Posts Tagged ‘hospital’

20090306: Clowns Without Borders – tour report, part 1

Friday, April 10th, 2009

The following is a journal entry from Becky Priebe, who, as Becky Hoops took part in the recent ‘Clown Trauma Tour.’
See also this blog entry for a report on Clowns Sans Frontieres’ tour of Sichuan.

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Clown Trauma Tour, Part 1
Chengdu, Sichuan, China,

I am going to start with my impressions of the city.  These are coming from a very honest, western point of view and I’m sure my impressions would alter and soften, if I were to spend more time here and have a better understanding of the language and culture.  But for right now… I think that this is a city that needs clowns and it needs color, vibrancy… it also needs fresh air, clear skies, clean water, more living space, indoor heaters, insulation…. but the latter problems, that most major Chinese cities are grappling with, have no short term solutions.  It took me the first couple of days here to accept the fact that buildings here, even schools, hospitals and circus schools, have no heating…. I am slowly getting over the constant chill, but still find myself daydreaming of warmth.  It is amazing what human beings can adapt to, and if the 12 million inhabitants of this city can function in this brain-numbing chill… surely so can I.  The excessively spicy food and my even more excessive green tea drinking are helping.  I do have to say that the Chinese are among the hardiest, resourceful, determined people I have ever seen.
Performances:  Our 4 person show including: David Fiset, Becky Priebe (Canada) , David Bernbaum (USA) & Pipat Suwapat (Thailand) is comprised of contact juggling, juggling, hula hoops, clowning and duo acro.  We are also blessed to have David Bernbaum here as he speaks Chinese and is our link to verbal communication with the children.
Each show we have done and will do are drastically different from one site to the next.  This keeps us on our toes and very sensitive and attentive to the needs and limits of each school, hospital or orphanage.  The first show we performed was about 1.5 hours outside of Chengdu in one of the hardest hit areas of the earthquake at the Xinxing Compulsory School in Pengzhou. The school was quite literally reduced to rubble and the kids now attend classes in temporary blue, corrugated metal boxes.  There were about 700 children waiting for our performance when we pulled up.  The were really excited to see foreigners in their remote village and just our presence caused a fury.  We performed outdoors with huge piles of mangled school desks and tables for a backdrop.  The children loved the show, proving once again that laughter can transverse cultural and language barriers.  During this hour of our performance we hope that the kids forgot for an instant the trauma that they have lived through, the hardship they will inevitably have to endure and that the smiles will stay with them, spreading to their families and villages.  For me… I forgot, for that hour, that I was freezing and upon greater reflection … I am beginning to realize the reasons we have come so far.
The next day of performances included a hospital and an orphanage.  Although it was not heated, the hospital was an impressively clean and modern building.  We perform for about 120 handicapped children.  The children really enjoyed the show and we were happy to perform indoors with a real sound system.  Following the hospital we pulled up to an orphanage where about 150 kids were waiting for us.  They were between the ages of about 2 to 17.  Most of the children’s parents were dead (in a country with a one child policy… most families do their absolute best to look after their only child… the children of the orphanage were therefore for the most part parentless…. they are also ironically among the rare children in China to live a “sibling experience”).  The kids were tough and weren’t afraid to yell and attempt to steal our material.  In the end they enjoyed the show and were very quick learners in the workshop afterwards.
Tomorrow we are off to Mianzhu, north of Chengdu, a more remote, mountain city.  I will send a new update when we return.

20090323: news about Yan Daiyu

Monday, March 23rd, 2009

News from Yan Daiyu:
This morning we met with Yan Daiyu, her father, Yan Shifu, and her stepmother at Hua Xi 2nd Hospital in Chengdu.
After an initial consultation with the doctor, during which Daiyu was quite scared and did not dare to say a word, we made our way through the crowded hallways of the hospital to get her blood test.

The director of the department, Mr. Gao Ju, explained that it was very likely that Daiyu has a form of Leukemia called APL (Acute promyelocytic leukemia) or M3. To make sure this is the right diagnosis the hospital will have to make a bone marrow puncture/ asparation on Monday morning. We checked Daiyu into the hospital where she started treatment for her flu, since her immune system has to be as strong as possible for the chemotherapy.
After the bone marrow puncture the doctor will be able to tell us more about the following treatment and how her chances are.
If she really has APL she will have to take medicine (ATRA Treatment) for a couple of weeks and then start a course of hemotherapy that will last about one to one-and-a-half months.
The chances of long-term survival are over 50 % in China.

