The Good Samaritan Hospital, Tetere, Solomon Islands have joined the Swinfen Telemedicine system. This is a 30 bed clinic with two Doctors, three Midwives, eight regular Nurses and seven nursing aids, three Malaria staff and a Pharmacy. Offering services of Gynaecology, Maternity, Dentistry and general treatment. Everyone is treated for Free and for urgent and complicated cases the patients will be referred to the main hospital – Honiara.
Clinic detention is illegal!! Not yet 2yrs old and held in clinical detention!!!!
REPUBLIC ACT NO. 9439 April 27, 2007
AN ACT PROHIBITING THE DETENTION OF PATIENTS IN HOSPITALS AND MEDICAL CLINICS ON GROUNDS OF NONPAYMENT OF HOSPITAL BILLS OR MEDICAL EXPENSES
On Sept 7th at approx. 9:30am baby J (2yrs in December 2016) sustained a hot coffee burn to his chest. His mum was so shocked and took him to the hospital nearest to her house. Here, at around 10am Mum was told that the baby was critical and might die and must have surgery. She asked how much it would be and was told around ten thousand pesos. She consulted with her partner, a Govt driver in Bataan, and they decided they should go ahead since they had been told it was critical. Baby J went to the operating room at 6:30pm and was out at 6:35pm, having had a debridement – a medical term for cleaning a wound. Mum was instructed to use a ‘burns cream’ daily after a bath and cover with a single layer of gauze, which was taped to baby J’s delicate skin. On the 8th Sept at 10am they were discharged. They got a big shock when they received the bill of 57,852.00 pesos!! For 12 hours!! The parents queried the bill and were told that it was correct. The surgeons fee was twenty five thousand pesos, essentially 5000 pesos per minute!! More than DU30 recieves for sure!! They cannot pay this indulgent amount and are now not permitted to leave, being under ‘hospital arrest’. They have received ten thousand pesos from the PCSO towards the bill, and have offered to try and pay a monthly amount till its paid but the billing section won’t allow that. In addition, they are being charged 800pesos daily for the privilege of being held against their will; for the bed, one of 6 in a cramped room PLUS 350pesos daily for ‘nursing station’ fees – even though they are not receiving any treatment as they are discharged!!
Baby J was seen by a clinical nurse specialist in burns from Triple B Care Projects (a sec registered NGO, non – stock ,not -for -profit organisation www.TripleBCare projects.org) on Sep 11th and discovered the awful truth about baby J’s detention. The burn to Baby J’s chest is in fact partial thickness and would normally heal within a few days without the need for surgery, if international standard treatment had been applied at the outset, including correct 1st aid.*
FIRST AID FOR ALL BURNS: REMOVE CLOTHING AND JEWELLERY,COOL BURN UNDER RUNNING WATER FOR 20MINS, COVER WITH A CLEAN LINT FREE TOWEL OR PLASTIC FOOD WRAP. GET GOOD MEDICAL HELP
Our 25th Telemedical link in Nepal was set up today to a health post in Tangting, Kaski. This is a community health post with just 2 nurses, 1 birthing bed, offering a very basic service with no diagnostic equipment and basic drugs supplied by the Nepali government.
Tangting is a Gurung village that is in a very remote part of Nepal, located 21 miles North of Pokhara. There are 200 houses with a population of approx 1350. The village is surrounded by hills and forests so to get to the main hospital in Pokhara it is an hour walk to meet up with jeeps then a two and a half hour drive!
We will do all we can to help improve the health and lives of the village people through our Swinfen Telemedical link.
We were contacted today by a referring doctor that moved from a clinic in Banjul to the MRC unit in Fajara. Having set up a Swinfen Telemedical link to the Banjul clinic she was so impressed with our service that she wanted to set up a Swinfen link to the unit in Fajara which we have gladly put in place for her.
The MRC is a public hospital specialising in Adult and Paediatric medicine, Cardiology, TB and Liver disease. they have a range of diagnostic equipment and excellent availability of drugs, although they may not be the very latest. They have 42 beds, 6 Doctors, 30 nursesand many other research doctors contributing to the clinic service. For those patients that cannot afford to pay the hospital will waiver the fees, most will manage to pay as they are only charged a contribution towards the service.
Although there are many doctors at the unit, there are big gaps in their knowledge. At present there are only 2 adult physicians – the other doctors have either no specialty or are Paediatricians. They see a lot of dermatology and have no one with expertise in this field. They are however in a privileged position of being able to do investigations, but do not always know what to make of the results.