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Poll
Question: Are there enough doctors in Sri Lanka?
Oh yes...
no, i guess not.
WE NEED MORE DOCTORS, as the ones we have are useless
what difference would it make?
I prefer voodoo....

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Author Topic: Doctors in Sri Lanka?  (Read 16150 times)
Bassa
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Doctors in Sri Lanka?
« on: January 8, 2005, 12:19:19 PM »

So ppl what do you think... Do we have enough doctors in Sri lanka.... After a tsunami of course doctors will be in short supply, but in normal life??? Do our doctors really care about the patients? Do the ppl trust our doctors?

I personally feel a doctor being consulted privately in a foreign country, offers more attention to the patient than a doctor being consulted privately in Sri Lanka.?
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Bassa
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Re: Doctors in Sri Lanka?
« Reply #1 on: January 12, 2005, 11:41:46 AM »

Everybody, Pls place your Vote !!!!
Smiley
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wimal
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Re: Doctors in Sri Lanka?
« Reply #2 on: January 13, 2005, 03:09:45 PM »

Our Doctors are good, but we definitely need for of them then only the current Dr. will have rest

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chinthamanie
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Re: Doctors in Sri Lanka?
« Reply #3 on: January 26, 2005, 10:55:23 AM »

Sri Lankan doctors earn more money from ordinary people.The don't want to know about the people whether they are rich or poor.Morning,in the government hospital their habit like devils, but in the evening in private
nursing home they habitate like fairies,can,t see this WONDERFUL DIFFERENCE?
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adham
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Re: Doctors in Sri Lanka?
« Reply #4 on: February 5, 2006, 05:42:53 PM »

There are definitely good doctors back home in Sri Lanka, and some of them are wonderfully human and help out on a lot of poor patients coming to them, but, another handful o fdoctors, really do not care abou the patient, they are only interested inthe number of pateints that they are going to just brush through.  True , they are in short supply in most cases and have a hard time, since the demand is so very much too, but, really they should be more caring, since they are in such a very sensitive and important profession and their service is very essential and sensitive to human kind.
I wish that the docotrs were just more caring and make it a point to see only a few patients at a time, so that they could be more attentive. And most of all they should be prompt in their appointments and not come hours late, keeping feeble and old patients waiting for them for hours.  Its sometimes so pathetic to see people from far away from COlombo, with suffering written all over their faces, just sitting patiently for the doctor to come.
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IJ
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Re: Doctors in Sri Lanka?
« Reply #5 on: February 6, 2006, 12:43:49 PM »

I have never seen these so called doctors coming on time to any of the places that I've gone to (eg: Asiri, Durdens, Nawaloka etc)

Once I went to durdens with appoinment #2 for a doc. Even the arrival time given to us by the hospital and echanelling was 4pm, she (the doc) didnt show up till 4.40. When I asked da receptionist about the delay, she gave a call to the doc and said lamely "ma'am enawada?? patients la ewilla inne..." with showing all her teeth to da phone. There were about 10-15 patients were waiting for the doc @ dat time. When da time passed 5, I was !#!@#!@! fed up so I went da info. desk and asked what the heck is going on... she called again and told me the doc has more patients @ some other plc and will be coming soon... Since I could not stand that kinda utter bullsh*t I demanded my money back and went to Nawaloka and visited 1 of da docs there. Btw I wonder y most of us dont talk and stand up against these kinda behaviors...

This is 1 of da main reasons y I hate to go to those bast***s.
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Bassa
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Re: Doctors in Sri Lanka?
« Reply #6 on: February 6, 2006, 09:14:25 PM »

I understand you.

But picture this. After several years of toiling, a doctor passes out of university to enter the medical field. By this time he/she has been ragged, laughed at, shouted at, many a time. Overcoming all this he/she works as a intern, (that's 24hrs oncall duty 5 days a week) for a year.

Once a House Officer, he/she has to manage a whole ward with tons of patients with a very limited amount of resources. He/she has the knowledge and ability to cure someone, but shortages are many, and only the most severe cases are handled.

Try working with this pressure for about 5 yrs daily.

A person's mind gets so used to the situation that he/she may be initially very kind, but lack of fellow doctors, medicines, various apparatus causes a doctor in Sri Lanka unfortunately to be selective with his patients. Which means the doctor has to decide, who suffers and who gets cured.

Yes it's like Playing "God", and its a horrible thing to do.

This is the calamity at our Base Hospitals. A person with a backache is rarely taken seriously until he falls down unconscious... The doctors have no choice.. A certain amount of highly potent medicine are kept under lock and key in the ICU for SEVERE cases... That is victims of Bomb Blasts, Road Accidents. Strokes.. etc.

I'm trying to show you here that after such a work scenario doctors (also people) loose the ability to respect others time and money. They get used to the idea, that people will wait for them.

