Mexico’s Seguro Popular—A model of inefficiency–second blood draw

Medical Services Sign uid 758158

I returned for the new blood draw on Monday, February 3rd, the observed holiday for February 5th Constitution Day.  My husband waited outside again since the lab was close to the doors and he didn’t wish to aggravate the security guard.  I arrived and asked who the last person to arrive had been and made note of her purple scarf so that I would know who to fall in line behind.  The light to the office turned on at 7:45 but it was a ruse.  The clerk didn’t start getting down to business until 8:30.  Blood draws began at 8:40 with children under 5 at the head of the line.  I was 6th  or 7th in line, right behind purple scarf.  There were several attempts at line jumping and I had to scold a lady who tried to butt in front of me.  I knew I was behind purple scarf and the lady behind me knew she had arrived after me, so we weren’t giving any ground.  Annoyed, the interloper pranced to the end of the line.

I presented the cita (appointment) paper to the lab technician and she said that my results would be ready in 22 days. She gave me another appointment paper, this time without stickers, and I went back to the chairs and sat down near the lab door so that I could hear when my name was called since by now there was quite a crowd.  The security guard came through to check that everyone that was there had a reason to be there and wasn’t just loafing.  He shooed one or two out, however, the rest just discretely passed the appointment paper from one to the other so that it looked like both had an appointment.   He also tried to straighten out the bola (ball) of people that had accumulated at the head of the line, even went as far as raising his voice, but line jumpers were still rampant.

Around 9:00, it was finally my turn.  The nurse only took one vial of blood and told me to come back in 15 days for my results.  She told me to go back to the desk and have her mark the date on my paper.  So I went back to the desk and she told me to come on February 14 for my results.  Hmm, that didn’t seem like 15 days from February 3, but hey, what do I know?

My husband didn’t mind the wait so much this time since around 8 a.m. volunteers came around and gave arroz con leche and bolillo (rice pudding and bread) to those waiting outside.  Wish they would do that every time I had to come!

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Our Family Hobby

Welcome to the April 2014 Carnival of Natural Parenting: Parenting Fears

This post was written for inclusion in the monthly Carnival of Natural Parenting hosted by Code Name: Mama and Hobo Mama. This month our participants have shared stories and wisdom about family pastimes.

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A family hobby? Us? We are so busy in our day to day lives that we don’t often have time for leisure activities like travel or bungee jumping or arts and crafts. But we spend time together as a family and we enjoy the time we spend together as a family. So what do we do together as a family? Our daily discussions, activities, and lives are centered around our animals. Animal husbandry is our hobby.

We play around with animal husbandry, not in the Wikipedia definition of Animal husbandry as “the management and care of farm animals by humans for profit,” since we certainly do not realize a profit, but more as the now obsolete meaning of the word husbandry as a “steward” of a household. We are definitely stewards.

Since moving to Mexico, we have been involved in purchasing, raising, caring, breeding, healing, feeding, selling, butchering and sometimes burying all sorts of animals.

Afternoons will often find us settled on the back steps watching some aviary antics.

Mrs. Macho setting on the eggs.

Mrs. Macho setting on the eggs.

We have been host to domesticated pigeons escaped from the tiro de pichon (shooting range) and watched them raise generations of babies in the eves of our animal area. Eventually, Mrs. Macho moved on when we had to change the roof slant, but it was fascinating to watch the love and care both Mr. and Mrs. Macho took by sitting on the eggs and feeding the ugliest little broods. We enjoyed watching the babies growth and their first practice flaps and then rejoiced as they left the nest one by one.

quails

Codornices are small, native quail.

We have also had codornicess, which are a small native quail. We noticed most how the little guys would come to greet us at feeding time, even pecking at our shoelaces when we were slow to acknowledge them, hopping up and hooting just like in the cartoons.

chickens

Chicken hierarchy

Of course, our mini-homestead has chickens and chicken culture is amazing. Their socialization and hierarchy are as intense as any telenovela (soap opera). We have watched young roosters make their first macho challenges to the current head mucky-muck. We watched as Henny Penny gave up the will to live when the love of her life was no longer there. We chuckled at Jovencita’s attempts to adopt every single chick hatched and shook our heads at the poor mothering done by Hilda. We were horrified in the pecking death of Gringa, for the crime of being different from the others. And we are on hand to cluck over the newest batch of hatchlings. (See Why did the chicken cross the road?)

bump head goats

These goats are less than a week old and already playing bump heads!

