Doctors in squalor, patients on balconies at cash-starved hospitals anoxic tank process

“The government, health ministry and people have to realize that the downfall has already happened, and almost everything is falling apart,” Chulalongkorn University neurologist Thiravat Hemachudha said online last week in a post showing overcrowded wards at an unidentified hospital in the northeast.

Of the more than 130,000 hospital employees eligible for housing assistance, nearly 65,000 do not receive any, according to the Health Ministry. More than 7,600 homes are beyond repair and must be rebuilt. A doctor at Srinagarind Hospital lived in this dilapidated home in Khon Kaen province that was burglarized for his expensive medical equipment in August.

After the pictures of Thiti’s home spread, representatives of Srinagarind Hospital – also a Khon Kaen University medical school – went on television a few days later to say that all the old homes, said to be built about 30 years ago, had been well maintained and it was up to the residents to take care of them.


“When I got the house in 2013, I could not live there. It was filled with nests of rats and pigeons, termites, and covered in dust,” he wrote online shortly after. “I paid for all the renovations: the ceiling, the floor, electricity, plumbing, doors, structures, etc. anoxic brain damage prognosis It cost me hundreds of thousands of baht.”

It did not go over well last week when a national nursing organization rallied to the defense of one of their own caught on camera roughly treating an elderly, comatose man. Though the public seemed little swayed by arguments the woman was overworked, data supports the heavy demands placed on medical professionals.

A 2012 study by Khon Kaen University’s medical school found nine-in-10 new doctors at public hospitals work over 80 hours a week, with many being called in 72 hours straight. Researchers at Chiang Mai University’s faculty of nursing in 2014 found that the average nurse works 54 hours every week.

In May 2017, 30-year-old doctor Thapakorn Thongkeu died in Buriram province from an acute lung infection his colleagues said he contracted from a patient after too many hours on call. The case drew attention to the death a few weeks earlier of 25-year-old Pitcha-orn Pongprasert, whose family said had contracted the same disease after working too many 72-hour shifts.

New rules did not seem to flip the situation as the reasons they are overworked – shortages of facilities, equipment and personnel – remain unresolved. anxiety attack meaning in tagalog Patients lie on beds in what appears to be a staff office. Photo: Thiravat Hemachudha / Facebook

Money may only be part of the problem. The nation’s 896 public hospitals receive about 12 billion baht in annual funding. anxiety attack treatment nhs Official data indicated that almost 400 suffer a capital loss in the previous fiscal year worth 3.1 billion baht combined.

As it became apparent many were deeply in debt and at risk of closing, musician Artiwara “Toon Bodyslam” Kongmalai became hailed as a national hero last year when he ran across the country and raised 1.3 billion baht for 11 state hospitals said to be underfunded.

Thiravat, the neurologist who shared images of severe overcrowding, wrote that a former student complained that his hospital in the northeast has too few staff to handle a patient load already two to three times over daily capacity. Those meant to be treated in intensive care units are overflowing out of the fully equipped rooms of up to 20 people per ward.

Sukhum, health ministry permsec, acknowledged that many hospitals put patients in hallways or on balconies when beds fill. He said his ministry has been pushing several measures to fix the issue. An undated photo shows patients on the floor at a hospital in Tak province. Photo: Nicky Somsai / Facebook

Prapon Tangsrikertikul, acting deputy permanent secretary, said major hospitals nationwide have about 110 percent bed occupancy rate. He said the number of outpatients is overwhelming, giving doctors less time to offer diagnoses. This have led to case after case of online rants about reckless treatment.

For those who don’t need to be admitted, Sukhum said they are developing an online appointment system to help schedule the load for both doctors and patients. However, he said the most sustainable way to reduce the number of people coming to hospitals is educating them on how to keep healthy.

As elsewhere, Thailand’s health care is a political issue, and the military government has expressed interest in dismantling the free health care system. anoxic tank design Just last month, junta leader and prime minister Prayuth Chan-ocha claimed that it was making people not take care of themselves because they could see doctors at no cost.