Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

Friday, 4 January 2013

Having a baby at Starcare Hospital – a review





Last year, I wrote about the various hospitals around town where you can have a baby. After doing some research we opted to head to Starcare because Mrs Sythe was expecting. We chose Starcare purely because of the good things we had heard about one of their Dr’s, Dr Anita Zutshi. This is a bit of a long post, so I'm warning you now!

We booked an appointment to see a Gynecologist and were unable to see Dr Anita and were referred to the other Dr at Starcare who handles pregnancies, Dr Bindu. After our first appointment, we decided we no longer wanted to see Dr Bindu as we just did not like her attitude, and purchased a package and insisted on Dr Anita from then onwards. The package cost us RO 450 and included all of the appointments, a number of scans and tests and the post-birth follow up appointment.

Dr Anita was very, very good, and we were very happy with her as our Dr, she was very clear and explained everything to us with great patience.  The technology available was better than experienced at a local hospital in Canada. You have access to 4D ultrasound scanning, and when you go for your scan, the woman lays on a bed and has a 32” flat screen mounted on the wall in front which shows everything that’s on the monitor that the doctor uses – a nice touch.

However, the administration staff at Starcare are beyond bad. They are in another world of bad, and the number of problems caused by the administration staff eventually led to us switching to Muscat Private Hospital. 

Let me explain, in the course of the pregnancy, we spent over 12 hours waiting to see the Doctor after our scheduled appointment. It was quite common to have to wait up to 2 hours after our scheduled time to see the Doctor. We started calling the administration staff the day of our appointment to ask when we should come in, only to be told to come at our allotted time because “everything is on time today”. It never was. 

Perhaps the most memorable occasion was, after waiting for 2 and a half hours and seeing people go ahead of us time and time again, we discovered that the administration staff thought we had not turned up for our appointment –and that our registration card that was sitting on their desk was just there for fun. Or perhaps the best moment was being repeatedly charged for services we had already paid for in our package. Nevertheless we persevered with Starcare because we really did like and appreciate Dr Anita.

The day of the birth was also fairly stressful, as you might imagine. We have spent a great deal of time making our minds up to tell our birth story but we figured that knowledge is power, especially for people expecting a baby, or even their first like it was for us, and that we should share our experience for the benefit of others.

Mrs Sythe’s waters broke early in the morning but she never went into labour – we finally went to the hospital (even though labour had not started) in the late afternoon to get checked up – when your water breaks you are on the clock for risk of infection, you can’t just leave it forever.

We were admitted to a standard birthing suite, which has ensuite shower and toilet, a bed with a fold out grey torture device that’s apparently a bed, and there is a TV showing illegal Dish TV Indian satellite tv channels on it. As far as rooms go at a hospital it’s actually quite nice – A word to the men though – bring a pillow or two for that horrible grey bed thing.

After some time the duty midwife, a South African lady called Denise, came in to see us. She had just come right from the delivery room and had blood all over her which was a bit grizzly, but she knew we’d been waiting for quite a while and wanted to check on us before fully cleaning herself up. She was very knowledgeable and helped put us at ease and said she would call the doctor to come and check Mrs Sythe to see whats up (we still didn’t know if Mrs Sythe’s water had actually broken or not at this point).

And then it happened. Dr Bindu walked in – our Dr was away on vacation – she had told us about her vacation weeks before! Dr Bindu conducted a simple test and confirmed that the waters had indeed broken and then said she needed to carry out another test. Now, I am not a healthcare professional, and perhaps I am wrong in my thoughts here, but I think my wife was assaulted by the Dr. We never made a formal complaint because, well, we had our hands full the next day with a brand new baby and simply didn’t have the time. I’m not saying that this was an actual assault, but that’s what it felt like to Mrs Sythe.

Here’s what happened: The Dr needed to check Mrs Sythe’s cervix, and without dressing it up too much, basically fisted her. Her nails cut her down there, and when she started crying, incredulously, Dr Bindu laughed and said to her, “well how do you expect to have a baby”? And then said to the midwife that the cervix was unfavorable (I later found out that meant unfavorable for inducing). 

That’s right. A Dr did that to my wife, and then laughed at her. We’re not really sure what to think because we’ve asked other medical professionals and some people say that this test the Dr did should have been done using a tool (speculum), and others say that it’s normal just to put their hand in. The real insult for us is the fact that this Dr laughed at us, at one of the most terrifying times of our lives together – we were not expecting to give birth for another 3 weeks and things were not exactly going normally. 

