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Poly pharmacy
Spend.thrift
#1 Posted : Saturday, July 31, 2010 11:03:01 PM
Rank: Member

Joined: 8/11/2009
Posts: 302
Just watching this KTN feature on irresponsible prescriptions by doctors and the feature has just confirmed to me that I am not the only one thinking of doctors as having become mediocre, pharmaco-merchants or just plain unethical.

The sad part is that in Nairobi for instance, the hospitals that most working class people (the likes recommended by corporate insurance companies) visit are usual culprits. Worse is when you see those newly employed GPs. There is one I asked why he was giving me some painkiller alongside the other drugs-pain was not one of my symptoms. The answer this doctor gave me was simply stupid "That we were trained to include that in the management of such cases".

The worst comes when you have a fat medical cover. They may even throw in some "minor" surgery to "solve the problem once and for all".

I recently took my newly born child to a "respected" paedriatic hospital and they couldn't pin the problem yet they were always adding drugs and saying "change this change that, stop this bla bla bla" during every visit.After much introspect, I said to hell with insurance cover and went to a City Council clinic located in the "dirty" side of the CBD and at a cost which was next to zero. I bought the council doc's simple prescription and have never had to go back to that dreadlocked paeditrician again.

I think it is time people woke up and brought doctors to task on every action they take. When my wife was pregnant, I went with her into the doctor's room during all her clinic visits and I always insisted on us being told the reason behind every procedure and medicine prescribed.

Shouldn't this habit (KTN calls it poly pharmacy) be classified as a medical malpractice?
Mwafrika31
#2 Posted : Sunday, August 01, 2010 9:37:19 AM
Rank: New-farer

Joined: 6/18/2010
Posts: 95
I think this is the problem when doctors become drug peddlers. The entire medical system is based on doctors being compensated when they sell patients services, which may be needed or not. So it is in the doctors interest to sell you as many and most expensive services as possible. This is exactly what one goes through with a mechanic who will lie about what is wrong with your car to get the most money. Its a criminal system.
Theu
#3 Posted : Sunday, August 01, 2010 12:16:52 PM
Rank: Member

Joined: 6/18/2008
Posts: 353
Thats why i go to mission hospitals. These hospitals may be far but i find their services and attitude excellent plus very low costs. They also have experts. ie kijabe, tenwek. The private hosis have become too commercial and unethical.
real cindano
#4 Posted : Sunday, August 01, 2010 1:07:08 PM
Rank: New-farer

Joined: 6/1/2010
Posts: 87
Location: Zimbalabala
Leona used to date a pharmacist ......
She can tell us more on this matter ...........
If people start discussing lawyers ............
Be ready to meet in court .........
Ms Mkenya
#5 Posted : Saturday, August 07, 2010 10:30:23 PM
Rank: Veteran

Joined: 5/13/2010
Posts: 869
Location: Nairobi
Polypharmacy is actually quite common esp in the major and nice hospitals. They'l also do 101 investigations. Recently someone i know had lab tests worth 50k done on her using her insurance card in a major hosp in Parklands. All she had was blood drawn. She knew this when th insurance froze her card coz her cover limit reached. Even if u're insured, always insist on knowing why anything is being done or being prescribed. At the end of th day you'l be left bila cover if you dont check. And premiums'l keep rising.
....above all, to stand.
jguru
#6 Posted : Sunday, August 08, 2010 12:11:47 AM
Rank: Veteran

Joined: 10/25/2007
Posts: 1,574
Ms Mkenya wrote:
Polypharmacy is actually quite common esp in the major and nice hospitals. They'l also do 101 investigations. Recently someone i know had lab tests worth 50k done on her using her insurance card in a major hosp in Parklands. All she had was blood drawn. She knew this when th insurance froze her card coz her cover limit reached. Even if u're insured, always insist on knowing why anything is being done or being prescribed. At the end of th day you'l be left bila cover if you dont check. And premiums'l keep rising.


Which laboratory tests are these that were done from a sample of blood drawn and costed 50k? Just curious. smile
Set out to correct the world's wrongs and you will most certainly wind up adding to them.
Ms Mkenya
#7 Posted : Monday, August 09, 2010 10:19:03 AM
Rank: Veteran

Joined: 5/13/2010
Posts: 869
Location: Nairobi
@jguru,
They checked several hormones, heart enzymes, liver tests, routine tests like haemogram, blood sugar etc but what costed most were some rheumatic testsalong with the hormonal exams. When she went back to check they told her it has to do with checking if she has a connective tissue disease (which they did nto explain).
Her complaint to hospital however was just fatigue and headache. She actually thought she had malaria. I looked at the list of tests... honestly, i dont see why they did them.
....above all, to stand.
Ms Mkenya
#8 Posted : Monday, August 09, 2010 10:21:04 AM
Rank: Veteran

Joined: 5/13/2010
Posts: 869
Location: Nairobi
By the way, all the tests were within normal limits...
....above all, to stand.
Wendz
#9 Posted : Monday, August 09, 2010 2:18:55 PM
Rank: Elder

Joined: 6/19/2008
Posts: 4,268
This is very true. One time i took my son to hosi(one of the "top" hospitals around) coz he kept having this persistent flu.... During one of the visits I met this young looking Dr. He said that we needed to do an x-ray of the sinuses. the kid was then 2-3yrs. When i took it later for review, i found an older asian'ish doctor. She was so pissed off and she said, "who subjected this kid to a sinus x-ray? That is very irresponsible! Children dont develop sinuses until they are over 7 years of age..." It wasnt very pleasant.....
anasazi
#10 Posted : Monday, August 09, 2010 2:44:02 PM
Rank: Veteran

Joined: 6/8/2007
Posts: 675
Actually I once took my brother to Nairobi Outpatient... Bad thing was I was paying cash coz my brother is not on cover... So now they did their tests, that cost me an arm and a leg, and then prescribed drugs for H pylori (some bacteria in the stomach, which everybody has by the way...). The problem with H pylori dawaz is they cost 7 - 10k.

I decided not to buy the drugs, but observe to the next day. The next day I took him to some clinic in the neighbourhood, and they did some tests and found he had typhoid. Simple! The boy was well in a few days. From that day, let's just say my belief in Nairobi Outpatient was compromised..
Form is temporary, class is permanent
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