Hepatitis (plural hepatitides) is a medical condition defined by the inflammation of the liver and characterized by the presence of inflammatory

cells in the tissue of the organ. The name is from the Greek hepar (), the root being hepat- (-), meaning liver, and suffix -itis, meaning "inflammation" (c. 1727).[1] The condition can be self-limiting (healing on its own) or can progress to fibrosis (scarring) and cirrhosis. Hepatitis may occur with limited or no symptoms, but often leads to jaundice, anorexia (poor appetite) and malaise. Hepatitis is acute when it lasts less than six months and chronic when it persists longer. A group of viruses known as the hepatitis viruses cause most cases of hepatitis worldwide, but it can also be due to toxins (notably alcohol, certain medications, some industrial organic solvents and plants), other infections and autoimmune diseases. Icteric sclera (yellowish discoloration of sclera Leprosy-leoning face-contracted face

Schistosomiasis (also known as bilharzia, bilharziosis or snail fever) is a parasitic disease caused by several species of trematodes (platyhelminth infection, or "flukes"), a parasitic worm of the genus Schistosoma. Snails serve as the intermediary agent between mammalian hosts. Individuals within developing countries who cannot afford proper sanitation facilities are often exposed to contaminated water containing the infected snails. [1] Although it has a low mortality rate, schistosomiasis often is a chronic illness that can damage internal organs and, in children, impair growth and cognitive development. The urinary form of schistosomiasis is associated with increased risks for bladder cancer in adults. Schistosomiasis is the second most socioeconomically devastating parasitic disease after malaria.[2] This disease is most commonly found in Asia, Africa, and South America, especially in areas where the water contains numerous freshwater snails, which may carry the parasite.

The disease affects many people in developing countries, particularly children who may acquire the disease by swimming or playing in infected water.[2] As children come into contact with the contaminated water source the parasitic snail larva easily enter through the human skin and further mature within organ tissues. As of 2009, 74 developing countries statistically identified epidemics of Schistosomiasis within their respective populations. [3] Schistosomiasis Bilharzia; Katayama fever; Swimmer's itch; Blood fluke Last reviewed: September 15, 2010. Schistosomiasis is infection with a type of Schistosoma parasite. Causes, incidence, and risk factors You get a schistosoma infection through contact with contaminated water. The parasite in its infective stages is called a cercaria. It swims freely in open bodies of water. On contact with humans, the parasite burrows into the skin, matures into another stage (schistosomula), then migrates to the lungs and liver, where it matures into the adult form. The adult worm then migrates to its preferred body part, depending on its species. These areas include the bladder, rectum, intestines, liver, portal venous system (the veins that carry blood from the intestines to liver), spleen, and lungs. Schistosomiasis is not usually seen in the United States. It is common in many tropical and subtropical areas worldwide. Symptoms Symptoms vary with the species of worm and the phase of infection. Heavy infestation (many parasites) may cause fever, chills, lymph node enlargement, and liver and spleen enlargement. Initial invasion of the skin may cause itching and a rash (swimmer's itch). In this condition, the schistosome is destroyed within the skin. Intestinal symptoms include abdominal pain and diarrhea (which may be bloody). Urinary symptoms may include frequent urination, painful urination (dysuria), and blood in the urine (hematuria).

Signs and tests Antibody test to checks for signs of schistosome infection Biopsy of tissue suspected of being infected Complete blood count (CBC) to check for signs of anemia Eosinophil count to measure the number of certain white blood cells Stool examination to look for parasite eggs Test for schistosome eggs in stool and urine Urinalysis

Treatment This infection is usually treated with the drug praziquantel. If the infection is severe or involves the brain, corticosteroids may be given. Expectations (prognosis) Treatment before significant damage or severe complications occur usually produces good results. Complications Bladder cancer Chronic kidney failure Chronic liver damage and an enlarged spleen Colon (large intestine) inflammation with bloody diarrhea Kidney and bladder obstruction Pulmonary hypertension Repeated blood infections can occur, because bacteria can enter the bloodstream through an irritated colon Right-sided heart failure Seizures

Calling your health care provider Call your health care provider if you develop symptoms of schistosomiasis, especially if you have traveled to a tropical or sub-tropical area where the disease is known to exist or if you have been exposed to contaminated or suspect bodies of water. Prevention Avoid swimming or bathing in contaminated or potentially contaminated water Avoid bodies of water of unknown safety

Snails are an intermediate host for the parasite. Getting rid of snails in bodies of water used by humans would help prevent infection. References
1. Carvalho EM, Lima AAM. Schistosomiasis (Bilharziasis). In: Goldman L,

Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 376. Review Date: 9/15/2010. Reviewed by: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Jatin M. Vyas, MD, PhD, Instructor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

How do I treat schistosomiasis? A: Schistosomiasis (or bilharzia), a disease caused by parasitic worms inhabiting the gastrointestinal or renal tract, is endemic in Africa and parts of South-East Asia.1 Infestation occurs after exposure to contaminated fresh water, and worms may live in the body for decades.2 Up to 41% of African refugees recently arrived in Australia have positive serology for schistosomiasis.1 Travellers swimming or wading in contaminated water may also be infected. The disease is often asymptomatic, but if left untreated may eventually cause serious complications, including kidney failure or bladder cancer. Diagnosis relies on serology a positive antibody response is detectable six weeks after initial infection.3 Current Australian treatment guidelines recommend two doses of praziquantel four hours apart. People recently infected may need a second round of praziquantel several weeks later, as it is only active against adult worms.2,3 Everyone with positive serology should have their faeces and urine examined for eggs by a pathology laboratory, to identify those with a high worm burden.1 If eggs are present, check for indicators of end-organ damage, a history of recurrent urinary tract infections, evidence of genital lesions or hydronephrosis. A renal ultrasound is indicated if eggs are present in the urine. Repeat the faecal or urine examination in three months and prescribe another round of praziquantel if eggs are still present. Common adverse effects with praziquantel include dizziness, headache, malaise, drowsiness, nausea, vomiting, abdominal pain and diarrhoea.1,2 Symptoms are usually mild and transient and many are thought to be caused by immune responses to dying worms.1 References 1. Australasian Society for Infectious Diseases Refugee Health Guidelines Writing Group. Diagnosis, management and prevention of infections in recently arrived refugees. Sydney: Australasian Society for Infectious Diseases, 2009

2. Gryseels B, et al. Lancet 2006;368:1106-18 3. Corachan M. Clin Infect Dis 2002;35:446-50 Tags: Schistosomiasis, bilharzia

Nurse disgraced in U.S. working in Canada CBC News Posted: Mar 9, 2011 8:53 PM ET Last Updated: Mar 9, 2011 10:08 PM ET Read 116 comments116 Facebook 14 5 1 Twitter 0 Share 15 5 Email Related Links IN DEPTH: Whose duty is it to care? Special report: Public Health, Private Lives DOCUMENT: California nursing board decision DOCUMENT: College of Nurses notification of McKenzie disciplinary hearing External Links College of Nurses of Ontario: Self-reporting Form CIHI report: Regulated Nurses: Canadian Trends, 2005 to 2009 CIHI report: Canadas Health Care Providers, 2007 (Note:CBC does not endorse and is not responsible for the content of external links.)

Nursing licence questions12:43 A Canadian woman whose California nursing licence was revoked over "gross negligence" is working at a Greater Toronto Area hospital, CBC News has learned. Rose McKenzie, 38, of Mississauga had her California nursing licence revoked in 2008 after being accused of overmedicating and failing to monitor a patient at California's UCSF Medical Center following a successful, routine neck surgery. She was a temp nurse employed through American Mobile Nurses Inc. at the time. The patient, Spencer Sullivan, stopped breathing Dec. 27, 2001, due in part to the overdose, which caused brain damage and left him quadriplegic. Less than a year after the incident, McKenzie moved back to Canada and began working at the Oakville Trafalgar Memorial Hospital.

Spencer Sullivan, 51, suffered brain damage and became quadriplegic. (CBC But it wasn't until recently that the Ontario nursing regulatory body began examining McKenzie's past. No alert system The case raises troubling questions about the lack of information sharing between regulatory nursing bodies across Canada and abroad. No formal mechanism exists to require nursing boards in one jurisdiction to alert other jurisdictions about nurses they have disciplined. Nurses in Ontario, for example, are expected to report any issues themselves. There were several times when McKenzie might have notified Ontario's College of Nurses over the past decade, including during a civil lawsuit and a disciplinary hearing in the U.S. Neither was under way when McKenzie began working at the Oakville hospital in 2002.

