reply to post by niteboy82
I don't "pass" the neuro-portion of a physical in Canada, I am on very good terms with my GP and specialists (friends since school) so they know my
Hx (medical history).
I required a "little cleaner" medical for an international sporting regulatory body a fair-few years back... just legal waiver mumbo-jumbo so I
could try some sailing with friends. So? Mexico, Mexico City specifically, two hundred twenty bucks Canadian (at that time - cash CDN paper) for 60
minutes and two "MD's" signatures.
"Nurses" (no ID tags) performed the examination. They didn't do the same exam as any Canadian or US MD or like an RN "should" have. My LLD has
the piece of paper (a simple "to whom it may concern" letter)... it is valuless in all ways non-political. A proper full physical takes two hours
even without writing up the Hx... even on a moderately healthy person. FredT could prolly confirm this. I know prolly isn't a word - but it will be.
The office was clean-ish. The fly strips were full, the air conditioning vents were caked with dust and skin flakes. The anomometer was like from the
1950's (the pump-bulb rubber was cracked) and was WAY, WAY off caliburation. My heart was hammerin' and it damn sure wasn't 120/80 more like
No body substance precautions other than non-sterile gloves from a bin were used... even for the digital-rectal exam. She did not use an alcohol swab
on her stethoscope and she actually "blew on it" before she listened between the 5th and 6th rib on the left. Wink.
The tuning fork for the Rhinne test was bent... nurses should be doing exams, and when they do they should at least record a persons vitals in the
file, they spoke in English in my presence which was a treat because like "I no-hablo Espanol." But I'm trying to learn for travel reasons. LOL.
The other middle aged lady only watched and I did not see anyone writing anything down.
They missed, or didn't care to notice that I can't balance with my eyes closed. (I did have to grab the edge of the exam table) or can't touch my
nose with one finger (right side) with my eyes closed. You'd think when they tap your knee tendon with a rubber mallet and one side is different than
the other something would be said other than "very nice reactions". A neuro exam is supposed to have a Babinski test... not there. I was never asked
to spread my toes - I can't.
Um, the gown I was given was not new or fresh but at least it closed in the front it was sitting in the change closet where the last person left it...
the paper roll on the ancient exam table was empty... they did not use antiseptic on it because I could see the body-sweat-jam of the last client...
and the foot stirrups aren't supposed to have dried blood on them or weird tools hanging off them. They did use a new point when they drew blood and
took 7 vials of blood (all vials had the same colour rubber top and no labelling at all on the reservoir).
Nurses should not be in sandals and have bare feet... one had longish fingernails and nail paint. In fairness she did not perform the exam.
Sharps should not be thrown in the office garbage bucket either and throwing a sharp from across the room like Larry Byrd just isn't confidence
inspiring. Once an exam has begun one should not handle the doorknob with gloves because one doesn't (and the other) have a proper nusing watch and
then perform an oral examination without changing gloves and washing one's hands.
Urine should go in a labelled container... fecal hemocultures do not require three weeks to process with a Baxter hemocult quick test. Ask a nurse or
The clinic did have a dental office off of the same office suite common waiting area... one could speculate that the Medical standards in Mexico are
more pragmatic and result oriented maybe. Perhaps things have improved over the last couple a few years.
I don't know, I'm sure Mexico has some really good MD's. I shook hands with the Docs that signed off on my paper which I only needed for being
"just a passenger" on a sailboat in a couple of fun type "poker run" international regatta's that I never even attended. LOL. You sign a
participation waiver anyway, like everyone else. LOLLr. It was cheap at twice the price for what I wanted it for but never got to use.
Trouble is I "want" another one... for the same reasons. Not gonna happen though. No big deal. Regatta's are fun... but so's runnin' under the
'Roger and Soloman's flags too.
Would I ever allow anyone I truly care about to receive medical treatment in Mexico? I'd recommend against it unless there were no alternative, based
on strictly my own personal experience. BTW: I caught a chest cold in Cuba one year (like 84-ish) and was very, very favorably impressed with the
quality of care in a public clinic in a "not so good place" outside of Veradero, they didn't have any resources to speak of beyond the minimum but
they did treat me competently in Spanish as far as my buddy translated.
Carumba, a dental estimate of $30K? Glad I live in Canada and have good chompers.
[edit on 2-2-2008 by V Kaminski]