Tuesday, August 21, 2007

Heartache for doctors in Maldives

According to a news article on Miadhu Online, local doctors working for the biggest hospital in the country, IGMH, have reportedly begun a two-day protest.

The local doctors reportedly began the protest as two female doctors had been harassed following a recent death of a child.

This is a serious development that reflects the gradual erosion of trust between the medical profession and the public who need their service.

By the nature of their profession, doctors and nurses in the hospital are always trying to do the best for the patients that come to them, always providing the best care they can.

Even in situations when something does go wrong or if a patient is unhappy about a particular outcome, there has to be a process to investigate the complaint and action must be taken in a transparent manner to bring closure to the matter without inflicting severe damage to the medical profession.

There are times even the best doctors with the most advanced medical technology are unable to prevent a painful loss. Such situations are emotionally draining on doctors and nurses as it is devastating to family and loved ones.

In these heart-breaking situations families experiencing the loss should have the forbearance to with hold judgement if they disagree with the outcome, until they exhaust all means including legal process to determine guilt or neglect. Families should not cause rancour to the medical profession, whose services we need to treat our illnesses and save lives.

In my analysis of this situation, I'm not blaming anyone or passing a judgment against a genuine grievance or any other unfavourable outcome. I do not know enough about the management of the hospital to be able to do that.

But as a kidney transplant patient whose surgery in India did not go well from the very beginning over ten years back and now faced with doing a second transplant, I can understand the heavy burden of responsibility that we put on the doctors.

In hindsight, those close to me and I too feel that my first surgery could be been better handled for a more long-lasting outcome. But I also realise and accept that these are complicated procedures and even with the best intentions and efforts, something could go wrong. I bear no ill will against my surgeons.

5 comments:

Anonymous said...

But believe me; I have recently experienced the IGMH services to a person who had to be admitted to and kept in the ICU for three days. We saw carelesness, complete disregard for patient, infighting within the ranks, inefficient and unmindful systems. It is a place in a mess.

Anonymous said...

Can i ask you a somewhat personal question if you don't mind?

How long does some one need to wait for an organ transplant in Singapore? What is the process involved? How much does it cost?

mhilmyh said...

maldiveshealth. Thanks for your question which is really not personal to me. I will gladly share my experience if I knew it will benefit someone else.

Under Singapore Organ Donation Act of 1987, a person is automatically an organ donor, unless he opts out. Muslims are excluded, but if they wish to donate their organs, they have to opt in to signal consent.

This has resulted in many Muslim patients waiting longer for a new organ because pledgers get priority.

Just recently the Mufti here has issued a fatwa bringing the Muslims to the same status as non-Muslims. Now the Health Ministry is studying the fatwa before a decision is made on amending the Act.

The average waiting time for someone who has not pledged his organs is 10 to 15 years. For those who have opted in from 4-7 years.

For a foreigner like me the cost would be SD 15,000/00. Locals do get some subsidy.

Foreigners will be last in the queue and the wait be quite long.

My family tho willing to donate do not match by blood group. My siblings in Maldives do, but unfortunately there are so many misconceptions in Maldives it is not easy for donors to confidently volunteer.

And as you know, organ donation is a very personal thing to do.

Singapore Muslim community faced the same problem of lack of understanding or apprehension but with resolute political leadership they manage to overcome problems.

Anonymous said...

Thank you for the info. Sad to hear the rest of the story.

naveen said...

hi
im a doctor from north india
i want to opy job in maldivies
tell me sincerly should i go for it
how is the situation like racism or religeon,,,,something like that
kindly help me soon
drngarg@gmail.com