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Mexico’s Seguro Popular–Back for more–Round 2

Archivos at the Regional Hospital in Uriangato

Archivos at the Regional Hospital in Uriangato

The following Sunday, we were back at the Regional Hospital for my husband’s doctor’s appointment. We arrived at the crack of dawn to get a ficha (number) and wait in the Archivos waiting room until the doctor arrived. Well, my husband waited inside, I stayed outside. Those security guards are sure on top of things. And I waited and waited.

At 9:30 my husband came outside and said that the doctor was scheduled to arrive at 11 a.m. and he was hungry. We scrounged around for change and he went and bought two cups of watery arroz con leche, it should have been advertised as leche con un poco de arroz and a hard as rock bollillo (roll). He went back in at 11 a.m. and was told that the doctor would arrive at 2:30 or so. He asked to have his appointment rescheduled, which was written in his little pink book or so he believed.

My doctor’s appointment was scheduled for the 30th. Fortunately, my lab results were in by the 28th. On the 29th, I was organizing my paperwork for the doctor’s appointment and happened to look in my little pink appointment book. To my horror, my appointment had been crossed out and rescheduled for some point 2 months down the line. The way I had been feeling, I knew I wouldn’t be able to make it until then without a refill on my prescription. I freaked out. Seems like my husband had given the archivos lady my little pink book instead of his. Therefore, he didn’t have an appointment and mine had been changed.

Well, nothing to be done but try. We dragged our sorry butts at the break of dawn to the Regional the next day and took note of whom we would be following when the time came to line up. When the desk opened, we lined up. When we arrived at the desk, we explained the situation. The archivos lady made my husband’s appointment and gave me a ficha (number) to see the doctor that morning. Whew!

I checked in with the nurse’s desk, was weighed and measured, checked for diabetes, and had my blood pressure taken. The nurse didn’t think that a doctor would be coming as there were some urgent cases in the hospital. We sat down to wait anyway. Around 10 a.m., I got tired of waiting. A doctor had arrived and was seeing patients, but I didn’t think he was the doctor I was supposed to see. He most certainly wasn’t Dr. J. (See Seguro Popular–Dr J.) So I got up and went to the nurses’ desk to ask, but there wasn’t anyone there. So I went further up to the nurse’s station to ask. I showed my pink book—however as the appointment for today had been crossed out, I had to explain what happened. I was getting a bit cranky. As it turns out, while I was up at the nurse’s station, my number had been called.

Discovering that unpleasant fact when I returned to the waiting room, I rushed the door to the consulting room when it opened the next time, darting in front of a large elderly man. Near tears, I told the doctor that I was number 3 but had been at the nurse’s desk when he called. He nodded and sat down. I told him of my condition and that I felt terrible and here were my lab results. (My TSH level was 40. Normal is under 4.) He asked some questions. I answered. He checked his email on his phone. He told me to sit on the examining table. He checked his phone again. He came and checked my heart and neck. He went back to the desk and checked his phone again. He looked at my chart. He told me I had gained weight. I responded that it certainly wasn’t because more food was available. He checked my lab results. He told me that my TSH levels were bad. He gave me a prescription. Told me to take 2 pills, not 1 and come back in November for another blood test. I left. The entire consultation took less than 10 minutes. I had been waiting 6 hours.

I went and had the prescription filled at the pharmacy at the hospital. Took 2 pills immediately. Went on about my day.

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Mexico’s Seguro Popular–Back for more–Round 1

Blood, feces and urine accepted here!

Blood, feces and urine accepted here!

Six months after my last doctor’s appointment, it was time for another blood workup for hypothyroidism. That’s what I was scheduled for, that’s what I did, even though I had been out of medication for nearly a month and felt awful!

So Sunday morning, I was up and ready to go at dawn, even though the office wouldn’t open until 8 a.m., it being Sunday and all. Having learned from experience that it is a first come, first serve basis for EVERYTHING in México. I marched myself in, without having eaten or had my morning cup of coffee like a good girl, asked who was the last person to arrive, took mental note that I followed the guy with the blue cachucha (baseball cap) and sat down to wait.

