Daily Life / Dog Bites Gringa in Merida!

Dog Bites Gringa in Merida!

Dog Bites Gringa in Merida!

10 March 2008 Daily Life 15

“Soooo, what happened to you?”
“I was bitten by a dog. Mordida, literally.”
(Mordida means “bite”, but it also refers to a bribe.)
“Ohmigod! Did one of your dogs bite you?”
“Of course not! It was a perro de la calle, a street dog.”
“How did that happen?”
“Well, I was driving back from walking my dogs, and I saw a dog that had just been hit by a car. It was wounded in traffic... and I just couldn’t leave it there...”

So began many conversations with Working Gringa last week.

Working Gringa, as many of you know, has a big soft spot in her heart for dogs of all shapes and sizes (well, she’s not crazy about tiny dogs with high-pitched barks…) and has difficulty with the idea that she cannot help all the dogs who need it. In a place where dogs are not always respected or well cared for, daily life is full of temptations and invitations to “do good” in a way that may sometimes be dangerous. Working Gringa knows she isn’t the only one who is tempted, and so she offers this account of her latest adventure as helpful information for those who might find themselves in a similar situation.

After stopping and running out into traffic to rescue the dog, which couldn't move after being hit by a passing car, Working Gringa found herself struggling to put a leash around its head. In his fear and pain, of course, the dog bit her on the wrist. She and an anonymous man from the nearby car dealership lifted the dog out of traffic and into her car, where she soothed the poor beast and drove him Sandra, one of Merida’s best veterinarians (Pets and Company), where he was eventually put to sleep and out of his misery.


>

This was the end of the story for the dog, but just the beginning for Working Gringa. Sandra seemed very concerned that Working Gringa should see a doctor for the dog bite. She wrote up an account of the event on her stationery for Working Gringa to show to a doctor. It said,

Se realiza euthanasia a paciente canino politraumatizado por vehiculo automotor. Se desconoce incidencia del ejemplar. Se recomienda protocolo de vacuna antirabica a la Sra. Working Gringa quien fue mordida por dicho animal. Translation: ‘Euthanasia has been delivered to a canine patient with multiple traumas from a vehicular accident. We are unsure if this is an incidence of the disease. Anti-rabies vaccination protocol is recommended for Mrs. Working Gringa who was bitten by said animal’.

Having never been bitten by a dog before, Working Gringa had not been too concerned up to that point, but seeing the look on Sandra’s face and reading the note sent her straight to the hospital from the vet’s office. Besides, the excitement was over and her wrist was starting to really hurt.

Not far away from Sandra’s office is the Star Medica Hospital, one of Merida’s newest hospitals and one of a chain of private hospitals in Mexico. Working Gringa walked into the emergency room, where at least six or seven nurses and doctors were standing around, waiting for their next patient. She was immediately shown to a clean and modern gurney where she lay down to wait for a doctor who arrived within thirty seconds.

Dr. Jose Tello looked to be in his early thirties, spoke some English and, judging by his belt buckle, had attended Tulane University during part of his training. He and two nurses brought over supplies and proceeded to thoroughly wash Working Gringa’s right arm while gathering all the important information. After inspecting and dressing the wound, Dr. Tello ordered a tetanus shot. He also wrote a prescription for antibiotics and pain medication. He explained that he was unable to administer the anti-rabies vaccination, as that was only provided by state-run institutions. He suggested strongly that Working Gringa go immediately to the Departmento de Medicina Preventiva (Department of Preventative Medicine) at either O’Horan Hospital or the Hospital T1. He wrote a note similar to Sandra’s and told Working Gringa to return for the next two days to his emergency room so he could check on the progress of her wounds.

Next stop, the caja (cashier) to pay the bill. A complete list of all services and supplies used to treat her was produced from the computer: Gauze sponges (gasa de esponjear), sterile latex gloves (guante latex esteril), syringe (jeringa), etc. The complete bill came to $374.10 pesos (about $35 USD), including $70.35 pesos (about $6 US) for services rendered (curacion). After living here for six years, Working Gringa was prepared for a modest bill, but this still seemed incredibly reasonable.

With her hand bandaged, Working Gringa drove to O’Horan Hospital, expecting to end up sitting in line for the rest of the day. We have all heard various stories about public medical assistance here, not all bad, but all of it involving hours of waiting.

The O’Horan Hospital is Merida’s oldest hospital, located on Avenida Itzaes just north of Calle 59 and Parque de la Paz, one of our favorite Merida parks (now with free wireless internet!). Working Gringa parked at the Parque and put five pesos in the pocket of the freelance parking attendant who didn't have the use of either of his hands. She walked into O’Horan, expecting the worst, and ran right into one of the directors of Brazos Abiertos, which is working with the state to educate the citizens about HIV and AIDS. After a bit of small talk (see beginning of article), she settled into the task of finding the Departamento de Medicina Preventiva by looking around, because the centrally-located information desk was inhabited only by a nice cold can of Coca Cola, but no human.

