Saturday, July 17, 2004
This post is only for people interested in health care in Iraq. If you are not, you will find it very boring.

Hospitals – revisited

Many of my friends abroad have been very concerned about the situation in Iraqi hospitals. I have previously talked about the situation in one of the main children hospitals in Baghdad, and now I will talk about Abu-Graib hospital.

The information I am stating is taken from a close relative of mine who is a surgeon in that hospital. The name Abu-Grapib must sound very familiar to many of you because of the Abu Graib prison. This hospital carries the same name because it lies in the same city. Abu Graib is a small city about 10 kilometers to the west of Baghdad with a population of about 500,000.

Facts and figures
- The hospital receives about 750-900 out-patients a day. About 600 of those are received in the morning shift with only 7 or 8 specialized doctors. This means that a doctor examines an average of 80 patients a day!!!!
- The hospital was built in the seventies when the population of the city was only about 50,000 and as I have mentioned, the population now is about 500,000.
- The hospital receives about 5 bullet and road traffic injury cases a day.
- In general the services level has not been improved but the wages have been reduced for the patients..
- Doctors are not allowed to describe more than three drug items for the patients. Usually there is only type of anti-biotic hence doctors don’t have to think a lot of what type of anti-biotic is most suitable for the patient. The decision has already been made for them. This is helpful in making all doctors equal. Good doctors and bad doctors will always give the same medicine because that’s the only medicine at hand.
- Shortage in suture material and hence doctors are left with no options to choose what is suitable for a certain case. They have to use what is available at the moment. This is again helpful in making sure that all doctors are equal.
- Amount and types of drugs are less than before (before the war that is) and without any coordination or planning as to the types and quantities supplied.
- The hospital has not gone through any renovation of any kind. It does not even have any sewage disposal system. About 5 tanks of sewage are usually drained from the hospital. Toilets are flooded and are completely unusable.
- The hospital lies in a very polluted area very close to a dirty public market for fish, meat, vegetables, etc.
- The doctors situation in the hospital is very bad. There is only one small room for the doctors with only 8 beds for 30 doctors and hence many doctors have to sleep on the floor when they need a rest. What a rest that would be!
- The time required to drive the 10 kilometers between Baghdad and Abu-Graib may range from 15 minutes to 90 minutes depending on many factors like temporary road blocks and the presence of American troops.
- There comes cases where shootings occur inside the hospital and doctors are sometimes threatened by the patients or their families.
- If the patient dies, the doctor will have to pay a compensation for the deceased family, regardless of the reason of death. The amount of compensation is about 3,000,000 ID (about $1,500) or get killed. With the absence of law, such compensations are carried out under the tribal law. On the other hand, an operation only costs the patient about $70.


Good news
- The hospital has an air conditioning system
- The hospital has a large standby generator. That is the hospital has no problems with electricity.
- Ambulances are available.
- The hospital was donated a Sonar machine.

Good or Bad?
- In the first days after the fall of the ex-regime during the looting, the hospital was protected by the good civilians living near the hospital. They protected the hospital for several days till the Americans took over and started protecting the hospital. That means the hospital was not looted. I must say that though the Americans were late in starting to protect such vital organizations, my relative doctor was impressed by the politeness of the soldiers that were protecting the hospital and how much did they care not to scare nor annoy the patients there. And as they say: better late than never.
- The salary for the doctors increased by a factor of almost a hundred. Now my relative who is a surgeon with 17 years of experience in practicing medicine, gets paid about $350 a month. Much much better than before, but this is still considered a small salary for someone like him. A newly employed IT specialist now may get paid more than that in the private sector.

Surprisingly bad news
During the Falloojah events (Abu Graib is the nearest city to Falloojah) when the Americans surrounded Fallojah city, the Americans surrounded the hospital and there were snipers all over the place shooting ‘anyone’ coming towards the hospital and the hospital remained empty for about a week.

That’s all the information I gathered. I did my best to be as accurate as possible and I hope that this information answers as much of your questions as possible.




559 comments:

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Mike O said...

It's a shame about the hospitals. I spent eight years workin hospital labs and know that American hospitals generally have excess stocks and significant equipment sitting in back storerooms; stuff that is retired primarily because it is not the 'latest and greatest' (probably where the sonogram machine came from). Getting the donations is one problem, shipping is another. I think there are some organizations who do this. I will do some net research and let you know if I get any possibilities.

Pat in NC said...

I do hope drugs and needed supplies are soon available.It is good that the doctors salary has increased and hope that is true for all medical personnel. If your first commenter can find shipping, I am willing to contact my local hospital to see what donations they can make. The sewage problem has got to be solved first. With such contaminated conditions it would keep me from going to the hospital. Are sewage stations continuing to be built to deal with this problem.

AMac said...

Ahmed, thanks for taking the time to write about the Abu Ghraib hospital. It's far from what I know as an American.

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Choosing the right Bed: Bedcare
Proper care will keep your bed in good condition. Always read and retain manufacturers care instructions and ask your retailer for advice, too. Otherwise, the following tips will help you to get the best out of your bed during its natural life.
Use a washable, protective cover to protect the mattress (and pillows) from stains. Barrier fabrics for allergy sufferers are also available.
In the mornings, throw back the bed clothes and leave the bed to air for 20 minutes to allow body moisture to evaporate.
Turning your mattress over from side and side and end to end every few months (every week for the first three months) helps upholstery fillings to settle down more evenly. Some more luxurious mattresses, with much thicker layers of fillings designed to mould themselves to the contours of your body, may retain signs of these impressions, despite turning.
Don�t make a habit of sitting on the edge of the bed and don�t let the kids bounce on it.
Don�t roll up or squash a mattress to store or transport it - this can cause permanent damage.
Handles are designed to help you position a mattress on its base - do not use them to support the full weight of the mattress - they may pull out and damage the fabric.
Don�t leave polythene wrappings on a new mattress - dampness, mildew and rotting could all result from a build-up of condensation.
Vacuum your mattress and base from time to time to remove fluff and dust. This should be carefully done so as not to dislodge fillings or damage tufts. Open windows while vacuuming -especially if there is an asthma sufferer in the house.
When tackling stains, use mild detergent and warm or cold water. Never over soak a mattress or base.
Putting a new mattress on a base for which it was not intended, a new mattress on an old base or a board between the mattress and base can impede comfort and reduce the useful life of the mattress - as well as affecting any guarantees or warranties.
Out with the Old: Once you�ve bough yourself a new bed, make arrangements to have the old one disposed of (many retailers will do this for you). Don�t give it to the children, relatives, guests or neighbours. If it wasn�t good enough for you, it�s not good enough for anyone else, either. In fact, it�s a veritable health hazard - get rid of it
Definately something to think about if you plan to buy a
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