A consultant (once also a House officer), is no different, even when channeled privately. He/She has seen much, gone through much, your time is not a big deal to them. The ladder to success is at a very steep angle, and not everyone can climb it. Once your there, you reach out for all the branches. This is common for all trades, not only medicine.

So unless an otherwise we are given more reources to spare with, I'm afraid that the situations going to worsen.

A fellow doctor
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adham
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Re: Doctors in Sri Lanka?
« Reply #7 on: February 9, 2006, 11:18:24 AM »

Bassa , all the points raised by you are valid and very informative giving an insight which I little knew about.  BUt the bottom line is that the Medical profession is supposed to be a very sensitive profession, which no other line of work faces, since it deals in human beings and their health woes.  People becoming Doctors do know fully well what they are getting into.  People involved in this profession just cannot ignore the realities and the nuances that go along with this trade.  They have to be fully prepared to face the consequences and the hassles coming along with it.  I know of Doctors (not all ) who are very rude, and give out the feeling that they are not interested to hear all what you have to say.  Just opening up with your problem is enough for them to quickly beginning writing the prescription and the additional tests and whatnot that they would need.  This is what I was pointing at.  ON the other side of the coin there are excellent doctors who have carved out a niche and a reputation among their patients for the patient understanding and listening to the patient.  They may not be making big bucks this way ! but they do have the gratitude and appreciation from all their patients.
Once again my thanks to you for the insight that I never thought about.
Regards and best wishes.
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IJ
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Re: Doctors in Sri Lanka?
« Reply #8 on: July 15, 2006, 10:54:09 PM »

Hi Bassa... Sorry about the very late reply. Here's what I have to say.

Quote
After several years of toiling, a doctor passes out of university to enter the medical field. By this time he/she has been ragged, laughed at, shouted at, many a time. Overcoming all this he/she works as a intern, (that's 24hrs oncall duty 5 days a week) for a year.

So what is the difference between other undergraduate students and medical students? Ain't others get ragged laughed at, shouted at, many a time? why should the medical students be treated differently?

and if 1 doesn't like to work as an intern (24hrs oncall duty 5 days a week) for a year he/she should have chosen another carrier path. And this is something every medical student knows and they will have to face it. simple eh! You know... every carrier path has it's own pros and cons.
Quote
Once a House Officer, he/she has to manage a whole ward with tons of patients with a very limited amount of resources. He/she has the knowledge and ability to cure someone, but shortages are many, and only the most severe cases are handled.

Try working with this pressure for about 5 yrs daily. A person's mind gets so used to the situation that he/she may be initially very kind, but lack of fellow doctors, medicines, various apparatus causes a doctor in Sri Lanka unfortunately to be selective with his patients. Which means the doctor has to decide, who suffers and who gets cured.

Yes it's like Playing "God", and its a horrible thing to do.

Agreed. This happens. But ain't it his job to treat everyone equally? If he doesnt, he should be fired or authorities should taken action against him just like in other professions. What say you?

Quote
I'm trying to show you here that after such a work scenario doctors (also people) loose the ability to respect others time and money. They get used to the idea, that people will wait for them.

Its very bad eh? Is it BAD or not?  Huh and why we should take it easy when doc.s think about us in that way?

Quote
A consultant (once also a House officer), is no different, even when channeled privately. He/She has seen much, gone through much, your time is not a big deal to them. The ladder to success is at a very steep angle, and not everyone can climb it. Once your there, you reach out for all the branches. This is common for all trades, not only medicine.

If my time is not a big deal to that doc I'll go to another. Not all doctors think like this. Doctors do business. And if they don't treat the customer well the customer will move away to another. Hope you understand this is also common to all trades. And just remember that there are a lot of options available for patients these days. And patients are NOT stupid as in old days.  Grin

Quote
So unless an otherwise we are given more reources to spare with, I'm afraid that the situations going to worsen.

Well well... I was not talking about govt hospitals where they treat us free of charge. I was talking about channeling. So just tell me this. When a doctor has to visit 2 places in 1 day can't he do it on time?

Eg:
Please refer my earlier post on this thread. Following quote is from that post.
Quote
she called again and told me the doc has more patients @ some other plc and will be coming soon..

Just say that this doc had promised to visit Nawaloka at 1:30 p.m and Durdans at 4.p.m. Then why did she keep on treating patients at Nawaloka till 4.40 p.m? Is it because of the her love for mankind or money?

And you are telling "So unless an otherwise we are given more reources to spare with, I'm afraid that the situations going to worsen."
What spare resources you want when you do business? (Channeling is a business, ain't it?). It is your business and you should manage your time. As I said earlier when you do business you should do care about customer's valuable time. Its not only the doctors who should make money. So if a doctor doesn't work on time (literally of cos and I know that nobody's perfect) he/she will lose patients (at least me  Grin ) and there will be adverse publicity about him/her. And when it comes to me I will make sure or try my best that none of my family members, friends won't go to that doc (that doc = just another businessman whose not punctual).

