Medical Care in Mexico – (we thought this would be a short subject),
OK, we are both fairly healthy people, thank heavens. We try to take care of ourselves so that we stay healthy. For example, it was time for Geoff to get a colonoscopy but we didn’t have the

time necessary to get it done while the US. Here’s how easy it was in Mazatlan: We called the local hospital and they gave us the name of the (one and only) gastroenterologist. We called his office on a Friday afternoon to make an appointment. We picked up the medicines for the prep on Saturday and on Monday at 10am, Geoff had his test done. Sally could not contain her laughter as she watched Geoff come out of the anesthetic and began chatting with the Mexican nurse in what sounded like fairly fluent Japanese! We left the hospital 1 hour later with color photographs, tissue samples in a test tube (to then take via local taxi -- known as a 'pulmonia' to a downtown lab) as well as a full-length DVD of the complete procedure. Geoff has opted not to watch the experience. Sally feels privileged to see a part of Geoff that she has never known before... (but will not share the photos for the blog).

Our next medical foray was a test for both of us. We had looked forward to visiting Isla Isabela (Sally’s namesake) for many months. After an unremarkable overnight sail from Mazatlan, we arrived at Isla Isabela – a special wildlife refuge reminiscent of the Galapagos, replete with frigate birds, iguanas, and both blue and green footed boobies. Unfortunately, while they were all quite close to us, we never got to go ashore to see them. Just as we were anchoring, Geoff had a bit of bad luck and got his pinky tip caught in the anchor snubber. With copious amounts of blood and a

fingertip that looked like minced meat, we decided that we would do well to forgo the trip to shore and do another overnight in order to get Geoff to a doctor as soon as we could. We sterilized the wound and tried to adhere it with steri-strips, but they were clearly inadequate. We arrived the next day

at La Cruz de Huanacaxtle, a small fishing village north of Puerto Vallarta.
In the town next to la Cruz, we found a local x-ray technician who worked out of his home with a machine that looked like it was made in 1950. He confirmed that the

finger was not broken, but when he opened the bandage, turned white and offered to drive us in his (battered) car to the nearest surgeon two towns over. This ended up being one of our more interesting experiences thus far in Mexico.
This small-town surgeon was a cheerful, knowledgeable doctor with enough ‘sense of self’ to treat us as sensible beings and to demystify what he was doing. He took us into an examination

room, and then insisted that Sally watch as he instructed her how to drill a hole in Geoff’s fingernail so that the wound could drain properly. He then carefully showed us both how to sew human skin with medical sutures. We left his office armed with suture material and lidocaine. We then picked up some syringes at the local grocery store: 5 for $1.25. No prescription needed. What a contrast to one doctor in the US who was mortified to hear that we had antibiotics on hand that we might use in case of an emergency.

A celebratory meal of fish tacos brought about a cracked crown for Geoff. So, off we went to the dentist, to another dentist and to yet another dentist. He seems OK, finally, but after surviving what can only be termed "agricultural" dental practices.
For some people, it is really hard to understand just how self-reliant one must be when traveling on a sailboat. We guarantee that we would not enjoy having to inoculate or sew each other up, but we feel a bit reassured that we have the materials, and hopefully the ability, to do so if we ever needed to. We don’t believe that there will be permanent damage to Geoff’s fingertip, and count ourselves lucky that he did not actually lose the finger.