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empowermentking replied to the thread Best hospital for shoulder surgery in CR? on the Costa Rica forum on September 23, 2014:
shermanwc initially posted:
Under another topic I was asked if I planned to have shoulder surgery after a recent MRI. I don't know yet, but I would like to get feedback on the best hospitals for expats to use in CR for such surgery. I had rotator cuff surgery in the USA last November (just before my USA Cobra coverage expired). I recently strained a muscle in that same arm/ shoulder when hitting a ball with a paddle and have been having muscle pain for the past few weeks. Since I live in Guanacaste, I went to see an orthopedic doctor in Liberia associated with Clinica 25 de Julio, adjacent to the CCSS hospital in Liberia. He examined my shoulder - he doesn't think that I re-tore my rotator cuff but does feel there is an issue with my biceps muscle. So he recommended an MRI. I was lucky that Hospital La Catolica was having an "MRI special for hips and shoulders" during September for $295 - much better than the typical cost of around $600-$800! I was satisfied with the service I got at La Catolica. Next week I will take the MRI disk back to the orthopedic doctor to review the MRI results and determine what needs to be done. If surgery is needed, I need to be prepared to discuss where I might have surgery done. I have been told by several expats in the past that the best hospitals and doctors are in San Jose - with CIMA and Clinica Biblica most often mentioned for hospital care, especially for english speaking expats. I have also heard some negative feedback regarding some of the regional CCSS hospitals. CIMA also has a small hospital west of the Liberia airport. Does anyone have experience with their service? I'm not sure that they have equivalent services and staff to the main CIMA hospital in San Jose. So please offer good and bad experiences with hospital care and/or shoulder surgery in CR!
empowermentking replied 1 hour ago with:
I'm not sure specifically for that surgery but know CIMA hospital in Escazu is excellent
Dave2CR replied 17 hours ago with:
However you choose, be careful. You have next to zero chance for legal recourse in the event of any medical misadventure.
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donnakmcin replied to the thread Med refills? on the Costa Rica forum on September 23, 2014:
donnakmcin initially posted:
My fiance and I will be moving to Atenas mid Oct. These forums have such valuable info.Thank you all for that! One thing though we are confused about is how we might receive our meds while there. Sounds like having them mailed to us is risky. Can we get, for example, meds for high blood pressure, cholesteral, ED, and Tramadol there? Do we need to see a Dr to get prescriptions or would we go to the Pharmacia? Tramadol has just been reclassified as a narcotic in the states so we can only get one month at a time now. Since we have pain issues we know we may need to change that to something else. We are in our mid 60s and will be starting the residency process. Any insights you can give us will help us figure out how to manage our meds. Thank you very much!
donnakmcin replied 2 hours ago with:
Sorry about previous typo. Thanks!
donnakmcin replied 2 hours ago with:
Pranks for the info! We will persevere, then. Lol
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klausholfelder replied to the thread house sitter costa rica on the Costa Rica forum:
millicentmarsh initially posted:
needed a house sitter for my home in playqa hermosa jaco on the beach- 4-6 months
klausholfelder replied 8 hours ago with:
Hi, we are visiting Costa Rica from November 2014 to February 2015. If you are planning a holiday during this time we would be happy to be your housesitters. Please see our housesitter listing with Best regards, Klaus and Gaby please reply to
greggsoden replied on April 06, 2012 with:
Hmmm, this original post is over 2 years old and I've never seen a reply from the poster. Old news!
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TheRoninn posted Living on the Pacific side vs Caribbean side on the Costa Rica forum on September 23, 2014:
Hello, My family and I recently spent 2 months in Tamarindo, CR and also visited other areas in the Guanacaste area and we loved it, we are seriously thinking of relocating to CR, the only issue we had was it's really expensive in Tamarindo I was told that it is cheaper on the Caribbean side of CR. How much cheaper is the cost of living on the Caribbean side vs Pacific side?
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ILuvCR replied to the thread leather neck turtles on the Costa Rica forum on September 23, 2014:
wildwillie initially posted:
I'll be in Tamarindo Oct. 26th to Nov 11th what is the closest beach and best time to view leather neck turtles from Tamarindo area and how to get there.
