Category Archives: Health

All Around the Health Care Bush–the monkey chased the weasel

regional

Regional Hospital in Uriangato.

I’m the monkey that’s doing the chasing of course. If you don’t remember, I have hypothyroidism which requires a blood test and doctor appointment every 6 months. Sounds relatively simple, but there’s a catch. We have Seguro Popular, (Mexican Health Care Insurance) and as such, must go to the Regional Hospital in Uriangato to have any and all procedures and doctor appointments.

It sounds like it would be a better deal right? After all, you’d expect the hospital staff to have better credentials than any Dr. Jose off the street (No offence meant to those Joses who are doctors). However, I’ve found it to be quite a frustrating experience overall (See Mexico’s Seguro Popular–A model of inefficiency). This time around was no exception.Apparently, there are now only 5 doctors during the week to attend to patients (Hay déficit de médicos en el Hospital Regional) which would explain the long lines and slow service to some extent.

Since my appointment 6 months ago, the rigamarole has been changed. In order to make an appointment to have a blood draw, you must arrive sometime after 6 am to wait for a ficha (number). The sign says that they only give out 30 fichas, but that isn’t true. The first attempt landed me number 43. The second attempt (I arrived a bit earlier) I received number 32. The first attempt was a failure. I was still waiting at 11 am–couldn’t wait any longer, and left the hospital without a blood draw appointment. The second attempt happened to be the day of the monthly teacher meeting (See Mexican Educational Reform and Political Wrangling) so I was determined to wait it out. I really didn’t mind that I’d miss the meeting.

When I arrived in the hospital waiting room, I gave out the customary holler–Quien es el ultimo para sacar citas para el laboratorio? (Who is the last to arrive to make an appointment with the lab?) I took note of the woman who claimed to be the last and her brown rebozo and sat near her. Others arrived asking who was the last for the laboratorio (for the actual blood draw or specimen deposit), who was the last for x-rays (the line was short for that) and for picking up resultados (lab results pickup). So there were several lines we all were trying to keep track of.

The blood draw and specimen deposit line formed at 7 am. A bit of pushing and shoving ensued, however as these people already had their appointment, it wasn’t too desperate. Once the 50 odd people were taken care of, the line for the appointments formed. The second line forming was more desperate since everyone knew there was a limited number of numbers available. I had to shoulder my way into the line and ended up pressed up against the back of the woman with the brown rebozo until the line advanced.

When we reached the window, each person received a laminated number. Real high tech here. Then we sat down again. The lady at the window called the numbers and set up the appointments. This process was slowed down as she attended those who had come to pick up lab results. It was now 9 am. Lab result pick-ups are from 9-10. You don’t need a number for this–you just head to the window and butt in line in front of those with numbers waiting to make their appointments. It’s a nice change to the routine when it comes time to pick up results, but while you are waiting for the appointment, it’s a bit frustrating.

So it wasn’t my turn until a bit after 11 am. As my appointment with the doctor was less than a month away and my blood work results take 2 weeks to come back from the lab in Leon, my blood draw was scheduled for Monday. Halleluiah!

Since my lab appointment was the next working day (no blood draws on Saturday or Sunday) I headed to the caja (payments office) for their approval. Last time around I was given a yellow receipt that verified that I this procedure was covered through Seguro Popular. This process has been streamlined with a rubber stamp instead of the yellow receipt. A bit of paper-saving here that shows an improved concern for the environment possibly?

Once I received the official stamp of approval, I was free to go for the day. It was now nearly noon, and I wasn’t in a hurry to head to the teacher meeting, so I set about my second health quest of the day–new glasses. (See I can see!–Getting glasses in Mexico)

***********************

disclosure

 

Leave a comment

Filed under Health

Let’s talk about food in La Yacata

Our whole purpose in living in off-grid rural Mexico is to become self-reliant. After 9 years of slow progress, we still aren’t there yet. But we are closer than we were.

ears-of-green-corn

Our microcosm provides us with regular food stuff. We grow corn, beans and squash ever year in the traditional way on sharecropped land. (See Las tres hermanas) Our non-GMO organic corn not only provides year-round foods for our animals but also allows for equally healthy tortillas–the very foundation of Mexican cuisine. My sister-in-law runs a tortilleria (See Failing at your own business–Tortilleria), so I am relieved of this very time-consuming task. Corn is also used in tamales, pozole and a plethora of other traditional dishes.

tamal

Corn and lime boiling in preparation for milling for tortillas.

