Tama ba ang ginawa ng UST Hospital?

[krscla]

May kakilala kami na medyo malala ang lagay kahapon na pumunta sa UST Hospital para makapagpagamot.

Pagdating nila, may mga exams na ginawa para malaman kung ano ang sakit niya. Nung una, sinabi na mukhang may problema daw sa appendix at baka kailangang operahan. Naisip ng doktor na medyo mali ata ang desisyon niya kaya pinatignan naman niya sa ob-gyne para makita kung may problema sa matris. Ang problema, walang naging desisyon yung doktor sa kung ano ba ang kalagayan ng pasyente.

Ang isa pang malaking problema na gusto ko sanang malaman, tama ba na pinaalis ng doktor yung pasyente dahilan daw sa wala ng available na kama? Maraming nakiusap na kahit sa pasilyo nalang muna ilagay yung pasyente pansamantala para naman hindi masyadong mabugbog sa biyahe dahil sa Novaliches pa galing pero ang sinagot nung doktor eh hindi raw public hospital ang UST at may policy rin sila na bawal iyon. Marami ulit ang nakiusap na kung maaari ay ilagay sa waiting list yung pasyente pero ang sinagot nung doktor eh hanggang 6 na oras lang daw pwedeng maghintay at kapag lumagpas dito, humanap na lamang ng ibang hospital.

Samakatuwid, pinaalis nila iyong kakilala namin ng wala man lamang sagot galing sa doktor kung ano ang karamdaman niya.

TAMA BA ANG GINAWA NG UST HOSPITAL?

[Shintaro]

Palagay ko may karapatan ang Private Hospital na tanggihan ang pasyente basta nasa stable nang kundisyon kung talagang wala silang bakante.Ngayon, yung mga baluktot na policy ng hospital, mababago naman ng batas natin yan.Ang problema ngayon,negosyo na ang health care sa atin.

Kung may mayaman na pupunta dun para magpagamot, maaaring maadmit at usually hindi naman napupuno ang mga suite ng hospital at mismong pasyente na ang kusang lilipat ng hospital pag dun ikinonfine...

[alnr]

tsk tsk tsk.... hindi tama at maling-mali ang ginawa nila, bat naman ganun ang ginawa ng uste... me public hospital ang ust diba?

yan ang hirap dito sa pinas pag dating sa ospital, hindi kagad yung pasyente ang iniisip nila kundi kung me pambayad ka!

[yebo]

pauna lang, i am not connected in anyway with ust. i am not even a ust alumnus (UP diliman po ako). my comments are purely on the case as presented.

walang "public" hospital ang ust, charity wing meron. private hospital pa din yun, hindi government.

ang mga doctor kasi they "prioritise" their patients. kaya pinayuhan na maghanap ng ibang hospital kasi hindi naman life threathening siguro (emphasis on "siguro" ok guys) yung situation nung pasyente. otherwise she would have been wheeled into the emergency operating room right away, but she was not. also, if it is their policy not to have patients in the corridors, then that is their prerogative. it is, after all, a privately owned establishment.

the patient was already advised of the situation that she could not be admitted for lack of bed space. instead of complaining why, why did she not go to another hospital? lapit na ng ibang hospitals sa UST ah, bakit uuwi ka pa sa novaliches? bakit di nagpunta sa chinese, sa hospital ng maynila, or pgh? di ginamit utak eh, tapos ngayon sisihin nya ang ust? unfair naman yata.

she was also not told of what exactly ailed her due to the fact that as admitted by the attending physician, they were not sure. what if they venture to guess a diagnosis and it turns out to be wrong? so now you sue the doctor and the hospital for malpractice? another reason is that this is to encourage the patient to seek medical help elsewhere where she can be admitted. if they tell her that she was sick of something, then maybe she just goes home and buy some medicines, without the benefit of really getting a thorough medical check.

btw, panahon pa ng lolo ni magellan negosyo na ang medicine. nagbabayad sina lapu-lapu sa albularyo o "babaylan" di ba? so let us not malign doctors for trying to earn a living. not because they have a hypocratic oath that patients can demand service. they also need to earn a living. do you know how much money is needed to run a hospital? or how about how much money to earn a medical degree? ikaw nga, whatever your profession is, gusto mo din kumita di ba, so why make doctors exceptions from that?

yup, medicine is a business. so is engineering, chemistry, biology, law, etc. so don't ecpect doctors and the hospitals they work in to treat you for free. you are responsible for your own upkeep. it is wrong to rely on others more fortunate to be your keeper. sariling sikap, wag maging mendicant.

[eyescube]

Originally posted by krscla
May kakilala kami na medyo malala ang lagay kahapon na pumunta sa UST Hospital para makapagpagamot.

Pagdating nila, may mga exams na ginawa para malaman kung ano ang sakit niya. Nung una, sinabi na mukhang may problema daw sa appendix at baka kailangang operahan. Naisip ng doktor na medyo mali ata ang desisyon niya kaya pinatignan naman niya sa ob-gyne para makita kung may problema sa matris. Ang problema, walang naging desisyon yung doktor sa kung ano ba ang kalagayan ng pasyente.


