More Encounters with the Panama Health Care System

Ma went back to see the eye doctor. It’s dryer and windier here now so her allergies and dry eyes were bothering her more. She got some different eye drops and a referral to an allergist. Again, we just showed up at Mae Lewis Hospital in the afternoon when we knew the doctors would be in. The very nice and helpful secretary put her on the list, and we waited maybe 20-30 minutes while the doctor attended to others ahead of us. Again, Ma felt like she was well cared for and had all the time she needed with the doctor. I think she was in there about 20 minutes. Cost, $25.

The GP doctor wanted some blood tests to check some medication levels so we figured we may as well get this done while we were there. We were directed to the lab where I explained what we wanted (no – where is your chart? Where are your signed doctors orders? Where are your billing forms? Fill out these forms please. etc. They just asked for name, birthday, address)  They understood what we needed, put it in the computer, sent me to the cashier to pay for it, and as soon as they had the receipt in hand they did the work (gently and professionally, as competent as any lab tech I’ve encountered in the US) I was told we could come back and pick up the results after 7PM (in about 2 hours!). If a doctor wants the results, show the receipt and the results can be looked up in the computer.

The cost was $50 for a thyroid panel, 4 tests. I’m not sure how this compares in the US. I figure when Ma goes back to the GP we can get a copy to find out the exact names of the tests and then I can look on line and see if I can get some US prices for comparison.

I have more blog posts in the works but we have been out and about a lot in the last few days. Hopefully today I’ll have some time for catching up on both reading and writing!

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*Fresh Fruit and Veggies in David, Delicious and Cheap!*

via *Fresh Fruit and Veggies in David, Delicious and Cheap!*.

While I was doing the shopping, my husband had hold of the camera!

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Another Wonderful Mango Tree

This old, majestic tree is in an area where we frequently ride our bikes. I thought it looked especially interesting today with the light and shadows of the setting sun.

It’s tempting to photoshop out the house and wall so there is nothing to distract the eye from the tree. Maybe one of these days I’ll give it a try.

We have so many amazing trees in our neighborhood, I don’t think I’ll ever run out of things I want to photograph.

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a Trip to the Dentist

Dental care is less expensive here in Panama. People travel here for care and even with travel expenses, they save money. So, we decided to wait until we were here to get any further dental care.

My husband needed a bridge. He is missing teeth in the lower jaw in the back of his mouth, teeth that are important for chewing. We all cringe when we hear “bridge”, thinking of the big sucking sound we will hear as large sums are drained from the bank account.

The first appointment was a consultation. The plan was agreed on – remove two crowns, use those teeth to attach a permanent bridge.

The second appointment was to start the work. Crowns were removed, impressions were made, temporary crowns were installed, and impressions were taken to the lab. I was in the waiting room when the man from the lab arrived. The dentist came out with the impressions, and the two men stood at the desk and discussed the bridge at great length, discussing in detail how it was to be, how the teeth were going to fit together with the upper teeth, with the neighboring teeth, something about this surface this, that surface, this space, etc. Then, the lab man put everything in a little plastic baggie and left.  The temporary crowns were put back on, and we were told we would get a phone call when the bridge was ready.

It was only a few days later when the phone rang. The metal part of the bridge was ready and the dentist wanted to check it for fit before the porcelain teeth were put on it. It fit so well that the dentist has a little trouble getting it off the anchor teeth! The temporary crowns were put back on, and we were to wait for the next phone call.

Then, we waited a little over a week for the next call (keep in mind New Years landed in this week so there was holiday time) The bridge was ready. The dentist installed it, and very carefully fitted, filed, checked, and fussed until everything was perfect. My husband said he was absolutely meticulous about getting everything just so.

That was three days ago. My husband has had no discomfort, no problems whatsoever, no adjustment period, nothing. He says from the very start, the bridge feels as comfortable as if he had natural teeth there. I would think there would be some stress on the anchor teeth, something that would feel different and take some settling in but he says no. It felt just fine from the very beginning.

We feel that he got very good care, excellent work was done, and the dentist is kind and gentle. What do you think you would pay for this in the US? Here, it was $750 for everything. I’ve paid more than that for a single crown, with dental insurance!

A couple other things I noticed –

People arrive and greet everyone (individually) in the waiting room. It seems to be a Panamanian way of coming in to a room. I’ve seen it in other places where people are waiting.

This dental office has three people, two dentists and one assistant. The assistant helps the dentists as needed, answers the phone, makes appointments, and does anything else that needed in the office. I remember my dentist’s office in the US. There were two part time dentists in the practice, two hygienists, two assistants, and three office people to answer phones, make appointments, keep charts in order, submit charts for billing/payment, and who knows what else.  That’s seven people for two part time dentists. We wonder why care is so expensive in the US?

