Friday, August 19, 2011
we do that quite often.
that is, transferring patients, invariably from the ICU, to a public hospital. sometimes, the patients are doing well except that the bill is getting to be a burden for the family. but more often than not, the patients aren't doing well; remaining in the ICU with no obvious light seen in the proverbial tunnel & with a big hole burning in the pocket, moving to a public hospital is the only way out.
also we have a situation here that is far from satisfactory. there are 4 neurosurgeons in the state & all of them are in private practice. so, if there are patients with serious head injury but who cannot afford the exorbitant private hospital bill, they get the initial immediate treatment at the local emergency department but will need to make the 100km+ journey to a neighbouring state for definitive neurosurgical management. all that delay will not improve functional or survival outcome for such patients.
so, it is with some sadness that we had to transfer out one such person yesterday. he had emergency brain surgery done & was not recovering well. staying in the ICU has been taxing on the family finances & after 10 days, they have no choice but to move to a public hospital in another state.
if only there were a neurosurgeon at the local hospital, the initial surgery & subsequent rehabilitation would have been done at an affordable cost. at least, the average man on the street would have been given a better chance at survival.
so, in this respect, it's easy for me to see why people harbour so much disdain for submarines, national service programs, overseas study trips & 100-storey towers. what good is all that when their right to proper medical care is eroded by the day.