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I have been taking two 50Mg Tramadol tablets per evening for about three years. Per advice received here, I have cut down to 1.5 Tramadol tablets per evening with no ill effects or desire for a higher dosage. Next week I will drop down to 1 Tramadol per night and if able, ie. no pain, will stop taking it altogether unless the pain returns. Thanks all for the advice and encouragement to cease taking said drug.

"A person can only become addicted if he takes more than needed to treat the pain" Unfortunately, this is wrong on many levels. And it is a common misconception, based on lack of information and a "common sense" approach that has crippled suburban America. Coomon sense tells us this should be true. Experience shows it not to be. Haven't heard of a single person who wants to become addicted, yet housewifes and teenagers across the country are so hooked they are moving off prescribed painkillers to the cheaper heroin. But just ask yourself: how much is more than necessary to treat the pain? if it's not working well enough, you take more. And the cycle begins.

Sorry - been busy. I stand my my statement about criada, and accept the correction to limpia. And I would marry my maid, but she won't have me.

Don't worry, the social worker is willing to cut some slack. Remember too, that Seguro Popular is also an insurance plan, and modern, well equipped public hospitals accept this a payment, or co-payment (for example an EKG using their small scanner is free, but a cardiologist bringing a bigger machine is 1,000 pesos (a bargain)). The Occidentale Hospital in Guadalajara has over 30 specialties, they just fixed their CT scanner. The main need for assistance I thought was language translation, but it turns out nearly everybody at this medical level speaks English, at least at this Hospital. Nothing like MASH at all, except for open wards. Good chance to practice your Spanish, meet some incredible people. Alone in a bed, in a private room watching Mexican cable, seems to me the most boring, depressing choice.

After rereading the OP, I found no question asked.

I am not a local Mexican family nor do I live in an impoverished village. I am also not concerned with destroying the entire Mexican economy by paying the young woman who cleans my house what I consider to be a fair wage for what she does for me.