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Thread: Dengue Fever

  1. #1
    Active TRN Member Dolly's Avatar
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    Question Dengue Fever

    Did I see a response to a post stating there is Dengue Fever on Corn Island? Is this something new or is it always a problem? I never ran into this when I was there.
    It's all part of the adventure!!

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    Viejo del Foro Just Plain John Wayne's Avatar
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    Dolly here is a link to information on Dengue Fever....

    I had it one time here, but not the serious Hemmoragic kind, it was not fun to say the least, but I lived to hunt again....

    It does show its ugly head on the DAC occaisionly, but If I remember right fatatilities are not high....

    http://en.wikipedia.org/wiki/Dengue_Fever
    To be called a "Has Been" I must surmise, is much Greater than to be called a "Nevah Been"... JW...



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    Dog Whisperer cookshow's Avatar
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    The strain here lately seems pretty light, mostly young children seem the worst, nobody dying just a few days pain.

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    TRN Surgeon General El Doc's Avatar
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    Default A strange twist of evolution

    Nicaragua is blessed with a mild strain of dengue, a mild strain of malaria, and even a strain of leishmaniasis (mountain leprosy) that only seems to attack the skin (as opposed to the hemmorhagic variety the Brazilians and Colombians have to put up with).

    Like infectious diseases everywhere, but especially in Nicaragua, serious problems are mostly limited to the malnourished and those without basic healthcare. It's far too many people than I find acceptable, but if you're posting on an internet forum, you're probably not in that demographic. Be that as it may, small children and the elderly, especially those who haven't built up years of immunity, are still vulnerable to these diseases.

    However, if you're visiting Nicaragua and you do get sick, my advice is to get on the Ticabus and head south. No matter how bad a disease can be, a good healthcare system can mitigate the damage. From the facilities I've visited in Nica, you're rolling the dice when you check in (I'm working on fixing that, by the way).
    "Un Estado que no se rigiera según la justicia se reduciría a una gran banda de ladrones." --San Agustín

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    Dog Whisperer cookshow's Avatar
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    I am 1 of 12 people wih internet here, like you say if you are online you have little to worry about. It is here, I am in the "bush" everyday & get bit plenty, eat well, use rum as directed, & I think you can live through it.

  6. #6
    Viejo del Foro Just Plain John Wayne's Avatar
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    Thank You El D, in more ways than one....
    To be called a "Has Been" I must surmise, is much Greater than to be called a "Nevah Been"... JW...



  7. #7

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    Doctors in USA are recommending Doxyciline/ Vibromycin/ for prevention before trip to tropicks.

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    TRN Surgeon General El Doc's Avatar
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    Quote Originally Posted by gen08 View Post
    Doctors in USA are recommending Doxyciline/ Vibromycin/ for prevention before trip to tropicks.
    Doctors in USA are hacks. 1 out of every 10 people who take Doxyciline will have serious photosensitivity reactions (sun poisoning), not exactly something you want to be taking in the tropics.

    Use mosquito netting and bug repellant for prevention, never doxycycline.
    "Un Estado que no se rigiera según la justicia se reduciría a una gran banda de ladrones." --San Agustín

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    Dog Whisperer cookshow's Avatar
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    I use plenty of repellant, spray out my room nightly before going to bed & sleep under a net or with a fan blowing & have had no problem here. During the rainy season mosquitoes can be plentiful. Plenty of people have had it here lately, but from what I have seen it seems to be more of an inconvienence than anything else.

    I think leishmaniasis is what I got a year or 2 ago, had some nasty wounds & a high fever for 3-4 days, I was back in the states when it hit, it was a little scary, especially when I read they would report you to the CDC if you went to a Dr. I had a friend in healthcare help me out, but it was ugly. I was considering flying back to Nicaragua just to get treatment. Some of the bite areas looked like I had a flesh eating virus, still have a few small scars from that.

    Life in the tropics.

  10. #10
    Para aquí para acá Jonh's Avatar
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    Don't forget the Zote soap . I've bathed with it all summer and the only mosquito bite I've had was the day I used another kind of soap. It contains citronella. And our subtropical summer has been extra wet and mosquito friendly.

