Tale of Two Surgeries


Update December 2019:

On a sad note, we left Nicaragua mid July 2018 due to the Civic Rebellion that continues to this day. On a good note, I had to have another eye surgery and my doctor in the states said my Nicaraguan retina specialist had done a wonderful job with my last surgery. I wish I could tell him, but he fled to Costa Rica during the Rebellion as did most of the good surgeons and doctors.

 

“If I save my insight, I don’t attend to the weakness of my eyesight.” ~Socrates

 

For six months, I lived in a blurry world. Although it was difficult to attend to the visual world due to weakness of eyesight, I gained an accurate and deeper intuitive understanding of people, places, and things. Instead of relying on outsight, I gained a better appreciation of my world through insight. 

Since I had my first eye operation in the United States and my second eye operation in Nicaragua, I thought it would be interesting to compare the surgeries in two vastly different countries. Both surgeries were similar. I will try to withhold judgment, but I can guarantee that if you are concerned about having a delicate or major surgery in a developing country, I will put your worries at ease.

A Tale of Two Surgeries Through The insightful Observations of an Expat 

A look at my island from the taxi window as I was on my way to the hospital in Managua.

Surgery in the United States

1. Facility

The facility where I received my vitrectomy in the U.S. was modern with all of the latest equipment. Johnson City Eye Clinic Website

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Helplessly Mute: A Trip to the Dentist


“Blessed are they who hold lively conversations with the helplessly mute, for they shall be called dentists.”
― Ann Landers

We’ve been searching for professional and trustworthy dentists in Nicaragua for three years. Finally, after excellent recommendations from several friends in Granada, Nicaragua, we found the perfect couple to attend to our dental needs.

Ron had major teeth problems and I needed a thorough cleaning. So, we contacted Dr. Erwin Esquivel Chavez through an email for an appointment. He responded the same day and set up appointments for our dental exams.

IMG_3759Meet the dentists: Dr. Erwin Esquivel Chavez and his wife Dra. Ximena Urbina Ordoez
Website: Clinica Dental Esquivel-Urbina
e-mail: erwinesquivel@hotmail.com
Office Phone: 2552-0664
The oral surgeon,Dr. Gilberto Martinez, aka TITO,
comes every Friday.
IMG_3760Dental Tourism is growing in Nicaragua. Dr. Erwin specializes in oral rehabilitation and implants. His wife, Dra. Ximena specializes in root canals.

State of the art dentistry at its best. Modern, sterilized equipment is provided for every procedure.
IMG_3762Gentle care: Dr. Erwin cleaned my teeth for over 1 and 1/2 hours. He took 5 x-rays and showed them to me immediately on his computer screen. He stopped often to ask if I felt any sensitivity. When my fingers started playing Fredric Chopin’s Polonaise (over the stereo system), he stopped suddenly, concerned that I was in pain. “Not at all,” I said, “I used to play this on the piano.” He was impressed…lol…because it is an extremely difficult piece to learn.
IMG_3764
Ron had five teeth extracted by the oral surgeon. Next, he has to decide whether to get implants or partials. Where else can one sit in the office, watch the step-by-step extraction with a detailed explanation of everything in fluent English, and receive HUGS after it is over?

IMG_3767Cost:

I asked the dentists if they are required to have liability insurance or malpractice insurance and they said that Nicaragua doesn’t have anything like that. So, the savings are passed down to the patients.
1. Teeth cleaning: $45
2. 9-10 x-rays:     $100
3. tooth extraction: $60
4. Ron had 5 teeth extracted, injections to numb his mouth, and stitches: $300 for all of his dental work.
5. Antibiotics and pain pills  $15
total: $460 for both of us
If he wants implants, they will cost $1,200 each for everything. For a partial denture: $300
Nicaragua is generally a cash only society, and the dentists were no exception.

If these same procedures were done in Tennessee, I calculated the cost using this website:
Dental Cost Calculator in the United States

1. Teeth cleaning     $84.71
2. single x-ray          $17.34                 for 10 x-rays    $170.34
3. Tooth extraction   $ 126.82             each additional tooth  $131.87
for 5 teeth  $ 654.30
4. Initial surgical consultation    $84.71
5. antibiotics and pain pills        $80

total:  $1,074.06

One Implant Placement:  $2,407.31
Partial Denture:                $1,544.97

We could have shopped around for a good dentist that would have been considerably less money. For example, Ron went to a dentist in Rivas and had a tooth removed. It cost $25. But, for the comfort, sterile environment, modern equipment, and dentists who speak fluent English, it was worth the extra money. They were wonderful and I would recommend these dentists to anyone seeking dental procedures. In fact, after our first appointment, we stopped at a main street cafe…a very touristy area. Two groups of people overheard us talking about the dentists and came over to our table to ask us more questions. Did I ever tell you how much we love Nicaragua…even when we are helplessly mute!

Also, see my new friend’s blog article Holes in the Head about her experience with these dentists.