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How bad are Filipino doctors?


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After 3 days of a fever, I took my daughter into the emergency room for CBC and check up. Immediately everyone assumed it was dengue and no matter what I said, I was not a doctor and god forbid a Kano tells them they are wrong. My daughter was active and bouncing around as usually, she just had a high fever, of course this should have been enough to call for further testing as she wasn't laying around like someone with dengue would be. Since the moment we decided to take her in, the signs all pointed to the flu. When we had the CBC done, her white blood cells were high, her platelets were normal. However her basophils and lymphocytes were too high, almost double the normal average that is printed right on the CBC.

 

We admitted here and were assigned a doctor who did not even show up for 4 days, instead did her diagnosis over the phone so I demanded a change in doctors. I also insisted on a continuous basis that they do further tests because day after day, the CBC showed a viral infection with absolutely no drop at all in both temp as well as platelets. We went through this day after day and as I went from doctor to doctor, roughly every couple of days or so, the reactions were still the same. Platelets were normal, white blood cells were low and basophils and lymphocytes were high. After 2 weeks of this going on, I had to keep running to the store for ice to keep my daughter's temperature down so she did not fry any brain cells. I even asked the nurses for cold water, which they have in a jug in the nurses station and they kept telling me to get the water from the CR.

 

Finally after 12 days of a fever above 104 continuously, the fever dropped. The platelets were still normal, the white blood cells increased a bit, and the basophils and lymphocytes were returning to normal. They never prescribed anything for my daughter, they just kept pushing fluid into her arm. Keeping a bouncing baby from messing up an IV is no easy task, especially when you are going on nearly 3 weeks with no more than an hour's sleep each day.

 

There was absolutely no diagnosis. By the end of the third week, her own body has cured itself. Basically by day 16all of her levels were normal yet they would not release her, nor would they remove the IV until payment was made. During this period She managed to pull on here IV so hard that it was constantly clogging up and on several occasions had air bubbles in it which I had to spend hours carefully squeezing the bubbles back to the top. Finally I said F$#%% and in carefully removed the IV myself because it was obvious that the nurses had no clue what an air bubble can do to you if it gets into a blood vessel. I even had a shouting match with the guard who came up one time when they tried to put the IV back in. The guard gave up and wanted no part of it, but the fact still remains that they cannot just leave in a drip that could potentially do more harm because the nurses were failing to do their jobs.

 

Needless to say, instead of doing tests like they should have done, like I demanded that they do, they did not. They should have allowed me access to the chilled water to help keep the baby's temp down, they did not. They should have removed the IV once the fever dropped and she was wanting real food again, they did not. There was never a diagnosis, the day we finally were able to check out, the only instruction we were given was to switch to some expensive a#$ formula of which my daughter eats 90% real food and the formula is only at night time when she sleeps.

 

Their only prognosis was an assumption of dengue... they did not even know what the hell the viral infection was so they could treat it because apparently I am a dumb Kano and they know more than me because they are doctors who had 1 year less of college then I had and therefore I do not know anything about medicine or the like.

 

Don't you have a Pediatrician for your daughter!?

 

Reading ^ never once was a pediatrician mentioned. Prior to admittance to any hospitals here, they always ask who's your doctor.

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Don't you have a Pediatrician for your daughter!?

 

Reading ^ never once was a pediatrician mentioned. Prior to admittance to any hospitals here, they always ask who's your doctor.

 

No, not really. The only check-ups have been through the barangy clinic. I chose this route for a number of reasons. For starters they are free, but they ask for a donation to help cover costs and after hearing that most people only give P5 or P10 for an immunization shot, when my daughter goes in for a shot or any type of check-up, I send my wife with P1,000 for the donation. I have never actually met the doctor, but apparently she works all over the city at all of the barangy clinics and we had no way of getting in touch with her. But then again until this incident, my daughter has never been sick. At 15 months she was 12 kilos. Shes not fat or chubby though, but she does love potatoes like her Pa.

 

Until that point, the concept was to use the clinics because a doctor just pockets the money when you pay, the clinic uses it for medication and other things that can help the locals. It is the most I can do.