We stayed with the family for most of the day and had our first success with getting attention from the media.
Chengdu TV came to the hospital to interview Yan Daiyu, her father, Yuanyuan and me.
Since Yan Daiyus parents separated a long time ago she lives with her father and stepmom, which might make finding a person for a possible bone marrow transfusion harder.  Luckily Chengdu TV said they would try to find the mother, who is living with two of Yan Daiyu’s siblings.

So far SQR has paid the hospital and the family around 3500 RMB which will cover the first days in the hospital, living expenses and the bone marrow puncture.
The positive news of the day is that the total cost will probably not be as high as the countryside hospital said.
Right now it seems like the total cost will be around 70.000 RMB, though it is not possible to get any definite answers at the moment, since we have to wait for the final diagnosis on Monday till we will be able to know the exact treatment Yan Daiyu will need.  Sadly, experience shows that initial estimates of funds required tend to be lower than the actual funds required, but SQR will keep updating the information on Yan Daiyu’s case.  The family is still living in their self build shed and the doctor said if the treatment goes well the chances of survival are also influenced by her living conditions.  It’s a case of taking one step at a time.
The other positive news today is that we left Yan Daiyu smiling, giving a hearty kiss on the cheek after a day of drawing, singing and playing together.

20090119: Rehabilitation for those with physical injuries

Friday, February 27th, 2009

四川灾区的“王海清”现象

Professor Li said that there was a so-called “golden period”, which is three months after their injury. If proper treatment and rehabilitation services were provided within this period, possible disability could be avoided. More importantly, persistent treatment is also critical after the golden period if a full recovery is not achieved, or the patient may permanently lose the chance of a full recovery.
“Our survey in Jiangyou City demonstrated that, 65% of the quake-wounded people needed more active rehabilitation treatment. Accordingly, it is estimated that the total number of patient in such condition in Sichuan is at least between 6000-7000, whereas the services we had provided is far from enough.”

On Feb 11th, Professor Li was told by an official in Sichuan Provincial Department of Public Health that, the estimated figure on this issue was also 7000. “This conclusion is not a copy of our research posted on the internet but drawn from their own independent statistics collected from local departments of public health.” Professor Li added.

Insufficient capital is the major fact that has brought Wang Haiqing and many people like him to this quagmire. Professor Li and his team had proved this by their firsthand experience.
The China Rehabilitation Academy has been appealing to organize a national aid group that could give some support to people  in need. When this proposal was finally approved by the Central Department of Public and the aid team was ready to entre the quake-hit region with100 medical experts, local government had no choice but to refuse their kindness – they couldn’t afford it. “The financial aid had not arrived yet. No money for first aid, not to mention rehabilitation. The experts we brought over didn’t charge a penny for seeing patients or other services. Local government or hospital only needed to provide meals and accommodation. However that was also unaffordable.”

Dec 31st, all medical financial aid was stopped. Those wounded had to leave for home. “Afterwards, there were not that many quake-injured people taking rehabilitation in Chengdu. None in Huaxi Hospital or Hospital of Orthopedics, some in Chengdu No.2 People Hospital…Now the biggest rehabilitation center is Mianzhu City People Hospital and a county level hospital, only because they had the support of our project and the Hong Kong Fuyou Fund.”
According to a staff in Sichuan Provincial People hospital, there are still dozens of patient who couldn’t afford to pay but also wouldn’t leave the hospital. So far, there’s no relevant policy released working on this issue. The hospital didn’t kick out these people for humanitarian concern, which left them an enormous financial pressure.

Jiang Tao, the spokesman of Sichuan Provincial Department of Public Health, told the journalist of China Economics: “From 12th May to 31st Dec, this period was defined as emergency aid period, in which to see a doctor was gratis for both injured people and ordinary patient. So far there is no respond to our proposal calling for new medical assistance policy.”

Then how much money on earth are we talking about.

It is calculated by Professor Li: “it is approximately 3000 per person. Even if all of the 7000 wounded are from poverty stricken families, it still needs only 210 million to solve this problem. Not to mention we will certainly make assessment on every family’s financial condition, make sure the money was spent on people who need it the most.”

Of course it was agreed that such capital should be provided by the government instead of individuals or non-government organizations since administrative order on searching and helping people like Wang Haiqing would be a lot more efficient than any other efforts.

励建安教授告诉中国经济时报记者,地震伤员的康复有三个月的“黄金期”,如果那时能持续做好,就能少去很多麻烦,可惜都早早出院了。“黄金期”过后,未得到有效康复的伤员依然应该坚持救治,否则他们就将永远失去恢复健康的机会。

“江油现场调查的结果实质性地表明,65%的患者需要积极的康复医疗。据此推算,四川需要康复医疗的患者至少在6000—7000人以上。而我们已经提供的服务远远不足!”

