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ISSSTE the Mexican Federal Health Care System


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#1 Pieancho

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Posted 09 August 2005 - 08:05 AM

First a little background. My wife of thirty years was a Federal school teacher in Col. Libertad for 18 years while I was a teacher in Chula Vista for the last 35 years while we lived in Chula Vista. We always used my health care with Kaiser Permanente rather than the Mexican federal employees health care system known as ISSSTE. In Jan. my wife and I decided to activate it since we may be living in Playas de Tijuana soon and we want to travel more thoughout Mexico.

In Jan. my wife presented her paycheck stubs, voter registration card (address was borrowed from a relative), and our marriage certificated which had to be translated by a Mexican notary. The girl who took this information was very kind but not to informative of what we needed to do next.

Today in Aug. we decided to complete the process and arrange for a doctor. We learned that we needed to get to ISSSTE early in order to get an appointment.

The following is a timeline of events today.

6:30am We leave Chula Vista for ISSSTE which is in La Mesa on Agua Caliente near Plaza Americas and La Escondida.

7:00am We walk into the lobby to find about 40 people waiting for a ficha to get their appointment today. We wait in the line, but my wife goes up front to ask if we were doing it right. The man signing people in told us we should be in line 3, not line 4. So we change lines and wait. sad.gif

7:15am With about 6 people in front of us the man giving appointments tells us that all the morning appointments are filled and we would have to come back in the afternoon at 12 noon. :x

7:45am We learn that we need to go to another office about twenty feet away to open a new file then we can get the afternoon appointment ficha now, but that office doesn't open until 8am.

8:10am The girl in charge of making "expedites" or the beginning folder arrives and we show our credential that we had received in Jan. and she gives us a form to get an appointment. smile.gif

8:30am We get back in line for afternoon appointments, but my wife goes to the front to ask if we are doing it correctly and shoves the paper in front of the guy. He fills it out and tells us to return at noon. I learned an expression today. People who can not express themselves clearly get poor service. Thus, my wife by speaking up by cutting in line got good service, because she could express herself. tongue.gif

8:30-11:30 Hanging out at D'Volada waiting for our time. 8)

11:45am We go to the second floor of ISSSTE where there is a long hallway waiting room and ask about Dra. Miramontes, the doctor we have been assigned.

12noon No doctor. We wait. People are lined up at her office door waiting to be called in.

12:45pm A nurse came by to tell us the doctora was not here yet but would be there shortly. sad.gif

1:15pm A portly 60+ bleached blond woman waddles past the waiting crowd of about 20 people. Someone says that is the doctora and she goes into the office and shuts the dooor.

1:30pm People are speculating who will be called first. My wife decides to go downstairs to speak to someone about being assigned a specific doctor who was recommended to us.

1:45pm The doctor calls the first person. biggrin.gif

2:00pm The doctor calls my wife's name who has not returned. I go to the door to explain that she just went to the restroom and will shortly return. The doctora says she will put her file to the side and call her later. She then calls the next person and it is me! biggrin.gif

2:00 She asks my why am I there, and I explain that it is our first time using ISSSTE and we wanted to set up a doctor for future consultations and service. She explained that my wife would be put on the bottom of the stack and be called last. I explained that we had arrived at 7am for an appointment and we had been waiting since 11:45am to see her and it didn't seem right that she should be put last when we were together.

She asked me again what was wrong with me; why was I there. I explained about my gout and high blood pressure and that I wanted an updated exam. She wrote prescriptions for me and made a lab slip. She said ISSSTE did not have the same blood pressure medication that I was getting in the US, but she would give me something else. The gout medication was the same that I have been taking for years.

2:10 pm My wife opens the door and the doctor attends to her as I depart.
My wife said that the doctora asked her why was she there too. I think this doctor only sees people are sick or in pain that day and want help. She didn't seem to know how to deal with us who were trying to be proactive and arranging for things before we really needed them. The doctora told my wife she didn't have time to eat and excused herself for eating a granola bar and drinking a Coke. Later she apoligized for not sharing with her. :oops:

2:15pm I went downstairs to the lab and was told the earliest lab time they had was Aug. 17 at 7-8am. She listed me in a log book and told me not to eat red meat three days before my uric acid test and blood draw. Also I got a cup for urine the first of the morning on the 17th. ohmy.gif

2:20pm I go to the pharmacy room and present the prescriptions and I am given the medications without charge.

