A Mango a Day
I usually like going to the doctor here. Dr. Garcia is handsome in a classically Latin way, looking a little like Cesar Romero. He wears a tie and lab coat and is grey at the temples, and has a grave courteous attitude…altogether a reassuring candidate for the care of my health, and Bruno’s primary physician. This is in contrast to Dr Ricky, who has both a surfboard and a motorcycle parked in his waiting room, leaving us patients to sidle around his toys on the way to appointments. He has hair down to his shoulder blades and is likely to try both acupuncture and pot before switching to more conventional ideas, and of course, I like him better. On this occasion, after three long days of what I assumed was flu, I couldn’t have cared less who was on the other side of the desk…the urbane Dr. Garcia, Dr Ricky, or Doogie Howser. Bruno had dragged me over to our local clinic, muttering “enough is enough” and something I couldn’t make out about “drama queens.”
The clinic is a friendly hangout that has bougainvillea poking into most of the ground floor windows and casting shadows into the waiting area and the office of Dr.Don, the dentist. Next to the clinic is a pharmacy that looks like a magic shop, then the lab, and Mom’s Deli has the end building in the row. This fortunate arrangement makes it possible to catch up on village gossip while waiting on the shared sidewalk for lab tests or x-rays. Everyone in the village is bound to pass by sooner or later, if not for pie, then for Viagra. Not that I felt like shooting the breeze with anyone. It turned out that I had somehow caught the singular case of strep throat in a swirling miasma of colds, flus, grippes, chilblains and bronchial infections imported by our annual winter population. Swine flu, schmine flu.
I wouldn’t have been able to get anyone to talk to me if I had been feeling social, since I smelled, Bruno said most vehemently, like an old peoples’ home. The reason for this is the Mexican obsession with Vick’s VapoRub, which is pronounced lovingly as VahpOrube, and which is hauled out for everything from a chest cold to a broken bone. Carmen, who is our maid, although no word has ever been less adequate for describing the complicated and dear relationship we share, can be counted on to show up with not only the VahpOrube, but also a tupperware vat of “caldo,” a universal term for consomme, whenever the Senor or I are feeling punk. As for the caldo, I wouldn’t dare ask what these various broths might be derived from, as the answer is probably the last thing I want to hear about when I’m not feeling well. I wouldn’t be able to eat any this week anyway, since they’re so full of chili pepper it would strip off the back of my throat even without the strep. Thus I waited patiently until Carmen left the room to go change the bed and then discreetly poured it down the sink. I don’t feel guilty… I’m sure she does the same thing with the tuna surprises and other bland gringo leftovers we shower on her family.
Anyway, back to the local medical clinic slash meeting place. By the time Bruno got fed up enough with my sniveling to haul me in, I reeked of eucalyptus and tripe, and he was forced to bundle me past the jovial sidewalk coffee klatch and straight into the doctor, who patted my hand and nodded wisely and prescribed good old fashioned antibiotics. Dr. Ricky would probably have tried voodoo or exorcism first, so I was pathetically grateful that Bruno had made the executive decision. I was in no mood for drumming.
Being able to choose our doctors is a right that has been returned us now that we’ve relocated to Mexico. It’s a luxury that’s sometimes overlooked. In the states, my doctor changed with my job, and it never occurred to me to ask myself whether I liked him or not. It’s not like it would have many difference if I didn’t like him, so why bother? It’s a relief to be able to choose between Marcus Welby and Dr. Bombay depending on what my needs are, and not whether they’re “in network.” It’s also a relief to be able to afford our care. Since Bruno has diabetes, he participates in a plan that provides him with unlimited office consultations for about $250 USD a year. I seldom visit the doctor, so I just pay when I’m sick. This round of strep is going to cost about $100 USD by the time I get done with all the drugs and office visits, and that’s pretty expensive. Of course, if you add up the four years of monthly $1200 USD premiums I haven’t been paying, as I did in the States, to guarantee that I can afford the dangers that are certain to befall me outside my front door, I come out pretty well.
Office visits here are never more than $400 pesos, and many of the best physicians lakeside can be seen for half of that. Appointments run pretty close to on time and are spent in the company of the actual Doctor, who knows you and your family, and is the same one you called to see. I don’t know of any local doctors who won’t make a house calls, and they’re all affiliated with one of the outstanding hospitals in Guadalajara. Honestly? The debate on health care aside, the memory of the impersonal, inefficient, and unaffordable medical care in the States makes me feel tired and sad. After living here, it’s hard to believe that anybody would willingly choose American health care over Mexican.