Friday 23 September 2011

8Y8M 4Y11M ペナンの医療(2) Doctors in Penang (2)


タカラ回復。そして、その日からアラタ発病。私も感染して熱で朦朧としている中、夜中にアラタの叫び声で目が覚める。嘔吐だと察し、急いでベッドから引き離し、トイレに連れて行く。その後も何度も起きては泣き叫びながら吐く。

今日は朝から、空腹で食べる、のどが渇いて飲む、吐くを繰り返すので、座薬の吐き止めを与えるが効かない。

よっぽど辛いのだ。いつもは注射するなら病院に行かないというアラタが、注射してもいいから、気持ち悪いのを治してほしいと訴える。ところが吐き気のあるアラタを車に乗せるのが一苦労。嘔吐用の洗面器を片手にどうにかAdventistにたどり着く。

生憎、コー先生は休診。別の医者に診てもらうことになったが、代わりの先生はペナンにいがちな怪しい先生。弟さんを2日前に連れてきたという事だが、彼はインフルエンザのチェックをしたのかとか、アラタ君は入院して点滴をしたほうがいいとか。

こういう発言が出てくると、私も守備態勢。しっかりしていないと向こうの思う壺。無駄な検査や治療や投薬で支払額があっという間に増える仕組みになっている。

それにしても、吐き止めをとりあえず注射して様子を見る。それが効かなかったら入院という風に考えられないのかなあ、この国の医者。単に金儲け主義なのか、それとも実は、医者のレベルが低いのか。確かに、医者が無能で的確な診断ができないとしたら、とりあえず安全策を全部打つ事になり無駄が増える。

私がまず、今は、吐き止めを打ってくださいと言うと、じゃあ、腕の血管に点滴用の針を取り付けましょうと、医者。後で点滴の時に必用だし、それを一回つければ、そこから注射もできるから2度痛い思いをしなくてもいいから、だって。

思わず「いや、それは装着時に非常に痛いからやめてください」と小声だけれども強く言った。(アラタに「painful」という単語を聞かれたら怖がりそうだから。)だいたい、今の時点で、点滴が必要かどうかわからないのに、着けているだけで不快な点滴針を刺すなんて・・・。

注射は筋肉注射で痛かったが、その後吐き気もおさまり、水分(100Plusを勧められたのでアラタは大喜び)も十分取り、今はぐっすり寝ている。注射の効果が切れる真夜中過ぎがちょっと心配だが、吐き気止め座薬も大量に処方されたのでどうにか乗り切れるだろう。

それにしても、無駄な医療が多い、マレーシア。気をつけないと、勝手にモルモットにされるよー。

Takara got well. On the day Takara went back to kindergarten, Arata got down. Me too, I got it too. In the middle of night, I was woken up by Arata's scream. Immediately I knew he was going to throw up. I pull him off the bed and dragged him to the bathroom. After that, he kept vomiting till morning.

Arata got hungry and thirsty. But whenever he ate or drank, he vomited.

It must have been very tough. He never wants to go to hospital for injections, but this time, he begged me to take him to a hospital to get an injection to stop feeling nausea. It was hard to put him to the car as he felt so sick, but I managed to get to the Adventist.

Unfortunately, Dr Khaw was off duty. Another doctor attended us. Well, she is not different from any other doctors in Penang. She asked me if Takara did any test to determine the virus when he visited 2 days ago, and she suggested Arata should be hospitalised to have a drip and a good rest.

When a doctor starts to say these things, I usually start to put up my guard. Otherwise, we will lose our game. The hospital will give us lots of unnecessary check-ups, medication and treatments, which add up the bill.

I asked the doctor to give Arata an injection to stop feeling nausea for now. She then said, "Let's put a drip needle to his vein on the wrist, so that he can have a drip later and the injection can be also entered from here, and he doesn't need to suffer from pains from needle insertion twice." I immediately argued back. "Please don't do that, it's very painful to insert the long and thick needle!". I said this firmly but in low voice as I didn't want Arata to hear the word 'painful', which might have caused him to lose his courage. Well, it was completely a waste at that stage. We didn't know if he needed a drip!!

I really wonder why doctors in Penang can't think this way - give the patient an injection, if it doesn't work, hospitalise.... Are they all after money? Or are the doctors here are not competent? If a doctor is not good enough, the best way for her is to try everything for just in case....

Anyway, it was an injection to the muscle, which was quite painful. But Arata felt better after that. He ate and drank plenty of 100 Plus, which was recommended by a nurse, and now he is asleep peacefully. I hope the worst phase has been over.

In Malaysia, if we are not careful, doctors will treat us as guinea pigs!

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