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Cost of palliative care

The place to post any simple or complex questions you may have about any aspect of life in Cambodia.
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Ouch
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Cost of palliative care

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Post by Ouch » Thu Dec 29, 2016 10:53 am

Is there a free hospitable system for the local folk that are too poor to afford the private hospital's here. What palliative care is there for these folk. Is Calmette and Russia government owned and free for poor people needing palliative care.
I have seen a Cancer Hospital while in a bus heading out towards Batumbang way, is it a free hospital for poor people needing palliative care. These people are in the province and might not know about it. (or not being told about it, palliative care is a cash cow for hospital’s)
Its not a con, a lass from a beer garden asked about every week for $20 to go see her sick mother. Three months ago she didnt come back and I started receiving messages written by some one from the hospitable with enough pigeon english stating the condition of the mother and asking me to pay for the hospitable bills. I am trying to limit her to $10 a day but she cant make it on that, Wing is doing ok also. She has a baby also to care for, I want to bail out but I cant she has absolutely no one else to turn to.
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Re: Cost of palliative care

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Post by chkwoot » Thu Dec 29, 2016 11:16 am

Ouch wrote:Is there a free hospitable system for the local folk that are too poor to afford the private hospital's here. What palliative care is there for these folk. Is Calmette and Russia government owned and free for poor people needing palliative care.
I have seen a Cancer Hospital while in a bus heading out towards Batumbang way, is it a free hospital for poor people needing palliative care. These people are in the province and might not know about it. (or not being told about it, palliative care is a cash cow for hospital’s)
Its not a con, a lass from a beer garden asked about every week for $20 to go see her sick mother. Three months ago she didnt come back and I started receiving messages written by some one from the hospitable with enough pigeon english stating the condition of the mother and asking me to pay for the hospitable bills. I am trying to limit her to $10 a day but she cant make it on that, Wing is doing ok also. She has a baby also to care for, I want to bail out but I cant she has absolutely no one else to turn to.
How do you know that it's not a con?

If she is terminally ill, why doesn't she just go home and pass in a more comfortable and familiar setting? We did this with a grandmother after it was obvious that Calmette was milking us dry and doing nothing constructive.
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Post by Mèo Đen » Thu Dec 29, 2016 11:56 am

Ouch wrote:Is there a free hospitable system for the local folk that are too poor to afford the private hospital's here.
Sihanouk Hospital Center of HOPE’s mission is to provide for the further education and training of medical professionals while delivering free, 24 hour high-quality medical care to the poor and disadvantaged of Cambodia.

St. 134, Sangkat Vealvong, Khan 7 Makara, Phnom Penh,Cambodia.
Phone: (+855) 23 882 484
E-mail us: [email protected] http://sihosp.org/

Sonja Kill Hospital Center of HOPE Kampot, Cambodia

The most important task of the Sonja Kill Hospital Center of HOPE is to improve the health situation of
children and expectant mothers. The main aims of the hospital are:

Paediatric primary health care with treatment of the most common acute and chronic clinical
pictures, a simple surgical range of services, extensive outpatients clinic, palliative care as well
as the care of long-term hospitalised patients for instance due to a tuberculosis illness.

http://skmh.org/shared/images/b00/SKMH_ ... mation.pdf
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Zillah
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Post by Zillah » Fri Dec 30, 2016 7:53 am

Mèo Đen wrote: Sonja Kill Hospital Center of HOPE Kampot, Cambodia
Every time I see a reference to this place, I cringe. I'm sure either Sonja Kill was the donor, or the donor gave the funds in her memory, but sheesh, seeing 'Kill' and 'Hospital' on the same sign is unnerving.

Still these are good places to know about; thanks, Mèo Đen. You're a good cat.
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Post by badboybubby » Fri Dec 30, 2016 10:53 am

I'm sure either Sonja Kill was the donor, or the donor gave the funds in her memory
from their blurb...

It all started when Dr. Kill and his family learned of the acute suffering and unnecessary deaths of children in Southern Cambodia. They decided to build a hospital in cooperation with the Pontifical Missionary Childhood Germany (Kindermissionswerk “Die Sternsinger”, Germany) to address this tragedy and to commemorate their daughter who had passed away in a tragic accident
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He's been in his room 35 years...time to let him out!
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Ouch
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Post by Ouch » Fri Dec 30, 2016 11:54 am

Thanks Meo Den
Have sent a email to Sihanouk Hospital Center of HOPE asking that I can go to see them. Maybe they will have some one who can phone the family to find to find out whats happening.

ckhkwoot,
If she is terminally ill, why doesn't she just go home and pass in a more comfortable and familiar setting? We did this with a grandmother after it was obvious that Calmette was milking us dry and doing nothing constructive.