TAMA BA ANG GINAWA NG UST HOSPITAL?

Well, the hospital did an initial treatment,lab test naman yata di ba?and the Doctor gave his Impression about the patients case right?

Correct si Pareng YEBO, its not life threatening thats why they suggest you better seek another hospital that can accommodate the patient. Since they(the patients relative) had been informed dapat right away transfer na kaagad nila yung pasyente.

Heto nga lang ang dapat na sana gawin ng Doctor or Charge Nurse ng ER > their responsibility is to endorse the patient to a certain nearest Hospital (Once again depende ito sa Case ng Pasyente at Policy ng Hospital.)

[krscla]

I see. :D

May kapasidad naman kahit papaano iyong pasyente na magbayad para sa mga kakailanganin at doktor. Hindi naman sila nanghihingi ng gamot o ano man. Hindi lang talaga nila kaya iyong presyo ng isang private room kaya nakiusap na kung maaari ay sa pasilyo nalang muna. Hindi naman siguro malaking kawalan para sa kanila iyon dahil buhay naman ng tao iyong ililigtas nila lalo na kung malala na iyong pasyente. Ang alam ko lang ay nagdedeliryo na siya kaya napilitan silang dalhin sa hospital. In a way, siguro umasa din sila na tatanggapin kahit papaano kasi alam nila na pari ang nagpapalakad ng hospital na iyon. :D

[Shintaro]

Bottom line is talagang Bawal Magkasakit sa atin!O kaya isama sa emergency fund ng pamilya yung pang-Medical at sa ayaw at sa gusto natin meron at merong magkakasakit sa pamilya.

Marami ding Hirap na Doktor sa atin kaya yung iba nagsipag-Nursing na at nagbabakasaling makapangibang bayan at kumita ng maayos.Yung iba naman, lagare ang ginagawa at pati mga probinsiya pinupuntahan as visiting consultant. Ang hindi lang maganda yung malasakit ng Doktor sa pasyente ang mukhang nawawala na...May alam pa ba kayong nag ha-house call na Doktor ngayon, di ba wala na?!

[Supierreman]

triage

[wiretap_md]

Yebo and eyescube: Kudos to your unbiased opinions! The medical community would have been proud to read your posts

krscla:

Since I don't know the exact details of your case, I can only comment based on the details that you have stated. Here are my points:

1. May I ask which division of the UST hospital did your "kakilala" go to? Was it the Clinical Division (charity) or the Pay (private) division? Pareng yebo is right in saying that UST does not a public hospital. It only has a "CLINICAL" or charity division located along A.H. Lacson and this is where the medical students and resident physicians handle patient care under the supervision of consultants. Since it is a charity wing, what is waived is only the doctor's fee, bed and food for the patient. The rest of the expenses such as medications, laboratories, ancillary services (XRAY, CT SCAN, etc.), operating room fees, etc. are shouldered by the patient on a cash-basis. Majority of the patients that we see there are usually composed of our less fortunate brothers and sisters who do not have the financial means and access to go to a regular "PAY" hospital. No Filipino should be denied access to up-to-date medical treatment just because of financial reasons and this is the reason why UST placed up a charity ward. Once confined here, the patient has access to all the facilities of UST hospital at a "charity rate." Thus, you may expect it to be full most of the time since many would like to go there. That is why it is the prerogative of the attending physicians there to choose cases which on their medical judgement should be prioritized in admission as well as which patients should be referred to the MSS (Medical Social Service) so that they could be classified as "Charity" patients.

2. Some reasons why a PRIVATE hospital may have the right to refuse admission to a patient:
a. If it feels that the patient may not have the financial capability to pay for the services rendered.
- it is still a PRIVATE institution and so it has to look after and protect its own needs and interests
b. No vacancy
- You can't just tell the hospital that mag stretcher bed nalang ang patient along the corridors or the patient would merely wait at the ER. This would be an impediement to flow of traffic inside the hospital and would be an added burden to the hospital, personnel, and allocated resources. Imagine allowing patients to merely wait inside the ER for their conditions to resolve, thus occupying space, and here comes an emergency patient rushed inside the ER but no bed or place to be placed in all because they are occupied by "waiting" patients. Its just like saying na kung pwede magdala ka nalang ng upuan or magtatayo ka nalang sa eroplano para man lang maka sakay even if the flight is full already.
c. Ancillary services are unavailable
- If the doctor feels that ancillary services are critical to diagnosing a patient however unavailable (broken down/malfunction), he/she may opt to tell the patient to transfer to another hospital where it is available.

HOWEVER....
It is mandatory for the PRIVATE hospital to make sure that the patient is in stable condition and fit enough for transfer before the decision is made for transfer to a hospital of choice. The doctor may then call the hospital intended for transfer and give the necessary endorsements to the physican on duty or he/she would fill up referral forms / transfer sheets which the patient would bring to his/her Hospital Of Choice.

Just my two cents worth. If you have more questions, feel free to ask :-)

_________________________________

[Shintaro]

Wiretap_md, Is that _md as in 'MD'? sa UST ka ba? Just asking...btw,graduate ako ng FEU-NRMF nung nasa Morayta pa.