දොස්තරලා_සල්ලි_හොයන_හැටි..
මට මේක ඊමේල් එකකින් ආවේ...සිංහලෙන් කොටලා දාන්න හැදුවත් ආයේ තේරුමක් නැහැනේ උබල වගේ උන්ට...බලල හොරෙන්ම යනවා..බම්ප් එකක් වත් දාන්නේ නැහැ...රේප් නැතත් අඩු ගානේ තව කෙනෙක් ට බලන්න බම්ප් එකක් හරි දාන්න ඕනේ නේ...එහෙමත් නැහැ...ඒ නිසා මේ තියෙන විදිහටම බලපල්ලා...
මේකේ තියෙන්නේ ඩොක්ටර්ස් ල සල්ලි හොයන විදි...ඇත්ත වෙන්නත් පුළුවන්..දොස්තරලා කියල රහත් වෙලා නැහැනේ...උනුත් මිනිස්සු...එකනේ උන් උනත් වැඩ වර්ජනය කරන්නේ හිටි ගමන්..මිනිස්සු ගැන හිතන දෙවිවරු නෙමෙයි දොස්තරලා කියන්නෙත්..
මිනිස්සුන්ගේ ම සල්ලි වලින් ඉගෙන ගෙන, මිනිස්සුන්ට ම ලොකු කම පාන පිරිසක් තමයි ඉතින්...
මතක් වුනු එකේ මට වෙච්ච සිද්දියක් කියන්නම්...
මම මේ ලඟදි අපේ අන්කල් කෙනෙක් අසනීප වෙලා හදිසියේ ගෙනිච්ච කළුබෝවිල රෝහලට...එතන ඩොකා චෙක් කරන්න ආවම උගෙන් කිසි දෙයක් අහන්න බැහැ..ඌ කරන්නේ ඌට ඕනේ දේ විතරයි..අහන මගුලක් ගණන් වත් ගන්නේ නැහැ..ඇහුනේ නැහැ වගේ ඉන්නේ...කාලකන්නියෙක්...මනුස්සයෙක් බෙහෙත් ගන්න ආවම, දෙයක් අහනවනම් මනුස්සකමට කටක් ඇරලා කතා කරපන්? යකෝ උත්තරයක් දුන්නම උගේ දිව ගෙවෙනවද? එතන ඉදපු සෙට් එකම එහෙමයි..පොඩි පොඩි කොල්ලෝ ටිකක්..අලුත් උන් වගේ...අඩු ගානේ දැන්ම මොකුත් කියන්න බැරිනම් එක වත් කියපන්...
අන්තිම දවසේ නම් මම ගියේ නැහැ...අන්කල්ගේ දුව තමයි ගිහින් තිබුනේ...අහනකොට එයාටත් කියල නැහැ...පස්සේ එයා english වලින් අහල...එතකොට උත්තර දීල...ඌට එකට උත්තර නොදී ගියෝත් කඩ්ඩ බැහැ කියල හිතයි කියල වෙන්න ඇති...කොහොමද කෙල්ලගේ ටිකිරි මොලේ...
ඌට කන පැලෙන්න ගහන්න හිතුනත් එහෙම කරන්න බැහැනේ ඉතින්...මට දුක හිතුනේ මුන් අපේම සල්ලි වලින් ඉගෙන ගෙන අපිටම නේද දෙවිවරු වගේ රගන්නේ කියල...
දැන් මේක බලහල්ලකෝ..දෙවිවරුන්ගේ තරම...
10 ways how doctors in Sri Lanka cheat patients
1) 40-60% kickbacks for lab tests.
When a doctor (whether family doctor / general physician, consultant or surgeon) prescribes tests – pathology, radiology, X-rays, MRIs etc. the laboratory conducting those tests gives commissions. (40%.--60%). He probably earns a lot more in this way than the consulting fees that you pay.
2) 30-40% for referring to consultants, specialists surgeons.
When your friendly GP refers you to a specialist or surgeon, he gets 30-40%.
3) 30-40% of total hospital charges.
If the GP or consultant recommends hospitalization, he will receive kickback from the private nursing home as a percentage of all charges including ICU, bed, nursing care, surgery.
4) Sink tests.