ILuvCR replied 14 hours ago with:
Ooop's, that's a quote from the turtle himself, "Places I've been spotted: " Cut & pasted from the page. I've actually not spotted turtles there myself!
PuraVida replied on September 22, 2014 with:
It is in the list, I didn't see it the first time. I just know it as Playa Grande. Tamarindo:
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charleswhittenburg posted cuidador on the Costa Rica forum on September 22, 2014:
Have taken care of property in southern Costa Rica for over three years and have helped with its sale.Now i'm looking to relocate anywhere in central america close to water .Seventy two ,single ,references .Only problem i am from the Fla. Keys and fishing must fit the equation.
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wapsigal replied to the thread Medicare payments on the Costa Rica forum on September 21, 2014:
wapsigal initially posted:
My friend is praying about moving down to Costa Rica with us. She would like to know if she has a choice whether to stop her Medicare payments that come out of her Social Security? It's just easier to ask you all. Thank you!
wapsigal replied on September 21, 2014 with:
Naturechild, I appreciate you remembering my request to meet Christians. I know the Lord has called us to Costa Rica, and I trust Him to connect us with people there. We can have a church meeting in our home. Thank you!
naturechild replied on September 20, 2014 with:
wapsigal, since you 'sort of mention the church' I remember you previously mentioned that you were looking to meet other Christians here, and don't know whether you received personal responses, but there are very few English language churches here, if it is indeed very important to you, so social interaction may be very limited.
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reneeabc123 replied to the thread Old topic, new info please on the Costa Rica forum on September 20, 2014:
gcrtexas4 initially posted:
I know this topic has been beaten to death on every forum but I am going to ask anyhow. I will initially going to be living on $1500 monthly - just me and my pets. Next fall Social Security will start so that amount go up a bit. I know living costs depend on you lifestyle and expectations but I won't be living extravagantly. I will need a single family home though since I have 2 large dogs that need an enclosed space to run around in (one of the dogs is a runner since she is part greyhound). Does this sound doable?
reneeabc123 replied on September 20, 2014 with:
I'm glad that one of your dogs survived these horrific ordeals - being poisoned, etc.. I can't believe the other dog survived too but unfortunately passed away. Thanks for your well wishes about our paperwork being accepted. If it doesn't get approved, I will then show them that I am indeed retired at that point. Everything always works out - I am very diligent about following up and doing what I can to get things to happen. I have the CR mindset.
Kohl replied on September 20, 2014 with:
The one who received the rattlesnake bite, was taken to the vet immediately and recovered quite quickly. This was one of the same dogs who had been poisoned, previously but had recovered. She had also had been hit, by accident, on the forehead by a machete and received many, many stitches when she walked up behind a worker... so this dog is protected...! The other snakebite victim, was off his food for a day or so, then his jaws didn't work properly,so he was taken to the vet who first though it was a problem with ticks.. Then his tongue was paralyzed, so he went, back to the vet. The next day the skin under his neck fell off showing leaving a gaping hole that showed it was indeed a snakebite. We had to keep the 'hole' open for a month and had to clean it out twice a day, by inserting a rubber gloved finger in the hole to stop it healing out too fast. So after two months he was OK and now no sign of the hole...The vet said the bite, was not from a deadly venomous snake but another with other with less poison, but he suffered more than the other one but with no long term effects. Sadly the one who was caught by the caught by the big cat, eventually passed away. Hope your retirement paperwork is accepted.