One of our daily activities is taking the goats out to forage. Some days this is a run for your money if Duchess or Twiddledee get it into their heads to head for the hills. Most days, it’s a relaxing afternoon under the mesquite watching the antics of the goat kinder (kindergarten) as they play king of the rock or a rousing game of bump heads. We have even had kids that wanted nothing more than to sit in your lap, although this tends to be a bit cumbersome as they grow. (See Separating the sheep and the goats)

beauty

Beauty getting saddled up.

Sunday afternoons will often find us spending time with our hoofed animals, which currently includes Fiona, the donkey, Beauty, the yegua (mare) and Shadow her colt. It is not unheard of for us to take a family ride up and past La Yacata and back, sometimes further. We have even been known to have donkey races just for fun. (See Donkey Races, A horse is a horse or not, Beauty’s Babies)

gato

Smile for the camera now kitty!

I must not forget to include our long list of puppies and kitties that have come into our lives, sometimes for an extended period, sometimes for just a few days. Their personalities, travasuras (naughtiness) or amiableness, have made them such a pleasure to come home to. Currently, we are hosting 2 dogs, Hershey and Chokis and one cat, Little Miss Licorice Stick, otherwise known as Licky. (See 101 perritos)

Whether we have been strictly observers or had a hand in their daily lives, we have enjoyed our foray into animal husbandry. We have come to know that animals are sentient beings and that our actions and attitudes towards them affect their lives, sometimes drastically. Ahh, a hobby with moral value. What more could anyone ask for?

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Carnival of Natural Parenting -- Hobo Mama and Code Name: MamaVisit Code Name: Mama and Hobo Mama to find out how you can participate in the next Carnival of Natural Parenting!

Please take time to read the submissions by the other carnival participants:

  • 8 Reasons to Go Camping with Your Kids — The weather is warmer, and it is time to think about taking a break. As you plan your family vacation, Mandy of Living Peacefully with Children, guest posting at Natural Parents Network, explains why you should consider hitting the trails with your kids.
  • Crafty Cohorts — Kellie at Our Mindful Life enjoys crafting with her kids, and the skills they are learning.
  • Helping Himawari — Sophelia’s family at Sophelia’s Adventures in Japan share a passion for helping when a dog is abandoned at the nearby elementary school.
  • The ‘Art’ of Having Fun — Marija Smits shares some thoughts on family art and fun.
  • How we made our own Family Day — Lauren at Hobo Mama shares how her family celebrates the best day of the week, a chance for connection and adventure and endless possibilities: Family Day!
  • Our Family Hobby — Survivor talks about how animal husbandry has become her family’s favorite hobby at Surviving Mexico Adventures and Disasters.
  • Sowing the Seeds of Passions — Christy at Eco Journey In The Burbs wonders if her interests, and her husband’s, will shape her children’s passions as they mature.
  • Harry Potter Potions Party — One of the best activities Dionna at Code Name: Mama has ever done with her family has been a Harry Potter Potions Party. She is sharing the resources she used to create their potion recipes, the ingredients and tools they experimented with, and the recipes themselves. Feel free to use and adapt for your own budding wizards and witches!
  • Pastimes Have Passed Me By — Kati at The Best Things takes a new perspective on projects that never get done.
  • Food as a cultural experience for preschoolers — Nathalie at Kampuchea Crossings finds that food is a good way to engage her preschoolers on a journey of cultural discovery.
  • Pastime with Family vs Family Pastime — You can share lots of pastimes with your family, but Jorje of Momma Jorje discovered a family pastime was much more pleasant for sharing.

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Mexico’s Seguro Popular—A model of inefficiency–Dr. J.

dr j

So January 27 arrived and we got to the Regional at 6:30.  My husband had to stay outside again. I asked in the waiting area who had been the last to arrive and took note, so that when we lined up, I would know who I was after.  While I waited, I listened to the other people waiting tell stories of having to arrive at 4 a.m. at the clinic to get in line or buying a ficha (number) from someone who had arrived earlier.  I distinctly remembered seeing a sign at the front door that said that fichas (numbers) were not for sale…but hey, who am I to begrudge someone 20 pesos for their time?

