Punctuality: Gringos and Ecuadorians have a different perception of being ‘on time’

By Deke Castleman The concept of punctuality is one distinct example of the differences between the Ecuadorian and North American cultures. Most expats tend to be compulsively prompt and even, by Latin American standards, ridiculously early. Ecuadorians, by contrast, are much looser about being “on time.” A couple years ago, a big event for expats […]

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Joint pain continued: Is gout the worst pain on earth?

Before I get started on gout, a quick update to my June 29 column about joint pain and osteoarthritis. One reader commented that injected oxygen-ozone (ozone gas injections), is a recognized and unrestricted therapy for osteoarthritis in some countries including Spain, Russia, Cuba, and Germany, where ozone was first discovered and isolated. The research is […]

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Expenses that many expats and potential expats fail to consider: Travel back home and medical costs

By Kathleen Peddicord You may be surprised to learn of the two biggest expenses expats often face. Most of us think of rent. Food and entertainment. Taxes maybe. But, in my experience, many expats spend more on two other expenses. These two expenses rarely show up in cost summaries for destinations abroad, and they rarely […]

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