Joe’s Stay at Clinica San Antonio, Portoviejo

Last week Joe was complaining of severe pain in his chest that started out as heartburn but became unbearable by Sunday morning. He had not slept for three nights and nothing he took made a difference so we decided to go to Clinica San Antonio. Our dear friend Eva accompanied us and we were seen by the ER doctor and then admitted. It is like we both were admitted because when you go to a hospital in Ecuador you need to bring someone there to help you. I was given a list of medications to buy downstairs in the pharmacy and a nurse came in to set up an IV and give Joe several shots. I was amazed at the size of the room, in the US they would use this as a semi-private room. There was even a bed for me.

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We had never been admitted to a hospital outside of the US and there are many differences. First you must bring all your personal items with you as nothing is supplied. Bring PJ’s, toothbrush, toothpaste, mouthwash, deodorant, brush, washcloth, changes of clothes for a few days and reading material plus any medications you are taking. I asked Eva what Joe needed to bring but completely forgot about anything for me. Whoever is acting as your assistant during your stay needs whatever personal belongings they would use for several days as well. The assistant is the one who goes to the pharmacy to get needed medications and supplies, helps the patient with personal needs like using a urinal etc. The hospital as well as the pharmacy accepted my VISA card to pay for Joe’s stay but the doctors only took cash so be prepared.

It was a very pleasant experience for a hospital stay. We both felt comfortable with the doctor in the ER, the nurse staff on the floor were professional and lovely to deal with. They even did an introduction when the second shift came on duty and the nurse leaving gave an overview of Joe’s situation and his medications to the three nurses coming on duty. Joe’s gastroenterologist’s office was located one floor down from his hospital room, and his endoscopy was fast and painless. Out like a light. All in all it was one of our better experiences with hospitals.

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$80 a day for the room, 24 hour ER Doctor and nursing staff and meals, I can’t say anymore than that!!!!

Bottom line Joe has Barrett’s Esophagus, severe inflamed esophagus from GERD and a hiatal hernia. With a change of medication for his GERD and a complete change of diet he is now pain free and healing. We will need to deal with the hiatal hernia with an operation but not right now.

New Boat Motors

Back in Early October our friends Keith and Becky Williams sent me this information and photos of new boat motors being handed out in San Clemente. I am going to reprint their email below:

One weekday recently, I was driving down the Route Del Sol of San Clemente and I suddenly saw over 30 pickup trucks lined on both sides of the road. I also saw a tractor-trailer unloading giant boxes while over 100 local people watched. I immediately pulled over to check it out. I was shocked when one family opened one of the large boxes to see a brand new, 100% Japanese made, Yamaha 40hp Enduro outboard. I know all about these outboards. They are super heavy duty outboards made especially for third world countries for salt water fishing. They are built to last 20+ years ! They are not sold in the U.S. because they last too long ! If one ever was sold in the U.S., it would cost over $5,500..I was shocked again when a fisherman told me that 70 of these were delivered and each one was sold to a fishing family for only $1700. I learned that the Ecuadorian Government subsidizes these outboards to help the people stay employed. I didn’t see large sums of cash paying for the outboards. Instead, I saw a table where three men registered each family wanting one and the family signing for them. I was impressed and amazed at how happy the families were and that their government really cares about them. now, I get to watch the fisherman use them almost every day. Ecuador is an adventure !

Best, Keith

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thanks Keith and Becky for a great story and pictures.

What Is It?

Not sure what this fruit is and hoped someone who reads the blog would have some ideas.

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San Clemente 1.25.2014 019The tree was filled with these green berries, they sort of look like the local cherry but not one was red so I don’t think that is what they are.

I am thinking about picking a bunch and showing them to one of my neighbors, the tree was just packed with them.