A picture of Rose McKenzie from a 1996 U.S. state nursing licence document. In 2005, a $6-million civil lawsuit, settled outside court, ascribed McKenzie with 40 per cent of the cost or $2.4 million for Sullivan's botched care. In 2008, California's Board of Registered Nursing revoked McKenzie's nursing licence after ruling that she had "engaged in gross negligence" in her care of Sullivan. The decision was later posted online. In his lawsuit, Sullivan's lawyer alleged that among McKenzie's missteps made during about 10 hours of post-surgery care starting the evening of Dec. 26, 2001, were: Overmedicating the patient by administering drugs ordered by two separate doctors without question. Failing to regularly check on him as instructed, leaving hours between visits. Failing to chart any of her activities with Sullivan until the following day. McKenzie says she made notes on scraps of paper instead of on the chart. Failing, along with another nurse, to respond quickly enough when Sullivan stopped breathing.

"Nurse McKenzie's care and treatment fell below accepted standards of care for a nurse," said Sullivan's lawyer Dan Hodes. "It did. There's no question about that." Disciplinary hearing to be held Last July, the College of Nurses of Ontario charged McKenzie with failing to "provide complete and accurate information to the college" when she was found to have committed professional misconduct in another jurisdiction. A disciplinary hearing is scheduled for May 6. Disciplinary hearings can result in a reprimand, fine, suspension or restriction in practice or even revocation of licence.

The College of Nurses of Ontario will hold a disciplinary hearing for Rose McKenzie in May. (CBC) The Oakville hospital said McKenzie is not currently working directly with patients, but wouldn't say when that began. McKenzie declined to talk with CBC News. "I'm sorry, I've been instructed not to make a comment," she said over the phone from her home in Mississauga. Hodes says Sullivan, 51, was a "high functioning, vibrant, charismatic guy" who was a nurse himself and ran a successful temp agency similar to the one that employed McKenzie. "And now he's a profoundly brain injured quadriplegic." "He was let down by his profession," said Hodes. "And he knows that." Sullivan's parents, Bill and Carol, both in their mid-70s, moved from their retirement home in Atlanta into a house with Sullivan in Laguna Hills, Calif., shortly after the incident and have been taking care of him ever since. "The nurse was the first line of defence," said father Bill Sullivan. "She failed her assignment." Spencer Sullivan, who can speak but suffers from short-term memory loss, says he's grateful to be alive. But, he adds, if he could deliver one message to McKenzie, it would be: "Tell her I said 'Hello.' And 'Go to hell.' That's where I think she belongs." System 'completely inadequate' Tips? If you have more information on this story, or other investigative tips, please email investigations@cbc.ca. Halton Healthcare Services, which oversees the Oakville hospital where McKenzie works, said in a letter that all its employees are "vetted through a detailed, rigorous application and screening process." The letter notes, however, that it's the college's role to ensure registered nurses meet requirements to work in Ontario. Ontario's College of Nurses said in a written statement that its members are required to selfreport within 30 days about any findings of guilt of an offence, professional negligence or malpractice and if any such proceedings are underway. But the college also acknowledged that the fact "a nurse is name in a civil lawsuit does not have to be reported" if it's settled out of court, as was the case with McKenzie. Nurses are required to answer questions about such issues on a "Self-reporting Form " filled out during the annual renewal of their licence. In Canada, there is no centralized system for provincial nursing boards to check a nurse's status in other jurisdictions.

McKenzie began working at Oakville Trafalgar Memorial Hospital after she moved back to Canada. (CBC) "Each jurisdiction has different legislation and rules about what information is made public," Ontario's college of nurses communications manager, Deborah Jones, wrote in an email. "Some provinces are required by legislation to send this information, others are not." Michael McBane, national co-ordinator of the advocacy group, Canadian Health Coalition, said reliance on self-reporting is "completely inadequate." "It's not acceptable in this day and age with this kind of technology to not to be sharing information when it's such critical information," said McBane. Ontario's Health Minister Deb Matthews says that the nurse's college in Ontario, as a selfregulatory body, is ultimately responsible for ensuring the nurses are qualified. She told CBC news that patients need to feel confident in the credentials of their health care professionals. "So if we need to strengthen [the system], I'm always looking at ways to make the system better for the people of Ontario," said Matthews. If you have more information on this story, or other investigative tips, please email investigations@cbc.ca.

Nurses Accused Of Negligence In Man's Death CALSTAR Flight Nurses Responded To Injured Bus Driver POSTED: 6:47 pm PDT May 14, 2009 UPDATED: 5:03 am PDT May 15, 2009 Email Print

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WOODLAND, Calif. -- State medical reviewers are accusing two local flight nurses of incompetence and gross negligence in the death of a Yolo County bus driver.

On Feb. 25, 2008, Quintin Jones crashed on Highway 16, and within minutes, emergency crews were at the scene. At that moment, according to a report from the Yolo County Coroner's Office, Jones was "crying," his breathing was rapid and his chest was moving. According to the report, two CALSTAR flight nurses -- who thought Jones was struggling to breathe -- made the decision to perform an emergency cricothyrotomy. In accusations filed by the California Attorney General's Office, state medical reviewers called that decision "unprofessional," clear "incompetence," and "gross negligence." The coroner went so far as to call it "therapeutic misadventure." The coroner ultimately ruled that Jones essentially bled to death because of the actions of flight nurses Thomas Zoltanski and Bradley Sidwell. The president of CALSTAR told KCRA 3 that he really can't comment due to pending litigation but added, "From our review by our medical staff, we don't see anything wrong in this case yet." If an administrative judge upholds the state's accusation, the two flight nurses could either lose their medical licenses or have them suspended. Read more: http://www.kcra.com/news/19466864/detail.html#ixzz1k9Nnfpt6

Victims of Medical Malpractice (Philippines) In the absence of a Medical Malpractice Law in the Philippines, it is the hope that this blogspot can serve as a vehicle to sensitize every Filipino to make sure they get proper health care from both doctors and hospitals. Tuesday, January 22, 2008 Horror Story at the Geriatic Floor: St. Luke's Medical Center From: Marlene Chance chancesr@bellsouth.net I am so sorry to hear about your loss. My mother was only one of the many victims of the negligence, incompetence, and malpractice of St. Luke's Hospital, many of it's doctors, and every single nurse who was assigned to my mother, no exception! As a

graduate of nursing from the University of the Philippines, I had the great misfortune of witnessing first hand, the incredible lack of compassion, basic nursing care and professionalism that nursing stands for, as well as the serious lack of basic intelligence from all the hospital's nurses that the St. Lukes employs and tolerates. The nursing duties and functions that were so simple and basic, and that should have all been mastered while in nursing school prior to graduation and licensure, all turned into major disasters and complications that could have ALL been prevented. These are only a few of the negligent and incompetent acts: (1) bed sores on my mother's buttocks on the third day of admission, not having been turned, moved or changed, (she was actually stuck to the soiled linen from old urine and feces) until I arrived from the United States to change her myself...there was absolutely no reason for decubitus ulcers on a third day, or any day for that matter, if basic nursing care is carried out. She was in a private room on the Geriatric floor where nobody changed patient's beddings for weeks at a time, or until forced to by the family of the patient. (2) fecal impaction which resulted in acute rectal bleeding and anemia, and subsequent and multiple blood transfusions, plus a stat colonoscopy that required anesthesia of course, in an already compromised patient. I begged for the attending (Sotomayor) to check her bowels DAILY, because she had not had a bowel movement in several days, and only on the 10th day, did I finally get an order in the chart for an INTERN (another incompetent future doctor at the time) to disimpact my mother, which resulted in bleeding and hemorrhage. (3) misuse of the appropriate antibiotics, having had a urine culture done, the attending ordered Amoxil which was not sensitive to the bacteria in her urine, and a few days later, she became septic and gradually deteriorated from untreated Urinary Tract Infection. This is a disease that we treat in the outpatient settings in the United States, it is basic, easy to treat, if standard care and protocols are followed. (4) As a Diabetic, drawing blood out of the lower extremity is an absolute CONTRAINDICATION, but the phlebotomists continued to take blood out of her feet when nobody was looking, or intentionally at dawn, when my mother's attendant was sleeping, and before I arrived for a visit. I posted signs all over the wall and bed, and informed the nurses and laboratory

supervisors never to allow blood drawing from any other part of her body aside from her arm, but nobody heeded my instructions. My mother died of a Massive Pulmonary Embolus after 45 days of admission at St. Lukes. This clot was a direct result of drawing blood from her lower extremities, simply because the medical technologists were too incompetent and too lazy to find any other vein elsewhere. (5) Physical Therapist burned my mother's left arm and shoulder while applying the ultrasonic heat, and not bothering to test before using on a patient. I found the burns myself, they were never reported. My mother sustained first and second degree burns that again, were dismissed as "normal and usual effects of being a patient at St. Lukes." That is not tolerated in the United States, would have required an incident report, which was never completed, and would have easily been grounds for negligent action and malpractice. (6) Tube Feedings. Not a single RN on the floor had the basic knowledge or skill as to the proper use and feeding process of my mother's PEG tube. They practically shoved the container of food as fast as they could, causing abdominal discomfort, unless I stood next to her bed to watch and supervise. Nobody on the floor even knew how to use the feeding tube machine on that Geriatric Floor. We had the supervisor, head nurse and director of nursing in my mother's room trying to figure out how to use this very simple machine that they should have been trained to use properly. Needless to say, because of the delay in feedings, my mother's nutritional status was compromised even more, resulting also in occlusion of her PEG tube, which of course required a replacement. The skills or lack of, in these nurses were pathetic, and unacceptable. (7) This was rather interesting. At 9 o'clock every morning, a clerk from the business office would knock at my mother's door to hand me the hospital bill, and ask how much I was paying that particular day! It did not matter how much of the expense these incompetent employees were costing me for their negligent actions, all that mattered is that I made a deposit towards the multi-million peso bill that multiplied every hour! And if I did not go down to make a payment, they would call to remind me until I did. At the ER, the hospital refused to treat my mother until my sister made a P10,000 deposit in the middle of the night, when the banks are closed! And on discharge, after Dr. Abraham-Lim's professional discount (the only decent doctor my mother had), we paid a 2 Million Peso hospital bill that did not include the