Some tests prescribed by doctors are not needed. They are there to inflate bills and commissions. The pathology lab understands what is unnecessary. These are called “sink tests†; blood, urine, stool samples collected will be thrown.
5) Admitting the patient to “keep him under observation†.
People go to cardiologists feeling unwell and anxious. Most of them arenâ €™t really having a heart attack, and cardiologists and family doctors are well aware of this. They admit such safe patients, put them on a saline drip with mild sedation, and send them home after 3-4 days after charging them a fat amount for ICU, bed charges, visiting doctors fees.
6) ICU minus intensive care.
Nursing homes all over the suburbs are run by doctor couples or as one-man-shows. In such places, nurses and ward boys are 10th cl-ass drop-outs in ill-fitting uniforms and bare feet. These “nurses†sit at the reception counter, give injections and saline drips, perform ECGs, apply dressings and change bandages, and assist in the operation theatre. At night, they even sit outside the Intensive Care Units; there is no resident doctor. In case of a crisis, the doctor — who usually lives in the same building — will turn up after 20 minutes, after this nurse calls him. Such ICUs admit safe patients to fill up beds. Genuine patients who require emergency care are sent elsewhere to hospitals having a Resident Medical Officer (RMO) round-the-clock.
7) Unnecessary cesarean surgeries and hysterectomies.
Many surgical procedures are done to keep the cash register ringing. Cesarean deliveries and hysterectomy (removal of uterus) are high on the list. While the woman with labor -pains is screaming and panicking, the obstetrician who gently suggests that cesarean is best seems like an angel sent by God! Menopausal women experience bodily changes that make them nervous and gullible. They can be frightened by words like †and “fibroid†that are in almost every normal woman’s radiology reports. When a gynecologist gently suggests womb removal “as a precaution†, most women and their husbands agree without a second’s thought.
8) Cosmetic surgery advertised through newspapers.
Liposuction and plastic surgery are not minor procedures. Some are life-threateningly major. But advertisements make them appear as easy as facials and waxing. The medical council has strict rules against such misrepresentation. But nobody is interested in taking action.
9) Indirect kickbacks from doctors to prestigious hospitals.
To be on the panel of a prestigious hospital, there is give-and-take involved. The hospital expects the doctor to refer many patients for hospital admission. If he fails to send a certain number of patients, he is quietly dumped. And so he likes to admit patients even when there is no need.
10) Emergency surgery on dead body.
If a surgeon hurriedly wheels your patient from the Intensive Care Unit to the operation theater, refuses to let you go inside and see him, and wants
your signature on the consent form for “an emergency operation to save his life†, it is likely that your patient is already dead. The “emergency operation†is for inflating the bill; if you agree for it, the surgeon will come out 15 minutes later and report that your patient died on the operation table. And then, when you take delivery of the dead body, you will pay OT charges, anesthesiologist's charges, blah-blah-Doctors are humans too. You can’t trust them blindly. Please understand the difference.
Young surgeons and old ones.
The young ones who are setting up nursing home etc. have heavy loans to settle. To pay back the loan, they have to perform as many operations as possible.Also, to build a reputation, they have to perform a large number of operations and develop their skills. So, at first, every case seems fit for cutting. But with age, experience and prosperity, many surgeons lose their taste for cutting, and stop recommending operations.
Physicians and surgeons.
To a man with a hammer, every problem looks like a nail. Surgeons like to solve medical problems by cutting, just as physicians first seek solutions with drugs. So, if you take your medical problem to a surgeon first, the chances are that you will unnecessarily end up on the operation table. Instead, please go to an ordinary GP first
Prof. B. M. Hegde, MD, FRCP, FRCPE, FRCPG, FRCPI, FACC, FAMS.
බලල නිකන් යන්නේ නැතුව බම්ප් එකක් දාල පලයල්ලා
සියලුම වෛද්යවරුන් මෙම ගණයට නොවැටෙන බවත්, ඉතාම කැපවීමෙන් තමන්ගේ වගකීම ඉටු කරමින්, මිනිසාට සේවය කිරීම පරම අරමුණ කරගත් වෛද්යවරුන්ද සිටින බව සිහි තබා ගන්න..