When the appropriate personnel arrived, we were instructed to line up according to our order of arrival.  This was a surprise to some of the people waiting and there was a bit of shoving to get the line straightened up.  I was 5th or 6th in line, however, those who were waiting with children were giving the first few spaces.  When it was my turn, I handed the attendant the sheet Dr. Viejita (Old Lady) had given me and in return she gave me a paper with the date I should return for results and 4 stickers with my name on them.  It didn’t take too long for them to call my name and take 2 vials of blood and I was out by 7:15 a.m.  I must have looked like a pro because no less than 3 women asked me what the procedure was for the lab while I waited and I explained.

My results were supposed to be ready the next day, so I sent my husband to pick them up.  He had time at 1 p.m. and drove out to the hospital; however the lab only gives results from 9-10 a.m. and 3-4 p.m. and no other time, so he had to make 2 trips.  I looked over the results and didn’t see the TSH results, but I thought maybe it had a different abbreviation in Spanish.  Silly me.

Although my appointment for January 30 was at 9 a.m., my husband insisted we needed to go early.  So we did.  This time, we entered separately, with each of us carrying some paperwork in order to slip past the security guard.  Archivos (archives) didn’t open until 7:20 and I ended up being about 20th in line.  When I arrived at the glass partition, I handed the clerk the copy of our seguro (insurance) policy, a copy of my curp (Mexican social security number), a copy of my new residency card (See Residency at last), a copy of a proof residency which usually is a water or electric bill but in our case came in the form of a letter from Super Prez asserting that we lived in La Yacata, and the pink appointment book.  She returned the pink card to me and gave me a blue laminated ficha (number).

I went to check in at the nurse’s station but was told I needed to check in at the second nurse’s station, which really was just a folding table, 2 chairs and a scale.  So I marched down there and had my height, weight and blood pressure checked.  I understand that my weight and blood pressure might vary, but just not sure why my height might change drastically since the last appointment, but it didn’t cost me anything to stand and be measured again.  The nurse took my ficha (number) and wrote my name down, but couldn’t tell me what consultoria (consulting room) I would be in.  I sat down to wait.

As the crowd thickened, the nurses were questioned repeatedly about when the doctor would arrive to begin consultations.  The harried nurses responded with the startling truth that the doctors did not have set schedules.  When a doctor was finished with his or her rounds in the hospital, then and only then, would he or she report to the consultation area.  This might be around 9 a.m. or might not.  Not encouraging news.

With the press of people in the waiting area and the rising sun, the waiting room became stuffy and hot.  My husband began to get cranky.  I think I have mentioned before that he is not a patient man.  He was ready to leave and make the appointment for another day.  As I had already lost the morning’s work, I didn’t want to reschedule and pleaded with him to be patient just a little longer.  Finally, at 10 a.m. my name was called along with 3 or 4 other women’s and we were told to go over to the consulting room next to x-rays which was in another wing of the hospital.  We did.  It was closer to the front door and therefore, much cooler and we sat down to wait.  Dr. J arrived but we had to wait while he went to hunt down a typewriter for his office.

A woman much like my now deceased mother-in-law tried to bully her way into the consulting room, but Dr. J was having none of that and frowned her into her chair again. I was ficha #2, so I was in before you could say Jack Robinson, comparatively, and seated before the doctor.

Dr. J was much younger than Dr. Viejita.  I would estimate he was in his early 30s, with wispy light brown hair and an failing attempt at a moustache. He was recently married as evidence by the shiny new golden wedding band on his finger. He was wearing a surgical mask, which made it difficult for me to hear him since he was so soft spoken, but I did my best.  He asked why I was there and I again explained I needed a permanent prescription for hypothyroidism.  He asked about surgeries, if I had ever received a blood transfusion, if I had diabetes or high blood pressure, all which seemed to be relevant questions to my health issue at hand. He examined my throat for possible goiter, had me raise my arms to check for trembling, which is a sign for too much thyroid hormone and then sat down again to look at my lab results.  And surprise, surprise, there were no TSH results to be found.  So he gave me a new blood work order and sent me back to the lab to schedule the test.  He told me after I got the results, I should come back and see him directly and not to go through Archivos.  He was there Monday thru Friday.  Okie Dokie.

So I went back out to my waiting husband and told him I needed to schedule a new lab.  He was annoyed, but since we had come this far, we might as well keep going.  I queued up and made an appointment.  Since the following Monday was Constitution Day, the labs wouldn’t open until 8 a.m.  That was fine since there would be no school that day and I wouldn’t miss any work.

When I retold this adventure to my sister-in-law, she remarked that at least it was a free service.  However, I pointed out that the gas and time and money lost from canceled classes hardly made this free and she had to agree.

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