pharmacy and mutiple professional fees. I can go on and on with the numerous disasters, these are only a few that stick out in my mind and that I will never forget! There were clearly several instances where St. Lukes failed to meet the standard of care which directly caused injury and subsequent death to my mother. I made every effort to litigate, but unfortunately, there were no malpractice attorneys available in the country, and nobody was willing to take the case in the Philippines. I tried to publish the detailed scenario of the many terrible mistakes committed that eventually led to my mother's death, but the lawyers of this big corporate institution paid Manila Times and other newspaper publications not to publish my article. I wrote to the Secretary of Health, but got no response. I wrote and sent letters by certified mail, to the President and CEO of St. Lukes and to the Director of Nursing and the Nursing Department, and again, did not get any response. As a Filipina myself, I must say it is rather unfortunate that Filipinos and others who reside in the Philippines, have to fall victim to the poor and negligent, but very, very expensive medical care at St. Luke's Hospital every day. There must be a way to put a stop to this negligent care! Best of luck with your case! Marlene Cataylo Chance, ARNP, MSN, PhD, EJD Board Certified Family Nurse Practitioner Primary Care Physicians of Pembroke Pines 2488 University Drive Pembroke Pines, Florida 33324 954-983-9191 Posted by Victims of Medical Malpractice (Philippines) at 4:29 PM Labels: Horror Story at the Geriatic Floor: St. Luke's Medical Center 36 comments:

khaye said...

so disappointed with the Filipino health professionals.. they ca't be caleed professionals either.. they're so embarrassing! April 20, 2008 6:50 AM

khaye said... so disappointed with the Filipino health professionals.. they can't be called professionals either.. they're so embarrassing! April 20, 2008 6:51 AM

khaye said... hmm.. so disappointed with the Filipino health professionals.. they can't be called professional either..so embarrasing.. April 20, 2008 6:52 AM

TEDDY said... I understand your predicament. I can be of help. We can raise the Filipino consciousness on patients' rights. I am a lawyer and writing books on health and law in the Phils. I wrote books entitled Nursing Law Jurisprudence, and Professional Ethics, Community Health, etc. I am writing Medical Jurisprudence with a focus on patients advocacy Thanks July 9, 2008 11:49 PM

mhica said... wooohh!!! that was so horrible! I am a nurse too, but as I read this article, I really feel so ashamed of what they've done.St. Lukes is the most leading hospital in the Philippines, they should have the best health care services. They should really train their staff; really hard! They should also do something about it... July 24, 2008 10:49 PM

cheesea71181 said...

i would like to know: if a patient that was admitted to hospital has acquired bedsore, should the hospital be responsible for that? Here in US, bedsore injuries are considered hospital negligence and they can be sued for that. I am concerned about a family friend who has had bedsore while in one of the largest hospital there in the Philippines. The patient is in coma, he is not moving for almost 2 months now. And is developing large bedsores in his back. Family thinks that it is just normal because their father is now incontinent. But could it be preventable if the hospital has given the patient good nursing care? August 17, 2008 11:23 PM

dlsmcbatch2004 said... If every Filipino non-health or health professionals who are trained and working abroad have the courage of at least finding a way to go home at least once or twice a year to teach and share their expertise, have affiliated to each hospitals here in the Philippines then maybe soon we can solve our problems instead of always comparing ourselves to the ways of americans. We are still Filipinos no matter what and we still have to be responsible to our country and the rest of the Filipinos. September 23, 2008 3:24 PM

dlsmcbatch2004 said... If every Filipino non-health or health professionals who are trained and working abroad have the courage of at least finding a way to go home at least once or twice a year to teach and share their expertise, have affiliated to each hospitals here in the Philippines then maybe soon we can solve our problems instead of always comparing ourselves to the ways of americans. We are still Filipinos no matter what and we still have to be responsible to our country and the rest of the Filipinos. September 23, 2008 3:24 PM

dlsmcbatch2004 said... Maybe Khaye is not a Filipino That is why she stated "The Filipino health professionals" September 23, 2008 3:30 PM

nicolaa said... i agree with dlsmcbatch2004. we need to do something to improve our medical and nursing services...complaining and distancing ourselves wouldn't help. our families would have fared better if we took care of them ourselves. October 5, 2008 6:12 AM

Tutz said... ahmm.... hi... i am from a small hospital near pajo maynila... when i read your story, my hair at my nuchal stood up!!! i am also a nurse, first year. but i do understnd your situation... '' db nga sabi ni Florence nightingale, wag lng tumingn sa mismong sakit, dpt alm din ang mga posibleng ibubunga nit?'' basic info lng un,.... panu daw kaya sila nging DOC at RN? kung basic di nila alam? hay..... again, i feel sorry for you... condolence.. December 5, 2008 8:56 PM

FlipMD said... Unfortunately, this is not an uncommon reaction from distraught family members who feel they have been a victim or wrongdoing, however, I have to say this is a very inappropriate and unprofessional blog entry. Coming from a Filipino doctor-to-be, I am incredibly disappointed that Ms. Chance is brandishing other healthcare professionals in this manner. If a person, specially a healthcare professional has a problem with his/her colleagues, he/she must take up his/her concerns with the proper authorities or anyone trained to deal with the problem. This may or may not have been taught in nursing schools, but it is prevalent understanding that members of the medical profession must exercise self oversight with the universal belief that we are capable of handling this types of problems within our circle partly to: (1) avoid miscommunication of facts and truths and (2) to prevent triggering hysteria and misconceptions among the public about healthcare professionals. This is a very delicate balancing act that we hold dearly because patient trust on his/her healthcare provider is one of the MOST IMPORTANT aspects of effective patient-physician relationship; of course you can extend this relationship to who ever the patients entrusts her care. I hope your employer sees this blog and for you (Ms. Chance) to be REPRIMANDED yourself for your unprofessional conduct. Future Filipino Doc

Medical Student Houston, TX January 10, 2009 7:30 PM

SASU said... I am student nurse searching for cases like this. i was dismay about St. Luke's Nurses, they committed errors that are somehow commonly committed by students like us. i hope the government can do something about this negligence and malpractice so that we can prevent this really horrible acts.....i give my support and prayer to you and your family. January 26, 2009 6:57 PM

Reina said... I was also searching for some cases on medical malpractice. To FlipMD, Ms. Chance resorted to legal avenues but came back empty handed. How else can she seek justice but getting public support for reforms. How can we raise the consciousness of our citizens if cases such as this will always be covered up. This should be a wake up call not only to the medical profession but as well as to the nursing profession to raise their standards and ethics higher since after all, lives are at stake here. With the number of nursing graduates every year, what may have happened to the quality of their training and education?? July 18, 2009 8:33 AM

joieanne said... I never really thought this would happen.. I'm so sorry about this. I'm a nursing student from manila doctors college, and because of what i've read here,it's a wake-up call for me to strive harder to be the competent nurse that i can be.. October 13, 2009 5:24 AM

joieanne said... to FLIPMD, reina was right, if cover- ups will always be the actions taken by the authorities, negligence will just be a hobby of some professional nurses and doctors out there who often make mistakes that puts the lives of people at stake. Yes I agree,as professional healthcare professionals, we must strive to protect the integrity of our profession, and one way to preserve it, is to correct any wrongdoings that are actually destroying the lives of people we vowed to take care of and improve the quality of life... MISTAKES should always be exposed, so we can find solutions on how to prevent them from occuring over and over again, bringing the precious lives to WASTE.. October 13, 2009 5:34 AM

Unnamedsoul said... I'm so sorry for your loss... I can't believe i will read something like this from st. luke hospital. I'm a nursing student from laguna. If it's ok i'm going to share this with my classmates and my clinical instructor by a lecture when i rotate being a head nurse.Thank you for this wake up call. I'm so sorry about your mom... I'm so sorry. December 8, 2009 11:54 PM

David said... St Luke's clinic did a DNA test with me and my daughter by a Filipina and it stated I was not the dad and broke my heart but than found out the test was done wrong and I am the Dad. They out me through hell. Idiots they are...... February 24, 2010 7:36 AM