Next up – take Ma to the lab for a blood test, and then to the dentist for a cleaning and checkup. Further reports will be coming.

The picture up above is the happy patient with the good dentist, who by the way speaks excellent English as well.

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76 million U.S. baby boomers Prepare for Retirement, David’s Airport Readies for International Flights

via 76 million U.S. baby boomers Prepare for Retirement, David’s Airport Readies for International Flights.

Reblogged from Finding Myself in Panama

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What is this tree?

Or, is it even a tree?

When we were out on our bicycles yesterday, we saw the strangest thing! At first I thought it was a dead tree with a vine climbing up it, but on a closer look I think what I thought was a vine is actually the tree. There were quite a few leaves low down, and very few up above so the tree looked dead.

This is what it looked like closer to the ground. It’s sort of mess of branches and sticks.100

This is what it looks like higher up, hardly any leaves, some flowers, and some big brown balls.

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When I looked closely I realized it was not a vine, but a lot of small branches actually coming from the trunk of this tree.  I know the photo looks like such a confusing mess of branches it’s hard to see.

These are the flowers. They did not have a scent that we could tell.096

Flower parts were almost raining down on the ground.094

These are the leaves 098

All that vegetation to the left of my husband is the tree, so you can see it is a fairly large thing.

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Here is a view looking up the tree.

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I don’t know what to make of this. I don’t even know where to start looking to identify it. Google “crazy tree with white and rose flowers and big brown balls that might be a vine or a parasite”? Maybe next time we’re out I’ll have to bring home some flowers and see if any of my neighbors know what it is.

You just never know what you are going to see around here!

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this is only a test

I was just wondering, if you add a picture to a post, and then you delete it from your media files, does it disappear from your post? I feel like I have all these photos, and I’d rather just see the ones I’m using at the moment. Can I delete them when I’m finished with them?

So OK, here are two photos. The first one is a bunch of baby spiders I found on a post on the back patio. I will leave this one alone. (aren’t you glad that if any of these photos survive, it will be the one with spiders!)

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This one is a photo of a beautiful variegated plant in the woods just behind our house (it is now in our yard!)  I will delete this one after I publish this post.

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The last one is a photo we took at the marina in Pedregal. I will put it in the post, save the draft of the post, and then delete the photo.

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which ones will survive on the live blog??!  We shall see….

UPDATE: well that answered that. You cannot delete photos from the media files or you won’t see them in your blog.  This is very strange because as I am editing/updating this post, I can see the photos here but when I look at the post on line, there are only empty boxes.

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a Trip up the Road


It was a beautiful day so we decided to go to the flea market in Dolega, a town up the road. When we left this chicken was in front of the car and looked annoyed that I was looking at her with my camera. 005

We were driving along and started to notice horses in trucks. We hadn’t gone much farther when we realized they must be having some sort of event in the area.

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There was a big field with all sorts of trucks and horses with their people!  046

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There were a bunch of riders with blue shirts, and there was another bunch of riders with orange shirts

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I really enjoyed seeing so many beautiful animals and their riders.

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It was such a clear, sunny day I couldn’t resist stopping to take a photo of the mountains. The colors looked so interesting in the distance.

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It just have been quite an event because we saw a lot trucks with horses on the highway, and even back in town!

Since it was such a nice day, we went out on our bikes later. 079

Usually the tops of the mountains are covered in clouds, and often you can barely see them at all. Today, however, it was so clear that there were some really beautiful views!

So, there is nothing major in this post. I just wanted to share a little bit of our day.

PS Apologies for the previous blank, and now missing post. I was barely started and hit the publish button by mistake, so rather than have you all come to a post in progress I just started over. I hate it when that happens.

Posted in culture, Exploring Panama, Exploring the Area, Panama, photography | Tagged , , , , , , , , | 7 Comments

More Success Found Running “TO” rather than “From” (repost)

More Success Found Running “TO” rather than “From”

Another interesting article about why people move to another country, and specifically to Mexico and Panama.

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New Year’s Effigies in San Clemente, Ecuador (repost)

New Year’s Effigies in San Clemente, Ecuador.  reposted from http://johnandmarylivingitupinecuador.wordpress.com/

This is Ecuador, not Panama but I think the practice of burning the negativities of the past year in an effigy is common throughout Latin America. My friends and neighbors here are very familiar with the concept and have stories about some they have seen. We didn’t see any around town but we also didn’t go to town much because it was so busy during the holiday season.

My friends here have taken a lot of great photos of effigies in their town! Their neighbors are definitely creative. I enjoyed this post a lot and wanted to share it with you all here.

If you’re interested in more, here are a couple other excellent links

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