NORMAL! NORMAL! — Mi Aventura Médica

That is what the wonderful young Tico doctor almost shouted to me at the conclusion of my angiogram. Normal! Normal! (Fist Bump!) He seemed as pleased as me that I have no blockages or other problems. Now I will try to summarize my gran “Aventura Médica” as I am calling it. Totally using the national health system which means my only expense was the taxi fares!  🙂

WEDNESDAY, 23 AUGUST

Hospital San Rafael de Alajuela
Alajuela, Costa Rica

My friend Jason Quesada goes with me on bus and taxi to Hospital San Rafael de Alajuela for a 1:00 pm appointment for what I thought was going to be paperwork to take with me to the bigger Hospital Mexico in San Jose on Friday though Jason thought I was going to be checked into Hospital Alajuela, which I knew couldn’t be two days before a test. I was wrong again. In short they were full and one day in advance is enough said Lorenzo in Admissions. (See my last post) So he promised me he would have a room the next day because the test was pre-scheduled.

THURSDAY, 24 AUGUST
Jason & I get back there a little before 3;00 pm and wait about 30 minutes to start the process. One of the first things they did before taking a group of us upstairs to our rooms was snap on the usual hospital bracelet with my hospital ID number & name. Note that most Latin Americans use 3 names like mine shone here but with slightly different meanings. Of course the “first name” or “given name” is the same. But what I call a middle name “Everett” would be a Tico’s father’s last name and the one most commonly used for shorter names. My Dr. Hernandez is using his father’s last name as his primary family name. Then the third or last name in a list like this is their mother’s maiden name, which is what some here may think about my last name of “Doggett.”

Jason snapped this of me eating soup in hallway.

We had one delay because my hospital file (started earlier) was lost.  🙂  But they found it and up we went to the fourth floor which includes cardiology. Then we sit in a hallway while that nurses station gets me checked into my room 414 which was really my bed number in a room of 6 old men with heart problems, beds 413-418. We are sitting in a hallway with a TV playing a horrible Mexican Comedy Channel for maybe another 45 minutes. No TV in rooms, so you come out here to watch. They start serving the dinner trays and I get my first hospital dinner in Costa Rica while waiting in the hallway for my room preparation. It is very healthy and mostly tasteless bland! Vegetable/chicken noodle soup, beans & rice, mixed tropical vegetables you Tennesseans wouldn’t recognize, a cold beet and carrot salad, cup of fruit juice, and an apple for dessert. This was typical lunch & dinner with varieties and even a pear instead of an apple the next night. I would recommend those planning on a hospital visit to pack salt, pepper, herbal seasonings, hot sauce, catsup, or whatever you like to give more flavor.  🙂

My roommates were all nice and interesting gentlemen, all speaking Spanish of course. 4 of them were bedridden.  One came there after a massive heart attack and the following night or at 1:15 am this morning he had another attack and nearly died while I watched, but was still alive and on machines when I left today, but his son told me he had been given only 30 days to live by one doctor. Another commentary on Costa Rica: almost every bed had a family member sitting in the one chair by each bed. Family First here! And the heart-attack guy is why my angiogram!

They kept working on me to past 8:30 pm with things like blood for tests, shunts for catheters, x-rays and the constant blood pressure checks, etc. It was a very noisy night as was the second night with one roommate talking (hollering) in his sleep, nurses in every hour with whatever services and of course turning on lights, and the hospital has all kinds of buzzers, bells, etc and a PA system for announcements and paging of person, and the very friendly and happy crew at the nurses station, right outside our door, laughing and carrying on all night. If planning on a hospital visit here, I suggest you bring ear plugs!   🙂

And we all wore something like hospital sweats or whatever you call the buttoned shirts and tied pants. The only hospital gown I got was for the surgery room test Friday.

FRIDAY, 25 AUGUST
This was the big day and the part I had the most uncertainty about, cutting into my leg at my crotch and running something up the artery. Ugh. By 5:00 am the nurse was getting me ready with two stents for drips as needed and shaving parts of me, etc. We left a little after 6 am with a crew of 4 in an ambulance for the normally 21 minute drive to Hospital Mexico, but in rush hour it was probably 30 to 45 minutes (didn’t time it). Most of my attendants were in their 20’s it seemed, the doc maybe 30, a nurse, orderly, and some kind of helper. The driver was very professional as I learned on the return trip.