මේක මට ආපු එමෙල් එකක් සහ, මට වුනු සිද්දියක්...අනිත් අයත් එක්ක බෙදා ගැනීම සඳහා පමණයි දැම්මේ..වෛද්යවරුන් සමග මාගේ කිසිම පුද්ගලික තරහක් නැති බව කරුණාවෙන් සලකන්න...
මට මේක ඊමේල් එකකින් ආවේ...සිංහලෙන් කොටලා දාන්න හැදුවත් ආයේ තේරුමක් නැහැනේ උබල වගේ උන්ට...බලල හොරෙන්ම යනවා..බම්ප් එකක් වත් දාන්නේ නැහැ...රේප් නැතත් අඩු ගානේ තව කෙනෙක් ට බලන්න බම්ප් එකක් හරි දාන්න ඕනේ නේ...එහෙමත් නැහැ...ඒ නිසා මේ තියෙන විදිහටම බලපල්ලා...
මේකේ තියෙන්නේ ඩොක්ටර්ස් ල සල්ලි හොයන විදි...ඇත්ත වෙන්නත් පුළුවන්..දොස්තරලා කියල රහත් වෙලා නැහැනේ...උනුත් මිනිස්සු...එකනේ උන් උනත් වැඩ වර්ජනය කරන්නේ හිටි ගමන්..මිනිස්සු ගැන හිතන දෙවිවරු නෙමෙයි දොස්තරලා කියන්නෙත්..
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මතක් වුනු එකේ මට වෙච්ච සිද්දියක් කියන්නම්...
මම මේ ලඟදි අපේ අන්කල් කෙනෙක් අසනීප වෙලා හදිසියේ ගෙනිච්ච කළුබෝවිල රෝහලට...එතන ඩොකා චෙක් කරන්න ආවම උගෙන් කිසි දෙයක් අහන්න බැහැ..ඌ කරන්නේ ඌට ඕනේ දේ විතරයි..අහන මගුලක් ගණන් වත් ගන්නේ නැහැ..ඇහුනේ නැහැ වගේ ඉන්නේ...කාලකන්නියෙක්...මනුස්සයෙක් බෙහෙත් ගන්න ආවම, දෙයක් අහනවනම් මනුස්සකමට කටක් ඇරලා කතා කරපන්? යකෝ උත්තරයක් දුන්නම උගේ දිව ගෙවෙනවද? එතන ඉදපු සෙට් එකම එහෙමයි..පොඩි පොඩි කොල්ලෝ ටිකක්..අලුත් උන් වගේ...අඩු ගානේ දැන්ම මොකුත් කියන්න බැරිනම් එක වත් කියපන්...
අන්තිම දවසේ නම් මම ගියේ නැහැ...අන්කල්ගේ දුව තමයි ගිහින් තිබුනේ...අහනකොට එයාටත් කියල නැහැ...පස්සේ එයා english වලින් අහල...එතකොට උත්තර දීල...ඌට එකට උත්තර නොදී ගියෝත් කඩ්ඩ බැහැ කියල හිතයි කියල වෙන්න ඇති...කොහොමද කෙල්ලගේ ටිකිරි මොලේ...
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දැන් මේක බලහල්ලකෝ..දෙවිවරුන්ගේ තරම...
10 ways how doctors in Sri Lanka cheat patients
1) 40-60% kickbacks for lab tests.
When a doctor (whether family doctor / general physician, consultant or surgeon) prescribes tests – pathology, radiology, X-rays, MRIs etc. the laboratory conducting those tests gives commissions. (40%.--60%). He probably earns a lot more in this way than the consulting fees that you pay.
2) 30-40% for referring to consultants, specialists surgeons.
When your friendly GP refers you to a specialist or surgeon, he gets 30-40%.
3) 30-40% of total hospital charges.
If the GP or consultant recommends hospitalization, he will receive kickback from the private nursing home as a percentage of all charges including ICU, bed, nursing care, surgery.
4) Sink tests.
Some tests prescribed by doctors are not needed. They are there to inflate bills and commissions. The pathology lab understands what is unnecessary. These are called “sink tests†; blood, urine, stool samples collected will be thrown.
5) Admitting the patient to “keep him under observation†.