The mother seems to be in and out of hospital as she needs parts removed. How much was it for the opium drip and other medicines while at home. Like I said if the hospital knows that a stupid barang is coughing up,,, nuff said, you confirmed it.
I even suspect whoever is sending the messages for the lass will be putting the hand out for a tip, nothing is free here.
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Post by Ouch » Sun Jul 09, 2017 12:12 pm

Its just ticked over $3600 since late April last year.
When it was at $2600 I made her bring her mother to P Phen to take her to Sihanouk Hospital Center of Hope hospital. Thanks Meo Den Had to stop sending money to achieve that. I received a text saying 'i in phnom penh with my headset' which turned out to be google translate for 'i'm in phnom penh with my mother'. I went to see her and there was the mother with her. Very frail and needing assistance from the lass to walk. Mother was Weiing back and forth to me, the look on her face was can you do something to stop this agony for me.
I made a wrong decision, thinking whats best for the mother, instead of putting them into a took and going straight to Hope hospital I said take your mother to your room and I took the lass to the hospital to see about being booked into the hospital. All went well 'bring her in at 7.30 tomorrow before the rush'.
In the morning the mother was not there, she is in agony but didnt want to go to the hospital. I was thinking at the time the mother was out of her comfort zone with sleeping on the floor, no mattress, a room with no windows, I was fuming, had to keep a lid on my temper.
The lass has her own problem similar to her mother. By hand gestures she showed me she has stomach pain and blood flow and she wanted to go to Hope hospital herself.
I took a while but she was seen to and while waiting to get medicine or to pay a bill I took her to Information Desk to ask what was happening about her mother. The desk lady asked the lass something and by the gestures the lass was using the lass was talking about herself so I interrupted and asked to find out what is happening about the mother. The desk lady said 'i dont want to talk to you anymore' With that and the mother not coming I was fumeing, I didnt say anything inappropriate, I walked away and kept walking. The lass came after me, I gave her $20 and kept walking.
With that $20 she got her mother back to the province but after two days the phone was ringing, I didnt answer it, allowed it to ring out each time. I cut and paste the same text and send it to her after each call 'go to your local governor and get the government to care for your mother'
After a couple days a new number starts calling me, I know she is bust using someone else phone, non stop, I relented, she has such a big task caring for her mother with no money. I made her come to P Phen again to find out where the money is going. I send $100 at a time with instructions to make it last 20 days but 10 to 12days is all she can manage. It turns out that she lives out in the sticks of her provincial town. A $7 motodop ride each way, thats what chewing up her money. I had no choice, I had to buy her a moto, the amount she had spent on motodops since late April last year, she could have had a new $2000 Zoomer. Every time she needed to go to town to collect my money from Wing, get medicine for her mother ect. was chewing up $14 for a round trip. I was lucky on Khmer 24 found a '09 Suzuki Lets for $350, not a scratch on it, no plates but has papers for paying import tax.
After handing it to her the bomb drops, she had to go to the 'rich people' to borrow $200. She needed $250 for the rich people, I knew straight away that was 25% for a full years interest and was not paying that. I give her $200 and said I am not paying the interest, I am helping her for free, the rich people can also help her for free. It dont work like that here, she told me lies to get the $50, she had to. The muffler fell off need $25 to fix the Lets, a week later need $25 to go to the doctor, I knew what is was for but could not do anything about it, had to send the money or the rich people would jack up the interest again.
When she came to P Phen for her next allowance I found out that she had the loan for no more than 10 days. I didnt work in an office, I did a trade. I learned it at school but over the years thats all evaporated like vaporware. I had to go online to find the interest formula, I could be wrong but I got 912% p.a. interest for 10 days. Should be less than a dollar for 10 days.
Do the 'rich people' have to abide by the new 18% rule like the MFI's do.
It leaves a bad taste in my mouth helping
this lass if that how the rich callously exploit the poor. And their dirt poor, dont even have electricity. I've seen a photo of the mother when she was nephrotic (all puffed up like one of those blow up sumo wrestler suites) from the cancer with the house in the back ground and the windows are woven grass or bamboo and all rotten and falling to bits.
The lass dont understand why I am angry at her for paying the exorbitant interest rate.
I have sent her a text saying she has to go to the rich people and ask for $49 back, it wont happen, she dont understand why. I dont want to with hold her allowance again, but I dont know how to get the lasses money back.
Are the rich people inside or outside of the law. You should know which one I think it is, but what can I do about it.

note. The lass has come off the lets already, she's learnt the hard way those small front wheels jack knife easily, unmaintained gravel road might not help. She held out her arms like she is steering and said 'tic tic' As if, Now I know I have to go slower if I dont want to go skirt up.
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pedros
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Re: Cost of palliative care

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Post by pedros » Sun Jul 09, 2017 1:48 pm

Bag of china white, syringe, median vein.