The ambulance pulled up to a side door of Hospital Mexico and I was rolled into the second room

Hospital Mexico
San Jose, Costa rica

where of course I waited at least 30 minutes while the crew enjoyed themselves! The happiest people in the world just love to be together! Laughing, talking, beautiful digital music and occasionally giving me attention. Someone was having this procedure ahead of me and course another gurney rolled in right after me; a regular assembly line! I was surprised at how quick it was having been told from 30 minutes to two hours if a lot of blockage. After he stuck me with the needle for the local anesthesia (the only part that really hurt), I would guess 15 or maybe 20 minutes before he shouted “Normal! Normal!” with a great big smile on his young face. Then gave me a fist bump. Made me feel good! Even though one of the Mexico nurses whispered in my ear in English, “You still need to avoid KFC and cheeseburgers.”  We smiled and chuckled at each other.

They quickly rolled me back in the waiting room where the next person was waiting or we traded places. I had to lay real still for 30 minutes before they rolled me out to the ambulance again and another ambulance had just arrived with another angiogram person coming in. Wow! They must like angiograms here!   🙂

BUT THE MOST FUN WAS THE DRIVE BACK to Hospital Alajuela which we did make in 20 minutes because the driver turned on the flashing lights and the siren and use the other loud horns and sounds to weave us through the bumper to bumper traffic on Ruta 1 which goes by the airport and thus heavy traffic all day. It was fun and I’m sure the driver enjoyed it and he did a great job! The Alajuela doctor kept reminding me “Don’t move! Don’t move!” referring specifically to my right leg because that is where they cut into an artery and that is not where you want a rupture or blood coming out. Then the rest of the day and second night was difficult because I had to lay still for 24 hours to help the incision heal and avoid a serious problem. I read on my Kindle and played games, talked a little, ate a little, and had to use a bed urinal, but I survived 24 hours of stillness of at least my right leg. Then another noisy night and a heart attack in front of me, meaning I am very tired now and will go to bed early.

THANK YOU to those of you who sent kind notes and prayed for me. It made a difference! It was a good medical test with a very happy result for a 77 year old with no junk in his arteries!   🙂

Keep Walking!   Keep Smiling!
Pura Vida!

Visit to Jade Museum Today

One of the retired Americans in Atenas organizes trips like this occasionally.
 Today’s trip was to San Jose to visit the famous Jade Museum.

Like the gold museum here it is a museum of Pre-Columbian Culture
 with modern exhibits of not only historic jade pieces but dioramas and
 videos of the pre-Columbian indigenous people here in Costa Rica.
Magnificent
San Jose, Costa Rica

The modern building of 5 stories has
 the latest educational presentations
assisting schools in history education.
San Jose, Costa Rica

Even a Jade-Jaguar monster for the kids!
 San Jose, Costa Rica

Afterwards we have lunch at Porky’s Burger Bar,
 Home of 50 types of hamburgers and 100 beers!
 San Jose, Costa Rica 
Enjoying Retirement in Costa Rica
Charlie Doggett
¡Pura Vida!


My other photos of San Jose from earlier trips San Jose

Correction in Yesterday’s Web Link

Logo
University of Costa Rica

I was trying to link to the University of Costa Rica medical school and when I googled it the paid ad of a private medical school here came up first and that was the link I used. Sorry! The above link is to the real university website and you can drill down to the medical school or other information about the university. And I just corrected my original post. Money rules even on Google searches! Where you can pay to be listed first!    🙂

Renown medical journal
University of Costa Rica

The university medical school does a twice a year medical research journal called Revista Médica that is well-respected throughout the Americas. And of course they train most of the doctors in Costa Rica along with a few other Latin American medical schools like UCIMED I mistakenly linked to yesterday and a few medical schools in other countries, including the USA.

Most doctors here work for salary through the government health plan where no patient is turned down because of “pre-existing conditions” and there is not expensive co-pay like in the states. The outstanding single-payer healthcare services here contribute to Costa Rica having a healthier population than the United States. And I think the relaxed, happier, pura vida attitude helps too! It is a great, healthy place to live!

Donated My Body Today!