Erika said... The horror! I am so sorry for your loss. And so sorry for the way they treated your Mom. I am also a nurse myself and I'm quite shocked because St Lukes is known as a hospital which gives quality nursing care. If ever there's a chance for me to practice...I'll give it my all. February 27, 2010 4:10 AM

rina santos said... wheew., so disgusting and embarassing for all those medical health providers who are involved in the issue., i am rina santos who is currently a graduating student from ecumenical christian college here in tarlac city., as a concerned health care provider, as i go along your article, ido feel how hard it is for you those things that you have witnessed knowing that the hospital involved is one of the leading hospitals in the country., as far as i know, as a health care provider, in rendering your care to patients, you must have empathy or in other words, you must put yourself on their shoe and think of something that how would you feel if you are your patient and that thing, i presume that those providers has nothing in them., felt sorry for what happened but i guess this things must be notified in them.. March 2, 2010 8:03 AM

Jeffrey said... Hello Miss Chance... I am a medical student from UP... I can refer you to an expert lawyer on medical jurisprudence... She is actually a graduate of Medicine in UP Manila and Law in UP Diliman... you can email me at: jeffrey7i6@gmail.com March 11, 2010 10:15 AM

ma.lourdes said... Hello miss Chance I agree with you and I'm very disappointed for what that shit money making hospital. I'm a nurse also and at training without pay or allowance but I never leave my patient. I had 2 abandoned pt's and I've always check and change their linens do bed baths and DURING the time of endorsement I emphasize for the coming nurse to do so. Damn that Hospital curse their money making system. It's the money they LOVE and not their pt's. April 28, 2010 5:39 PM

julie ann said... that's so horrible,... grabe nman health care professionals na yan from St. Lukes Hospital,.. meh gnun plang scenario dun...grabe ang negligence and malpratice....case like that should be given focus on the country because health is wealth. they're so embarassing! June 27, 2010 2:18 AM

neryma said... hi!i have my case study about the malpractice here in the philippines can someone help regarding the cosmetic surgery malpractice also the case of Black Suedes in Cebu hospital and case about the death of someone because of malpractice also.Please i need your help!in somehow i can also help those victims because im working in media August 11, 2010 12:14 AM

amalia said... I knew how you feel.Sorry to hear about the lost of your love one. Iam a nurse myself(31 years), worked abroad for so many years, Sad to say standards of nursing profession is very low here.Look at the salary of the nurses,Is that a salary of a professional? Hope the body (PNA) will be able to put the status of the nurses on the professional level.They have to safeguard the integrity of the nurses too. amalia October 3, 2010 11:45 PM

Hal_Loves_Filipinas said... No surprise in the least. I am not ethnically a filipino, but have lived here a cumulative amount of time here, attended Nursing school and have been a patient in a hospital here, that I can speak with authority on the topic and verify beyond any level of doubt that the account written by the original poster is completely true and valid. The Philippines should be sued in international court for "false advertising." What do I mean by this?, you may be asking in thought... Well, in my experience, at least in the USA, where I worked in a major hospital in Southern California for 12 years full-time, then another 5 part-time after transitioning to full-time federal law enforcement, most filipino workers are VERY intelligent, highly trained and skilled and give most American workers a "run for their money" HOWEVER, travel a 12 to 16 hour trip over the Pacific Ocean to their homeland, and with RARE EXCEPTION, everyone is a Complete Brainless Idiot, who only pays attention to 1.... maybe 2 things. #1 Their God, which is MONEY no matter who tries to tell you otherwise, The prevailing mentality is "The PESO is worth dying for" the similar quote may have been made by a former leader, but in practice, my version is the reality. Then, coming in at #2 is Sex, especially the guys...well that one applies to almost anywhere, but over here it is turned into a product so that a group of exceptionally greedy bastards can get more of item #1, their God Money.

The more intelligent a person is, the less patience they will be able to muster in this place, which is assuredly the reason that the only people with even half a brain get out of here as soon as they possibly can. I would go back to the USA if I could, but although it would be the easiest route, it would be very foolish financially in my very specific case, so I'm stuck here and am trying to make the most of it by adding to my educational resume and professional certifications and TRY to help some people here to wise up. before leaving this place behind until I accumulate enough to retire here and pay other people to interact with the stupid people that fill this place while I only deal with the few intelligent people either completing their schooling, or have come back to retire here to stretch their Dollars, Pounds or Euros far enough to last the remainders of their lives and hopefully still provide an inheritance for their children. Anyway, Stupidity + Greed = the experience described by the original poster. October 24, 2010 9:16 PM

zhae_ae said... ..that's really terrible.. coming from the most advertised as best hospital in the country.. i can't believe such great hospital has this incompetent nurses.. i am a nurse too and i think this is a disgrace not only to them but to us nurses..you know. i mean.. those things are purely basics!! they shoud've learned those during their school years. and now.. because all of these flaws are published... what will happen to us nurses? competent or incompetent.. people from other countries will look down on us.. that we are not good enough.. because of others faults.. come to think of it.. yeah. it's their fault.. they don't know how to do this.. blah.. blah.. blah.. but they're Filipinos like us.. we live in the same country.. their names were not published. so.. the blame is put into us.. it will always be US NURSES!! it will always be "US" who will be affected.. FILIPINO NURSES. November 29, 2010 12:24 AM

GeeRamos said... I feel you. I'm still a student nurse and I see the importance of being true to my work and being compassionate. Your blog really inspired me not to be negligent. May God bless your mom's soul. Everything pays off in the end. Don't worry. I wish everyone especially the health providers would be aware of this and give importance to lives. January 7, 2011 6:44 AM

Reina said... In fairness to St. Luke's, i have seen improvements. Maybe because of feedbacks such as those found in this site, they have looked closer at their operations and have upgraded their services and care. May this not happen again to anyone. January 7, 2011 9:02 AM

aldrin james said... I agree to Khaye. I have a lot of Filipino friends and they told me that the health professionals in their country are very disappointing. Now after I read this blot post. I really believe what my friends told me. malpractice insurance rates and quotes February 10, 2011 6:31 PM

shan said... oh no!! preventing bed sores is such an easy way.. as a student nurse myself.. i find it disappointing while reading the article. i never ever expect that one of the famous hospital hires incompetent health care providers..SO EMBARRASSING!!! July 19, 2011 12:19 AM

kayem said... I relate on your story my mother also a victim of medical malpractice in a private hospital we admit her due to fever she was given an antibiotic and she suffer on allergic reaction after 4 days she died. the cause of death was steven johnson syndrome, septic shock, multiple organ failure. When I saw a poster about adverse reaction the signs symptoms showed there was present to my mother. I hope there is a justice in philippines for victim like us. August 22, 2011 6:57 AM

rhainnegervacio said... i havent read the previous comments and question posted here... However as a Filipina RN, i really feel bad about this. Did you file any lawsuit? those people who are liable should be punished. September 8, 2011 9:21 AM

tayanne said... This comment has been removed by the author. October 2, 2011 10:51 PM

tayanne said... My sister just recently died from one of the most reputed hospitals in Laguna, Phil. She was some months preggy and we were told that she had dengue. From the moment that she was admitted, we were waiting for blood transfusion but we were not asked to buy blood till twilight. When they asked us, my sister was already in the ICU. She died in less than 24 hours of being admitted. While in the ICU, the nurses and interns there kept telling us that she was having progress and all that... There were no doctors in the ICU. Nobody can tell us what was the real condition of my sister when we asked them.They said that her dengue was between level 2 -3 or 3- 4. In short, they couldn't really tell. Moreover, when I asked them what caused her coma, the answer was " we are assuming that it was her dengue"... what? Assuming? I was so enraged by their answers. Moreover, instead of finding a way to tell us what was happening to her, the nurses were more focus on asking us to sign some sort of a waiver which we gladly didn't sign. We wanted to talk to someone first. Apart from that, we received bills almost every hour.If it weren't for the health card,I wonder how much more we would have to pay. We were perplexed at her death because she was still okay in the morning of that day. She walked on her own and went to the comfort room. We went in that hospital with a high hope that she would be better... unfortunately, we left with her cold body. We are neither rich nor poor. We can pay for the services of the hospital. The cause of my sister's death is not our social status and not her sickness.... it is the negligence of the people whom we depend our lives to. How many more people should die before medical malpractices are given attention? October 2, 2011 11:01 PM

