It can often be much more efficient to go directly to a western doctor in Phnom Penh. Even if he doesn't specialize in that particular illness/disease then he can tell you precisely where to go to get tests, etc done locally and analyse the results properly. We always used Doctor Gavin Scott on St.108 and he was always spot on. He also charges less for Cambodians than expats - about $25 I think. This is always better financially and physically than going to local quacks multiple times and buying ridiculous quantities of ridiculous medicine.

From what I have found about the meds they aren’t available at pharmacies, only direct from this clinic.


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Well Iv'e been here long enough to not expect too much of this hospital. It's easy enough to find and the back entrance is beside this.




and the side borders on this and this







And there are a few reminders of the past inside




It's quite a large hospital but inside it's almost deserted and I had trouble finding someone to point me in the right direction of information or a doctor,
but finally found the reception but chmar was more interesting in sleeping.



I found a doctors office and the lady cleaner/nurse said the doctor go home eat rice. Come back tomorrow. It's now 11 am, office closed.

Oh well , what was I going to do tomorrow. Yea, thats right, waste another day of my life.

Did you call the number?
I know how it looks and the guy that dispenses the medicine is a bit slack, but I can assure you there are people using this place and getting the meds monthly, same ones prescribed in another country.
Like a lot of places 11am to 2pm nothing happens. It’s obviously had USA funding at some point and now lacking funds I’m guessing.
There was a lady doctor who has recently retired, maybe a month ago, perhaps she hasn’t been replaced.
If you’re serious in following through here pm me.


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Any progress Duncan?

AndyKK wrote: ↑Fri Nov 17, 2017 1:04 pm Any progress Duncan?

B/L has been too ill to travel from Sa-aang this week. Hopefully he will be OK for Monday and I will take him to the National TB hospital.

Hope he gets what he needs Duncan.



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Update,
Finally B/L was well enough to travel to PP, to the National TB Center. On the way had to walk about 100m but he collapsed, coughing and spitting up phlegm. Had x rays taken and Dr says he has Asthma and lung infection.

This is on a patient that has already been prescribed Rifampicin, by a previous hospital ,,a drug that is used for treatment of TB ,,, A diagnoses that could only have been diagnosed through a x ray and a Sputum test. I remember seeing the letters TB on one of the previous reports 6 months ago.

He was given a script for.
Clobunil
Cefuroline
Medixon Methylprednisolone
Vometa
Price $23
Also some vitamins and throat lozenges which I did not buy.

Conclusion for today.
Doctors know and do diddly shit and WHO and NGO's are not far behind.








C ambodia has now transformed its TB programme from a hospital-based system to one that provides free, universal access to TB care at the grassroots level. At the core of the new approach was the WHO-recommended DOTS (Directly Observed Therapy – Short Course), with its emphasis on supporting TB patients as they follow a six-month treatment regimen.

Rapid DOTS expansion

A male patient, Cambodia.WHO/Katherine Chong
Since the turn of the century, health system reforms have dramatically expanded access to primary health care. The number of community-based health centres providing free, DOTS-based TB services surged from 60 in 2000 to around 1000 across the country by 2005. Over the same timeframe, the number of health workers trained in TB control increased from 800 to 2500. By 2005, Cambodia had achieved global TB targets of 70% case detection rate and 85% treatment success.

“Cambodia changed a health crisis into an opportunity,” says Dr Ikushi Onozaki, from WHO’s Stop TB Department.

An evidence-based approach

“The new approach was firmly based on scientific evidence,” he says. In 2002, a survey of more than 30 000 people confirmed that Cambodia had one of the highest TB prevalence rates in the world, with more than 1500 cases per 100 000 people. Onozaki says this survey gave TB “visibility” within and outside the country – and helped to define the problem, map out local conditions, guide resource allocation and attract international attention.

As this and other surveys gathered evidence to measure disease, they also provided the impetus to generate “know-how” in the more than 50 villages where they were conducted. Health workers and affected people saw X-ray imaging and evaluation on-the-spot, best practices to collect and evaluate sputum samples, and learnt when to refer samples to hospitals for further analysis.

Experts from WHO and Japan International Cooperation Agency (JICA) worked closely with the Ministry of Health to adapt the global strategy for TB control to meet local needs and conditions. Pilot studies tested interventions in targeted communities before they were expanded on a national scale. These studies were instrumental in training village “DOTS watchers” who could help detect TB early so that people could be treated effectively at home, with local support and reduced spread of infection.

A second national survey in 2011 found TB prevalence had fallen from the 2002 rate of more than 1500 cases to 820 cases per 100 000 people – a 45% reduction in nine years.

Government hits goals in fight against tuberculosis

The Health Ministry’s National Centre for Tuberculosis and Leprosy Control has claimed success in fighting tuberculosis in the country.
Officials said this success is due to the collaboration between the government and relevant institutions.

http://www.khmertimeskh.com/5094168/gov ... erculosis/

Just a final update to end a story ..

Brother - in -law past away two weeks ago leaving behind a wife, and 4 kids , boy, age 14, 3 girls 10, 6 and 3.

The last few months he looked quite well but under weight and I suspect the his ending was bought on by all the combination of medicines he was taking.