Working Gringa didn’t have to look far, because the department was right across the crowded hallway. Opening the door, she found a secretary reading the morning paper, and in a small office the size of a closet, sat Dr. Bojorquez. Working Gringa told her story and handed over the reports from Sandra and Dr. Tello. Dr. Bojorquez, an elderly man who had also been reading the morning paper, pulled out two forms from a desk drawer, inserted a piece of carbon paper between them, and proceeded to ask questions about the incident. Was she bitten? How deep was the wound? (Profunda. Deep.) Where was the wound? Where was the animal?

At the end of the form, he wrote at the bottom his prescription for Tetanus (already administered) and antirrabica con gamma globulina (anti-rabies treatment with gamma globulin). He then stood up, told Working Gringa not to worry, because they would take good care of her. He led Working Gringa next door, to a smaller office used for giving Vacunas (Vaccinations). There, a middle-aged nurse named Lourdes, sat her down and proceeded to calculate and record five dates on her form. These were the dates when Working Gringa would need to return for her anti-rabies shots. Nurse Lourdes told Working Gringa she would need three shots this first day, dos en sus pompas (two in your... well, you get the idea.) and una en su brazo (one in your arm). The nurse locked the door and led Working Gringa to a small bed behind her desk, half covered with old medical journals and boxes. Working Gringa laid down for her two shots in the pompas and then sat up for the shot in her arm. All were administered quickly, professionally and painlessly by the obviously-experienced Nurse Lourdes.

Then Nurse Lourdes wrote four things on the back of the form. Normal diet and bathing. No alcoholic drinks during the treatment. No strong exercise (ejercicios fuertes). No long exposure to the sun. All for the next thirty days.

Then, at the top of the page, she wrote in capital letters,

LA RABIA SE PREVIENE, NO SE CURA.

Rabies is preventable, but it is not curable. In other words, don’t even think about not coming back for the other shots on these four dates, because we can prevent rabies this way. But if you contract rabies by not getting your shots, we cannot cure it.

Duly noted.

Nurse Lourdes ushered Working Gringa out of her office and that was that. Total cost for anti-rabies treatment? Zero. Nothing. Nada. Total time spent? Maybe twenty minutes.

The bite wounds are already healing, though the pain has gone away very slowly. Working Gringa has already been back for her two follow up visits to Star Medica. Both times, Dr. Tello was there and looked at her wounds, assuring her they were healing well (Total cost for second visit? $15 pesos. Third visit? Zero pesos.) Working Gringa has also been back for her second round of shots at O’Horan Hospital, which were just as efficient and painless as the first ones. And also free.

Working Gringa has learned a few lessons. First, dog bites really hurt. Second, if you are going to rescue a wounded dog, be prepared with gloves and something to secure the dog's mouth. And third, if you do get bitten, professional and competent help is both readily available and inexpensive.

Gracias to the professionals who helped that day: Sandra, Jose Tello and his nurses, Dr. Bojorquez and Nurse Lourdes. And chalk up another day when we Working Gringos are grateful to be living in Yucatan.

 

Comments

  • CasiYucateco 9 years ago

    Ravi, If you are asking for medical advice, it would be wise to seek a medical professional near you. Was your dog previously vaccinated against rabies?

    Just a warning to anyone: a bite from a rabid animal cannot be cleansed or sterilized with ANY topical medicines. Rabies has a 99.99% kill rate -- it is almost impossible to survive once contracted. But, given soon enough, the modern dual vaccines are nearly 100% effective. But you MUST have the shots administered PROMPTLY. No waiting around.

  • RAVI 9 years ago

    HELLO,

    WE HAVE 4 TO 6 MONTHS OLD NORMAL DOG.
    JUST WHILE PLAYING WITH HIM, WITH HIS TEETH HAPPEN TO GET
    LITTLE SCRATCH ON MY LEFT HAND BUT NO BLOOD FOUND IN MY HAND.
    I WASHED MY HAND WITH DETTOL AND APPLIED BETADINE MEDICINE.

    KINDLY ADVICE.

    AWAITING FOR YOUR EARLIEST REPLY AND WOULD APPRECIATE
    FOR THE SAME.

    RAVI

  • Cindy & Dan 9 years ago

    Sorry to hear about the dog bite but glad to hear that things are healing well.

    We are also very glad to see that you included that link to Pets & Company. We agree that Sandra is indeed one of Merida’s best veterinarians.