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No, not really. The only check-ups have been through the barangy clinic. I chose this route for a number of reasons. For starters they are free, but they ask for a donation to help cover costs and after hearing that most people only give P5 or P10 for an immunization shot, when my daughter goes in for a shot or any type of check-up, I send my wife with P1,000 for the donation. I have never actually met the doctor, but apparently she works all over the city at all of the barangy clinics and we had no way of getting in touch with her. But then again until this incident, my daughter has never been sick. At 15 months she was 12 kilos. Shes not fat or chubby though, but she does love potatoes like her Pa.

 

Until that point, the concept was to use the clinics because a doctor just pockets the money when you pay, the clinic uses it for medication and other things that can help the locals. It is the most I can do.

 

Just a piece of advice, go visit a pediatrician even just one time for records sake and in case of emergency, you got somebody who can call up. And please try to get a Rotavirus immunization for your daughter. I dunno what immunizations they give out at barangay clinics, it really hurts the pocket during immunizations though. We just had immunization the other day for our 21 week old baby and that was 3K for the 6 in 1 shot. For a baby that's just over 5 months old he's already the size of a 9 month old baby, he weighs 9 kilos and 72.5cm and that's basing on an American standard chart. His pediatrician's quite amazed at his developments.

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Bob Ward
I have never actually met the doctor,

 

Ok Nick, there you have it!

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PEARL OF CEBU

 

I was in Bantayan last month and had dinner with one of the resort owners. A really nice lady too, her husband died 60years ago. Anyway, she had recently fell and shattered her knee-cap... where did she go for surgery????

 

New York...

 

I read in the paper yesterday, Tommy has a mass in his bladder and what is his plans... going to the US.

 

I think you can answer why these people have to go to US of America.You are aware of what Philippines is, before coming here and consider a Filipina for a wife,right? Philippines is too much behind compared to other countries and that includes our doctors and the things our doctors are using.

People who got the capacity to go to other country to find cure or miracle will really take the chances just to live longer and people who dont have anything will just stay here and wait.

I really dont think, that the lady in Bantayan and Tom O. wanna go to USA if they dont have the money to spent for all the dollar expenses.I guess it has nothing to do with how bad our doctors here but it has something to do with the high technology you got there.

 

Now in my onion, how could I ever trust a doctor here, when even Filipinos will not trust them? Maybe its because they are unqualified. Maybe its because they are too greedy. Or maybe it is because you just cannot trust them at all.

 

You are entitled to your own opinion,you can name and you can call our doctors here any way you want,but i just hope you still have time to go to SINGAPORE OR AMERICA if an accident might or will happen to you or to any of your loved ones :angry:.

 

Or maybe it because of the whole brain drain thing where Doctors here would rather retrain as nurses and go work abroad:

 

It is true that there are doctors who went to school and retrained as nurses,in fact i knew so many. But they got there own reasons and it is not a crime...

 

Lets also not forget the fact that some doctors here are not doctors at all:

 

Just ask you wife or your wife's relative for a referral that way you wont be a victim, you might get a VET.. :D

 

Just feeling sad with all the things that i read here, but who cares B)

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Philippines is too much behind compared to other countries and that includes our doctors and the things our doctors are using.

 

By "too much behind" how far do you think our country is compared to other countries? :D

 

What do you think of these "things"?

 

http://www.makatimedcenter.com/default

http://www.stluke.com.ph/

http://www.asianhospital.com/

http://www.usthospital.com.ph/

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For once I am going to agree with KC8UAL. Doctors here in the Philippines shouldn't be allowed to practice medicine. I took my wife into the hospital tonight. She suspected that she might have dengue, but I think it;'s just the flu. Anyways, it's better to be safe than sorry.

 

I told the doctor that my wife was taking paracetamol for her fever. The doctor then said Biogesic, I said no, just paracetamol. The doctor's response? There is no paracetamol only medicine in the Philippines. (???!!?) I said, yes, there is and that is what she is taking.

 

After several tests and a lot of waiting the doctor couldn't figure out anything and gave her a prescription for Tylenol. I mentioned that she is already taking 500 mg paracetamol. The doctor said that she was prescribing 625 mg pills instead of the 500 mg pills that are more common because they are better.

 

When we left the hospital, I asked my wife if I had a big I on my forehead. She laughed because she knew I was talking about the doctor trying to say that 625 mg was somehow better than 500 mg. It's a higher dosage, that's it.