Arthur Anioay Pacio said... MAHIRAP MAGKASAKITBEWARE! My 5 month old grandson caught a mild strain of pneumonia and brought to the LAS PINAS DOCTORS HOSPITAL in Las Pinas City for treatment. He died after four days in this hospital. He was diagnosed with Pneumonia and treated as such until it was found out to be infected with STAPHYLOCOCCAL BACTERIA. A deadly infection. How can this be acquired? It is a NOSOCOMIAL infection. He was rushed to the hospital and was given an IV where it took 5 times in a row before incompetent nurses were able to shoot the IV to a vein on the child. The hospital should have assigned more competent staff, to attend to this kind of crisis, or at least a Doctor should be present to oversee the procedures. Another negligence committed by the staff of the hospital was when the oxygen tank on the patient was not replaced immediately after it was emptied. No available oxygen tank for replacement is readily available. They went to look for not so much emptied-tank to be used on my grandson and it took almost an hour to get one. An innocent as we are, we did not know what implications to the patient may have wrought on him. On the next day, the Doctors were already aware of other besetting infection which was STAPHYLOCCOCAL BACTERIA, thus they put him on ICU, NOT on an isolation room to sequester the patient. Before they put the patient in ICU, the hospital is more concern of reminding the patient to pay first before bringing the patient inside the ICU. Between life and death, you dont have a choice. KUMAPIT KA NA SA PATALIM! A medical malpractice attorney can help us determine liability and establish a claim against the offending hospital, but we are not planning to demand compensation from the hospital for their negligence. No amount of money could repay our loss. We have accepted reality that our child have reached his fate and already with his creator. We sympathize however with other patients that had been and others who would be vulnerable victims of negligence of this hospital. October 16, 2011 6:26 PM Post a Comment Newer Post Older Post Home Subscribe to: Post Comments (Atom) Blog Archive

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Home Metro Manila Medical malpractice? 6 forceps found in tummy abs-cbnNEWS.com Posted at 02/16/2011 10:03 PM | Updated as of 02/16/2011 10:19 PM MANILA, Philippines - A woman is seeking justice after her live-in partner died allegedly after surgical equipment were left inside him post-operation. Hannah, not her real name, still can't believe what happened to her live-in partner Roger Panzo. She recounted that on January 30, Roger was brought to the FEU-Nicanor Reyes Medical Foundation (NRMF) Medical Center after he sustained gunshot wounds in a robbery incident in Caloocan. He was operated on and was able to recover, but the surgical wound was not closed immediately. The hospital said it was done to be able to monitor the patient closely. "They could not control the bleeding, so it was decided to keep the OS inside the abdomen first," said Dr. Deane Campo-Cruz, Chief of Clinics at the FEU-NRMF Medical Center. Roger, however, suddenly died on Febraury 1. When his body was brought to the morgue, several instruments were recovered from his body. "Basahan, hindi ko po alam kung ilang basahan, basta anim na forceps sa katawan niya, [tapos] ilang tahi," said Hannah. "Kahit na hindi naman tayo duktor o ano, ibig sabihin dapat kapag nag-expire na ang pasyente, dapat ina-ayos nila," said Oliver Bueno, owner of Holy Hour Funeral Home, where Roger's body was brought. A report from the police's Scene of the Crime Operatives (SOCO) unit said he died from gunshot wounds, but the police said the instruments left inside him could have contributed to hastening his death.

"Based doon sa SOCO report.. napag-alaman na hindi naisara ito after the operation, and nakarecover ng 6 na forceps," said Supt. Jude Santos, chief, Caloocan Police. The hospital, however, said they do not see any malpractice in the incident. They said they meant to leave the surgical equipment inside the body for the medico-legal to examine. "Our residents did try to coordinate with the funeral parlor to tell them that there were still instruments left there then they have to take care of that, so that the medico-legal officer can take care of them later on," said Campo-Cruz. The Philippine Hospital Association (PHA) sided with the hospital. "Walang kasalanan ang mga duktor doon because, itong pasyente is really, shall we say, literally patay na ang pasyente eh. Binuhay lang nila," said Dr. Leo Olarte, PHA legal counsel. Hannah, however, said she is not accepting the hospital's explanation. Roger's family is planning to sue the hospital for negligence, and for reckless imprudence resulting in homicide. Jasmin Romero, ABS-CBN News We recommend

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14 comments schnell Geld verdienen

by Nguyet75 on Thu, 12/29/2011 - 00:47 Die Peso convertible Ihr meschugge wuppen ignobel und schnell Geld verdienen voller skandieren segnen tierisch erwiesen wegzugehen devot fad Schreckenswort entsprechend zwitschern erblichen auszusaugen sie beleidigen zeihen schick diejenigen auferstehen Maren tun und verbringen phonetisch determiniert vier.

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I think there's no by unruffledsanctuary on Fri, 02/25/2011 - 13:50 I think there's no malpractice happened. It's just lack of health teaching, which is one of the responsibilities of medical practitioners, especially nurses. These is a challenge for all aspiring medical practitioners and nurses. They must know more of their profession well.

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I think there's no by unruffledsanctuary on Fri, 02/25/2011 - 13:50 I think there's no malpractice happened. It's just lack of health teaching, which is one of the responsibilities of medical practitioners, especially nurses. These is a challenge for all aspiring medical practitioners and nurses. They must know more of their profession well.

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I agree on gatchi. I work in by ermitanyo on Sun, 02/20/2011 - 05:46 I agree on gatchi. I work in the operating room since 1996 especially traumas. No medical malpractice. The biggest mistake that the residents/attending surgeons did was "Failure to Communicate". Why do they only need to communicate with the funeral parlor that there were still instruments or sponges left behind the patient. I think the family needs to know first...explain well why & what's the purpose leaving such items inside the patient's belly. The family has the right to be updated before,during & after the operation. It's hard for family members waiting without knowing what's happening inside the operating room or the prognosis of the patient. I would consider this as negligence on the part of the hospital. All I can say is, family members needs to be aware somehow. Having empathy is part of being human. nhermit

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rethink!

by gatchi on Sat, 02/19/2011 - 22:19 Please guys... READ ON DAMAGE CONTROL SURGERY! In some cases FYI, patients can be operated on at the E.R. There's this thing called Emergency Department open thoracotomy (Again, read on it). In DCS, clamps and packs can be left in the abdomen to control the bleeding. The goal is to control all the bleeders and optimize the patient at the ICU for a definitive treatment. Guys mag isip naman kayo! Wait, sino ba ang kalaban natin sa case na ito? Di ba yung bumaril and NOT the doctors? Kung walang masamang bumaril sa kanya e di wala sana sya sa hospital! Let's focus on the issue. I don't even know why he was shot in the first place. Was he a bystander and was a victim of a stray bullet? We don't know cause we are sensationalizing the story to medical malpractice! It is quite impossible that the relatives will not be informed of the condition. DCS is a rare surgery and after the operation it is imperative that the relatives would ask for the doctor and vice versa. Are the relatives having problem with the hospital bills that's why they are making such issue? Please get all the details before blaming the surgeons. I could not even believe that the patient survived after 2 days with such extensive injuries (gun shot to the KIDNEY, LIVER and LUNGS!) Thanks to the doctors that they were able to bring him out of the operating room with a heartbeat! The instruments FYI are sterile and cannot cause the infection. Yes nag iisip ang mga doctor kaya magbasa kayo at mag isip din. For the last time, read on the topic: DAMAGE CONTROL SURGERY

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Please guys... READ ON DAMAGE by gatchi on Sat, 02/19/2011 - 22:15 Please guys... READ ON DAMAGE CONTROL SURGERY! In some cases FYI, patients can be operated on at the E.R. There's this thing called Emergency Department open thoracotomy (Again, read on it). In DCS, clamps and packs can be left in the abdomen to control the bleeding. The goal is to control all the bleeders and optimize the patient at the ICU for a definitive treatment. Guys mag isip naman kayo! Wait, sino ba ang kalaban natin sa case na ito? Di ba yung bumaril and NOT the doctors? Kung walang masamang bumaril sa kanya e di wala sana sya sa hospital! Let's focus on the issue. I don't even know why he was shot in the first place. Was he a bystander and was a victim of a stray bullet? We don't know cause we are sensationalizing the story to medical malpractice! It is quite impossible that the relatives will not be informed of the condition. DCS is a rare surgery and after the operation it is imperative that the relatives would ask for the doctor and vice versa. Are the relatives having problem with the hospital bills that's why they are making such issue? Please get all the details before blaming the surgeons. I could not even believe that the patient survived after 2 days with such extensive injuries (gun shot to the KIDNEY, LIVER and LUNGS!) Thanks to the doctors that they were able to bring him out of the operating room with a heartbeat!