  • Susam 9 years ago

    My rabies story is 25 years old. I had attempted to consol the pet monkey of my recently deceased Mayan lover, (car wreck). El mono was chained in the rocky backyard and said to be sad, not eating or drinking in sorrow for his lost master. As I reached to pat its little head, it shrieked, climbed up my sundress, and sank its fangs into my upper arm, pulling fat tissue out of the puncture wound. With my friends, we found a doctor's office open; he applied a butterfly bandage and handed me a bottle of penicillen pills. 2 days later I returned to my lost love's home, and his nephews came running to meet me saying "el mono es muerto", the monkey is dead! Next they told me it had been entombed in the cinderblock of the newly built wall back of the house. Soon after, as I related my tale to other friends in Merida, I was warned that the monkey may have died of rabies and I should go directly to the public health clinic. So, I walked through el centro, past the old market and behind where the calesa carriages were parked and on to the clinic. Since I was a student of Spanish, I managed to comprehend the rabies specialist as I was interviewed, and when asked if I had put the monkey in a refrigerator, or could I bring in the monkey's head so the brain could be analyzed, I made the sorry report that the little tyke was cooking in a cinderblock wall. Eyes widened and this gringa was advised, "you have 3 days to decide - take the rabies vacine or see if you develop any symptoms! I thought - my mother will kill me if I don't take the preventative vacine! ( I was 32) Thus for 2 full weeks, I made that walk - in the early morning, past the old market, and behind to the clinic where I had 14 injections - 1 each day, in my back - 1st from my shoulder blades down on the left, then on the right. I had a cardboard receipt, where the injection was checked off each time. It was not too painful, the nurses seemed expert, but for the 1st few days, I felt wiped out as if I had the flu. What was very scary and sad though, was seeing the families at the clinic, having come into Merida from an outlying pueblo, especially on one day a parent holding the hand of a little boy. I gasped as I heard " it was too late to start the vacine". I felt sad for that child, for the poor little dead monkey, and for the great deep cavern in my heart for my lost Maya lover, as I survived rabies and it all.

  • CasiYucateco 9 years ago

    Yes, and even if the results came back "safe" and they were **wrong** for any reason (mixed up results, mistake during the test, etc), you would die. There's no other way to say it: Humans who get rabies die. Rabies is 99.99% preventable if you follow the vaccination regime.

    Is there really any choice? Unless you are absolutely sure and willing to bet your life, take the shots. Even in the USA. Even anywhere. You have a week to 10 days to begin, but any delay lowers the percentage of success.

    One other note: Working Gringa appears to have been bitten on the wrist where there is very little tissue to work with. So, giving the globulin shot higher on that arm is just fine.

    If bitten where there is more tissue to work with, the standard of care is "infiltration of immune globulin into tissue surrounding the bite wounds." Said another way, "Give the shots into the tooth holes in the injured person." The entire dose of globulin is broken up and spread between the tooth holes. On the hand, arm, leg, etc, that's normally how it is done. Not fun, but better than death.

  • Working Gringos 9 years ago

    Well, of course, I asked that of the vet right away. Apparently it takes two weeks to get back results of the test and if you've been exposed to rabies, you don't have two weeks. So it's better to be safe than sorry. These days, since it doesn't hurt to get the shots, it really makes sense to get them right away.

  • casey 9 years ago

    It's wonderful that you tried to rescue this dog, and I wish more people were like you - but why couldn't the vet test the dog for rabies and possibly save you the trouble of getting all the shots? I always thought that was an option.

  • Dixieboy 9 years ago

    Working Gringa, glad you are okay, and healing. Sad for the dog. I love dogs and it breaks my heart to see one hit and still alive. Bless you for all you do for "man's best friend".

    Hope your new house is what you wanted and that the move went well!

    As for the rest of your site, WONDERFUL! Thanks to you and all your writers for the wonderful insight you give to living in the Yucatan. I plan on being there in a few years, the Lord willing and the creeks don't rise! Sooner if I can find something to make a few pennies until SSI comes through!

    Take care,
    Dave

  • Working Gringos 9 years ago

    Actually, Carlos, the photo is of the entrance to the new building at O'Horan on Avenida Itzaes. Hospital T1 was the other place WG could have gone to get her rabies shots.

  • CARLOS DANIEL GALLEGOS 9 years ago

    My heartfelt get well wish for Working Gringa. That foto above the article looks alot like the entrance to IMSS T1, where I received much medical care during my stay in Merida. One of Ariadna's Specialists is at T1. There are great Doc's there. Ary also has inside connections, which usually got me faster services. There use to be some great lunch kitchens/trailors on one of the side roads of T1. At my local County Hospital I have to settle for McDonalds. I miss the good food at those Taco Stands by T1. :-)

  • Pat Walker 9 years ago

    What a great story. It's nice to see that there is someone else who would risk getting bitten and worse to help a poor animal.

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