 

In other words we left the hospital 1500 pesos lighter and knowing nothing more than we knew before we went. Oh wait, we were reminded of something. Can you guess what that is?

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PEARL OF CEBU
By "too much behind" how far do you think our country is compared to other countries? B)

 

What do you think of these "things"?

 

http://www.makatimedcenter.com/default

http://www.stluke.com.ph/

http://www.asianhospital.com/

http://www.usthospital.com.ph/

 

Yeh right! You know why i stated that..

Even if you will put a whole page of different websites here, it really doesnt matter at all with people like them who always complains, when in fact no matter where these people go, they will really never stop complaining,coz you know why, the problem is there ATTITUDE.

Better go back to the main subject.. :D

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Nangulo

Logical fallacies of relevance:

 

I went to a Filipino doctor and was treated poorly, therefore ALL Filipino doctors will treat me poorly.

 

Mayor Tommy is going to the US for treatment, therefore ALL Filipino doctors must be incompetent.

 

One man was arrested for impersonating a Filipino doctor, therefore all Filipino doctors, and only Filipino doctors, must be fake.

 

You can replace Filipino with any other nationality in any other country and come up with similar stories. For that matter, you can replace doctors with accountants, or politicians (or expats), etc. The sweeping generalizations do a real disservice to the subject.

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The Philippine medical system is being developed for tourist medical vacations. Wherein patients from developed countries will come there for major operations, hip, knee and shoulder replacements, heart operations, even transplants. I have heard a few hospitals are processing to become US certified so that they can be paid by US insurance and Medicare.

 

I guess, according to K8, these will merely become low priced abattoirs.

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The Philippine medical system is being developed for tourist medical vacations.

 

Yeah... I've seen several threads where members are asking for recommendation/location of dentists here in the Philippines. ;)

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My parents in law are both doctors. My mother in law is an OB (head of the OB gyne dept of one of the best private hospitals in Cebu) and Dad in law is ophthalmologist. I believe that doctors here are not as bad as you think. You should choose your Doctors wisely though. Tomas wants to go to the States because he can afford it. Some people can do that because they can afford the "best". So as the resort owner.

 

Even our med grads here move to the states, mainly because of what they can earn there. It can boil down to money. My SIL and BIL are based Texas (Dallas and SA) and are doctors over there. I have to admit that there are also sub specializations that are not here in the country and there are advanced treatments that are not introduced yet to the Philippines. But if only have cold, a fracture, a baby, a cataract, an acne, a flu, diarrhea....I do not think you have to go to the States. ;) The doctors are capable.

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How about I pray to God that my baby doesn't get sick again. I know I cannot handle that crap again. Of course no one knows about that other than I may have mentioned it. A month and a half ago I had to take my baby to the hospital for a fever of 106 degrees. They immediately assumed it was dengue. I even had 7 independent opinions and even though the CBC they required showed a viral infection which could have been taken care of the first day, they kept her in the hospital for three weeks. 7 different doctors during that time each one assuming the same exact thing.

 

All 7 of them replied the same way, "We have to continue to monitor the platelet counts for dengue" So I ask them about the fact that the CBC is also showing a high level of bacteria, "Well as you know dengue happens all the time here and we will just have to wait to see the platelet count"

 

Needless to say, my daughter had a temperature of more than 104 degrees consistently for a 2 week period and even though I had 7 different doctors during this period, not once did the platelet counts go down and not once did they even think of doing any further tests. They wanted to "Save me money" instead of paying several thousand pesos for in-depth testing to get a proper diagnosis, I had to pay an almost P80,000 hospital bill, a quarter of that was for the room alone.

 

Matter of fact... all seven of those doctors and the hospital had better pray to god that my baby doesn't show any signs of long-term brain damage due to their negligence.

 

7 different doctors, each of them with varying experience and each one were considered to be specialized in their fields and each one of them did not have the sense to run other tests to prove it was a viral infection and take care of it. In general, the doctors said they "assume" it was dengue. Usually this makes and a#$ out of them and me, but I could clearly see the high levels of bacterias in the CBC count... and I am a computer engineer; not a doctor. Of course all of the doctors did have one thing in common.... and that was that they all graduated top in their class at Cebu Doctors... Pfft

 

I made the wife go out for her passport last week and I have already informed her that if she, the baby or myself ever need medical attention again, to get the first flight to Singapore.

