In preparation for your
participation in the Cabo mission clinic, I am sending thoughts
before your departure for the sake of clarity. The project
remains a "work in progress" and as I bring Teams, I have
learned that some aspects require greater clarity to avoid
misunderstandings. While I hope that none of these thoughts will
be surprising (if not entirely obvious) I have come to
appreciate that it isn't always the case. This is my best effort
to make sure we are on the same page during your time here!
1. Transportation. Our groups need two cars to get
around to and from the hotel and clinic. I recommend that you
shop around for the best price. It is highly recommended to get
FULL insurance. Even if your credit card says it
will cover your insurance, the Mexican laws are different and it
is advisable to get the full insurance package. It is expensive,
but (in my opinion) worth it. For a standard vehicle (like a
Nissan Sentra) the cost is usually $40/day, which includes full
insurance.
2. Social activities. The entire group is not
attached at the hip. We don’t do everything together and there
is no implication if some decide to "pass" on a given activity.
There should be no hurt feelings or sense of rejection if some
people take a side trip, go bar-hopping, want to para-sail while
others do not. Groups have time with each other at the clinic as
well as some of the meals, but I recommend each person do
whatever he/she wishes without expectations of others' wishes. I
have been to Cabo more than 50 times and have done most of the
“touristy” things to do there, so I tend to NOT participate in
the activities that first-timers enjoy. It is not because I’m
anti-social!! My goal is for each person to have a wonderful
volunteer experience and some vacation time and that can take on
many different forms. It’s good to agree that some things are
shared and others are not.
3. Dinner bills are difficult. When we eat together
(which is often) waiters are NOT very good there about splitting
bills-- they usually present us with one bill so that everyone
is trying to figure out how much she/he owes. Some people have
pesos, others have dollars and still others have a VISA (when it
is accepted) so the end-of-dinner ordeal can be trying. We have
asked if the bill can be split and have had some luck, but
generally not. It is very helpful if groups pay together and
then figure it out later. We have literally sat at tables for a
half hour trying to determine who owes what!
4. Clinic equipment and materials. The clinic has been
set up according my normal office materials and equipment. That
may not include everything that your Team uses in your office,
so it is appreciated if everyone can be flexible and
figure out a way to "make do" with what is there. It has taken
lots of energy and time (and cost) for me to make the clinic a
possibility and the focus is on the children who come to see us,
not on which little widget is missing or which material a person
wishes he/she had. Everything that is necessary to accomplish
excellent pediatric dental procedures is here, but the clinic
isn't a replica of yours. If you have any “must have’s” please
let Christie Lee know, but as a rule, you will find that the
clinic is rather well equipped. I do recommend you bring your
own loupes (if you normally use them) and your own masks (since
there are so many variations with pink/blue, over-the-ear/cup,
etc). 2021 update about masks:
The clinic is now stocked with plenty of N95 masks, so if they
are your "norm," you won't need to bring any. I do NOT have any
gowns or jackets in case you normally use them. If you want
them, you will need to bring your own. There are gloves there,
but it is difficult to stock small/medium/ large in
nitrile/latex/powderless, etc, so these are also items you
may want to bring one box for each person to suit everyone's
specific needs. The local dental supply house is actually
well stocked, but does not always have exactly what we need. We
had a Dry Shield system donated, but we discovered that it
over-taxed the compressor and it will no longer be available.
There is rubber dam for isolation and we do occasionally have
patients who need only sealants and we also have dri-angles and
cotton rolls, so I hope you will find a way to operate in the
existing facility without difficulties.
5. Scheduling is erratic but getting much better. The
three-chair operation is a
work in progress. We are typically busy and I made an effort to
show the ADLN staff members who call the parents how to best
arrange appointments. Up until now, there has been no
considerations given to booking children, no matter the age, no
matter the procedure. Hopefully things will continue to improve
with the younger children in the morning and older ones in the
afternoon. I am also encouraging most restorative visits in the
morning and the “recalls” (as we have many children who have now
had their care completed) in the afternoons. There are
occasionally times when a busload of children fails to show, so
that we have an hour or so of dead time. We have no control over
this, so you must be understanding of some of these limitations
should this situation arise during your stay. I am optimistic
that the schedule will improve each time we go down, but we will
be busy no matter what. We typically see about 3o children per
day, but this can vary from about 18 to 40! Again, there
doesn't seem to be a predictable way to control this.
