Tag Archives: getting a prescription filled in Mexico

Mexico’s Seguro Popular—A model of inefficiency–prescription at last!

pills

So, holding my breath that the lab results would be in, we went back on February 14.  Results were only given from 9-10 in the morning, so there wasn’t any need to arrive at dawn or determine who I needed to form up behind.  The line started forming right about 9 and moved along rapidly.  My paper was marked especial (special) so the clerk had to go to a different file for my results, but it didn’t take more than a few minutes and voila! There they were.

Since Dr. J said I should come and see him after the results were in, I asked the clerk how I should go about it.  She said that I should go to Archivos, but I told her that Dr. J said I should make the appointment without going to Archivos.  She said that his office was down the hall in Consulting Room 5 and that I should go there and ask.  So I did.  I stopped at the nurse’s table and told them I wanted to see Dr. J.  The nurse said he was in today but that he was using Consulting Room 9.  I asked if there was some sort of list I needed to be on and she said no.  So I went there and parked my butt in the seat directly in front of the door.

I waited there maybe 5 minutes, then thought that perhaps I needed to do something else, so I went to Archivos and asked.  The lady there gave me a blue ficha and told me to go to the nurse’s desk.  The nurse at the nurse’s desk sent me back to the nurse’s table.  I handed my blue ficha over and the nurse wrote my name on the list, and then checked my weight, height and blood pressure.  This time, I felt I was on track.  She sent me back to Consulting Room 9 to wait.  I was #4.

I went out to tell my husband how I was progressing.  He didn’t want to stay, but since I was already there, I wanted to see if I could make this my final trip for the permanent prescription and not lose another day of work.  So I went back to the waiting area and spent some time studying my TSH results.  Everything was within normal range with my taking 1 pill a day, so that seemed promising.  The blood samples had been sent to the hospital in Leon and back.

Dr. J began seeing patients at 10 a.m.  I was called at 10:40.  Meanwhile, I spent some time talking with an elderly lady who also wanted to see Dr. J about her family member who was just admitted into urgencias (emergency room).  I told her it might be prudent to get a ficha from Archivos, which she went and did.

I sat down and Dr. J remembered my case.  I expect gringa patients are far and few between, so I stand out a bit. He looked over the results and agreed that I needed to keep taking one pill a day.  He gave me a prescription for 2 boxes of 100 pills each and explained that I would need to come back every 6 months for a new TSH blood workup.  That didn’t surprise me any, but I had to restrain a sigh.  He told me to go to Archivos and make an appointment for 6 months, then go to the lab and make an appointment for 6 months, then go to the pharmacy for the pills.

I thanked him and left the consulting room planning on doing just that to find Archivos were closed.  I went to the lab and found a line out the wazoo.  I went to the pharmacy and got my voucher for the pills.  They didn’t have the pills in stock, of course, but I could get it from another pharmacy with this voucher.

I went back outside and told my husband how things were going.  We agreed that it would be better if he came another day to make the appointments and pick up the medicine.  It was just too much for now.

All’s well that ends well since now I will be able to get the blood test, doctor consultation and medication free for the 3 years we have Seguro Popular.  I can’t imagine going through this process if I were really ill, though. I’d more than likely die in the waiting room, but maybe that’s the point.

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

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

 

dr viejitaSo we went to the Regional in Uriangato, which is the hospital where my mother-in-law died.  My husband had gone the day before to inquire about the procedure and was told by the pharmacy that I needed to make an appointment with archivos (archives) first to open a file.  Archivos (archives) opens at 7 and it’s on a first come, first serve basis. Therefore we were up at the crack of dawn so that we could take animals out to pasture and drive to Uriangato.  It is about a 30 minute trip by moto, but seems much, much longer in the frigid early morning.  We arrived at 6 a.m.

The security guard on duty would not let my husband in, so I took the paperwork and queued up.  The clerk arrived at 7:15 and started processing appointments.  I was about the 10th in line, so it was about 7:40 when I reached the desk.  I explained my situation and showed her my papers.  She looked them over and told me that it was the responsibility of the clinic that gave me the prescription to continue giving me the medication and that if they wanted to send me here, they needed to give me a referral.  Well, they hadn’t and she knew that, so she went ahead and gave me an appointment with a general practitioner anyway.

I checked in at the nurse’s station and had my height, weight and blood pressure checked and returned to my seat.

I was #3, but as the doctor doesn’t begin seeing patients until 9 a.m., I had to wait.  Meanwhile, my long-suffering husband was shivering in the cold.  After 9, he suddenly appeared in the waiting room.  He had waited until the guards had changed, then asked permission to use the bathroom, which was on the other end of the hall where the consulting offices were.  He did use the bathroom, but instead of returning outside, he headed down the hall to see where I was.  By this time, there were so many people, one more wasn’t noticed.

So 9:30 came and it was finally my turn.  I was shown into a small consulting office and sat down in a chair next to a tiny space heater.  The female doctor was at least 80 years old and was extremely disconcerted that I was not Mexican.  She asked me several times if I could understand her questions and each time I assured her I did.  I explained what it was that I wanted.  She then said I would have to be referred to a specialist.  She pulled up her Olympia typewriter and started in on the referral.  She asked where I lived, but didn’t understand me, so I handed her the policy which had our address on it.  Then she asked about my age, place of birth, religion, age that I began menstruating, age that I married, if I had my son vaginally or by c-section (she even mimed this one for me in case I didn’t understand her meaning), and if I lived permanently in México or was just here for a visit.  I answered her questions, but tried to explain again that I had hypothyroidism and told her that I had had preeclampsia and pregnancy-induced hypertension, but she made no note of those issues.  I told her about surgeries I had as well, but again, nothing written down.  She apparently made a mistake on the form, so she pulled the sheet out of the typewriter and started again.

I waited.  When she had finished I showed her the prescription that I had been given at the clinic and told her I needed a refill.  She looked it over and said that she would write a prescription and that I would need some blood work too.  That seemed reasonable, since in the States, I would periodically go for TSH level blood tests.  I thought perhaps she had understood my problem after all. Silly me.

I was there about an hour while she filled out these forms.  She made no attempt to examine me and when we were finished she asked if I felt I had been treated fairly.  I suppose I had.

So then, I went back to archivos (archives) to schedule an appointment with a specialist.  There the clerk gave me pink appointment booklet and scheduled the appointment with Dr. J for January 30 at 9 a.m.  Then I went to the lab desk to schedule an appointment for the blood draw.  That was set up for January 27 at 7 a.m.  Finally, I went to the pharmacy to fill the prescription, but they didn’t have the medicine there.  Since I was already late for work, I didn’t have time to hunt down some other pharmacy.  I sent my husband later in the day to find the referral pharmacy and get the prescription filled.

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