Tag Archives: Seguro popular in Mexico

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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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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