If your like myself your probably in fairly good health and the last thing on your mind is “how good is my nearby hospital?”. But its well worth checking out as it may save your life at some point or more importantly may actually kill you.
Over dramatization? you may think so initially until you’ve experienced a third world hospital in an emergency environment. The other day I was discussing with someone about locations to move to and it came up he had been a bit remote where he was living previously when he had a motorcycle accident. There was no ambulance and he had to be taken to the nearby hospital by police car. Upon arrival there was no medicines, no bandages pretty much a single roofed building with 4 rooms in it as well as very limited staff was pretty much it. His leg was fairly badly injured and they patched it up at the hospital where the doctor carried the work out in the ER corridor including stitching.
Shortly after he and his wife made the decision to try and get to a better facilitated hospital and it was a good decision to make. When arriving there the doctor at the new facility asked if they had done the repairs on his leg themselves since they were so bad. I believe a toe was also lost in the accident but now recovered a bit wiser to where they should be living in case of emergencies.
Even in the main towns and cities I have concern about abilities though another expat another problem, he had been ill for a few weeks and was losing considerable weight. He went to a doctor only advise was take tests and come back in 2 weeks. 6 doctors later and 2 months his body weight had halved but was lucky enough that the last doctor recognised the symptoms and immediately sorted out medication that healed him. Took several months to recover but the point is how much can you trust a doctors judgement if they’re only suggestion is take tests and see what happens?
But this is the other factor not yet mentioned and probably won’t get mentioned to you is that due to equipment failures your tests may not get done. In one woman’s case its likely have caused the death of her father as late diagnosis meant delayed treatment. The hospital didn’t tell her the machine was broke until after he had died yet they could have transferred to a better hospital if they had known.
Are the doctors not competent? My question would be are they all?? I remember a big stink being raised when a TV show had made a mockery of Philippines doctors certificates but why did they mock it in the first place? I don’t know enough about it but I will say this talking with Nimesh in India as he didn’t realise some doctors retrained here as nurses as it was easier to go abroad. Yet as I know from the UK and Nimesh as well there is always a shortage doctors. At Worcester hospital they actually fly them in from India due to being short of skilled medical surgeons and doctors so why would anyone retrain to a lower level unless its not recognised at the same standard? If its a case of the training is different wouldn’t it make sense to adopt a more international approach that would actually make it easy to transfer abroad as you would be recognised as a competent doctor?
Am I all doom and gloom on the medical front? I am biast on this generally because I don’t like hospitals and even in the UK I have had a few misdiagnosis by GPs a sprained ankle needing rest for example was two torn ligaments that needed regular exercise to stop the muscle tissue reforming around them. Resulted in having to have physio therapy to loosen the connections back up. I had also arrived back after a bad case of Dengue in the UK at which point my doctor (as I was still very ill and white as milk) started doing a medical Google on the internet as she didn’t know what Dengue was at the same time sent me off for tests for Malaria and several other things such as TB
At the same time though I would just say checkout the facilities in your nearby hospital and its capabilities. A recent scandal appeared in the news due to a government hospital having no doctors because they were all working in a private hospital nearby because they paid more (even though they were supposed to be at the government run hospital). Knowing your hospital and also those that people recommend may actually save your life as you will also know which ones to avoid.