2:30pm My wife arrives and she does the same as me. Luckily we have the same date and time for our lab test.

3:00pm Lunch at Los Arcos. biggrin.gif

8 hours to set up things and we still are not done!!!

A footnote is that we can only use the ISSSTE in Baja California. If we travel to other states, we need to go to the TJ office and get a travel letter to use it in other states valid for 3 months. If we are gone longer, we can have the other state fax TJ for an extension. Hope we never have to fax anyone for medical care.
Living with one foot one each on side of the border.

#2 dermdoc58

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Posted 10 August 2005 - 05:45 AM

Have you ever heard of the phrase?? you get what you pay for??

Spend some of your money and get a real doctor??

are you Nuts??? I wouldn't let a Mexican doctor cut my toenails, let alone tamper with my gout and hi- blood pressure

Thank god for the first amendment


If you think health care is expensive now---- hahaha what until the government makes it free !!!!!!!!!!!!

#3 George Costanza

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Posted 13 August 2005 - 06:10 PM

Wow that sounds like a nightmare but not much different than the healthcare system here. I had some health problems related to my cats back about 4 years ago and went to the emergency room in Chula Vista. I spent 7 hours waiting for a doctor!!!
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#4 Pieancho

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Posted 17 August 2005 - 05:29 AM

We really don't need Mexican insurance as I have Kaiser coverage until I reach 65, then I can continue it thru Medicare and pay Medi gap insurance. I am still three years away from that. The ISSSTE thing is just a "benefit" that my wife had earned as a Mexican federal school teacher. We do not intend on using the services. We are just learning how it works incase we decide to or must use it. If I really need a doctor fast in Mexico, I will pay and have Kaiser reimburse me.

My timeline of the ISSSTE experience was for a point of information. Tommorrow we go in for our lab tests. Wish me luck. We start a 7am and I want to be back in Chula Vista by noon.
Living with one foot one each on side of the border.

#5 dermdoc58

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Posted 17 August 2005 - 06:04 AM

Why don't you try again, This time without all CAPS and calling people Morons




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#6 Pieancho

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Posted 02 October 2005 - 09:17 PM

Update on ISSTE visits

On my second trip back to ISSTE we went to the second floor for our evaluation of the lab results taken earlier. Our appointment was at 9am. While I was there I learned that they also had dental coverage, so we made a same morning appointment.

We were called first, and I spent about 5-10 minutes while the doctor reviewed the results in my folder. I was told by Dra. Miramontes that I had slightly higher than normal cholestrol results and that I should not eat fat. Everything else was fine. My gout uric acid levels were undercontrol and normal. I asked about my blood pressure and she said the cup is still broken. She suggested that I get a prostrate exam and gave me an appointment for the next week.

My wife had some sort of urinary infection reading and they wanted another lab test. On the way out, a friend of hers saw her who works in ISSTE. The friend told her to pay $15 at a lab across the streeet, because ISSTE often doen't get accurate results due to serilization problems in the lab. We did that. When we got the results later in the afternoon, she was normal.

At 9 a.m., we had the dental exam. My wife was first and all checked out okay. A footnote to that is two weeks later, she had an old crown fall out.

The doctor had students doing the exam while he made sure they looked everything over. When it was my time, I mentioned that I just wanted a cleaning and looking over. As he was looking, the mirror fell off the tool and I almost swallowed it. The young doctor polietly asked me if I could spit it out and give it back to him. Then I learned he couldn't clean my teeth because they had no paste.

I think we'll be getting dental work someplace else.
Living with one foot one each on side of the border.

#7 Pieancho

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Posted 02 October 2005 - 09:25 PM

Prostrate Exam

I returned for my exam at 9 a.m. on the appointed day. The doctor was on time, and I was the second person called. I forgot his name right now, but he is in the adult medical doctor. He was very polite, and took complete notes about my medical history and he had many questions and even when I said I had never had any surgeries, upon his exam of me, he asked me why I didn't mention my vascectomy that I had 22 years ago. I told him I completely forgot. He then gave me the prostrate exam and told me all is normal. He told me to come back ONLY if I felt ill, and now that I had my folder built up, he would be the person I come to see. I liked his style more than my Kaiser doctor. Now, if I could only get lab service from Kaiser and doctors from ISSTE.
Living with one foot one each on side of the border.




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