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FEU-NRMF: The truth behind the lies by kristofercaneromd on Sat, 02/19/2011 - 18:08

Two days ago a malicious headline accused FEU-NRMF of malpractice. The headline that shocked most people claimed gunting, injection at ilan pang instrumento naiwan sa katawan ng isang lalaki to most people who do not have any inclination to medicine and to its practice it clearly sounds as if there was negligence of some sort. It troubled me deeply to know that my alma mater is the very center of this issue. But never did I doubt in the knowledge and capability of my colleagues and our medical staff, I knew there was some reason behind this careless journalism. I was not present when it all happened but a colleague who was there told me all she knew. And I just cant sleep without sharing our side of the story to everyone. Because that malicious headline has blown up into a big story that has evolved so much, tainting the good name of my alma mater and creating an unfair stigma to FEU-NRMF doctors and staff. The said man was rushed in our ER in a very critical condition due to gunshot wound/s (am not really sure how many). He was directed to the operating room for exlap. I prefer to write in lay man terms as most may be overwhelmed by medical jargon and for better understanding of the matter. Tinignan ang loob ng katawan upang makita ang mga organs at parte na maaring nasira ng injury nya. Habang nasa OR ang pasyente patuloy ang pagdudugo sa loob ng katawan. Wasak ang kanyang atay, butas ang mga parte ng bituka at patuloy ang pagdudugo ng bato. Sinubukang ayusin ang mga nasira at nbutas na organs. Subalit patuloy ang pagdudugo at lubos na mababa na ang blood pressure ng pasyente kahit na patuloy siyang sinasalinan ng dugo at ng mga fluids para maitama ang napakarami ng dugong nawala dahil sa mga sugat nya. Napagdesisyunan ng mga doctor na ipag paliban ang pag oopera dahil maaring mamatay siya ng tuluyan kung ipagpapatuloy ito. (kayat nilagyan ng babcock clamp ang mga dumudugong ugat at nilagyan ng packing o mga gasa ) hindi tinahi pero nilagyan ng drain at ng plastic barrier para di matuyuan ang mga bituka. (http://www.docstoc.com/docs/21536453/Damage-Control-SurgeryTemporizing-...) . karaniwan itong ginawa kapag unstable ang pasyente sa isang opersayon. Dinala ang pasyente sa Critical care unit upang mastabilize at ma obserbahan at kung mas magiging maayos siya ay ooperahan ulit para tapusin ang operasyon. Ininform ang mga kamaganak sa kalagayan ng pasyente. Subalit habang hinihintay na mas maging stable ang lagay niya, sa kasamaang palad ay hndi na kinaya ng kanyang katawan at siya ay namatay. That was what transpired. The patient was never stable unlike the rumors that had spread around that he was stable for days before he died. It was nearly 48 hours when the patient succumbed due to the extensive wounds that caused so much blood loss. Now there were so many questions and accusations around. And from what I know and from my point of view this is what I think: The police in the news claimed: maaring ang mga instrumentong naiwan ay nagdulot din ng pagkamatay nya Para sa kaalaman ng lahat, ang mga instrumentong iniwan na ito ay sterile hindi ito basta pinulot lang sa OR. Dumaan ito sa isang proseso parang masigurong walang bacteria o germs ang mga ito. Kayat malayong itong ang naging dahilan ng kanyang pagkamatay. sa halip ito ang tumutulong upang mapaampat ang malakas na pagdudugo sa mga sirang ugat na dulot ng gunshot. Bakit iniwan ang mga instrument nang alisin ang bangkay sa morgue ng ospital?

Sa totoo lang, ito din ang unang pumasok sa aking isipan. Bakit nga ba? Hindi ako sigurado sa procedure ng pag release ng katawan ng mga pasyente ngunit bukod sa ito ay isang kasong medico legal, naisip ko din na kung tatanggalin ang mga clamp, ay maaring dumaloy muli ang dugo kayat nararapat lang na sa embalming area na ito matanggal. Bukod pa dito kung tinggal ang clamp at nagdugo ulit ang mga sugat sa tyan dun maaring sabihin at akusahan nila ang ospital ng kapabayaan. Ang tanging pagkakamali at pagkukulang sa aming parte ay ang miskomunikasyon sa pagitan ng punerarya. If only the media would be more careful in delivering their reports, then none of these would have happened. They should have been more careful with their terms for there was no scissor, nor injection found inside the mans body. Damage has been done to us, to our institution. For those who did not know the truth behind those false reports, our institution will remain incompetent, careless and irresponsible. The media should do their part in letting the public know the truth and correct the misconceptions for they started it. As for the bereaved family of the man, you know our doctors did their best to save your loved one. I pray for the repose of his young soul. As for the readers of this note, i appeal to you to open your minds regarding this misconception. Our institution was just a victim of imprudent and reckless accusations. We do not claim that we are perfect but we are never negligent, we treat our patients with utmost care and compassion. And we strive to deliver quality healthcare services that our patients deserve. There are so many other statements that are offending but I know the truth There was no negligence, no malpractice of anyway. Kudos to our dear doctors who did their best to save that mans life too bad their good intentions were misconstrued. And despite all the ill-remarks, misconceptions and accusations still am proud to be an FEUNRMF alumni..:) Ad astra per aspera

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an absolute malpractice by ravnos on Thu, 02/17/2011 - 21:26 based on the course of events: 1. patient operated in ER 2. patient was alive and brought to ICU 3. patient expired after 2 days in this case, the patient was operated and was brought to the ICU... ni hindi pa pala nasara yung mga sugat. sabi pa: "They said they meant to leave the surgical equipment inside the body for the medicolegal to examine.", baket iniwan lang doon? alam ba talaga nila ginagawa nila? parang nurse lang na hindi marunong mag-inject pero ang tanong, patay na ba ang patient nung iniwan nila yung forceps na yun? hindi ba nila naisip na it can possibly cause infection to the patient kung iniwan nila yun dun? worse, may basahan or let's consider na may gasa pa na naiwan? intentional din ba yun? I don't think so.

another statement that i find so lame is "Walang kasalanan ang mga duktor doon because, itong pasyente is really, shall we say, literally patay na ang pasyente eh. Binuhay lang nila,". This does not suffice as an excuse. So binuhay nila, then great! what's with the 'basahan' and forceps inside? also, I don't think it is right for any doctor to say "patay na actually yan, binuhay ko lang". It is the duty of the doctor in charge to assure that all possibilities are be done to save a man's life.

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Regarding your question kung by haragan on Wed, 02/23/2011 - 16:17 Regarding your question kung patay na ba yung patient nung nilagay yung mga forceps(actually hindi forceps yung iniwan kundi BOBCOCK), siyempre buhay pa yung pasyente, nilagay yung mga instrument na yun to prevent the patient from bleeding to death. It is ment to save the life of the patient. Sa tanong mo naman kung hindi ba nila naisip na it can possibly cause infection to the patient kung iniwan nila yun dun? Let me educate you a bit about the instrument in the o.r and ill put it in terms you can understand...Lahat ng instrumentong ginagamit pang opera ay dumadaan sa isang proseso ng paglilinis. Hindi lang ito basta hinuhugasan ng sabon o dishwashing liquid. Dumadaan ang mga ito sa proseso ng pagpatay sa mga bacteria na mas matindi pa sa kumukulong tubig.Ang tawag dito ay AUTOCLAVING(i-google mo para mas maintindihan mo). Hindi lang basta pinupulot ang mga gamit sa kung saan at ilalagay sa pasyente, ok...and there is a big difference between BASAHAN and GASA. At sa huling statement mo na I don't think it is right for any doctor to say "patay na actually yan, binuhay ko lang". It is the duty of the doctor in charge to assure that all possibilities are be done to save a man's life. ... yes its the duty of the doctors to assure all the possibilities, kaya nga ginawa nila yung dapat at yung tamang Gawin eh.di mo lang siguro naintindihan yung ginawa nila kaya ka nagrereact ng ganyan. Next time read first about the procedure if your not sure before you comment or better yet DONT...

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absolutely a malpractice by binibini7 on Thu, 02/17/2011 - 10:59 its a case to case basis..in this case the relatives should be given a consent to sign to let them know what will happen,but if the patient had already a ADVANCE DIRECTIVES,its more better.but obviously neither of these documents were avail.in a normal case,we count the instrument before the closing to avoid this kind of situations and its A FEDERAL LAW here in the states!come on FEU dont tell us those crap!

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Nursing Management Schistosomiasis Regularly monitor and record the patient's temperature. Provide increased fluid and nutritional intake. When administering a prescribed antipyretic, minimize chills and diaphoresis by following a regular dosageschedule. Promote patient comfort by maintaining a stable room temperature and providing frequent changes of bedding andclothing. For high fevers, initiate treatment with a hypothermia blanket. Prepare the patient for laboratory tests, such as complete blood count and cultures of blood, urine, sputum, andwound drainage.