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Kohl replied to the thread Our COSEVI Experience Sept 2014 on the Costa Rica forum on September 20, 2014:
shermanwc initially posted:
We went to COSEVI (koh-say'-vee) early this week to get our first CR Driver's Licenses. Below is a detailed accounting of our experience, but first I will summarize a few key points that we learned: 1. Bring two copies each of your passport, DIMEX card, Foreign Driver's License (non-expired), and current CCSS receipt. For the Passport, copy both the main page and the page showing your last Visa entry date. For the Driver's License and DIMEX card, copy both sides of each card - copy page should have front and back of card on a single sheet. You can have the copy office at COSEVI make copies for you if you wish, for a small fee. 2. You must have one copy of a "Dictamen Medico". You go to a doctor of your choice and explain that you want a medical exam for driver's license. You must know what your blood type is or have a blood test done. The doctor examines you and types the info onto a web site. Then the doctor gives you a "Dictamen Medico". This document has a numeric code on it for accessing your medical info online. You give that paper to COSEVI in lieu of an actual medical form. Note: Our doctor said that, by law, a doctor cannot charge more than 18,000 colones for this doctor's visit. 3. Bring a copy of a legal document that identifies your address. (Extra copies not needed.) 4. You must apply for your CR Driver's License 3 months plus one day after your last Visa entry date. (If your Visa was dated on the 17th of the month, apply on the 18th of the third following month. I assume if that falls on a non-business day, you would have until the next business day to apply.) Your foreign driver's license will remain valid until that day (assuming that you now have your DIMEX card). 5. All business was done in Spanish. I can generally get by with my moderate Spanish knowledge, but sometimes I can't understand. Occasionally the Civil Servant would throw in a couple of English words when I had trouble understanding. They seem to know a little English to help keep the process going. (We did see one gringo using an assistant that spoke fluent Spanish.) 6. The COSEVI website says that your first license must be obtained at the offices in La Uruca. Renewals can be made at regional offices. Here is our rather detailed accounting: I had read other expat accounts that they received their CR license on the 91st day after their last Visa entry date, so we drove from Tamarindo to San Jose (La Uruca) on the 90th day and went to COSEVI to apply for our license on the 91st day. We planned to stay two nights in San Jose. We drove by the COSEVI offices the day before applying to see where to go - we saw a sign for "Licencias" pointing down a side road, Calle 36, where there was a gate into COSEVI at the end of that road - we assumed that is where we should go to get in line - we were wrong! We took a cab from our hotel to COSEVI early in the morning to arrive at about 6:45 am. The taxi driver went past the side road we had taken and dropped us off in front of COSEVI on the main road, Avenida 39. He pointed to a line that had formed at the entrance gate into COSEVI. There were only about 7 or 8 people ahead of us in line. COSEVI's website said they opened at 8 am, so we planned to stand in line for 1 1/4 hours. But at 7 am they opened the entrance gate to let people into the COSEVI campus, in advance of the official office openings. I had tried to pay in advance for our licenses at BCR - but for some reason, they said we could not. So I first went to the CAJA just inside the entrance gate and requested to pay. The woman said that I could not pay yet but must go to licensing first. So we asked the entrance guard where to go and were directed down a long sidewalk - we walked a distance of about two blocks to the rear of COSEVI's campus and saw a line formed to the right in front of a building. Here there was some bench seating for the first 15 people or so. We were able to sit; the line continued to grow and many others had to stand until the doors opened at 8 am. (We asked someone in line if this was the line for licenses for the first time and he said "yes".) They opened the doors about 8 am. A man sat at a desk at the entrance and asked people to step forward to the desk one at a time. He took a quick look at each persons papers and determined which "window" you must go to inside for service. He took us to "Window #11" (actually a cubicle). Others were sent to different lines and windows. Here the lines are formed by sitting in chairs in order of arrival. The person in the first chair is the next to go in. When they go in, everyone else advances a chair. We were the first ones in our line, apparently the line for "extranjeros". A man called me into his cubicle. I asked if my wife could also come in since she had the same status and he said OK. He proceeded to examine all of our papers and in particular he examined our passport Visa dates and started counting days. He then looked at me and said "You cannot get your license today. You must come back in two days." I protested and said, "But today is the 91st day after our Visa entry!" He said "No, it must be 3 months." I said "But other expats have reported that they got their license on the 91st day." He opened the COSEVI website and pointed to where it said 3 months. I said I had read that, but "month" was not defined and could be interpreted as 30 days. He would not budge and insisted that we come back in two days (3 months based on the calendar day plus 1 day). We were very frustrated but had to leave. We