  11. #11
    Active TRN Member Dolly's Avatar
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    Thanks for all the input. I'm planning on moving there when I retire so it's good to know this stuff up front. Kudos to El Doc. Everyone there can benefit from a better health system.
    It's all part of the adventure!!

  12. #12
    Active TRN Member renco's Avatar
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    Default Evolution of health care in Nicaragua

    Doc, come and take a look at the Hospital Metropolitano in Managua, www.metropolitano.com.ni They are making good strides and at least from a non medical professionals view give good quality care. The facility and equipment is new, modern and CLEAN, the staff is well trained and the care at least from a users view is coordinated. I would put it at the level of CIMA in San Jose.
    I, my friends and family have been treated for a variety of illnesses ranging from asthma to hip surgeries as well as diagnostic procedures such as colonoscopies etc... and the care was good and reasonably priced. This facility has placed competitive pressure on the other private hospital Salud Integral and they are also upgrading and reinvesting in their facility.

    However, if you are looking for a well known name and access to US diagnostics and physicians the best health care value in the Americas may be the Punta Pacifica Hospital in Panama City Panama. It is part of the Johns Hopkins system and is a great hospital. My business partner went there for an executive check up and later had a cataract surgery. He raved about the high quality of care, physician and staff interest and low cost, plus they picked up some heart issues he dealt with that were undiagnosed after years in the states.

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    TRN Surgeon General El Doc's Avatar
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    I don't know Hospital Metropolitano, but I do know CIMA. My company did a lot of remodel work with them several years back. It is a nice facility, but the Costa Rican system in general is pretty good, even though it can appear dry and government owned in many places. The doctors are well trained and the communication to specialist centers (the most important factor) is excellent.

    Punta Pacifica is an excellent facility. I was going to get their executive checkup once I get settled in Nica. I'm officially middle-aged now and I'm sure I have a bunch of stuff that needs attention. It's nice to get an all-over (inside and out) examination with input from Internists, radiologist, pulmonologists, cardiologists, and anything else that may crop up. I wanted to do it in Mexico, but it would have cost around $20K. I would have had to sell one of my kids into slavery to do it in the States.
    "Un Estado que no se rigiera según la justicia se reduciría a una gran banda de ladrones." --San Agustín

  14. #14
    TRN Surgeon General El Doc's Avatar
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    Quote Originally Posted by cookshow View Post
    I think leishmaniasis is what I got a year or 2 ago, had some nasty wounds & a high fever for 3-4 days, I was back in the states when it hit, it was a little scary, especially when I read they would report you to the CDC if you went to a Dr.
    They report you to CDC? That's weird because it's not contagious from person to person. It comes from the bugs on your dog.

    I guess I should have added, in addition to repellent and mosquito netting, be sure to have a deltamethrin collar on your dog and change it every month (the packages say 3 months, but they didn't take Nica rain into account). There are a lot of critters in Nica that hide in dog fur and are only dangerous to humans.
    "Un Estado que no se rigiera según la justicia se reduciría a una gran banda de ladrones." --San Agustín

  15. #15
    Para aquí para acá Jonh's Avatar
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    "Cookshow, does your dog bite?"

    "No."

    "Yowch! I thought you said your dog didn't bite!"

    "That's not my dog."

  16. #16
    House SOB Little Corn Tom's Avatar
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    Default Now that would be funny except ...

    Quote Originally Posted by John View Post
    "Cookshow, does your dog bite?"

    "No."

    "Yowch! I thought you said your dog didn't bite!"

    "That's not my dog."
    It literally happened to me with Cookshow... while Cookshow laughed his ass of and Marvin got the iodine.

    Only a mild case of rabies and I did not mind the shots at all .
    Life's different here ... It's a whole 'nother pace.

  17. #17
    Para aquí para acá Jonh's Avatar
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    Is it still a series of long needles in the gut?

    I posted that because I don't think Cookshow has a dog.

  18. #18
    ex-pat from Fydelandia GreenGold's Avatar
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    Quote Originally Posted by Little Corn Tom View Post
    It literally happened to me with Cookshow... while Cookshow laughed his ass of and Marvin got the iodine.