People go to cardiologists feeling unwell and anxious. Most of them arenâ €™t really having a heart attack, and cardiologists and family doctors are well aware of this. They admit such safe patients, put them on a saline drip with mild sedation, and send them home after 3-4 days after charging them a fat amount for ICU, bed charges, visiting doctors fees.
6) ICU minus intensive care.
Nursing homes all over the suburbs are run by doctor couples or as one-man-shows. In such places, nurses and ward boys are 10th cl-ass drop-outs in ill-fitting uniforms and bare feet. These “nurses†sit at the reception counter, give injections and saline drips, perform ECGs, apply dressings and change bandages, and assist in the operation theatre. At night, they even sit outside the Intensive Care Units; there is no resident doctor. In case of a crisis, the doctor — who usually lives in the same building — will turn up after 20 minutes, after this nurse calls him. Such ICUs admit safe patients to fill up beds. Genuine patients who require emergency care are sent elsewhere to hospitals having a Resident Medical Officer (RMO) round-the-clock.
7) Unnecessary cesarean surgeries and hysterectomies.
Many surgical procedures are done to keep the cash register ringing. Cesarean deliveries and hysterectomy (removal of uterus) are high on the list. While the woman with labor -pains is screaming and panicking, the obstetrician who gently suggests that cesarean is best seems like an angel sent by God! Menopausal women experience bodily changes that make them nervous and gullible. They can be frightened by words like †and “fibroid†that are in almost every normal woman’s radiology reports. When a gynecologist gently suggests womb removal “as a precaution†, most women and their husbands agree without a second’s thought.
8) Cosmetic surgery advertised through newspapers.
Liposuction and plastic surgery are not minor procedures. Some are life-threateningly major. But advertisements make them appear as easy as facials and waxing. The medical council has strict rules against such misrepresentation. But nobody is interested in taking action.
9) Indirect kickbacks from doctors to prestigious hospitals.
To be on the panel of a prestigious hospital, there is give-and-take involved. The hospital expects the doctor to refer many patients for hospital admission. If he fails to send a certain number of patients, he is quietly dumped. And so he likes to admit patients even when there is no need.
10) Emergency surgery on dead body.
If a surgeon hurriedly wheels your patient from the Intensive Care Unit to the operation theater, refuses to let you go inside and see him, and wants
your signature on the consent form for “an emergency operation to save his life†, it is likely that your patient is already dead. The “emergency operation†is for inflating the bill; if you agree for it, the surgeon will come out 15 minutes later and report that your patient died on the operation table. And then, when you take delivery of the dead body, you will pay OT charges, anesthesiologist's charges, blah-blah-Doctors are humans too. You can’t trust them blindly. Please understand the difference.
Young surgeons and old ones.
The young ones who are setting up nursing home etc. have heavy loans to settle. To pay back the loan, they have to perform as many operations as possible.Also, to build a reputation, they have to perform a large number of operations and develop their skills. So, at first, every case seems fit for cutting. But with age, experience and prosperity, many surgeons lose their taste for cutting, and stop recommending operations.
Physicians and surgeons.
To a man with a hammer, every problem looks like a nail. Surgeons like to solve medical problems by cutting, just as physicians first seek solutions with drugs. So, if you take your medical problem to a surgeon first, the chances are that you will unnecessarily end up on the operation table. Instead, please go to an ordinary GP first
Prof. B. M. Hegde, MD, FRCP, FRCPE, FRCPG, FRCPI, FACC, FAMS.
බලල නිකන් යන්නේ නැතුව බම්ප් එකක් දාල පලයල්ලා
සියලුම වෛද්යවරුන් මෙම ගණයට නොවැටෙන බවත්, ඉතාම කැපවීමෙන් තමන්ගේ වගකීම ඉටු කරමින්, මිනිසාට සේවය කිරීම පරම අරමුණ කරගත් වෛද්යවරුන්ද සිටින බව සිහි තබා ගන්න..
මේක මට ආපු එමෙල් එකක් සහ, මට වුනු සිද්දියක්...අනිත් අයත් එක්ක බෙදා ගැනීම සඳහා පමණයි දැම්මේ..වෛද්යවරුන් සමග මාගේ කිසිම පුද්ගලික තරහක් නැති බව කරුණාවෙන් සලකන්න...
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