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Archive for diarrhea

I naively assumed when we moved here that people maintained good diets because of the abundance of fresh fruits and vegetables, a coast within a few hours’ drive providing access to lots of fresh seafood, and a lack of processed, artificially sweetened and prepared foods.

Little did I know how wrong I was.  First, people are so poor that even fruits and vegetables are luxuries for

Beer requires the same quantity of sugar and is healthier for you.

Beer requires the same quantity of sugar and is healthier for you.

many. The diet of rice, beans and tortillas is common.  Sometimes they add a little queso or eggs.  This is not a bad breakfast or snack occasionally, but let me tell you, I can only do this once every few weeks before I’m willing to skip a meal rather than have it.  Yes, I’m quite aware that these people often eat this meal every day, week after week.  I’ll take my useless calories in liquid form, thank you.

More than one expat has commented to me that this diet, lacking in vitamins and proteins, might be a contributing factor to some of the, shall we say, unusual ‘reasoning’ behavior noted often on this blog and by other truth-telling foreigners.  (Save the trouble of writing; I know I’m an a$$, but that doesn’t stop me from observing gravity and other truths among my daily observations about life here.)

I’ve also noticed that obesity is a problem here, and it seems particularly acute among middle-aged women.  All I know about nutrition is that you’re supposed to eat lots of vegetables, some fish and meat, and even less of the tasty breads, and it seems to me the native diet here is upside down.  As sodas and other processed calories have become widely available here, many locals are turning to this ‘easy’ food, much as we have in the states.  Instead of hitting a McDonalds for a combo deal (McDonalds is expensive here, relatively speaking), they pick up a soda and a bag of chips.

Who knew 'medicine' contained so much sugar?

Who knew 'medicine' contained so much sugar?

David and Regina have pointed out in a post just how much sugar is in some of these drinks.  It is true that the soda here (or rather, the Coca-Cola), is still made with sugar cane rather than the corn syrup that has been used in the US in recent decades.  I don’t drink much Coke, unless it is well-balanced with whiskey, but I do appreciate the far-superior taste of the original recipe.

Anyway, I’m thinking about diet because we’ve been long-suffering for a lack of safe, leafy greens (I don’t trust local spinach and lettuce due to the well-founded concerns regarding bacteria), and certain persons in our household have been struggling with their weight.

Okay…let’s say it’s yours truly and one other, unnamed person who appreciate salads but haven’t had many in the last eight months.  However, I was given the name of a guy who runs a local organic farm and who goes to great lengths to grow lettuce, spinach and other vegetables in a sanitary way.  If it’s good for the environment as well, great.

We’ll try it out over the next few weeks and, absent any bouts of explosive diarrhea, will share the details with you.

In Mexico they call it “Montezuma’s Revenge”.  I’ve heard locals call it ‘turistas’.  Yes, we’re talking about the big ‘D’, i.e., Diarrhea. If you travel extensively you’re almost certain to get this at one point or another.  Heck, I don’t even have to travel to get it occasionally, the right wrong combination of broccoli, beer, salsa and refried beans can…well, you get the point.

I noticed several months ago that Fabrisio, one of my on-call taxi drivers, always has a roll of toilet paper on his dashboard.  I never gave it much thought before, after all, he could have a cold, or use it to keep his sunglasses clean.  Well, one day not too long ago I was experiencing some, shall we say, lower GI abnormalities, and was walking to The Translator’s place of business.  My leisurely walk quickly turned into a power-walk as circumstances deteriorated.

I arrived in considerable discomfort but still presentable, and breathed a sigh of relief to find the sole bathroom unoccupied.  Moments later the horror returned, however, when I discovered there was no toilet paper.  I had already committed, so I was stuck.  It wasn’t even a situation of ‘not in reach’ kind of passing horror, but as in, not in the bathroom period.  Even more frustrating was the fact the bathroom bore the signs of having very recently been cleaned, and yet no sign of TP in site.

I cracked open the door and tried to inconspicuously peer out, not sure quite what I was looking for.  I tried to call my friend, the proprietor, but got no answer.

It was at this time that I remembered Fabrisio, or more particularly, his TP.  He’s a veteran taxi driver, and has no doubt been in some tough spots before, and apparently decided at some point to always have a roll of TP in the car.  Like a 20-something young man who goes through a painful experience and suddenly remembers his father’s wisdom that might have helped avoid that discomfort, I thought wistfully of Fabrisio at that moment.

I won’t burden you with the gory details, but fortunately there was an abundance of hand soap available for clean-up, and I went about the rest of my day with no further emergencies.

A short time later I was in another bathroom in a local business and found that it too, lacked TP.  At the time it didn’t pose an inconvenience to me, but as I walked past the line of women waiting their turn, I wondered as to how they solve The Problem.

I still don’t quite understand; are people here so cheap that they skimp on TP?  What do the people who work and visit these businesses do, in lieu of TP?  Is it merely neglect on the part of the staff?  Bathrooms are guarded here as a precious resource, so it’s not like they’re worried about the public just stumbling off the street and stealing half a roll of TP.  I have no answers on this one.

FYI, if you visit a public bathroom here you’ll almost always be greeted at the entrance, charged a 2Q or 3Q fee, and offered one or two squares of TP.  Of course, if you follow Fabrisio’s plan of preparation, this doesn’t present a problem.  You can confidently reach into your back pocket, whip out your TP and say to the bathroom attendant, “No gracias”!

My 13 year-old had suffered from diarrhea for 5 days but was not vomiting and otherwise felt fine.  In the absence of other serious symptoms, 5 days is my trigger point for making a visit to the Doctor’s office.

We arrived at Dr. Bonilla’s office inside Privado Hospital Hermano San Pedro and waited about 10 minutes.  In that time Dr. Bonilla saw four patients ahead of us, apparently just refilling prescriptions.  He smiled broadly when we were shown in, no doubt happy to see a patient he could bill at the gringo price (170Q per consult).

He asked a few questions and then made an examination of the kid, pushing on the abdomen (apparently it hurt), listening to the abdomen, the heart, lungs and looking in his mouth.  He then said he needed a stool sample and so would do an enema.

I had anticipated this and prepared for it, knowing my 13 year-old would likely be traumatized by the experience, complete with having the pretty young Latina standing by to interpret, if necessary, so I had prepared a sanitized tupperware container at home and collected the sample.  The Doctor was truly surprised; perhaps he had never had a patient anticipate his diagnosis in this way.

He gave us a referral to the laboratory, which is 10 meters away in the same building. The woman working in the laboratory took the sample and told us to return in 30 minutes.  We did, and found a report, which indicated no parasites were present but an ‘abundance’ of bacteria and yeast.

We were then told to wait for the doctor, whom we saw 5 minutes later.  He looked at the report and immediately diagnosed a bacterial infection of the intestine and proscribed Floxtat, a generic version of Flaxin/Ofloxacin.  Looking it up later on the internet I learned it is an alternative to Cyproflaxin, which is what they use to treat Anthrax.  Yikes.  The Doctor said contaminated water was the likely cause.

We got the drugs at the pharmacy in the hospital, and the bill for the consult, the laboratory and the drugs came to about 500Q.    We spent a total of about 15 minutes waiting for the Doctor, 10 minutes with the Doctor, and 30 minutes wandering around the mercado to get the lab results.  Pretty efficient, eh?

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