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March 8th, 2007

I have had some pretty interesting experiences here in Bangalore when looking for healthcare providers.

My first experience was months ago. I had a throat infection, and it wasn’t going away. I finally broke down and decided to see a doctor. I do not like going to the doctor. My husband is a doctor and most of my family is in the health profession. Anyway, a friend recommended a nearby health clinic in Koramangala, saying it was clean and modern and inexpensive. At first I was impressed. They called a consultant Ear, Nose and Throat specialist and told us to come back at 5 PM the same day!

As we sat in the waiting room, I wondered who my doctor was going to be. An older woman, very well put together in an immaculate saree and shimmering gray hair tied neatly into a topknot walked in. I beamed with happiness. But as luck would have it, she wasn’t my doctor. Then I spied a woman standing in the median of the road outside. She was slightly disheveled and well, how do I say this nicely… um, she was digging in her nose. And you guessed it, that was my doctor. Who proceeded to examine me without washing her hands or wearing gloves. And I was so shocked I just sat there, mouth gaping. ewwwwwwwww…..

Months have passed since then and now I am pregnant with my first child. My husband and I picked Manipal Hospital because its close and has a good reputation. And we like our obstetrician a lot. But my experience with the facility itself has been less than stellar.

One night recently, I was feeling terrible in the middle of the night. I was in a lot of pain, and we went to the Emergency Room at Manipal. So we get to the ER and they make me sit in a wheelchair while my husband goes to talk to the doctor on duty. Meanwhile, the orderly wheels me into the waiting area, and decides to park me (despite a good amount of open space elsewhere) FACE TO FACE with some poor guy lying on a gurney suffering from major head lacerations with blood pouring out of the cuts, his mouth and nose. eeeeeeeek!

I am finally shifted up to the maternity ward to see a doctor. I go to use the bathroom while I wait, and let me tell you… it’s not a pretty sight. We were made to leave our shoes at the door to the ward, so I realized I would have to pull a Britney Spears and use the loo in my bare feet. Might I add that the floor was soaking wet and slippery? Because that is precisely what you want…. wet floors in a bathroom that wobbly pregnant women are using. Anyway I make my way over to the toilet and try to ignore the blood all over the commode, then I go to wash my hands. Lo and behold, no soap. No hand towels either.

So now I am scared. I could sign up for the VIP suites when I go in to have the baby, but what does that mean? They will make sure the filthy soap dispenser has soap? I get to wear chappals in the loo? No random blood spatter?

I am annoyed because all people deserve better treatment than this. Yes, it’s the general ward, but even people who cannot afford a VIP room need to use soap after a visit to the bathroom. They deserve a cleaner environment. My husband worked in a PHC in a rural village and even he was shocked by the conditions at Manipal. The doctors might be wonderful (and most of them are… the treatment I am receiving is by all means world-class) but the facilities are shabby and well, frightening.

And I don’t even know what to say about doctor nose-picker. That was a one-off, I am sure… I HOPE.

11 Crumbs for this post
drmehta says:

Smallsquirrel, I am a doctor in Bangalore, and although I think some of your accounts may be a bit exaggerated, I do agree that, on a whole, our facilities lack the world-class quality that you find in the West. As a healthcare professional, I can assure you that many of our requests go unheeded - at the end of the day, healthcare is a big business and every big business has to worry about margins. We also do not have the extensive litigation framework here, which acts as a major deterrent in other countries for malpractice. I am intrigued by your article and look forward to more articles about healthcare.

smallsquirrel says:

thanks for your feedback dr. mehta!

I completely assure you that there is no exaggeration involved here. I am someone who works in public writing by trade, and I know the importance of telling the truth! Also, I am the child of a long line of physicians, and the wife of a doctor here in Bangalore. He echoes your concerns that doctors requests often go unheeded. That is why my issue here was with the facilities and not with the quality of care received.

I agree that litigation is a factor, but malpractice suits, etc. are out of hand and overzealous in the US. And I am not sure suing would improve conditions here. I think it’s an issue of standards.

drmehta says:

But how does one enforce standards? I’m almost sure the "standards" exist on paper somewhere. I think it is more about enforcement, which is a very broad issue across all of India when it comes to rules and regulations.

smallsquirrel says:

Hmmm… good question.
Yep, rules and regulations to enforce standards seems logical! Now how to enact…..

Will give this some thought and maybe blog about it later. :)

Aneesh says:

Things are gradually improving in India. Granted that they are not as good as the ones in the west, but considering the cost the hospitals are improving slowly.

My friend got his knee surgery done in one of the top notch hospitals in Jaipur for less than $500 !!

smallsquirrel says:

Aneesh… no doubt about it you CAN find top-notch medical care in India. Medical “tourism” is just starting, and for sure people from all over the world are coming here for treatment of all kinds!

I could go back to the US to have the baby, but I won’t. I know I can get the same standard of care here for less money.

thinktank says:

dear smallsquirrel, I recently drove past this brand new, spa-like place at Jayanagar called ‘The Cradle’ - i think it is the kind of place you are looking for - they have designer suites for delivery etc. You should check it out.

smallsquirrel says:

thanks thinktank… great minds think alike I guess cause we’ve an appointment to check the cradle out tomorrow! :) They apparently are brand new… but most importantly they have some impressive physicians working there too… so best of both worlds. will let everyone know how it works out!

Ashish says:

thinktank, smallsquirrel.

Can you share the experience in the Cradle?
Which doctor you chose for the delivery. Also, how much did it cost in Cradle and were the facilties and care worldclass.

Thanks in advance for your time.

smallsquirrel says:

ashish… please see my post here for more information about my experience at Cradle:
http://blah.burrp.com/bangalore/smallsquirrel/2007/08/03/303

As for doctors, I brought my OB from Manipal, but many of the docs at Cradle come highly recommended, esp Dr. Isaac

gbgb says:

Most of the people who work as cleaners in hospitals need to be given proper training. Even in Apollo hospital there is no soap or hand towels most of the times (I am talking about restrooms near the OPDs).
Unfortunately when I was admitted in Wockhardt, I could not get a private room and had to share the room with people who did not know how to use western toilet. They do have tissues, but most of the times soaked.
Later I managed to get a private room. But it was not too different from semiprivate. The cleaners clean the restrooms for the sake of cleaning. I do not think their managers are that bothered about the cleanliness. However the hospital management took the feedback positively.

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