And so we had an emergency C-Section (which cost RO 1350) which was scheduled a few hours later. We met with the anesthesiologist, who explained that he was going to administer an epidural in the procedure. Other than that we just waited in our suite until it was time.

Soon it was time for the main event, I was shown some scrubs and some sterilized shoes to wear and was led to a waiting room while Mrs Sythe was wheeled into the operating theatre. I was told someone would be out to get me in 5 minutes so I could join them all in the operating theatre.
5 minutes passed, and then 10 minutes. Finally after about 15 minutes I went investigating and found someone who I got to tell me what was going on. The anaesthesiologist had tried – and failed – 4 times (!) to successfully give the epidural and so they were going to use a general anesthetic and put Mrs Sythe out completely. I was allowed in to reassure her, and then had to go back to the waiting room.

A short while later, the new duty midwife, Binta, appeared holding the worlds cutest baby (I’m biased) and allowed me a few minutes of skin to skin contact with mini Sythe (Mrs Sythe was unconscious still) before taking her for measurements and checks. It has to be said that Binta and Denise were, and are, amazing people and were very helpful both during and after the birth, as were all the nurses on the maternity ward.

We stayed at the hospital for 3 days, and went home with our brand new baby. Only to have to come back later that night because the baby was distressed and had been crying non-stop. When you leave the hospital they give you some information, along with 2 phone numbers to call in the event of something happening. On a Sunday at 6pm, we rang both numbers and both rang and rang until they cut off. That’s right, the emergency numbers we were given were not even answered. 

Not knowing what to do, we rang the duty midwife, who suggested we went to emergency with the baby, which we did. We turned up in emergency and the nurse asks: How old is the baby? We said… 3 days… and amazingly the nurse then said: so how many months is that? Uh…. 3 DAYS? So 3 months then? No, 3 DAYS.

We got in to see the duty Dr, who was clearly out of his depth. He asked what the problem was, we said… the baby won’t eat. He didn’t understand. Eventually I just grabbed mini Sythe and went upstairs to the maternity ward and found a nurse and got some help. The reason for sharing this particular part is to warn you, as can probably be expected: emergency room staff are clueless (and fair enough too) when it comes to newborn babies.

The tale continues; over the next week or so, we had to return to the hospital a further 2 times because we noticed mini Sythe was getting jaundiced, only to be told “shes quite yellow, see you later” each time. At our 2 week follow up appointment with the Paediatrician, Dr Askar, he ordered a blood test to check the level of jaundice, which was very high and subsequently we had to spend 24 hours under UV lamps back at the hospital  - which did the trick and cleared up the jaundice.

And here’s the final straw: when leaving the hospital the next day, after the UV treatment had been completed, the Dr told us he wanted to have a follow up with us a few days later, and was sitting at the nurse station with me when I was making the appointment with a duty nurse, it was at 8pm on a work night a few days later. A few days later, we drove to the hospital for our follow up appointment and went to the main registration desk to report in. This is where we swore never to use Starcare ever again.

It transpired that Dr Askar was “not coming to the hospital for 2 weeks”. No one had called us, no one had informed us, and thus we had a sick baby and had arrived for our follow up appointment and no one at the hospital could help. That was it. The hours and hours and hours of waiting for Dr appointments, the Dr laughing at us, the 4 failed attempts to give an epidural and now this total failure to inform us that our Dr was “not coming” for 2 weeks. That was it, I got a full medical note history for mini Sythe printed up and left Starcare, hopefully never to return.

All I can do is share our experience here so that anyone who reads this who is expecting a baby can know. Forewarned is forearmed after all. Many people have had great experiences at Starcare – and yes their regular Dr’s and emergency treatment is actually pretty good, but for us, we wish we had never bothered and had just gone to Muscat Private Hospital to have our baby here. One final note on Starcare is this: Mothers who have their babies via C-Section there - be careful when you leave, because the parking lot is uneven and it's a pretty painful ordeal just to drive out of the parking lot and onto a level road!

Hopefully this information is of use to someone, and if you've had a good or bad experience with Starcare then please share it here too so others can benefit from it.

le fin.

Saturday, 1 September 2012

8 Benefits Of Building Muscle Apart From Good Looks



Most people focus on how building muscle can improve their appearance when aiming for this goal, such as make their body look fuller and more toned. However, there are numerous health benefits that are gained from building muscle which many people may not be aware of. If you're not concerned about looks like most people, you'll be happy to know that you can gain the following other benefits when you get into muscle building.



