A review of the Moyogalpa Emergency room

They were sweeping the leaves off the floor in the waiting room so it´s pretty clean. A staff seems friendly and a group will help you check in and laugh at you when you step on the scale. The chickens in the parking lot seem well fed. Overall it´s pretty good.
There are a few complaints:
They don´t speak English.
I don´t speak spanish.
and the prescription they wrote me was for a medicine that I had to spend several hours on the internet trying to figure out.
Finally when I did, I have to mix liquid vile of anesthetic with a powdered vial of antibiotics, then put them in a syringe, then inject them into my own butt, 2 times a day for 5 days. Fiding these on a small island was a miracle. I still don´t know how to open the glass vile of anesthetic, but 2 rocks usually does the trick.
I believe this visit was free, but I may have accidentally walked out with out paying. I wasn´t sure what was going on or what anyone said, but when I said ¨adios¨ they said it back.
overall I rate it:
Terrifying and a testimony of the human will to survive with a cleanly swept floor.