needs a crown. Another X-ray shows that a niggling problem of years’ duration has finally grown to the point that it can be, well, pinpointed.

It is an inflammation deep at the tip of a root. Perhaps it can be solved with a root canal. Perhaps not. He does not know, and suggests that I get an endodontist’s opinion. He recommends the specialist, gives me his name, address nearby and phone number, and writes out instructions for the other doctor. If it cannot be resolved with a root canal, the tooth will be pulled and I’ll get an implant.

Currently, I have all my original teeth. I’ve never had one pulled. With luck, a root canal will solve the issue. I’ve had a number of root canals. Pieces of cake. I’ll know next Wednesday after seeing the endodontist. Let’s keep our fingers crossed.

On leaving, I pay the $53 for the cleaning and another $290 in advance, with my debit card, the total for the crown, which ain’t bad. I have another appointment on the 19th for the crown installation. A mold was taken by the hygienist.

Everything has gone smoothly, rapidly and professionally, and I pay as I go. I have no medical insurance, nor do I need any. If I require an implant, I will pay for it. It’s all between me and the medics. Meddling government is not involved, nor any avaricious HBO.

This is how the Goddess intends it to be — and how it once was above the Rio Bravo, back in your Good Old Days.

* * * *

(Note: We have, of course, a public medical system in place for poor folks. It is cheap to free, subsidized by the government, but no one is forced into it in any way whatsoever.)

 

11 thoughts on “Mexican medical matters”

  1. It saddens me to see how the medical establishment has deteriorated NOB. I have a similar story here last year where my local dentist lady sent me to Morelia to take a look, for a root canal. Same day, the dentist performed it, with more modern equipment than my NOB dentist had, no follow-up visits were necessary (in the U.S., that would be an initial visit $$, the appointment for the procedure $$$$, and a follow-up visit for extraction of more cash$$$).

    His technology was first-rate, offices were nice and modern, and amazing to say a decent experience since I usually hate dental visits.

    Total cost for the root canal was about 2500 pesos. In the states, we would be looking at a minimum of 2K.

    There is something drastically wrong with the model up north, perhaps government meddling? And the Gringos make fun of Mexican medical system. They should be crying at what they are missing.

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    1. Tancho: I love to rub it in, which is why I touch on this topic repeatedly. By the way, most people above the border don’t know the exchange rate, which is why I always write prices in bucks. That 2,500 pesos you mention is about $190 these days.

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      1. Nothing wrong with the Mexican system. We need to import it. There is only one thing standing in the way — Greedy healthcare medical complex, which includes insurance companies. I wanted a system here like in Mexico or Canada. I think we’re heading that way, but won’t get there in the near future.

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        1. Señor Toth: We are of one mind. HMOs, insurance companies, lawyers. Those are your problems. But I take exception to your apparent thinking that Mexican and Canadian health care is similar. I do doubt that. Canada, as I understand it, like Obamacare will do, forces the citizenry to participate.

          We don’t get forced down here.

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  2. Like you and Tancho, and I imagine many more, I cannot sing the praises of Mexican medical care highly enough. These expats who think they must make a run for the border to subject themselves to the vagaries of Estadounidense medical care are just plain crazy and should no longer make Mexico their residence.

    I think you’ll be very impressed with your endodontist.

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    1. Ms. Shoes: Hell will freeze over before I sit in another of those cubicles with air tickling my exposed buttocks, waiting, waiting, waiting, for the doctor to finally get to me. It’s no way to live.

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  3. One of these days I would like to write about a topic where we disagree. But this is not one of those days. During the past 6 years, I have not needed much medical attention here in Mexico. Well, I may have needed it; I just haven’t sought it. Each time I have, though, I have been impressed with both its efficiency and cost-effectiveness. If I never see another doctor up north, I will be pleased.

    The only insurance I maintain is a policy for catastrophic events — what health insurance is supposed to be. But I operate with the assumption I will seek reimbursement after receiving care in Mexico. Not in The States.

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  4. I believe most of the medical and dental care NOB is catastrophic. It is catastrophic to your wallet and peace of mind.

    Professional care in Mexico is not a nightmare. It is much more like a sweet dream.

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    1. Andrés: You said it, brother. I never rue going to a doctor here. I think, well, we’re going to get this problem solved, and it won’t cost much either. And it won’t take all day long. It’s great.

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