That's my plan for palliative care.
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milkwood
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Post by milkwood » Sun Jul 09, 2017 3:42 pm

Sounds reasonable.
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Post by bipolar bear » Sun Jul 09, 2017 11:04 pm

Ouch wrote:Its just ticked over $3600 since late April last year...

SNIP...
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Ouch
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Post by Ouch » Tue Sep 05, 2017 6:09 am

Hun Manet said in a Q&A interview before the last election that the government has a system for the poorest of the poor.

'We show what are the actions or policies the government has for taking care of the poorest of the poor. We have an ID card system to identify the poor so that they can get free health services.'

The young lass well and truly fits into this category.
I have seen a snap of where she lives. No father, (there was a step father in the earlier on, she said he died, but I'm thinking he was freeloading and since her mothers illness he has flown), no father for her child and now having to care for her mother, no income.
She is doing well looking after three people on basically $5 a day. The last $50 sent by Wing lasted only four days which makes me think she still has debt with the 'rich people' and making payment from the allowance I am sending to her.

Where do I take her to put her on this program.

And dont tell me google is my friend, tell me what to put into google.
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Post by Kachang » Tue Sep 05, 2017 5:17 pm

Ouch wrote:Hun Manet said in a Q&A interview before the last election that the government has a system for the poorest of the poor.

'We show what are the actions or policies the government has for taking care of the poorest of the poor. We have an ID card system to identify the poor so that they can get free health services.'

The young lass well and truly fits into this category.
I have seen a snap of where she lives. No father, (there was a step father in the earlier on, she said he died, but I'm thinking he was freeloading and since her mothers illness he has flown), no father for her child and now having to care for her mother, no income.
She is doing well looking after three people on basically $5 a day. The last $50 sent by Wing lasted only four days which makes me think she still has debt with the 'rich people' and making payment from the allowance I am sending to her.

Where do I take her to put her on this program.

And dont tell me google is my friend, tell me what to put into google.
There is no program like that, it's just CPP propaganda.
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Post by Mèo Đen » Tue Sep 05, 2017 8:41 pm

Ouch wrote:Hun Manet said in a Q&A interview before the last election that the government has a system for the poorest of the poor.

'We show what are the actions or policies the government has for taking care of the poorest of the poor. We have an ID card system to identify the poor so that they can get free health services.'
Maybe referring to this:

Objective of IDPoor
Develop a standardized tool and procedures to identify poor households throughout the country, to be used for household and geographical targeting

Advantages:

Equity-same criteria apply to all households nation-wide

Availability of up-to-date and comparable data, free for service providers

Transparency criteria and process are known to everyone, documented in guidelines

Cost effectiveness–duplication is avoided

Less burden on communities
http://siteresources.worldbank.org/EXTS ... -Oct31.pdf

You can check the health system review here http://www.wpro.who.int/asia_pacific_ob ... review.pdf


Health services and centers 23 December 2016 Government services

“Citizens’ health is guaranteed. The state is taking care of disease prevention and cure. The poor are entitled to get access to health checks without any payment, at any public health center, infirmary and maternity center.

The State shall organize and establish infirmaries and maternity centers.”1https://opendevelopmentcambodia.net/pro ... d-centers/

Interesting article here:
Access to Public Health Services:Why do eligible households not make use of health equity fund benefits?
http://giz-cambodia.com/wordpress/wp-co ... ion-EN.pdf

Last health service review here: http://www.wpro.who.int/asia_pacific_ob ... review.pdf

Referring to specific examples in Phnom Penh, Kanta Bopha I and IV supply free (or did) healthcare to poor patients and I think, also the National Pediatric Hospital does also.
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Cost of palliative care

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Post by ផោមក្លិនស្អុយ » Tue Sep 05, 2017 8:45 pm

Kachang wrote:
Ouch wrote:Hun Manet said in a Q&A interview before the last election that the government has a system for the poorest of the poor.

'We show what are the actions or policies the government has for taking care of the poorest of the poor. We have an ID card system to identify the poor so that they can get free health services.'

The young lass well and truly fits into this category.
I have seen a snap of where she lives. No father, (there was a step father in the earlier on, she said he died, but I'm thinking he was freeloading and since her mothers illness he has flown), no father for her child and now having to care for her mother, no income.
She is doing well looking after three people on basically $5 a day. The last $50 sent by Wing lasted only four days which makes me think she still has debt with the 'rich people' and making payment from the allowance I am sending to her.

Where do I take her to put her on this program.

And dont tell me google is my friend, tell me what to put into google.
There is no program like that, it's just CPP propaganda.
I believe there is.

I don't know the details but I know from conversations with various ministries they have poor category 1 and poor category 2.

I have heard that folks in these categories get certain benefits. Don't know what they are though.
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