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FILARIASISDefinition Filariasis (Philariasis) is a parasitic and infectious tropical disease, that is caused by thread-like filarial nematode worms.There are 9 known filarial nematodes which use humans as the definitive host. These are divided into 3 groups according tothe niche within the body that they occupy: Lymphatic Filariasis, Subcutaneous Filariasis, and Serous Cavity Filariasis. Causes Lymphatic Filariasis is caused by the worms Wuchereria bancrofti, Brugia malayi, and Brugia timori. These worms occupythe lymphatic system, including the lymph nodes, and in chronic cases these worms lead to the disease Elephantiasis.Subcutaneous Filariasis is caused by Loa loa (the African eye worm), Mansonella streptocerca, Onchocerca volvulus, andDracunculus medinensis (the guinea worm). These worms occupy the subcutaneous layer of our skin, our fat layer. SerousCavity Filariasis is caused by the worms Mansonella perstans and Mansonella ozzardi, which occupy the serous cavity of theabdomen. In all cases, the transmitting vectors are either blood sucking insects (fly or mosquito) or Copepod crustaceans inthe case of Dracunculus medinensis. Signs and Symptoms The most spectacular symptom of lymphatic filariasis is elephantiasisthickening of the skin and underlying tissueswhichwas the first disease discovered to be transmitted by a mosquito bite. Elephantiasis results when the parasites lodge in thelymphatic system.Elephantiasis affects mainly the lower extremities, while the ears, mucus membranes, and amputation stumps are affectedless frequently. However, different species of filarial worms tend to effect different parts of the body: Wuchereria bancroftican affect the legs, arms, vulva, and breasts, while Brugia timori rarely affects the genitals. Interestingly, those who developthe chronic stages of elephantiasis are usually amicrofilaraemic, and often have adverse immunlogical reactions to themicrofilaria as well as the adult worm. Medical Management The recommended treatment for killing adult filarial worms in patients outside the United States is albendazole (a broadspectrum anthelmintic) combined with ivermectin. A combination of diethylcarbamazine (DEC) and albendazole is alsoeffective.In 2003 the common antibiotic doxycycline was suggested for treating elephantiasis. Filarial parasites have symbiotic bacteria in the genus Wolbachia, which live inside the worm. When the symbiotic bacteria are killed by the antibiotic, theworms themselves also die. Clinical trials in June 2005 by the Liverpool School of Tropical Medicine reported that an 8 week course almost completely eliminated microfilaraemia. Nursing Management If the patient is uncomfortable, provide an antipyretic, tepid sponge bath, or a hypothermia blanket.

 Expect to obtain blood for routine blood work, platelet and white blood cell counts, liver and renal function studies,erythrocyte sedimentation rate, and blood cultures. Prepare the patient for other diagnostic tests, such as chest X-ray, computed tomography, liver and spleen scan,lymph node biopsy, or lymphography, to visualize the lymphatic system. If tests reveal infection, check your facility's policy regarding infection control and isolation precautions. Prevention Prevention includes giving entire communities medicine that kills the microscopic worms and controlling mosquitoes.Avoiding mosquito bites is another form of prevention. The mosquitoes that carry the microscopic worms usually bite between the hours of dusk and dawn. If you live in an area with lymphatic filariasis, you should: sleep under a mosquito net. use mosquito repellant on your exposed skin between dusk and dawn. take a yearly dose of medicine that kills the worms circulating in the blood. The medicine will kill all of themicroscopic worms in the blood and only a fraction of the adult worms. MALARIADefinition Malaria is a vector-borne infectious disease caused by protozoan parasites. It is widespread in tropical and subtropicalregions, including parts of the Americas, Asia, and Africa. Each year, there are approximately 515 million cases of malaria,killing between one and three million people, the majority of whom are young children in Sub-Saharan Africa. Causes Malaria is caused by protozoan parasites of the genus Plasmodium (phylum Apicomplexa). In humans malaria is caused by P.falciparum, P. malariae, P. ovale, P. vivax and P. knowlesi. P. falciparum is the most common cause of infection and isresponsible for about 80% of all malaria cases, and is also responsible for about 90% of the deaths from malaria. ParasiticPlasmodium species also infect birds, reptiles, monkeys, chimpanzees and rodents. Signs and Symptoms Symptoms of malaria include fever, shivering, arthralgia (joint pain), vomiting, anemia (caused by hemolysis),hemoglobinuria, retinal damage, and convulsions. Medical Management There are several families of drugs used to treat malaria. Chloroquine is very cheap and, until recently, was very effective,which made it the antimalarial drug of choice for many years in most parts of the world. However, resistance of Plasmodiumfalciparum to chloroquine has spread recently from Asia to Africa, making the drug ineffective against the most dangerousPlasmodium strain in many affected regions of the world. In those areas where chloroquine is still effective it remains thefirst choice. Unfortunately, chloroquine-resistance is associated with reduced sensitivity to other drugs such as quinine andamodiaquine. Nursing Management Good nursing care of the patient with severe malaria is of vital importance. Ensure meticulous nursing care. This can be life-saving, especially for the unconscious patient. Maintain a clear airway. Nurse the patient in the lateral or semi-prone positionto avoid aspiration of fluid. Insert a

nasogastric tube and suck out the stomach contents to minimize the risk of aspiration pneumonia. Aspiration pneumonia is a potentially fatal complication that must be dealt with immediately (see inside back cover flap). Turn the patient every 2 hours. Do not allow the patient to lie in a wet bed. Pay particular attention to pressure points.Keep a careful record of fluid intake and output. If this is not possible, weigh the patient daily in order to calculate theapproximate fluid balance. Prevention Speak with your physician or local travel clinic to receive up to date information about the best malaria protection for you.Effectiveness of any given medication varies by the region of the world in which you plan to travel. Effectiveness also variesfrom year to year, so current information is essential.Prevention is based on: evaluating the risk of exposure to infection preventing mosquito bites by using mosquito repellant, bed nets, and clothing that covers most of the body chemoprophylaxis (preventive medications)

DENGUEDefinition Dengue fever and dengue hemorrhagic fever (DHF) are acute febrile diseases, found in the tropics and Africa, and caused byfour closely related virus serotypes of the genus Flavivirus, family Flaviviridae. Causes Dengue fever can be caused by any one of four types of dengue virus: DEN-1, DEN-2, DEN-3, and DEN-4. Infection withone virus does not protect a person against infection with another.A person can be infected by at least two, if not all four types of the dengue virus at different times during a life span, but onlyonce by the same type. Signs and Symptoms This is manifested by a sudden onset of severe headache, muscle and joint pains (myalgias and arthralgiassevere pain givesit the name break-bone fever or bonecrusher disease), fever, and rash. The dengue rash is characteristically bright red petechiae and usually appears first on the lower limbs and the chest; in some patients, it spreads to cover most of the body.There may also be gastritis with some combination of associated abdominal pain, nausea, vomiting, or diarrhea. Medical Management The mainstay of treatment is timely supportive therapy to tackle shock due to haemoconcentration and bleeding. Closemonitoring of vital signs in critical period (between day 2 to day 7 of fever) is vital. Increased oral fluid intake isrecommended to prevent dehydration. Supplementation with intravenous fluids may be necessary to prevent dehydration andsignificant concentration of the blood if the patient is unable to maintain oral intake. A platelet transfusion is indicated in rarecases if the platelet level drops significantly (below 20,000) or if there is significant bleeding.

Nursing Management Proper nursing management of dengue fever requires collection of multiple blood draws; serial hematocrits until one to twoafter fever resolution allow detection of hemoconcentration. Prevention Turn pails and watering cans over and store them under shelter. Remove water in plant pot plates. Clean and scrub the plate thoroughly to remove mosquito eggs. Avoid the use of plant pot plates, if possible. Loosen soil from potted plants to prevent the accumulation of stagnant water on the surface of the hardened soil. Do not block the flow of water in scupper drains along common corridors in HDB estates. Avoid placing potted plants and other paraphernalia over the scupper drains. Cover rarely used gully traps. Replace the gully trap with non-perforated ones and install antimosquito valves. Cover bamboo pole holders after use. Rainwater can potentially accumulate in these bamboo pole holders if they areuncovered and create a habitat. No tray or receptacles should be placed beneath and or/ on top of any air-conditioning unit so as not to create acondition favourablefor mosquito breeding. Use insect repellant CANCER Definition Cancer (medical term: malignant neoplasm) is a class of diseases in which a group of cells display uncontrolled growth(division beyond the normal limits), invasion (intrusion on and destruction of adjacent tissues), and sometimes metastasis(spread to other locations in the body via lymph or blood). Causes Cancer is a diverse class of diseases which differ widely in their causes and biology. The common thread in all knowncancers is the acquisition of abnormalities in the genetic material of the cancer cell and its progeny. Research into the pathogenesis of cancer can be divided into three broad areas of focus. The first area of research focuses on the agents andevents which cause or facilitate genetic changes in cells destined to become cancer. Second, it is important to uncover the precise nature of the genetic damage, and the genes which are affected by it. The third focus is on the consequences of thosegenetic changes on the biology of the cell, both in generating the defining properties of a cancer cell, and in facilitatingadditional genetic events, leading to further progression of the cancer. Signs and Symptoms Local symptoms: unusual lumps or swelling (tumor), hemorrhage (bleeding), pain and/or ulceration. Compression of surrounding tissues may cause symptoms such as jaundice (yellowing the eyes and skin).