1. Added Power And Strength

By building muscle you will become physically stronger and more powerful which will make any physical tasks easier to accomplish like lifting and carrying heavy things.  

2. Increases Bone Strength

Building muscle and working out increases your bone strength. This helps a lot especially as you get older and require stronger bones. Having strong bones also reduces your chance of getting any bone related illnesses or issues.

3. More Energy  

Another great benefit of building muscle is the increase in energy you will gain. You don't get tired as easily and your stamina lasts longer. In today's society of hustle and bustle, more energy is a wonderful thing.

4. Better Ability To Play Sports 

Most sports require lots of energy, strength, resistance and power which are results you'll get from building muscle. So you will perform better when playing sports and also complete other intense exercise easily like running and lifting heavier weights.

5. Stronger Immunity Against Disease 

Building up your muscles enhances your overall health which will greatly reduce your chances of getting many health problems and disease. This is extremely beneficial since good health is paramount of possessions in life for everyone.

6. Burns Body Fat

Building muscle increases your metabolism so essentially this means your body burns more calories which will contribute to a lean healthy body.

7. Diminishes Signs Of Aging 

Another good benefit of building muscle is that it makes you look and feel younger. The reason it does this is because it slows down the aging process. You will look younger next to people who are the same age like you.

8. Reduce Stress And Promotes Well Being 

Working out is a great hobby you can use to release yourself from stress as well as calm tension and anger. Building muscle will also make you more motivated in your daily life, as a result you will be more productive and optimistic.

So there you see the number of other benefits you can gain from building muscle apart from just looking attractive. Therefore, if you are not interested in getting into muscle building for the sake of improving your appearance, considering the number of other great benefits you can gain, there must be a worthwhile reason to make you finally start a muscle building regime.



Tuesday, 28 February 2012

The Melamine thing

Ahh Wednesday you beauty. What a week it's been, I'm glad it's nearly over!

Regular readers here may remember I got excited about Muscat Daily's story about Melamine last year on October 10th. I blogged about this on the October 17th here, and followed it up on December 10th here.

An example of Poultry products available in Oman. I'm not saying this particular brand is safe or unsafe to eat, it was just simply the poultry section in a local supermarket - that's all.


Muscat Daily reported that an SQU study into meats available for purchase here in the Sultanate indicated some meat products contained massive concentrations of Melamine, yet declined to report exactly which products were contaminated. The reason for this failure to report the brands affected was because the Ministry of Health declined to provide this information.

The World Health Organization's Oman representative was contacted via email (a Ms Suha Battash) on October 18th (as a result of a reader reading the article on this blog), and then a follow up email was sent to the WHO Rep again on November 25th requesting information. The WHO Rep then replied on November 28th with correspondence reference: WROMA.11/295 OMA/NUT - the contents of this email said:

From: BATTASH, Ms Suha Awni Mohammed -oma [mailto:REMOVED@REMOVED] On Behalf Of WR OMAN
Sent: Monday, November 28, 2011 1:51 PM
To: REMOVED
Subject: Melamine in local meats

WROMA.11/295

OMA/NUT

28 November 2011

Reference is made to your below email regarding Melamine in local meats, please note that we have forwarded your concern to the Director General of Health Affairs, Ministry of Health. Unfortunately we have not received any reply till now.


Please note that we will send you the answer as soon as we receive it.

With best regards.

Suha Battash

Office of the WHO Representative,  Oman
Tel (968) 2460XXXX / 2460XXXX
Fax (968) 2460XXXX
E-mail REMOVED

"Using Medicine Sensibly”


A follow up email was then sent back to the WHO Rep on 2nd January 2012, and again February 4th with no response to date.

So, the melamine issue still rumbles on. What we have learned so far is that the Director General of Health Affairs, Ministry of Health is obviously a very busy person indeed, being unable to give an answer to a single question asked of him or her (I dont know who the DG of Health Affairs is) in October 2011 until the end of February 2012 so far.

One might suggest that the Ministry of Health simply dont care about this issue and have decided that perhaps they'll just ignore the request for information in the hopes that it'll all blow over. Which raises even more alarming questions!

What if the slowness to respond is less rooted in the "too busy / don't care" pile and more rooted in the "Omani producers will get hurt so I'll stay mum about this" pile. This is a classic example of how NOT to manage your Public Relations. Here's a top tip: If the national press write a story about the potentially lethal levels of contaminants in foods available for purchase in the country, perhaps you should issue a statement so that citizens living here know what is safe to eat. Could you imagine the press reaction in, lets say for comparative purposes, China, if Melamine levels as high as reported here were found in local food products and the Ministry of Health failed to give a statement?

