Monday, November 08, 2010

Final Diagnosis!

If I had 'boasted' of my health, then I also missed out mentioning my father's probably better immunity! In his family, he was probably the 'giant' in terms of height and weight, at least during olden days. Even now, he is the tallest and biggest in my family. So we were quite worried when he felt very weak, especially in the last few months, which probably reinforced my plan to return to Chennai. We took him quite a few times to different doctors when he had these recent spurts of fever, which did not even last one FULL day! We were just told that it is விஷக்காய்ச்சல் and the blood tests revealed nothing. My brother-in-law who is a doctor explained that blood tests reveal bacterial infection and not viral infection directly. When we admitted him to SRMC at the stroke of midnight with the point of at least observing him for a couple of days, the young doctors advised us not to admit him and by stealth gave a discharge summary that the 'patient has been discharged as per OUR request'. Obviously at 3:00 am, I was more worried about finding a cab to go back home rather than seeing the faded carbon paper to read what was written. It also seemed to indicate that they did not feel that it was serious enough to admit my father.

After the discharge which was nearly 2 weeks ago, I suddenly noticed my father shivering again. I was surprised because just minutes back, he had wanted to change TV channels to see Obama speak in India. My bil had indeed suspected Malaria when he first saw the medical reports given by the first doctor but it was news to me that there were different kinds of Malaria. There are no ‘golden’ malaria symptoms, applicable to all patients. In Arthur Hailey's books, 'Strong Medicine' or 'Final Medicine', I remember that it is mentioned that there are cures for surprisingly very few diseases. My bil had also mentioned that for some cases, blood testing should be tested when the patient is having fever. That was one difference between the previous times when we had admitted him in hospital/clinics and now. Now he was shivering and he was unable to move.

We admitted him in Vijaya Health Center. The confirmation of 'Malaria' was comforting because instead of the 'mysterious fever', it has at least become a known one. Also since the health center is walk able from my current residence, it will give us many more advantages like coming home to pick up some relevant documents/reports, in case it was missed out. The financial part is always tricky because Vijaya group was always known (at least to me) as a high cost medical care centre. SRMC had mentioned about Rs.4000-5000/- per day and I thought it was high, though not prohibitive. My sister who had worked with quite a few reputed Chennai doctors in her course of employment in India had advised me to check Vijaya because she said that going far to SRMC may not be worth it and Vijaya will also try to be competitive with other hospitals in Chennai. So I was better prepared now regarding the cost, though there was a minor surprise/shock here as well.

I had forgotten that in India hospitals too had become corporate. In my professional experience, I had realized that companies tend to sugar coat their job offers by having a high gross salary many of which are not received in any tangible form. The 'profit sharing' quote that was given in my first company was never seen on hand because the company did not make my profits during my stay but that bloated up the gross salary by at least Rs.32000/- ESOPs is another way of increasing the gross salary. In Govt jobs, the basic will be directly proportionate to the gross salary. In my last two jobs as an employee, viz NXP and AMD, my gross increased but my basic actually decreased! In case of hospitals, they quote low rates but I realized that there are many other components. Bed cost is kept low and is the one, that is 'quoted/advertised'. Nursing cost is the one that shoots up the expenses, irrespective of the fact whether there is good nursing or not.

Money is not something that you should look too much when it comes to medical treatment of your family. Still a costly lesson about how business is managed in hospital industry, not hospitality industry :))

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