 

I work in the business and a company I worked for used Phil docs for remote sites mainly because their English skills are good which helps communication with Western Expats. As people have said there is a large variance in capabilities, here in Australia there are numerous docs that I would not personally choose to be treated by.

 

As for educational standards note that Phil docs cannot get work in the US, Australia the UK without passing the countries exams.

 

One criteria that sometimes helps in choosing a doc is whether they have undergone further training overseas, but I also knew an Ozzie surgeon who had trained in the UK and he was disastrous.

 

Going to Singapore is an option my other suggestion is the Baumengrad hospital in Bangkok, similar flying time, far cheaper accommodation and hospital charges.

 

The stories I have heard often indicate patients being kept in hospital longer than necessary as a revenue raising exercise, often innapropriate tests ordered.....ignorance or revenue raising I do not know.

 

I have personally observed a ventilated patient (on a respirator) over a five hour period in a prestigous Manila emergency department receiving virtually no care....in a Western hospital they would receive one on one nursing care.

 

A sick girl in the barangay that I took to a paedetrician in Bacolod was very well looked after.....it varies

 

I think there is no easy answer for finding a good doc whether it is the US, UK, Australia or the Phillipines.....I personally would find it hard to rely on a lay persons "feeling" or opinion.

 

To highlight this I will relay a conversation I had with a woman who lives across the road from me who told me in the supermarket that she was going for a hip replacement with Dr X... "I know some people say he is arrogant but I liked the way he was with me". In my opinion Dr X is a butcher , many people know about him and a friend of mine who is a lawyer had him in court one day lying about surgery he had done.

Did I say anything ..NO it is up to her to make enquiries, she had gone with her feelings....not facts.

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PEARL OF CEBU

I think we all know that anywhere,any country there is always these good or bad doctors.

I suggest or id rather say this is an advice that you guys starts to ask referrals.

Ask your friends,your wife's relative or anyone here in the forum if they knew some doctors

for specific specialization.Pediatrician for babies,Obegyne for you wife and other specialists.

I think referrals can be trusted rather than going to the hospital without knowing any doctors at all.

 

I do not denie that there are bad situations and bad doctors here, but please just dont generalize.

 

Our family got our own family doctor,i am willing to help in case. ;)

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After a motorcycle crash in western Mindano, I had the please of spending 2 weeks in Notre Dame hospital, Cotabato City. My injuries included 9 broken ribs, a broken shoulder blade, a collapsed lung and fluid developing in my chest cavity. I had three Filipino doctors attending me; general, thoracic surgeon and anaesthetist. I required surgery to treat the fluid in my chest.

 

I was totally happy with the medical treatment that I recieved, at least as good, if not better than I would have received in a public hospital in regional Australia. The doctors kept me well informed and satisfactorily answered all my questions. What I did find rather interesting was-

  • The hospital would not admit me until I paid a P20,000 deposit, although I had full-cover medical/hospital insurance.
  • This hospital did not supply you with any medication or other medical needs. These all had to be purchased by you (our your assistant) as required.
  • You need your own assistant with you when staying in hospital. The nurses only perform medical nursing duties. Anything beyond that was the assistant's responsibility. Luckily I had a friend in Diplog who was able to get to Cotabato City to be my assistant.
  • I had to employ an off-duty (and very good looking) nurse to bath me at P300 per day, as my assistant was a 22 year old girl who had never experienced a naked man.
  • The hospital building and their equipment was showing its age. The X-ray machine was from the '60s and their CAT scanner was held together with duck tape. Still, everything worked well.
  • The private room (no air conditioning) rate of P2,400 per day was rather high when compared to the same rate at Makati Medical Center for a larger air conditioned room.
  • Like most hospitals everywhere, the food was not good, unless you can live on boiled rice and dried fish.

I can not speak more highly of the medical care that I received in Notre Dame Hospital. I just hope that I do not have to go back there again.

 

Due to possible complications that could not be properly diagnosed or treated in Mindano, I was flown to Makati Medical Center. That was another story.

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