Cheers!  Smiley

PS:
I am not jealous of doctors or anything like that.  Smiley I just wanted to show how bad some doctors can get.
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Bassa
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Re: Doctors in Sri Lanka?
« Reply #9 on: July 20, 2006, 02:06:42 AM »

Hello IJ,
Don't get me wrong, I'm not trying to defend that doctor...

I understand your frustration and genuinely feel that you are right.

Yes, channeling is a business, and not only channeling, even medicine is a business today, sadly enough.

As I see it, this is because of the fallbacks of our political system. There is no organisation whatsoever... trust me I know.

Why is channeling such a lucrative business? Why are doctors (specialists) in such demand? Why do they play the roles of God?
Did you ponder the answers to these questions?

I'll try to explain them

Working as a doctor in the government sector has very few privellages. Forget the privellages such as overtime pay, and tax free permits for vehicles. They don't exist anymore. Doctors aren't even pensionable anymore.

There is no underlying system to guard against overwork, no system to gratify the doctors service. In europe , the states and austrailia, there is a set amount of hours for any job, out of which practice is illegal. This ensures less stress, more work quality and on the whole a satified customer, a satisfied employee and a satistied employer (in this case the government). The employee is also paid a well fitting salary according to his employment status.

When these elements are missing.... you get chaos as we have in SL

As long as ppl will be there, they will need doctors. This is a fact.

SO on to the second question... Why do specialists think they can play God?
Mainly because there are only a few specialists. Most of them are in the Western Province.
Not all doctors can afford to become specialists... In Sri Lanka, Medical Postgraduateship is completely money levying. You have to complete at least ONE year in a foreign Hospital, preferably Europe, States or Austrailia.

Half the doctors who want to go ahead... don't have the money. The rest have to pull the correct strings... (its just not enough to have money)

So what we have is a few select doctors going abroad for a Post graduate. Out of these only a handful return... because they remember the dire conditions in which they have to practice. (the unefficient political system, unefficient health services organization, unavailable Basic Medical equipment............ )

Yes, we can all shout and call these doctors traitors.... leaving behind their country in the hour of need...  but remember one thing.. to treat a person is an art in itself.. you may have the wood, and your hands maybe well experienced at sawing wood.... what good is all this if you can't find a saw?

So those who come back do with the measely amount of resources available... And with the increasing queue of patients behind their tail... i think its only natural to feel like GOD...

I know, I know.. Someone will post again saying... but doctors should not think like that... they have to do EVERYTHING to save the patient... They knew this when they went to med school.

Doctors are also Human. They can ERR. They may be infatuated. Why should they care when their governement doesn't care! How come they are expected to work for free and work miracles without any help from the government?

So those who can, try to earn as much as possible. Neither your bickering nor complains will stop them, because THEY are In DEMAND. Unless and otherwise, something is done to correct the SYSTEM, this is how things are going to be!


Quote
Agreed. This happens. But ain't it his job to treat everyone equally? If he doesnt, he should be fired or authorities should taken action against him just like in other professions. What say you?

Quote
But ain't it his job to treat everyone equally?
Sad You really have no idea of how our base hospitals operate...  Sad

When disaster srtikes (like Kebithigollava Bomb blast) you really wouldn't like to be in the accident ward of A'pura hospital... Cos its a hopeless situation. The only reason I don't quit my job as a doctor - I still harbour hope for a better Sri Lanka.

Quote
If he doesnt, he should be fired
Wow, you're a real problem solver. World Health Organization recommends 1 doctor for 100 ppl. In sri Lanka its 1 doctor for 1000 ppl. That's 10 times more patients for each doctor. Remember DOCTORS WANT TO TREAT PPL EQUALLY. Shortages in resources don't let us treat them equally. If you brought 100 doctors from America and placed them under our working conditions - THEY WOULDN'T SURVIVE A DAY! We practically run a ward of 20 patients with resources meant for ONE person! That's another reason why SL doctors are in high demand abroad too

Quote
authorities should taken action against him just like in other professions
What action... The action to be taken is to furnish the hospitals with proper resources. You can't complain on negligence when you don't have the basic amenities! The authorities should also have taken care of the doctor, checked if he's working too much (a stressed out doctor can only do you HARM), see if his pay fits his needs. But this is all just a dream.... Who cares if the doctor didn't sleep ... (as he was oncall). Who cares?... That's my question exactly.

Lastly IJ, Why did you Channel a doctor? Why didn't you visit the OPD at general Hospital?
Don't expect Prompto Service like in the developed countries. We aren't that developed.
« Last Edit: July 20, 2006, 02:47:48 AM by Bassa » Logged

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