    Only a mild case of rabies and I did not mind the shots at all .
    I've heard that story...

    El Doc -- the executive check-up at Hospital Metropolitano (or Vivian Pellas) runs about $400 all in now. The procedure is certified by the US Embassy for required diplomatic corps physicals and by some US-based life insurance association (?) for policies up to $1 million.

    Of course they (the hospital, the US govt, and insurance) are just another example of imperialism and savage capitalists. If you had ANY social conscious at all, you would head to Fidelandia (not to be confused with PRNL/F) and have your huevos checked there!
    Achieving life is not the equivalent of avoiding death. ~ Ayn Rand

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    TRN Surgeon General El Doc's Avatar
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    Quote Originally Posted by GreenGold View Post
    I've heard that story...

    El Doc -- the executive check-up at Hospital Metropolitano (or Vivian Pellas) runs about $400 all in now. The procedure is certified by the US Embassy for required diplomatic corps physicals and by some US-based life insurance association (?) for policies up to $1 million.

    Of course they (the hospital, the US govt, and insurance) are just another example of imperialism and savage capitalists. If you had ANY social conscious at all, you would head to Fidelandia (not to be confused with PRNL/F) and have your huevos checked there!
    They're pretty good, too. I don't know much about Cuban medicine in Cuba, just the scores of Cuban docs I've met in other countries.

    I don't think the $400 package includes everything I had in mind. I want the 16-series ultraounds, colonoscopy, MRIs of the head, neck, thorax and abdomen, about $2K worth of blood tests, pulmonary function tests, and then consultation with about 8 different specialists. We call it a complete health assessment. It's totally unnecessary, but I want to use it as a basis for a book. I'm going to see how much my body improves over the years once I leave this urban lifestyle behind me.

    I'm sure if I walk in with a list of what I want and a fat wallet they'll find a way to accomodate me.
    "Un Estado que no se rigiera según la justicia se reduciría a una gran banda de ladrones." --San Agustín

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    TRN Surgeon General El Doc's Avatar
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    Quote Originally Posted by John View Post
    Is it still a series of long needles in the gut?

    I posted that because I don't think Cookshow has a dog.
    It's still a series of shots, but it's down to 6 instead of the dozens it was in the past.
    "Un Estado que no se rigiera según la justicia se reduciría a una gran banda de ladrones." --San Agustín

  21. #21
    Fightin Irish JackMcG's Avatar
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    Quote Originally Posted by El Doc View Post
    They're pretty good, too. I don't know much about Cuban medicine in Cuba, just the scores of Cuban docs I've met in other countries.

    I don't think the $400 package includes everything I had in mind. I want the 16-series ultraounds, colonoscopy, MRIs of the head, neck, thorax and abdomen, about $2K worth of blood tests, pulmonary function tests, and then consultation with about 8 different specialists. We call it a complete health assessment. It's totally unnecessary, but I want to use it as a basis for a book. I'm going to see how much my body improves over the years once I leave this urban lifestyle behind me.

    I'm sure if I walk in with a list of what I want and a fat wallet they'll find a way to accomodate me.
    Yo El Doc...
    Ya know that as soon as you complete all those tests and are found in perfect shape, you will leave the hospital and get hit by a Nica bus! They don't have a test for that!
    "If you ain't bleeding, you ain't working!"

  22. #22
    TRN Surgeon General El Doc's Avatar
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    Default Indeed!

    Quote Originally Posted by JackMcG View Post
    Yo El Doc...
    Ya know that as soon as you complete all those tests and are found in perfect shape, you will leave the hospital and get hit by a Nica bus! They don't have a test for that!
    "Un Estado que no se rigiera según la justicia se reduciría a una gran banda de ladrones." --San Agustín

  23. #23
    Viejo del Foro Just Plain John Wayne's Avatar
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    JMc what was all that talk of positive thinking?.....ROFLMCO....
    To be called a "Has Been" I must surmise, is much Greater than to be called a "Nevah Been"... JW...



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