Today I took the bus to San Jose and from bus station a taxi to the University of Costa Rica on the east side of San Jose in the San Pedro community. I went to the Medical School Faculty Building, 3rd floor, to the Anatomy Department. The nicest ladies prepared documents and a wallet card for me and served as witnesses to notarize the official document. Now if I die in Costa Rica, which is my plan, my body will go to the medical school for research or study and no family member or friend has to worry about my body at death. And I have contributed to science!

Some of you know that in Nashville I had the very same arrangements made with Vanderbilt University Medical School, but you have to die within 100 miles of the school to be accepted there. Not likely now, though if for whatever reason I would be in Nashville at the time of my death, it will still work there and not for Costa Rica.

University of Costa Rica

How to Donate Your Body to Science

Third Trip to Hospital Mexico Schedules June Angiogram

Locals most often describe CAJA (the government medical program) as a big bureacracy, and that is true, but it works! If you have patience!

My Atenas public doctor was limited in what he could do related to my heart arrhythmia, so he sent me to a cardiologist at Alajuela Hospital in Alajuela, our provice capital.

Three visits there gave me more tests including another EKG and a treadmill test, but Dr. Hernandez wanted an angiogram which Aljuela Hospital does not have the equipment to perform. He sends me to the biggest government hospital, Hospital Mexico in San Jose with his request for it. Over two months time I have had three very interesting visits, including with one lady who spoke very rapid Spanish and would not slow down, necessitating my rescue by a bilingual medical equipment salesman waiting in line.

Today was just an hour and a half wait in the crowded hospital cardiolgy waiting room where a doctor finally saw me briefly, giving me a piece of paper with a 2 June 2017 date for my angiogram and a promise that someone will call me to discuss the time and preparations. That will likely be an interesting phone conversation if I’m even able to complete it!  🙂  When you start living every day life here you realize how important learning the language is. I’m tired of not understanding or being bumfuzzled! Language-learning motivation!

And for after the procedure, which can include some anesthesia, I have scheduled my friend Walter Ramirez to pick me up at the hospital. Though getting there by bus is easy since the Atenas bus stops in front of the hospital!  🙂  Just don’t want to do that alone after anesthesia! Plan ahead!

By Bus to Bijagua

I road my familiar bus to San Jose Coca Cola Station and then
a taxi to Pulmitan Station where I waited for the bus to Upala with everything
indoors at this station, including the boarding of the buses. I nice terminal.

And if I had not eaten breakfast at home, I could have eaten here.
I did have coffee of course and read a little of a Spanish language
newspaper and the latest book on my Kindle while waiting. 

It was the same bus all the way to Bijagua with many brief stops picking up people. Yes, it was a “collectivo” stopping anywhere someone was at a stop and went into Alajuela Central to pick up a lot of people there. It was definitely best that I went to San Jose and got my favorite seat, the front right seat looking out the windshield all the way up! It was most of the way on Highway 1 and from Baranca on a very familiar route to me which we used on our “Visa Runs” that first year. And the Baranca bus station is also a restaurant with shops and big restrooms that I have stopped at many times, so quite familiar. We had a 20 minute break there. All other stops were along the road including my stop in Bijagua in front of a Soda. I found an unmarked taxi that took me to the lodge.

After arriving at Celeste Mountain Lodge I wandered around with my camera for a few birds in the garden and a bird-less hike on a rainforest trail which I will try again in the morning. The room is basic and nice but the food is fantastic gourmet food! At least dinner was tonight! 3 more dinners plus the other meals. It will be amazing if they keep up the quality of food we had tonight. It is one menu for everyone each night with something new everyday. We started with the best 3-cheese quesadilla appetizer with homemade peccadillo that I could have made a meal of! Then sliced chicken breast with this scrumptious sauce accompanied by three local fresh vegetables all cooked differently, with their own sauces. My Planter’s Punch went great with this and it was topped off with a delicious chocolate layer cake. Wow! Beats bus stop food!  🙂
I have a lot of pictures from this afternoon here, but will save them for sharing tomorrow. Tired and sleepy now! And it is cool tonight! Down to 17c or 62f.   ¡Buenos noches!

More of San Jose: Public Art

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Well, the capital city was interesting even with seeing on a small portion, but that is all the photos for  now and I’m ready to get back to nature, enough of this city stuff! And I’ve got a good photo to share tomorrow, shot right here in my own garden, by best shot yet of one particular species. See ya’ tomorrow!