returned to our hotel and had to extend our reservation another night. After we left, I realized that I forgot to ask if my driver's license was valid after my Visa expired but before I got my CR license. To be safe, we took taxis wherever we went for the next two days. We returned to COSEVI two days later, again arriving at 6:45 am and proceeding to the line at the building at 7 am. When we went forward to the man at the desk at the entrance this time, he looked at my foreign drivers license and said we must go back and get into a second line that had started to form adjacent to the first line. Apparently this was a line for extranjeros - there were two people in line, so we stood behind them. After about 10 minutes of processing some of the people from the other line, he told the 4 of us in the other line to follow him. He led us to the chair line for Window #11. As I passed the cubicle, I saw that the same "bureaucrat" would be assisting us again. Round 2: Knowing that this man had our fate that day in his hands, we decided to be very polite when we went in and not show frustration over the two extra days it cost us. He again proceeded to look over all of our papers in great detail. Then he said, "Sir, there is a problem with your papers. You only copied the front of your driver's license and DIMEX card. You must have a copy of both sides. (Didn't he see this during "Round 1"?) I asked where we could have this done. He said there was a copy office by the front gate that could do it for us. He said to go get copies and signal him when we got back. We paid a small fee to have the copies made per his specifications (front of license on top of copy page and back of license on the bottom of the same page.) Round 3: We returned to the building, bypassed the outside line and nodded to him as we passed his cubicle and sat back down in the chair line. When he was done with his current client, he stepped out and signaled for us to come in next, before others that were now in line. (Those people grumbled at little.) He reviewed the papers and again and then asked for our "direccion" (proof of address). This made me nervous - I had copies of our receipts for electrical bill and Cable Tica, but these did not show our address, just our name and account number. Our water bill is included in our HOA fees. I only had a private health insurance policy that showed our complete address (condominium name and unit number and town) - not an official government document. I showed that to him and he said "OK" and handed it back to me. Phew! Finally we got a break! As we finished up, I said I had a question: "After our 90-day Visa had expired and before we had our CR license, was our foreign driver's license valid for driving for those 3 days?" He said "yes". I noted that we had been taking taxis everywhere for the past 3 days - we both chuckled over that! (I have also since confirmed this interpretation with our residency attorney.) He asked us to sign a ledger book and then handed us our papers and said to take them up the stairs to the second floor. There we sat in another row of chairs - with just a couple people ahead of us. We then went into a more formal office where another man reviewed all of our documents and applied official stamps to each of them. He asked a couple of questions, and then asked us to sign a ledger sheet; then gave us our papers and said to go back downstairs to "Window #1". We sat in another chair-line with just a couple of people ahead of us. The man in the cubicle looked over the papers and then said, "Now you must go to pay the fee." I asked if I should pay at the CAJA at COSEVI, but he said "No, you must go to Banco Nacional to pay. The bank is next door." He said to bring the receipts back to him. We went to pay and returned with the receipts. (I forget what we paid, I think about 4000 colones each.) He stapled the receipts to the rest of our forms and filed them away. He took our pictures, had us sign an electronic signature pad, and took a fingerprint of our forefinger via an electronic fingerprint device. He had us sign a ledger book. He then said to go back and sit in the chairs to wait. Within 5 minutes he signaled us to come back and he handed us our licenses. (A machine in his office printed the licenses directly.) "COMPLETO!" We finally had our CR driver's licenses! The license is valid for 3 years. ( I had a motorcycle endorsement on my USA license and asked to be permitted to drive motorcycles as well - he gave me two licenses - one for the car and one for driving a motorcycle.) Sorry for such a long post, but I hope this detailed account can assist others in their own COSEVI experience!
Kohl replied on September 20, 2014 with:
It must be a physical address, as this will relay contact info on your license.
gsantowski replied on September 20, 2014 with:
Thanks for relating your experience. We have to go through it soon ourselves. Do you know if they will accept a post office box (an apartido) or does it have to be your physical address? We rent and don't receive any additional bills.
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Kohl replied to the thread Work for a Psychotherapist on the Costa Rica forum on September 19, 2014:
Pzlevy initially posted:
I am a Psychotherapist that wants to continue working when I move to Costa Rica. Any info would be appreciated.
Kohl replied on September 19, 2014 with:
If you noticed the post just below yours, you would see that you cannot legally work here until you have Permanent residency which can take 5 years, have a work visa or work online.You may also be required to be recertified in Spanish.
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