It should be noted that English is very prevalent and in fact essential for most professionals now in Panama. Doctors are often educated in the USA, and English is widely spoken in Coronado, Panama, as it is a hub for foreigners in the region. With several large shopping malls recently established there on the Interamerican Highway, dental clinics, medical services, health food stores, etc. have opened, adding to the English language presence in providing for the foreign community.
The San Fernando 24 hour clinic inside Coronado itself is a dual language facility, offering as well ambulance service with English speaking drivers. There is less and less concern that English is not officially spoken, and I can guarantee that. When my 89 year old mother stayed with me for several months at my condo in Coronado, Panama, she required many doctor home visits, clinic consultations, X-rays, and finally an ambulance to take her to Tocumen to fly back to New York City when winter was over there. She spoke not a word of Spanish and communicated with all her medical practitioners there in Coronado. ..in her New York-eze...putting us all... at ease.