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Saturday, March 15, 2025

Health Care in Costa Rica

I recently needed to see a doctor for vertigo and wasn’t sure where to go for private treatment. Our good friend Minor recommended Clinica Medica Sanchez. He even made the appointment for me. 

Over the past almost two years, I have been treated by an excellent orthopaedic doctor for an injury to my left knee. You can read about the experience here. X-rays, ultrasounds, and blood tests showed inflammation in my joints and he thought it might be rheumatoid arthritis.

Since rheumatoid arthritis can affect more than joints - lungs and heart for instance - I decided to see a cardiologist at Clinica Médica Sanchez. Using Whatsapp, I was able to get an appointment quickly with Dr. Brenes. I’m always prepared with copies of recent blood work, x-rays, ultrasounds, diagnoses, etc. 

His office was fully equipped. There was a treadmill for stress tests. He did an ultrasound and an echocardiogram. This is a cool test where you can see your heart live on the monitor beating away. My ticker is in good shape. He recommended that I see a rheumatologist. Total cost: 85,000 CRC or $247.37 CAD.

I obtained a next day appointment with Dra. Romero. She was really nice and spent an hour with me - looking at all my test results, x-rays, etc., physical exam. Also an ultrasound of my joints. Three anti-inflammatory shots (I think that is what they were) - in left knee and both shoulders. Wasn’t as painful as it sounds. Today I could walk without left knee pain. Total cost: 65,000 CRC or $189.17 CAD.

She gave me a prescription for anti-inflammatory pills and a cream to rub on painful joints. She also ordered blood work - hemograma VES PCR, factor rheumatoid and anti-CCP. These tests are to determine if I do have rheumatoid arthritis. Clinica Sanchez has its own laboratory. Cost: 49,560 CRC or about $143.00 CAD.

By the way, this clinic is a member of MediSmart, a discount medical program that we belong to. We can see specialists quickly for reasonable prices.

So my next appointment with Dra. Romero is in one month. She stressed that I continue with physiotherapy, the exercises they have taught me, the anti-inflammatory diet and, of course, the gym for weights and strength training.

We feel that we receive excellent medical care here in Costa Rica - with both the private system and the public system. All the procedures outlined above could have been obtained in the public system at no cost. But, while the public system can be superb when dealing with emergency situations, it can be slow to deal with non-emergency situations. Bottom line: wherever you may reside, I think you should have the option to rely upon public medical care or private medical care. Neither Canada nor the USA  appears to provide that option in a balanced manner.

Off Topic:

ARCR (Association of Residents of Costa Rica) has recently published the 2025 March - April issue of its EL RESIDENTE magazine. Lance and I are members of ARCR.


The magazine contains many articles and references which may be of general interest or to those planning a visit or move to Costa Rica.

Monday, March 3, 2025

Eyes on Costa Rica and Weather Records - February 2025

Click on images to enlarge.

During February, visits to this blog were received from the following 13 countries:


Each country is followed in brackets by the total number of visits received since records first started to be kept in November 2012.

From the time I started to keep track, the total number of countries and non-independent jurisdictions from which visits have been received remains at 137. Of this number, 13 are non-independent jurisdictions - for example, Guernsey which is a self-governing British Crown Dependency and from which 1 visit has been received.

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The following is a summary of the weather for February in the area where we live:


Similar to January, there was an unusual amount of cloud cover on many days in February. Generally, the result was lower daytime high temperatures and higher overnight low temperatures.


Again similar to January, there were many days when the cloud cover did not produce any rain. The total amount of rain which was produced during the 5 days when it did rain was minimal and characteristic of the "dry season" in our part of Costa Rica.

Information on current and recent weather conditions, climate change and more in various parts of Costa Rica can be obtained from the website of IMN: Instituto Meteorológico Nacional de Costa Rica (Spanish) or National Institute of Meteorology (English). IMN also has a Facebook page which may be of interest.