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Author: Subject: Medical Decisions in Baja
Cypress
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[*] posted on 10-6-2008 at 11:12 AM


Pescador, I'm betting you and your lady(with a clean bill of health) will soon be down in your favorite place, catching fish, while all the rest of us are only dreaming.:D Good Luck with all your trials and tribulations.:D
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Pescador
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[*] posted on 10-6-2008 at 11:38 AM


Quote:
Originally posted by k-rico
Pescador,

I have a question. Were there any other symptoms like breathing problems or coughing? You said advanced lung cancer and "the" tumor. Would the usual chest x-ray have uncovered the problem?

Best of luck.


Actually, we had no symptoms that were noticeable. She had 135% of normal lung capacity, fished as long and as hard as I did, was still walking 3 or 4 miles on non-fishing days, and yes had a set of X-rays as well as an ultra-sound done in Santa Rosalia. We assumed that we would come home, go through some tests, change medications and maybe have them put in a stint or something for blockage and be back in Baja by late summer. That is perhaps why the situation was so devastating, as we had not even so much as a small clue that anything of that sort was wrong.
Because we were concerned about the high blood pressure and elevated pulse, we were watching things carefully and had an appointment with a cardioligist on a Monday. That Sunday she noticed that her left arm was becoming numb so without delay we ended up in the emergency room of our local hospital. They obviously found nothing that was directly related but there was something in the blood profile that caused some concern for the emergency room doctor who ordered a CT Scan. As soon as the CT Scan was done, they found a small tumor in the lung and it was not until they did a needle biopsy that we knew positively that it was cancer.
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[*] posted on 10-6-2008 at 11:50 AM


Pescador,

Really glad they found it before she had real symtoms of lung cancer. Just keeping positive thoughts for her.

Sounds like you had a really good emergency room doctor.

Diane




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nevadacitynurse
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[*] posted on 10-6-2008 at 01:07 PM


Quote:
Originally posted by Cajones
Quote:
Originally posted by nevadacitynurse
Sorry, I'm with Longlegs on this one. I've had great medical care in La Paz, even though their hospital is purple!


Which of her contradictory statements are you with? The one that says medical care is better in La Paz than in the US, or the one that says one should use ones judgment and head to the US if you think you have something serious?


I agree with both statements. There are many instances where the care in La Paz could be just as good or better than the US...it depends on the situation. There are lots of small towns in the USA that do not have the facilities or resources to diagnose or treat many illnesses (Baja doesn't have the corner on that). When I worked in San Francisco, we saw lots of patients from all over the world. We had patients from as far away as Russia (Chernoble), and from small farming communities in central California, who came to UCSF for bone marrow tansplantation. These people had first gone to their own docs with "flu-like" symptoms, and when routine treatment for the flu failed, they were directed toward more in depth care, in a larger city, in a "teaching" hospital. This doesn't mean they had "bad" care in the beginning, it's the way the disease presents itself combined with the level of care available in a given locality.
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comitan
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[*] posted on 10-6-2008 at 01:42 PM


I believe Pescador excluded larger cities like La Paz, Also when I was in town today I noticed the Cancer clinic it is very large building not part of a Hospital. I also think that this thread should not go down hill........................... You can start that when she's down here fishing!!!!!!!!!!!!!!!!!



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[*] posted on 10-6-2008 at 05:37 PM


Nevadanurse is absolutely correct!!....While on a kayack trip years ago to some remote islands in the S.O.C., my female partner expierienced a ruptured appendix. After a long hard slog to get her to the private hospital in La Paz, we found she could have not found a better time or place to have this happen. The care and integrity and expertise of all the doctors and nurses and care givers and staff was a huge notch above anything we had ever expierienced in the U. S.. The hospital was dead clean and quiet, with all the warmth and caring of your grandmothers kitchen. The final bill was about 25% of what it woud have been in the U.S. as well. Our health insurance did not cover us for out of the U.S.A.. ++C++:D
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[*] posted on 10-6-2008 at 05:56 PM


Quote:
Originally posted by Crusoe
The final bill was about 25% of what it woud have been in the U.S. as well. Our health insurance did not cover us for out of the U.S.A.. ++C++:D


If you had US health insurance, why would it have cost you anything in the US? 25% of zero is still zero.
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Cajones
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[*] posted on 10-6-2008 at 05:59 PM


Quote:
Originally posted by Cajones
Which of her contradictory statements are you with?


Quote:
Originally posted by Nevadacitynurse
I agree with both statements.


Well, that explains everything. :rolleyes:
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[*] posted on 10-6-2008 at 07:03 PM


"they were directed toward more in depth care, in a larger city, in a "teaching" hospital."

just so its not confusing, teaching hospitals are those hospitals that are the clinical setting for medical schools and their faculty. Mayo, Johns Hopkins, UCSF, UCLA, Stanford, UCDavis, UCSD are examples. My point being is that teaching hospitals, often, but not always, have the best quality medicine available. To give Canada its due, its academics are good, and it does have the gear, just not in every town like in the US.....Mexico city and guadalahara have good medical schools and good hospital settings.

im glad to hear that a diagnosis is accurately made and the appropriate treatment has started......a tumor that isnt visible on a chest film or echo but only on a ct scan is a tough one......good call on the er doc....
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[*] posted on 10-6-2008 at 07:19 PM


Speaking for us, our Insurance is Major Medical which means $5,000 deductible. So, Cajones for us, medical expenses can be very costly. BMG recently had surgery by a dermatologist in La Paz which totaled $40. USD. This would have been a $300.00 minimum tab in the U.S. He received excellent care.

Quote:
Originally posted by Cajones

If you had US health insurance, why would it have cost you anything in the US? 25% of zero is still zero.




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[*] posted on 10-6-2008 at 11:08 PM


UDO!!! You go.Great spirit
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[*] posted on 10-7-2008 at 10:25 AM


Best wishes for a speedy recovery Mrs Pescador. Our thoughts are with you.

Maybe not totally related, but here part of an article in the CSM today:

Charlottesville, Va.
Seven hundred billion – sound familiar? Yes, that's the cost of the financial-services industry bailout, but it's also about the amount of money America is wasting every year on unnecessary healthcare expenses.

If we could take the steps needed to save that $700 billion, we could take "just" $100 billion to cover the uninsured and have $600 billion left over for Wall Street.

Here's the math: Our current healthcare spending is approximately $2.1 trillion (that's up from $1.3 trillion noninflation adjusted in 2000). We waste an estimated one-third – or about $700 billion – on unnecessary procedures, unnecessary visits to the doctor, overpriced pharmaceuticals, bloated insurance companies, and the most inefficient paper billing systems imaginable




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