Symptoms of metastasis (spreading): enlarged lymph nodes, cough and hemoptysis, hepatomegaly (enlarged liver), bone pain, fracture of affected bones and neurological symptoms. Although advanced cancer may cause pain, it isoften not the first symptom. Systemic symptoms: weight loss, poor appetite, fatigue and cachexia (wasting), excessive sweating (night sweats),anemia and specific paraneoplastic phenomena, i.e. specific conditions that are due to an active cancer, such asthrombosis or hormonal changes. Medical/Surgical Management Cancer can be treated by surgery, chemotherapy, radiation therapy, immunotherapy, monoclonal antibody therapy or other methods. The choice of therapy depends upon the location and grade of the tumor and the stage of the disease, as well as thegeneral state of the patient (performance status). A number of experimental cancer treatments are also under development.Complete removal of the cancer without damage to the rest of the body is the goal of treatment. Sometimes this can beaccomplished by surgery, but the propensity of cancers to invade adjacent tissue or to spread to distant sites by microscopicmetastasis often limits its effectiveness. The effectiveness of chemotherapy is often limited by toxicity to other tissues in the body. Radiation can also cause damage to normal tissue.Because "cancer" refers to a class of diseases, it is unlikely that there will ever be a single "cure for cancer" any more thanthere will be a single treatment for all infectious diseases. Nursing Management Help patient and family accept illness and treatment Palliative care solutions may include permanent or "respite" hospice nursing. Assist patient on every diagnostic tests or chemotherapy sessions If incurable, help patient prepare for a dignified death Prevention Cancer prevention is defined as active measures to decrease the incidence of cancer. This can be accomplished by avoidingcarcinogens or altering their metabolism, pursuing a lifestyle or diet that modifies cancer-causing factors and/or medicalintervention (chemoprevention, treatment of pre-malignant lesions). The epidemiological concept of "prevention" is usuallydefined as either primary prevention, for people who have not been diagnosed with a particular disease, or secondary prevention, aimed at reducing recurrence or complications of a previously diagnosed illness. DIABETES MELLITUSDefinition Diabetes mellitus often referred to simply as diabetes , is a syndrome of disordered metabolism, usually due to a combinationof hereditary and environmental causes, resulting in abnormally high blood sugar levels (hyperglycemia). Causes Type 1 diabetes: Type 1 diabetes is believed to be an autoimmune disease. The body's immune system attacks the cells in the pancreas that produce insulin. Type 2 diabetes:

Type 2 diabetes has strong genetic links, meaning that type 2 diabetes tends to run in families. Severalgenes have been identified and more are under study which may relate to the causes of type 2 diabetes. Risk factors for developing type 2 diabetes include the following: High blood pressure High blood triglyceride (fat) levels Gestational diabetes or giving birth to a baby weighing more than 9 pounds High-fat diet High alcohol intake Sedentary lifestyle Obesity or being overweight Ethnicity, particularly when a close relative had type 2 diabetes or gestational diabetes: certain groups, such asAfrican Americans, Native Americans, Hispanic Americans, and Japanese Americans, have a greater risk of developing type 2 diabetes than non-Hispanic whites. Aging: Increasing age is a significant risk factor for type 2 diabetes. Risk begins to rise significantly at about age 45years, and rises considerably after age 65 years. Signs and Symptoms The classical triad of diabetes symptoms is polyuria, polydipsia and polyphagia, which are, respectively, frequent urination,increased thirst and consequent increased fluid intake, and increased appetite. Symptoms may develop quite rapidly (weeksor months) in type 1 diabetes, particularly in children. However, in type 2 diabetes symptoms usually develop much moreslowly and may be subtle or completely absent. Type 1 diabetes may also cause a rapid yet significant weight loss (despitenormal or even increased eating) and irreducible fatigue. All of these symptoms except weight loss can also manifest in type2 diabetes in patients whose diabetes is poorly controlled. Medical Management Type 1 Diabetes Insulin must be given as an injection. If taken by mouth, insulin would be destroyed in the stomach before it couldget into the blood where it is needed. Most people with type 1 diabetes give these injections to themselves. Even if someone else usually gives the patientinjections, it is important that the patient knows how to do it in case the other person is unavailable. A trained professional will show the patient how to store and inject the insulin. Usually this is a nurse who workswith the healthcare provider or a diabetes educator.

Insulin is usually given in two or three injections per day, generally around mealtimes. Dosage is individualized andis tailored to the patient's specific needs by the healthcare provider. Longer acting insulins are typically administeredone or two times per day. Type 2 Diabetes The best way to do this is to lose weight if obese and begin an exercise program. This will generally be tried for three to six months, then blood sugar and glycosylated hemoglobin will berechecked. If they remain high, the patient will be started on an oral medication, usually a sulfonylurea or biguanide[metformin Glucophage)], to help control blood sugar level. Basic Health Care DownloadPrintMobileCollectionsReport Document Info and Rating Health Follow ejgabao28 Share & Embed Related Documents PreviousNext 1.

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Local Malpractice 1.)

The Vicente Sotto Scandal, as many have tagged it, is actually about m e d i c a l malpractice. The video shows a gay named Jan Jan, 39 years of age who had a can of BlackSuede inserted in his behind. The patient claimed that his partner in bed forced him to do it. TheVicente Sotto scandal participants (doctors and nurses) are already under investigation, whichshould only be the case because they have violated one basic human right (i.e., the right toprivacy). A human rights violation should not go unpunished in my opinion.The Vicente Sotto scandal is a testimony of medical malpractice here in the Philippines whereind o c t o r s , n u r s e s a n d o t h e r h e a l t h w o r k e r s a r e n o t a l l o w e d b y l a w a n d e t h i c s t o d i v u l g e information about their patients. That is one provision the Patients Bill of rights, it happened atthe Vicente Sotto Memorial Medical Center in Cebu, Philippines. The hospital administrators arealso looking into this since the evidence is clear that the doctors and nurses did somethingterribly wrong to their patient. 2.) 26-year-old Victoria Deraco died in a government-run hospital in the Philippines after she was given the wrong blood type in a procedure that was supposed to save her life. Deracohad just given birth by caesarian operation when she was transfused with type A blood at theEast Avenue Medical Center in December 2004. The procedure was done three times beforea t t e n d i n g d o c t o r s r e a l i z e d t h a t h e r b l o o d t y p e w a s B . Due to the mistake, the young mother slipped into a coma and died in January 2 0 0 5 . Her family is now locked in a court battle against doctors, medical personnel and officials of theEast Avenue Medical Center to seek justice for Deraco`s death - one of a growing number of horror stories resulting from medical negligence or incompetence in Philippine hospitals.But the fight has not been easy since the Philippines does not have a medical malpracticelaw that would govern such cases and make efforts by complainants to run after negligent or incompetent practitioners less tedious and expensive. Foreign Malpractice 1.) Focusing on 54 patients who filed claims for a medical malpractice claim, found that 69percent of the foreign objects left behind after surgery were sponges and 31 percent were medical instruments. At least thirty-seven (37) of those patients required correctivesurgery and one died.a woman had a surgical sponge inside her abdomen for more than two years. She kept goingback to the doctor with complaints of back pain, incontinence, and stomach pain. The doctorskept telling her that this was a part of her recovery and that she may always have some minor discomfort. The problem was that her initial surgery was a hysterectomy, and this proceduredoes not create permanent back pain. Then my client went to see a chiropractor for her backpain. The chiropractor took an x-ray and noted a large mass. The client was referred out for aCT scan, which confirmed this mass. Finally, a radiologist determined the mass was a foreignobject. By this time more than 2 years had elapsed. The sponge had actually been partly absorbed by the client's intestines, necessitating emergency surgery to remove it.T h e p l a i n t i f f brought suit on behalf of himself and his infant for the wrongful death of t h e decedent mother following a cesarean section. The plaintiff alleged that the defendants werenegligent in tearing major blood vessels that resulted in the decedents death. The plaintiff a l l e g e d t h a t t h e d e f e n d a n t s f a i l e d t o r e a l i z e a n d r e p a i r t h e d a m a g e . 2.)

The 33-year-old mother was admitted to the defendant hospital in labor. After fetaltracings demonstrated that the infants heart rate was dropping the defendant obstetrician decided to perform a cesarean section. The plaintiff contended that two of the decedents major blood vessels were torn during the operation. The decedents blood pressure dropped and shecomplained of shortness of breath. The nurse called the defendant anesthesiologist regardingthe drop in blood pressure. The obstetrician was notified late that night. At 12:17 a.m. the decedent went into respiratory distress. She was stabilized and moved to the operating room for exploratory surgery. The defendant obstetrician failed to determine the cause of the internalbleeding but assuming that it was related to the birth, decided to perform a hysterectomy. The bleeding continued until approximately 6 a.m. when the torn blood vessels were noted. Atthat time, the decedent had already suffered brain death. The life support was removed twod a y s l a t e r . T h e p l a i n t i f f b r o u g h t s u i t a g a i n s t t h e d e f e n d a n t h o s p i t a l , o b s t e t r i c i a n , anesthesiologist and nurse alleging that the defendants cutting the decedents pelvic blood vessels during the cesarean section was negligent and the staffs failed to recognize and treatthe severity of the decedents condition prior to her going into respiratory distress. Local Malpractice Download this Document for FreePrintMobileCollectionsReport Document Info and Rating Follow

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