6. It is helpful if people coming down can read through my Cabo
guide, which appears on my website (www.psaltis.info). It has lots of information
about restaurants, things to do, etc, so that people can, at
some level, plan out their stay, including which places sound
most interesting to them. There are a couple of places that I
consider "musts" but also many, many that can please various
tastes and budgets, so I do think it's a good idea to at least
familiarize yourselves. I might suggest you print off a single
copy, which would give everyone some reading material on the
flight.
7. At the strong recommendation of one of the previous
volunteers, it is a good idea to bring a cell phone that has
a Mexico plan to enable you to access google maps. We do
our best to drive in a two-car caravan so that nobody gets lost,
but if the second car has the ability to enter the destination’s
address, it takes a load off both drivers.
8. Speaking Spanish is not essential. It is helpful, but
not critical. My dental Spanish is now good enough that I can
generally help out as needed, but I do have a couple of sheets
with important phrases that the non-Spanish speakers can study
and learn. I don’t want this to become a point of concern, but
all who have gone have said that they wished they had known more
Spanish. As we all know as pediatric practitioners, it is our
ability to communicate with the children that drives our visits.
Knowing a few key phrases and words makes a difference.
9. Regarding money, I generally think it is best if you
have a credit card that you can use internationally without a
fee attached. The best rates you will get are with a credit
card. However, some places only accept pesos, so bringing an ATM
card is also a good idea. Dollars are accepted almost
everywhere, but with the fluctuating exchange rate most
restaurants do NOT convert their charges at the most recent
rates. For example, a restaurant may present a bill to you for
200 pesos (which at the February, 2022 exchange rate) would be
$9.70 in American dollars. However, they will give you the
option of paying the bill in pesos (200) or in dollars, but at
the rate of (for example) 16 pesos/dollar, so that you end up
paying $12.50. This may not be a big deal in situations like
this, but for bigger bills, it can run the costs up. I do not
recommend getting pesos ahead of time, as the US banks will sell
them to you at a far lower rate than you can get them at ATM
machines in Mexico.
10. The airport. You will go through immigration and
then pick up your luggage. When going through customs, you must
each go individually, not as a group. You will be asked on
the customs entry form (on the airplane) if you have brought
any professional materials or samples and you should say “no.” In the airport customs
area you will push a button that will either light up green or
red. If it is green, you are good to pass through without
further stops. If it is red, they will open your bags and look
through them. If they find anything that may appear unusual
(like gloves) you should have a good response prepared,
such as they are for your personal use or could be for “allergy
issues,” etc. You do not want to say
they are for dental work! If you say that, the material(s)
will be confiscated and/or you can be asked to pay duties on
them. It is for this reason that I suggest you minimize any
dental gear you bring. Once through the customs area, you will
then pass through two rooms that are filled with salesmen who
will claim to want to help you with taxis, etc. Keep your eyes
down (to avoid eye contact) and walk through both rooms. There
are taxis and shuttle buses available and if you are renting a
car, you will find the agent for your company waiting just
outside the doors.
11. Work schedule: we typically work from about 9:00
until about 2:30-3:00, but this varies from day to day. We have
no form of sedation, but the children are really quite
cooperative. Most groups arrive on a Wednesday, work Thurs-Fri,
have the weekend off and then work Mon-Tues. There is plenty of
time in the afternoons and weekend to relax, shop, sight-see,
etc.
12. Lunches are provided on working days by the Amigos de los
Niños (the non-profit with which we work) and are delicious. We
will take you to a grocery store to buy snack items (for the
work days) but otherwise you will either eat at the clinic (work
days) or go out to dinner. Breakfast is included at the hotel
that is provided by the non-profit. If you choose to stay at
Playa Grande, you will need to purchase breakfast items at the
grocery.
13. Passports. Please be sure everyone has a passport.
“Enhanced drivers licenses” do not work for flights into Mexico.
I just learned this one with one of the previous groups!
14. Safety. I feel entirely safe in Cabo, so I would
suggest that you not make that a concern at all. All groups have enjoyed the
experience and I’m confident you will, too, but as “issues”
arise, I came to realize that I needed to prepare the groups a
bit more than I had. Hopefully with the thoughts here, you will
have a clearer idea of the how the days go by.