The Pedia-ER has reached the point that it is overflowing with patients. Considering that PGH is the transferring capital of the Philippines, it is no surprise that patients from all over the country come there for the possibility of getting in for a cheaper price. But contrary to popular belief, not all patients get in.
The usual story at the ER front desk of the Pedia Department:
A ____ yr old comes in for an admissible case (example:Dengue Fever II, Sepsis Neonatorum, AGE w/ signs of dehydration)
I, the triage intern, will ask for the name, age, the chief complaint, and work on the history and do a complete physical examination. If the patient has lab results I will look at them as well. I confirm with my resident that the patient is or is not admissible.
Parents: Doc, pwede na po ba sha maadmit? Naaawa na po kase kami sa kalagayan ng anak namin. (in English: Doc, can our patient be admitted now? We are very concerned with our baby’s condition.)
Intern/Resident: Nanay/Tatay/Lolo/Lola/other relative, Mukhang kailangang maconfine or maadmit ng pashente ninyo. Hindi niyo sha pwede iuwi dahil kelangan shang mabantayan sa hospital para mabigyan ng gamut na padadaanin sa swero at gawan ng karagdagang mga laboratory exam. Ang problema po ay ang PGH po ay puno na sa ngayon. Madami pong mga pashente na nandito pa rin sa ER dahil walang bakante sa ward. Tabi tabi na po ang mga bata, 3 sa isang stretcher. Nagkakahawahan na sila ng mga sakit dahil sa sikip sa loob. May iba nga po na nakaupo na lang sa tabi dahil wala na kaming mapaglagyan. Habang kaya pa ng pashente ninyo,dalhin niyo na lang sha sa ibang government hospital katulad ng National Children’s Hospital.
Parent: Baka naman po pwedeng pagbigyan niyo na po ang anak namin, nanggaling pa kaming Cavite/Batangas/Cebu (state your place).
Intern/Resident: Mam/Sir, hindi po kayo ang una naming tinanggihang pashente, madami na po kami napaalis dahil wala talaga kaming bakante. Sana man lang itinawag kayo ng ospital na pinanggalingan ninyo para alam ninyo na wala kaming bakante or sana napag-reserve namin kayo ng pwesto. Pero dahil bigla na lang kayong dumating dito, hindi ninyo nalaman na wala pala kaming lugar para sa kanya. Ilipat ninyo na lang sha sa National Children’s, at least doon po ay puro bata ang pashente. Dito kase halo ang bata at matanda.
The parents and relatives stare blankly and then consult with one another. Some will stay for a few hours and check if we will break down and let them in anyway, and some will just nod and leave right away. On rare occasions, some will get aggressive and fight us to let them in, saying that we are unfair. And when that happens…
Intern/Resident: Mam/Sir, kung pwede ko lang kayo i-admit ginawa ko na po sana kanina. Kaso po WALA KAMING BAKANTE. Hindi na rin po kaya ng mga doctor at nurse na pagsilbihan kayo ng maayos dahil sa dami ng inaalagaan nila. Kawawa lamang po ang pashente ninyo kung ititigil nio lang sha dito. Walang mangyayare sa kanya.
Grumble, grumble…
And that’s how my heart turned into stone. Welcome to the Philippines.
“detachment breeds competence, excessive emotional investments will only cripple one’s ability to act decisively and efficiently” -said the purple alien from distant regions of the galaxy
it’s “strike decisively and efficiently” and it’s “judicator auspex turmalis”, and so, i’m a dorko.
that’s depressing… im also a doctor, a surgery resident, and i wish the government or anyone can do something about it… but thats the truth and we have a job to do…