Category Archives: Health

Just for the ladies

So I’ve discussed healthcare in general, but there are some things ladies need to know to take care of their needs living in Mexico.

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Family Planning

Mexican health care covers hormonal contraceptives including anticonceptivos hormonales orales/pastillas anticonceptivas (the pill), inyecciones anticonceptivas de aplicación mensual y la trimestral (depo shot monthly or every other month), and los parches anticonceptivos (the patch). It’s also possible to get el dispositivo intrauterino de cobre (DIU) (copper IUD), el dispositivo intrauterino con levonorgestrel (IUD with progestin) and el implante subdérmico (implants).

IMG_20180612_091842.jpgSeguro Popular will provide medical instruction on how to use the condón masculino (condom), but you’ll have to get a pack yourself from the pharmacy or your local super (grocery store). Packs are most often behind the counter so you’ll have to ask just like you do for cigarettes, aspirin, and matches. Supposedly, the female condom is also available in some areas, but I have yet to see it where I live.

You can also find douches and pregnancy tests at the pharmacy. And if your man is getting up in years, Cialis and Viagra are available here without a prescription.

Abortion is illegal everywhere in the country except Mexico City, however, you can get the morning after pill (anticoncepción de emergencia/anticoncepción hormonal postcoito).

If you decide you are done having children, you can have your tubes tied with the procedure oclusión tubaria bilateral (OTB) also called salpingoclasia. Believe or not, there is a yearly vasectomy campaign in November and if your male counterpart is willing, he might qualify for a free Vasectomía sin Bisturí (Vasectomy without scalpel). However much vasectomies are promoted, they are still not fully accepted culturally.

Sanitary pads and alternatives

If you aren’t pregnant and Aunt Flo makes her monthly visit, you need to be aware that tampons are hard to find in Mexico. In fact, in some areas, impossible to find. So what’s a lady to do?

Well, there are pads.  Most of the pads are wafer thin and scented. Yes, scented. Just like most of the toilet paper. Apparently, Mexico hasn’t made the connection between infections and perfumes in your genital area. So you might want to consider making your own cloth pads. If you aren’t crafty, you can order them online.

Apparently, some version or other of cloth pads have been around for awhile. To say someone is having her period in my husband’s town you say “tiene caballo” which literally means she has a horse but refers to having so much material stuffed between her legs that she is walking bowlegged as if she were riding a horse.   

So if the bowlegged trot isn’t for you, you might try a menstrual cup. There are a variety of cups available to accommodate every vagina size. You may need to try a few different types to find something you are comfortable with but I guarantee you, once you find the right fit, you’ll NEVER go back to pads.

If the cup isn’t your cup of tea, you might try period panties or menstrual sponges. I haven’t found either of these options available in stores in my area, but you can find them online. (Check out this discount for Thinx panties)

So there you go ladies. More information that you probably need, but since no one talks about these things locally, you gotta find out from somewhere.

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Overview of Travel MedEvac Insurance

Remember I mentioned that travel by ambulance isn’t a free service provided by the Red Cross? When my mother-in-law was in the hospital after being hit by a police officer driving excessively fast for no reason, she was taken to an IMSS hospital since she worked as a street cleaner for the presidencia (town hall). When I arrived, hours after the accident, she had not yet been seen by a doctor, although a nurse had bandaged her leg and taken x-rays. When the doctor finally arrived from Morelia (apparently there wasn’t a doctor on staff), he insisted that she be transported to the Regional Hospital that was better equipped to handle her injuries. The family had to arrange ambulance transportation because she was not in stable enough condition to be moved by other means. Our local Red Cross has the only ambulance in the area. The cost was not covered by IMSS. It took hours to make the arrangements. When she finally arrived at the hospital, she was admitted to ICU. Her spleen had been ruptured in the accident and she was bleeding internally.

The admitting doctor suggested she be transported to the hospital in Leon, GTO, a 4-hour drive. Again, there was the issue of ambulance transport to arrange. For some reason, the family member in charge would not sign off the transfer. My mother-in-law contracted a respiratory infection in the hospital and died.

So believe me when I say that the universal health care Mexico provides through Seguro Popular and IMSS may not be enough in some situations.

Today I’d like to highlight one insurance company’s policies for US and Canadian citizens while they are in Mexico in order to provide a baseline of what type of coverage to look for when purchasing additional insurance.Travel-MedEvac_728x90_r2

Travel MedEvac Insurance’s slogan is Medical Transport Home when the Unexpected Happens (which of course, nobody hopes for but unfortunately is a possibility).

The MedEvac insurance covers evacuation by air transport to a hospital of your choice in your home country (US or Canada) and transfer by air or ambulance to another hospital in Mexico as needed if you are medically unable to travel internationally. So in the event of injury or illness, MedEvac will make sure you are taken to a hospital, whether in Canada, US, or Mexico, that will be able to treat your condition. This is especially helpful if you are in a rural area in Mexico where the medical facilities are understaffed and lacking updated (or even functioning) equipment.

