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Our first six months here, which coincided with the dry season, passed without any illness in our family (if you ignore regular bouts of explosive diarrhea).  We’re halfway through the rainy season and allergy/cold type symptoms are severe.  So much so that I dug into the luggage and found some Amoxicillin I got the last time I had a sinus infection (in DF, Mexico).

As it turns out I only had 3 days’ worth, and my internist always told me to take it for 10 days, so I went to see a MD for an examination and his expert opinion my favorite Farmacia (yeah, the one where you can buy almost anything), and asked for twenty 500mg tablets of Amoxicllin.  The total was about half my co-pay on a premium BlueCross/BlueShield plan in Phoenix:

If you pay with plastic, they add 15%.

If you pay with plastic, they add 15%.

I stopped at ‘Ivory Farmacia’ at the corner of 6th Avenida and 6th Calle a few days ago to pick up a generic version of Claritin for my daughter, who it seems is allergic to anything that grows or moves, and some ‘medicine’ for the Wife which comes wrapped in foil in a chocolate brown wrapper with large white letters.  To my dismay, the pharmacist didn’t have Loratadina, the generic recommended to me by friends.  Instead, he recommended an alternative which he said was even better because it works faster and longer.

When it comes time to pay the bill, the total comes to 500Q, which seems a lot for some allergy medicine and the largest Hershey’s bar in Central America, but since I’ve already been in the store for 10 minutes, which is about 10 minutes too long for my comfort, I pay the bill and rush out.  Later, I look at the receipt and realize I paid over 400Q for 30 tablets of an antihistamine, which seems a little on the high side, even by Gringo standards.

I return to the pharmacy with a friend who’s fluent and ask again about the drug and the cost.  The pharmacist explains that this is the best drug, it works in the stomach instead of the pancreas and is therefore more effective, etc., in the process convincing me that the drug rep for this particular brand must be very good.  However, my friend mentions that he pays a lot less for the generic, so we walk to Fenix Farmacia, on 5th.

Here the sales person suggests we buy Histaprin, which is only 30Q for 10 pills (10 days) worth.  He very earnestly and repeatedly tells us this is the exact same thing as Loratadine, which is 125Q for the same amount.  So we buy the Histaprin and I return to Ivory Farmacia to see about a refund.

There’s a little surprise waiting for me upon my return:  even though it’s only been about an hour, I paid cash and I have the unopened box and the receipt and the same guy is still there, he won’t give me a refund.  He’s happy to give me an exchange, however.  Additionally, he takes one look at my Histaprin and informs me that it’s not the same thing as Loratadine, instead, it’s a generic knockoff manufactured in Guatemala and makes people very drowsy.  Or as he put it, “It is very good if you like to sleep”.

Now, I’ve never been one to have difficulty spending money.  However, when you’re under the gun to spend 400Q at the farmacia and you’re generally healthy (not counting my liver), well, it can be a challenge.  I went ahead and bought the Loratadine that he said he didn’t have an hour earlier, but that was only 125Q.  I bought a few packs of batteries, more medicine for the Wife and some kids’ aspirin, and kept cursing my luck that this hadn’t happened to me at a liquor store instead.

I had a running total in my mind and was pretty sure I was close to the 400Q.  The young man behind the counter who had been assigned to handle my refund exchange started inputting items in the computer.  He seemed very confused by the process and had to keep asking another employee for help.  Things slowed down even more when school let out and parents and children starting coming into the pharmacy to buy minutes for their phones.  Apparently the phone minutes are of greater importance to the pharmacy since all other transactions were put on hold while chubby little school girls bought 5Q worth of minutes and adolescent boys with too much gel in their hair argued with the pharmacist about how many minutes they had, or should have had, which eventually led to a long phone call to Tigo, and well, you can imagine the scene.

45 minutes later the clerk had finished inputting my items and declared I was still 30Q short, and could not give me ANY change.  I grabbed a Snickers bar off the counter and handed it to him…21Q to go.  I grabbed a thing of tictacs…16Q to go.  I looked at the growing line behind me and told the guy I was done-I didn’t want any more and didn’t care about the change.  This created a big problem.  He conferred with his colleague, then disappeared in the back for a supervisor, a Wizard of Oz character who sits behind the mirrored glass.

I glanced at the bag and thought about just running for it; after all, they had my money and then some and there was no way the waif of a man at the door could stop me.   I had to shake my head to get the thought out of my mind, once again wondering how only six months here had led to such a degeneration in my thought processes that I would consider fleeing the seen of my own excess change. No wonder all the expats here are a little nutty…

Anyway, aforementioned clerk reappears and informs me they must make the books balance perfectly.  Yeah, right. I told him to give the money to the poor or buy themselves a few beers.  He smiled and said “It is not like that here.”  I contemplated that for a moment and considered a great many appropriate responses but instead said, “Please find me something behind the counter that I will one day need that costs exactly 16Q.”

As it turns out, this was exactly the solution they wanted to hear, because without even looking he stuck his hand under the counter, grabbed a handful of something, dropped it in my bag, punched a button on the computer, and said, “Feliz tarde”.  Here’s what I ended up with:

16Q worth of Tylenol

16Q worth of Tylenol

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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