At 7:40 a nursey-type person came into the waiting room and told us that we needed receipts from the payments office before we had our blood draws. What? I sat and pondered that a moment and then asked the lady next to me. She showed me a yellow receipt and said I could get it from the office behind us without much hassle. Well, since I didn’t have the receipt, it was a hassle. I had to get up and get in line at the window for the receipt along with about 20 other people.

The lab opened around 8:20 and those with receipts lined up. The payment office was still closed. I lost my place behind the blue cachucha (hat). The security guard kept telling us we were blocking the aisle and that important people couldn’t pass. So someone asked when the payment office would open so that we could get out of the hallway. The guard said sometime between 8:00 and 9:00 a.m. on Sundays. Gee thanks!

Some of those in the receipt line tried to hop back over to the blood draw line but were sent back, tails between their legs. Now it was 8:40 and the lab started calling out patient names and here I was still in the dratted receipt line. Finally, someone arrived, but didn’t open the window until he finished his morning coffee and bolillo (bread). So we waited.

The man behind me commented that it seems the whole purpose of this process was to get us to lose patience and go to a private doctor for our health needs since we (nearly all of us line) had Seguro Popular no contributivo (no co-payment public health insurance) and therefore, there wasn’t a reason to check to make sure our “insurance” would cover the lab work and get this receipt. I commented that if I had the money to go to a private doctor, I certainly would not be wasting my time standing here.

So we continued to wait. Eventually, it was my turn. I handed the clerk my Seguro Popular paper and the lab work authorized by Dr. J. He looked at the paper and looked back at me and determined I would be the spouse, not the primary beneficiary, nor the child. Good thinking on his part. Then we went through the “my last name is F not E and E is my second name” rigamarole. He typed it in and printed out a yellow receipt for me saying that Seguro Popular would cover the lab work.

So I went to stand in the lab work line, which was much shorter now. When it was my turn at the window, I was pleased to discover I was nose level with the feces and urine samples lined up there. We went through the “my last name is F not E and E is my second name” rigamarole again here. The lab tech guy gave me a paper that didn’t have a date stamped to pick up the results but said that I should come back in 15-20 days for them since the TSH test was “special”. I pointed out that my doctor’s appointment was in 2 weeks and he said that maybe it would be in before then. Okie Dokie.

Then I sat down near the other door to wait to be called.

Meanwhile, my long-suffering husband had been waiting outside. He snuck in, past a distracted security guard, to see what the hold up was. I gave him the Seguro Popular paper and his little pink cita (appointment) book and told him to get himself an appointment with the surgeon who did his hernia operation a couple years ago and a physical appointment for our son who needed a medical release form to start secondary school in August. My husband trotted over to archivos (archives) to do just that.

Blood draws done assembly line style!

Blood draws done assembly line style!

All good things come to those who wait and eventually I had waited enough to be called into the blood drawing hallway. The normal seats were taken so I was herded to the way back part next to the freezer full of samples. The guy looked at my arm and seemed taken back. He squeezed and prodded and couldn’t seem to locate a vein he liked. He asked where blood was usually taken–well my arm obviously. Did he think the jugular would be a better spot? More poking and prodding. He wrapped a rubber glove around my upper arm and jammed that needle in. Then flipped off the rubber glove tie which smacked me in the face. I had a bruise for a week from that prick.

He asked for the labels and I told him I didn’t have any and that the vial should be marked “especial” which he did. Then I was free to go.

Cruz Roja in Moroleon

Cruz Roja in Moroleon

My husband also accomplished his mission and had an appointment the following week with the surgeon, however, archives said our son’s physical would need to be done at CAISES. (See Seguro Popular –getting started )That did not happen. We took him to the Cruz Roja, paid $100 for the physical and $50 for the blood type analysis instead. The process took less than 15 minutes. The amount of time we saved was well worth the money.

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