Yet another hospital experience

Yet another hospital experience

I am comfortable only with doctors with a sense of humour - who can make you laugh about your condition by seeing the funny side of it. A friend even goes a bit further and declares that the most successful doctors are those with a sense of humour because in a profession where you deal with so much of suffering, you need it to cope and be successful. I am not so sure because I have come across doctors like the ones you see in films who look at you gravely, remove ther spectacles solemnly for effect and declare that you have Acute viral nasopharyngitis as if it is a terminal illness and you want to know how many days more you have to live.

My trips to hospitals take this to the extreme - I find each experience more hilarious than the other. Not too long ago, I shared this with you and had another of the kind yesterday and today. DIL has been complaining of a pain in the gluteal region and I assumed it was an allusion to her boss. It turned out that she had a huge abscess in that region and the quack she went to initially treated it like a pimple and gave her a couple of painkillers which did nothing to reduce the pain. For a couple of days we waited for it to burst on its own and it just grew worse. So finally we decided to go to one of the fancy hospitals closer to home.

We completed the registration formality and she was sent in to see the doctor while I waited in the waiting area. The doctor examined the affected area and explained that it was an abscess and asked her if she knew what that meant. She replied in the affirmative (Let me kiss the hands that created Google). Then he recommended an I and D procedure to drain the fluids and she said "ok." May be he expected her to panic or react a bit more. The unperturbed OK seemed to have confused him. So he again asked her if she knew what he meant. At this point she thought that probably there was more to it and she did not know what he meant and called me in. But the doctor was too busy initiating the admission procedure to notice my entry on the scene. After several phone calls to surgery, admissions, registrar and back to surgery, he finally noticed me and said "we are admitting her." I asked him why and he explained that the procedure was the only way she was going to be rid of the pain and there was no way the abscess would comply with our wishes and burst on its own. 'But surely there was a way to do it without admission?' I queried.
'Then you won't be able to claim insurance. I am assuming you have insurance?' he said.
"Ok. you go now and get admitted. Don't be fussy about your choice of room. Take whichever they give you. Then you can have it changed tomorrow."
All this seemed like a huge emergency - getting admitted even before we knew who the surgeon was. May be the surgeon was going to be paged to come and perform the procedure right away.
'So when will the procedure be?'
"oh the surgeon will be in tomorrow morning. Dr Bhat will do it."
But of course, Dr.Bhat for an abscess in the butt!

So we went to the admissions counter, still a bit unsure of why she needed to be admitted and what the huge hurry was if the surgeon was coming in only in the morning.
Counter no. 5 or 6 , we were told and we asked the young man the procedure for admission.
"you pay 10000 and get admitted and before surgery you pay 80% of the operation cost" and then he went on to elaborate on the forms required from the insurance guys.
My thoughts went: '10,000 for a boil - ok ok that is trivialising it a little. It is NOT a boil but an abscess but 10 k for an I n D procedure?'
"And can we have the type of room we want?" asked DIL sounding like she was booking rooms in a resort.
"No ma'm, we only have the general room that is shared by 3 people."
"And the bathrooms?" asked DIL probably hoping every bed had a bathroom attached.
"They are shared too."
That was the clincher. We did not want to go in with a boil and pick up more infections sharing rooms with people with other ailments. And certainly not share bathrooms with strangers.
So we decided to have a chat with the surgeon and take a call on the admission while making a booking for a separate room.
We went back this morning and the surgeon simply drained the fluid without so much as local anesthesia and neatly dressed the affected part and told her she could go back to her normal life. Total cost:consultation Rs.350+ RS. 320 toward lab charges for the Pus culture and Rs.303.21 toward cost of medicines.
We still do not know why we were being hurried into admitting her with an advance payment of 10 k. May be the first doctor missed the classes on the day they taught A for abscess. Or may be he gets his bonus based on the income to the hospital from his clients.

We do see a lot more cases of surgeries that people undergo these days - I wonder if the instances of surgeries have increased since the availability of insurance claim. At least there are a lot more cases of by-pass surgeries these days. Is surgery becoming the first option in most cases just to be on the safer side? And because insurance covers the costs anyway? What about the side effects of surgery etc?
I do know a lot of people who prefer to get admitted rather than be treated as Outpatients even for simple procedures - so that it is covered by insurance. Otherwise they would have to pay it out of their pocket. No wonder there is such a demand for beds.
And what about cases that really need surgery but where people cannot come up with 10k+ 80% of the cost of operation immediately? It could be a Saturday and banks do not open till Monday or one of those many bank-strike days or festival holidays - what happens then? We could get away laughing about the hilarious encounter but I am not sure it is so funny for many people who go to these hospitals.