2月11日,四川省卫生厅的官员告诉励教授,省厅的预计值也是7000人。“我昨天问了卫生厅官员,厅里的数字7000人是不是根据我们在网上公布的预计来的,回答说不是,说是他们根据各地卫生局报告的统计结果。”励建安对本报记者说。

在资金短缺的问题面前,康复医疗救治不能到位——这是地震伤员一步步陷入困境的最主要因素。
一直在灾区为伤员的后续康复治疗奔走的励建安教授以亲身经历证实了这一点:“中国康复医学会提出组织国家康复医疗队来支援,终于得到卫生部的认可,组织了国家康复医疗队。列了180—190人的医疗专家名单,最终落实能来的有100人左右,当地不要。开始,第一批的是要的,但后来就不要了。因为连当地一些康复机构的基层工作人员的工资都付不起,国家的钱又没有到位,急救的钱都没有到,就更别说康复的钱了。国家的钱就始终进不到医院,专家来了,看病服务都不要钱,但是吃饭和住宿当地要安排,就连这一点地方都有困难,以后的批次便干脆不要了。”

“去年11月中旬,通知说全部撤退,12月31日,所有的医疗费用停止,伤员动员回家。许多医院的伤员出院,华西医院,此后就一个也没有了,骨科医院一个没有,省人民医院有几十个,成都第二人民医院有一些,现在最大的康复中心是绵竹市人民医院,一个县级医院,是因为有我们项目的支持,有香港福幼基金会的支持。”

2月6日下午,四川省人民医院的工作人员对中国经济时报记者说,目前,国家和省里还没有相关政策下来,医院完全是基于人道主义的考虑,没有将付不起钱的患者赶走,但是医院已经不得不考虑面临的巨大经济压力。
2月10日,四川省卫生厅新闻发言人江涛对中国经济时报记者说,地震发生之后到12月31日之前,国家定位为应急救助时期,在这个时期内,灾区的地震伤员乃至普通病人,看病都是不花钱的。12月31日之后,国家没有出台政策,省卫生厅为此曾多次向上提交报告,希望能出台政策,但是到现在还没有回音。
资金,究竟需要多少?励建安教授测算说,“如果比照在江油所做的,均摊下去,可以算为平均每人3000元,即使这7000名患者都是困难家庭,也只需要2100多万元便可以解决一个这么大的问题,何况我们还可以对患者家庭做评估,保证将资金用在最缺乏经济能力的患者身上。”
一位志愿者对中国经济时报记者说,这笔钱,如果依靠社会,将难免会遗漏未被发现的“王海清”,如果政府出资,并且发动各级医疗机构切实查找,就能基本为地震伤者尽到人道主义的义务。
[SQR's approx. translation into English]

Update from the Chengdu’ers

Sunday, June 8th, 2008

A major part of the work of Sichuan-Quake-Relief is to act as an information hub and a connection point between donors and projects, which will involve reporting on the work of the many groups and projects in the region. Here is a short report from Simon, from one such group, the Chengdu’ers:

Last weekend we travelled with Zhu Hai volunteers up to the Mianyang/Jiangyou and Chenjiaba areas of Sichuan.

We had received aid parcels from the GAC school in Wuhan, Hubei province, and the people in this area of Sichuan had not been covered by the army yet. Again, basic food and some tents had arrived from government sources but mosquito repellents, sanitary towels, skin creams for the terrible weather (the last week has been hot and dusty for a few days, followed by a day or two of heavy rain) were in short supply.

Some of the houses look fine, once inside however it is clear that most of them will be demolished eventually. The government officers have been round and daubed characters on the houses: red for demolition, yellow for repair, blue or nothing for safe. The settlements are quite isolated; rice and vegetables are the area’s main produce. Behind one village the whole front of the escarpment had collapsed.

Most of Sichuan’s mountains are densely covered with trees and foliage, the earthquake has literally sheared some of them in half and anywhere you see brown or grey on the mountainsides are collapses or slides due to the quake. Our base was on the outskirts of Jiangyou City. The campsite was somewhat noisy — lorries carrying flat-pack temporary housing, which is becoming such a feature of the landscape.

We’re just a small group, no official name as such but have networked with Guangzhou and local Sichuanese volunteers. Liang Ya, Tom, Michael, Li Qing Wei, Tang Qing Yun and Xiao Gao make up the Chengdu’ers. This week we’re back to Pengzhou county to take supplies to a village hospital that’s had a small upsurge in patients so I’m just heading off to the medical wholesale place now.