See also my Photo Gallery on San Jose

More of San Jose: Interesting People

After School in the Park with Skateboards
San Jose, Costa Rica

 

Fresh Fruit & Veggies on Every Corner
San Jose, Costa Rica

 

And Sometimes In the Street!
San Jose, Costa Rica

 

Many Pedestrians Everywhere!
San Jose, Costa Rica

 

Old Man American Tourist
Watches Tico Teen Skateboarder Walk By

San Jose, Costa Rica

 

Children Play in Fountain
Plaza de Cultura
San Jose, Costa Rica

 

Feeding Pigeons in Every Park!
San Jose, Costa Rica

 

Clowns Sell Facepainting
San Jose, Costa Rica

 

Indigenous People Music
San Jose, Costa Rica

 

And Vendors Everywhere!
San Jose, Costa Rica

My Photo Gallery on San Jose

Day 3 San Jose: Interesting Buildings

Claro TV/Internet Building

San Jose, Costa Rica

 

National Theater or Teatro Nacional

San Jose, Costa Rica

 

Unknown Building

San Jose, Costa Rica

 

Unknown Building

San Jose, Costa Rica

 

Historic Old Post Office Building

San Jose, Costa Rica

 

Unknown Building

San Jose, Costa Rica

 

Unknown Building

San Jose, Costa Rica

 

Historic Metal School Building

San Jose, Costa Rica
Also shown in my Thursday post.

 

Charlie’s Restaurant

San Jose, Costa Rica
Well, I had to include this though it looks more like a bar not open in day.

My Photo Gallery of many San Jose shots might interest you.

Day 2 San Jose, Churches & Lost Phone

EXPLORING THE CONCRETE JUNGLE!
DAY 2
 
Churches in the order seen, walking 6+ km, found only 6.
If door unlocked or even cracked open (1st one) I shot inside.
 
Iglesia de Barrio Mexico
San Jose, Costa Rica

 

Iglesia de Barrio Mexico Inside 
San Jose, Costa Rica

 

Iglesia de la Merced 
San Jose, Costa Rica

 

First Baptist Church
San Jose, Costa Rica

 

El Carmen Iglesia 
San Jose, Costa Rica

 

El Carmen Iglesia 
San Jose, Costa Rica

 

El Carmen Iglesia 
San Jose, Costa Rica

 

Catedral Metropolitana 
San Jose, Costa Rica

 

Catedral Metropolitana 
San Jose, Costa Rica

 

Parroquia Nuestra Senora De La Dolorosa 
San Jose, Costa Rica

 

Parroquia Nuestra Senora De La Dolorosa 
San Jose, Costa Rica

 

Iglesia de la Soledad 
San Jose, Costa Rica

 

Iglesia de la Soledad 
San Jose, Costa Rica

With some backtracking this was probably more than 6 kilometers of walking on the hot sidewalk and even with good shoes and two pair of socks, my feet were hot when I returned. I also photographed some other beautiful old building and one colorful modern art painted building. I will share these another day and maybe some people or other shots. Now I collapse. Tired.

THE BAD NEWS: I LOST MY CELLPHONE TODAY. 
I had it in my pocket at breakfast and I thought when I got in the taxi to go to the furthermost church to start the walk back. After photographing the church with my camera I reached for my cellphone and it was not there. I was going to use a new guided tour app on it. That didn’t happen! Fortunately I had printed the map from the app and followed it (but still missed 2 churches). Over the next three hours I asked 6 different people (police, taxistas, and a hotel clerk) to call my number, hoping someone would answer. Nada! Finally I had the hotel clerk call Kolbi/ICE who has my phone contract and I canceled it temporarily. They said that when I get a new phone I can reinstate the same phone number. I’m guessing it slid out of my pocket in the taxi this morning, but who knows? Some Tico today got a very good Samsung Galaxy 4 cellphone. Now do I get another good one or just a cheap one? Kolbi is not open in Atenas until Monday morning for the contract, though I could buy a phone somewhere else before then. So time to think about it! Cry. Cry. Then move on! That’s life! Pura Vida!

My Photo Gallery of Costa Rica Churches has more church photos if interested, and the San Jose gallery has more photos of San Jose.