Perhaps it would be best if I could just have a telemedicine consultation with a Paraguayan doctor. Any tips on how to find a Paraguayan doctor who does that would be much appreciated.
-@kevin4420
Such a thing is possible. Here are some links for pages that advertise Paraguayan doctors on-line. I don't know if it's possible to use the services from outside the country but you can try - and you can probably find some email addresses to enquire about it (sorry, I did not exhaustively investigate each site).
  - for $15 USD, they claim to offer an on-line consultation
You may be able to find a doctor who can speak good English - but certainly it would be very helpful if your Spanish is at least at a conversational level.
You can do further searches for something like
paraguay doctor médico consulta en linea
And just so you know - Paraguay's time is now the same as the US Eastern time zone EDT, called PYT (UTC-4).