We also grow garbanzo (chickpeas) after the corn growing season is finished.  It makes for a nice snack, either raw or steamed, with the added benefit that the entire plant is eagerly consumed by our grazing animals.  Fiona, the donkey, is especially fond of garbanzo.

garbanzo

Steamed garbanzos

Our organically fed animals also provide us with delicious foodstuff. From our small herd of goats, we have daily milk and occasional meat. The milk we don’t drink right away is pastured right on the stove for later. We use it for creamy hot chocolate or honey-dripped oatmeal. The honey is from a local organic hive and delicious!

pasturizing milk

As we don’t have refrigeration, we dry our leftover meat into jerky strips. The dried meat theoretically should last several weeks. However, it rarely does due to the presence of a pre-teen, always ravenous, boy.

drying goat meat

Our chickens, ducks, and turkeys provide us with daily eggs and occasional meat as well. Just as with the goats, this means butchering. My husband has had years of practice at this and, therefore, our animals do not suffer needlessly.

butchering

We also keep rabbits and have recently added sheep to our backyard barnyard. Both provide occasional meat. (See Waskely Wabbits and Old MacDonald’s Farm). I’m hoping that our sheep will give us wool and perhaps milk later on as well. But as we haven’t had much success with sheep herding (See Birth and Death) it remains to be seen if that will actually happen or not.

full of tunas

Tunas are not hard to find after the rainy season.

La Yacata provides food, free of charge, for us as well. Cactus fruit is abundant towards the end of the rainy season. It’s not unusual for us to spend an afternoon foraging for pitayas (See Picking Pitayas) or tunas (See Picking tunas) or harvesting nopales (cactus leaves)(See Harvesting Cactus) for dinner.

feverfew

Feverfew

Tea can be made from hojas (leaves) or roots of a variety of naturally available plants. (See Feverfew tea and Lentejilla). Wild mushrooms are also found aplenty during the rainy season.

acebuche

Acebuche berries

Mesquite trees provide a chewy sweet treat for a snack. Acebuche trees have tart red berries that can be eaten right off the tree or made into a refreshing drink. Even the grass is edible. Quelite can be boiled like spinach.  (See Women in the Revolution–Marcelina)

chirimoya

Cherimoya fruit

We have moras (blackberries), chirimoya, guayaba, limones (lemons) and durazno (peach) in season in our own garden. We anxiously awaiting fruit from our granada and nispero trees this year. Our orange tree up and died last year, so it looks like no oranges this year. I hope to do some container gardening as well. Backyard gardening hasn’t been very successful with our free range chickens and rabbits out and about.

******************************************

 

disclosure

10 Comments

Filed under Alternative Farming, Animal Husbandry, Health, Homesteading, Native fauna and flora, Natural Healing

Mexico’s Seguro Popular–Back for more–Round 3

Regional Hospital in Uriangato.

Regional Hospital in Uriangato.

The next Sunday, my husband had his rescheduled appointment at 11:40. Again, it was an all-day event for a 10 minute consultation. The doctor, not the doctor who operated on him mind you, said it was just a small hernia and that wasn’t the problem. She ordered a slew of blood work and told him that if he wanted to see his surgeon, he had transferred to the hospital by the Deportiva.

He went to try and schedule his blood work and was told that now only 35 fichas (numbers) would be given each day and that he would have to get the yellow receipt that says the lab work would be paid for before getting an appointment. (See Mexico’s Seguro Popular–Round 1) So when the cashier opened, he got his receipt. The man at the register said that all those tests would not be covered by Seguro Popular even though we have no contributivo (no co-payment). My husband had to pay 75 pesos to cover all the tests. Then he came the following morning to stand in line for an appointment. His appointment was scheduled for 10 days later.

With his appointment slip and yellow receipt, he was able to get his lab work done. He picked the results up during the week and went to see if he could get an appointment with the surgeon at the other hospital. There he was told he could only have an appointment if the doctor agreed to see him. He waited around all day, but no luck. So the next day he went back to the Regional to schedule a follow-up appointment now that he had the lab results. There he was told that since he normally comes on a Saturday or Sunday, he could only come to schedule the appointment on a Saturday or Sunday. So on Saturday, he went back and scheduled the appointment for the end of the month.

He saw a different doctor this time. This doctor said that his blood lab results were fine. This doctor said that yes, his hernia was not repaired, however, there was a risk involved in a second operation. The doc said that there was a chance it would be better, but a more likely chance that it would become worse. So he told my husband that he should schedule another appointment in a month after he had time to think over his options. Well, my husband has thought it over and decided not to have the operation. I expect that is what the system wanted him to decide all along.

**************************

disclosure

 

Leave a comment

Filed under Health