What about your family? Well, MedEvac offers transportation for a traveling companion, spouse, and dependents to the hospital where you been evacuated in your home country. If you are unable to be air-lifted out of Mexico, MedEvac provides transportation for your immediate family to the hospital where you are receiving treatment.

What about your stuff? MedEvac will transport your vehicle, RV, motorcycle, and watercraft from Mexico to your home country. If you are discharged but not able to drive, MedEvac will make sure your vehicle is returned to you in your home country.

What happens if you die? MedEvac will prepare your body for transport and complete the repatriation process up to $50,000 USD. This may include embalming or cremation, casket, and transportation.

So what are your options?

MedEvac offers daily and annual plans. Daily plans are good for up to 90 days in Mexico and best for vacationers, cruisers, business travelers, students, missionaries, church groups, timeshare owners, and volunteers who do not plan on staying more than 90 days in Mexico. There are plans available for groups of 10 with additional plans in increments of 10 at special group rates.

Annual plans are offered for both 6 month and 12 month periods. The Classic Plan covers you if you travel to Mexico several times a year but never longer than 90 days. The Extended-Stay Plan covers you if you live in Mexico part of the year but do not stay longer than the 180-day tourist visa limit. Either plan would work for Snowbirds and frequent travelers.

As of April 2018, a third policy has been added to MedEvac’s plans specially designed for expatriates that live in Mexico more than 180 days per year. In this situation, medical evacuation could include transfer to another hospital for treatment in Mexico rather than in your original country. If your stay is more than 2 days, traveling companions and dependents will be given transportation to their homes. If you are in the hospital for more than 7 days, MedEvac will provide for the transportation of a visitor for a single visit to your bedside.

There are some things to consider.

If you are older than 84 or have been advised by your doctor that you should not travel, you would not qualify for this type of insurance. It’s also important that your passport be current, otherwise, there may be complications in leaving Mexico or entering your home country.

Additionally, there are some situations where accident or injury would not be covered under MedEvac’s policies. If injuries are self-inflicted or sustained in a war zone, you wouldn’t be eligible. If you are injured while piloting your own plane or canyoneering, you wouldn’t be eligible. If you are traveling specifically to seek treatment whether or not medically necessary, you would not qualify for the plans above. (I’ll talk about Medical Tourism in another post.)

There are also some restrictions which you might need to take into consideration when living or traveling in Mexico. You might not be able to be evacuated from areas which the U.S. government has issued travel restrictions (See U. S. Travel Restrictions for Mexico) or areas where civil unrest or natural disaster has temporarily shut down air traffic.

So, as part of a comprehensive medical insurance program, travel insurance, like the policies offered by MedEvac might be something you should seriously consider.

This information is provided for informational purposes only. Please refer to the MedEvac’s page for current plans and prices, requirements and restrictions.Travel-MedEvac_728x90_r2

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Alternative Medical Practitioners in Mexico

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The indigenous people of Mexico believe that for every physical ailment there is both a physical and spiritual cure. Both must be treated for a full recovery. That belief is the primary reason that curanderos still exist in Mexico today.

The general term curandero (coming from the same root word as the English cure) can be used to refer to a variety of specialties, although these often overlap. The nature of the illness or condition determines which specialist should be consulted.

Yerberos are primarily herbalists. They may prescribe certain herbal remedies to aid in healing. Within this classification are several specialty groups. Yerberos who work primarily with tobacco are known as tabaqueros. Those who work primarily with ayahuasca are known as ayahuasqueros. Yerberos who work with peyote are known as peyoteros.

Hueseros are bone and muscle therapists who treat physical ailments. Sobadores are massagers. Either may be recommended for pregnancy complications such as breech positioning especially in areas where there are limited medical facilities.  My father-in-law had several sessions with a sobador after he was hit by a truck on his bicycle to help alleviate lower back pain.

Parteras are midwives and have long held positions of respect in the community. A partera is often a skilled sobadera, huesera and yerbera as well.

Oracionistas work primarily through the power of prayer. Don’t be surprised if the oracionista calls upon the assistance of certain saints or the Virgen de Guadalupe herself. The curandera that I met with was a devout Catholic.

Brujos are witches. They deal in spellwork, the casting or removing of curses. Brujería (witchcraft) has been determined to be illegal in Mexico since 2010 however brujas and brujos abound. In this category are the hechiceros (sorcerers) and santeros. In fact, so popular is witchcraft in Mexico that there are even tourist attractions and markets centered around brujería for those so inclined.

As with any profession, there are levels of competence and experience. It’s also good to keep in mind that some may be complete quacks. My father-in-law went to a curandero in town who told him that he had a parasitic growth in his stomach and that he would need to pay $30,000 pesos to have it removed otherwise he would die. He went to the clinic for confirmation before forking over that huge amount of cash. The lab results showed a stomach virus, nothing more.

Have you met with any alternative medical practitioners in Mexico?

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