Only in the Philippines
When we read or hear a story with the title or subject “Only in the Philippines”, it’s either a funny one or
or something critical about the Philippines.
But this time this is a story of success for our country.
As a backgrounder, I have been working with different groups which conduct medical and surgical missions in our country since 1985. From a few missions a year, it became more frequent as years passed by (1-4x a month since 2007). This gave me an opportunity not only to help but also to learn, and gain more experience and acquire new ideas. With these exposures and experiences, I have learned the art of doing big “external”
surgeries from head to toe under local anesthesia
(e.g. head and neck surgeries like cleft lip repair, thyroidectomy, parotidectomy; upper and lower extremities surgeries like release of burn contracture, skin grafting, below knee amputation for diabetic gangrene; abdominal wall surgeries like inguinal hernia repair, and many more.
Nothing extraordinary about this story since this kind of surgeries has been reported in foreign surgical books, scientific presentations and journals. But what is notable is that we have been doing cleft lip and inguinal hernia surgery on children under local anesthesia inside the Mobile Surgical Van for the past several years.
Please allow me to highlight these important facts which our country has achieved in the field of Surgery:
1) We have done hundreds of major “external surgeries” on adults under
local anesthesia.
2) We have done hundreds of cleft lip and inguinal hernia surgeries on children as young as 3 years old.
3) Most of these surgeries were done inside the Surgical Van, the Mobile Surgical Unit (MSU) of the Rotary Club of San Francisco del Monte, Quezon City, and not in the hospital.
4) The cost per patient, as a charity activity, is approximately two to three thousand pesos (P2,500-3,000) versus fifteen to twenty thousand pesos (P15,000-20,000) if it is done under general hospital in a government hospital.
5) As a private case in a private hospital, cleft lip and inguinal hernia surgery on
children will cost between eighty to one hundred sixty thousand pesos
(P80,000-160,000)!
6) The patients can eat before and after surgery and can go home right after the surgery!
Food, shelter, and health are necessities in a family’s life. Mobile shelters (Residential Vans and those built by “boat people) have been there for a long time.
For the past decades we have seen evolution in food service. Before, we have to go to a restaurant which operates on certain hours if we want to eat outside of our house. But now, many are open 24 hours a day and food can be delivered at your door step.
If this (the mobile system) can be done for shelter, food and other basic services, why not for health?
We believe that the mobile health care will be of big help to our government in addressing the health needs of our people especially in
distant areas and in times of natural and
man-made disasters.
We also believe that we need to grow from medical missions organized as incidental activities or spurt of the moment to a more organized and consistent activity. This needs a solid foundation with structure and system for continuity and sustainability.
Many of us are beginning to feel the effect of aging. We wish that this activity will continue by passing it to the next generation, including the knowledge, experience and ideas that we have gained.
Please support us in our plan of putting up the Philippines’ first Hospital on Wheels, the RP HEALTHcraft Carrier, consisting of a fleet of six 30-footer vans. It is a self-contained mobile hospital with medical specialists, diagnostics, treatment facility and supplies. How? Please share this letter to your relatives, friends and contacts. Hopefully, it will fall into the right
hands
Thank you very much.
Dr. Jim Sanchez
We are our habits”- Anonymous