after hours emergency medical care

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after hours emergency medical care

Postby nightblooming cerius » Mon Aug 15, 2011 10:10 pm

This isn't the first time I have been in this situation...

It's after 9 pm. You want to see a doctor. Where do you go for heart problems? Clinic 215 Phnom Penh that used to be (still is?) staffed by Vietnamese MDs and the signage of which claims 24 hours tells me "Can you come back tomorrow?" Calmette? I wouldn't take my worst enemy there.
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Re: after hours emergency medical care

Postby nightblooming cerius » Mon Aug 15, 2011 10:15 pm

Actually I am probably over-reacting. All I really need is a check of blood pressure and maybe an EKG. When this happened in Canada I was getting an EKG within 15 minutes of arriving at emergency ward at 1 a.m. While I do have major criticism of chronic medical condition health care there for emeregncies it si great.
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Re: after hours emergency medical care

Postby BirdBrain » Mon Aug 15, 2011 10:18 pm

Welcome to the 3rd world

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Re: after hours emergency medical care

Postby pattyflipper » Tue Aug 16, 2011 4:57 am

I had a serious angina attack about 9.00 pm a couple of years ago. Normally I control it myself with medication, but on that occasion it didn't respond and I was somewhat concerned at the severity. I got myself to SOS, who of course had no doctor on duty. The Khmer physician who arrived within about 10 minutes was reassuringly professional and competent, as was the male nurse who tried to stabilize me until he arrived. It was horribly expensive - over $500 for about an hour of treatment, including ECG, oxygen etc - but they got the attack under control quickly enough.

Royal Rattanak have a resident cardiologist (Pakistani, I believe) as does Sen Sok International Hospital (Khmer, but with graduate qualifications from France). You will of course be paying through the nose for an after-hours callout. I am not sure whether the cardiologists at the Centre de Cardiologie on Monivong can be coaxed back to the clinic out of normal working hours. Most of the doctors in Phnom Penh seem to be 9.00 to 5.00.
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Re: after hours emergency medical care

Postby lebowski » Tue Aug 16, 2011 6:18 am

I read that as vagina attack...

Now THAT would be something.
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Re: Re: after hours emergency medical care

Postby Playboy » Tue Aug 16, 2011 7:27 am

lebowski wrote:I read that as vagina attack...
Now THAT would be something.

Sounds like a 50s B Movie:

Attack of the Killer Vaginas

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Re: after hours emergency medical care

Postby vladimir » Tue Aug 16, 2011 7:49 am

' Calmette? I wouldn't take my worst enemy there.'

I would. Save money on the hitman.
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Re: after hours emergency medical care

Postby busman774 » Tue Aug 16, 2011 12:23 pm

nightblooming cerius wrote:Actually I am probably over-reacting. All I really need is a check of blood pressure and maybe an EKG. When this happened in Canada I was getting an EKG within 15 minutes of arriving at emergency ward at 1 a.m. While I do have major criticism of chronic medical condition health care there for emeregncies it si great.


Lucky you, I had a bad stroke, took ambulance to a Canadian emergency ward where the moronic a$$holes tried to tell me nothing was wrong & to go home :thumbsdown:
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Re: after hours emergency medical care

Postby nightblooming cerius » Tue Aug 16, 2011 6:58 pm

update on panic attack (I think that is all it was)

I called Sen Sok University Int'l Hospital and the person who answered the phone had such a weak voice I couldn't hear her. All I wanted was the address. To expect her to ask for symptoms and give any telephone first aid would have been asking too much. I was impatient due to circumstances and gave up trying to understand her and gave the phone to the internet cafe operator who also took five minutes to get it down. All the while these delays seemed like a million years. Then a tuk-tuk took what seemed like a billion years to get there, and of course he is out of gas and has to stop for some. In retrospect, I should have called a cab. Which one tends to have faster service?

Sen Sok is way the hell out in Phnom Penh Thmei (Tuol Kork). I got my nose out of joint seeing Canadia Tower, Vatanak in process and the two Mussolini-looking presidential council palaces or whatever the hell they are - yet there is no good standard hospital downtown, unlike in Vietnam and Malaysia. Ah yes, but I am staying in a country more on the level of Nepal I remind myself. Bangladesh has superb foundation clinics and private hospitals with 24 hour care. We are truly in a hellhole of medical care, more like some sub-Saharan African failed state than South-East Asia. But I still can't believe all those guys in SUVs at KTV clubs would rather spend their money on $100 Vietnamese hookers than split it between medical care taxes and $50 Vietnamese hookers. Where are they going to go when their gallstones explode at 3 am? Will hostesses heal them? I doubt it.

At Sen Sok I was offered a blood pressure test by the nurse-receptionist-cashier (at any Thai private hospital this would be three separate persons). But only when I asked for a basic test as I wasn't willing to 'come back tomorrow' when the cardiologist would be in. Deja vu. I could have a consultation with a specialist for $30, as usual mispronounced as 'thirteen'. I double-checked. "Wonderful, what is her specialty?" 'Gyneocology.' Uncertain as the value of a woman's complaint doctor interpreting cardio test I just had blood pressure checked. She was professional enough to do it twice as she could see I was agitated. I considered the EKG but no information was provided as to whether there would be a technician competent to interpret the results or whether it would be the gyn MD guessing. There is an ATM machine in the lobby but I did not have my card I I might have sprung for it anyway. They would not accept partial payment, coming in the next morning (today) with the remaining smaller balance. I asked for a card with my hospital ID number on it to save another paper work procedure should there be a next time, but she could not provide me with one.

Sensibly, the friend who accompanied me had the tuk-tuk driver wait so there was not more wasted time.

Lessons:
1) Don't come to PNH if you have any serious illnesses
2) bring cash plus ATM card on all hospital visits

I never even got to the emergency rooms, the exterior access to of which was blocked by parked motorcycles.
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Re: after hours emergency medical care

Postby lebowski » Tue Aug 16, 2011 7:49 pm

A panic attack ? Toughen up you nonce.
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who knows?

Postby nightblooming cerius » Tue Aug 16, 2011 8:45 pm

A medical assessment would be preferable to self-diagnosis. I won't bore you with the symptoms.
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