In China, as a result of the Melamine in milk scandal which broke in July 2008, a number of criminal prosecutions occurred, with two people being executed, another given a suspended death penalty, three others received life imprisonment, two received 15-year jail terms, and seven local government officials, as well as the Director of the Administration of Quality Supervision, Inspection and Quarantine (AQSIQ) were fired or forced to resign.

Meanwhile, here in Oman, the DG of Health Affairs is too busy to even answer the question of what meat products are contaminated so we can avoid these products. Let's not forget that the question asked to the DG of Health Affairs was asked by the World Health Organization, not Joe Public. Why is the WHO failing to follow this up to get an answer? Why is the National Press not reporting on this to force a response? Why is the Ministry of Health ignoring this?

I sincerely hope that the SQU report first reported on by Muscat Daily was flawed or incorrect, and this is all a storm in a tea cup - and if that is the case, then TELL US! If it's actually the case that this melamine contamination is as reported in the SQU findings, then what on earth are the Ministry of Health playing at?

I doubt we'll ever hear anything, but I hope my rant helps spur some sort of positive reaction, instead of landing me in hot water with Al Plod for bringing this up again.

More soon.

le fin.

Sunday, 16 October 2011

Chicken heavily contaminiated with Melamine in Oman


Recently, Muscat Daily published this story on melamine contamination in meats in Oman, but it seems no one has really quite "got" it and is taking this seriously. The results published are considerably alarming, especially when melamine levels found in chicken locally obtained from the market here have registered levels in the range of 25.6-73mg/kg. The accepted industry norm is 0.015mg/kg (according to the article) which means in certain cases, the melamine content was over 5000 times the accepted limit. In total, 50% of poultry products tested were contaminated with more than the maximum permitted limit of melamine.

The report in the Muscat Daily stated that meat products tested were from local, regional and international suppliers, but failed to name and shame the brands that had these potentially lethal levels of melamine. In 2008, there was a scandal in China that broke, resulting in 6 infant fatalities and over 850 babies hospitalized and a predicted 300,000 people affected by melamine contamination in food, but mainly milk. So it's a fairly big deal if you regularly eat chicken - if it's contaminated with melamine.

The report is fairly vague on solid facts though - are fresh chicken products safe to eat, are the contamination levels found mainly in frozen and processed products? It's not clear. The study conducted is not dated, and so it's not abundantly clear when these tests were carried out. However, most frustratingly, products and brands were not named and shamed in the report, leaving the reader (well at least me) thoroughly confused and unsure whether I should consider continuing to have chicken in my regular diet.

I contacted Muscat Daily to ask them which brands were the worst offenders, and which were the best, and the response back to me is that the journalist who wrote the article asked the very same question to the Ministry of Health, but they refused to give any details. W.T.F.

Food safety here in Oman has a long history of being abused - we all know stories of buying products only to find they are moldy, or even seeing clearly unfit to eat meat being presented at deli counters in the past. Fridges also are fairly commonly discussed as not cooling products to the correct temperature, and continual freezing, thawing and re-freezing of products is common place as well. One really does wonder whether these test results from SQU are accurate or not, and if so, why on earth nothing has been done by the authorities. 

If local suppliers of meat products don't like it, I would suggest they employed an impartial 3rd party to test and certify their products. What do you think?

le fin.

Monday, 27 June 2011

Oman gets another boat, and HIV discussed in the national press

I've been a lazy blogger this week, but thats basically been because there has been nothing to write about really. Until today.

Originally reported on my blog in August 2009, Oman signed up to buy 3 Khareef class (Corvette I understand) boats ships from UK firm BAE Systems (albeit a company called VT Systems which was then subsequently bought by BAE and a division formed to be called BAE Systems Surface Systems). Anyway, the first one, the Al Shamikh underwent sea trials earlier this year and failed them. The rumours are that the engines don't work, well, not to specification anyway which led to a delay in the delivery of the final 2 ships until, apparently, today (as reported by Muscat Daily) with the third ship, the Al Rasikh. I wonder if the RNO have fined BAE SSS for the delay?

I imagine that the new ships will be pressed into service to help keep those pesky pirates away from Oman's waters, as well as a spot of smuggler hunting too.

And next:

On the front cover of the Times of Oman today, and I also read about it in the Muscat Daily today as well, that Oman is starting to realise that people living with HIV/Aids can not be just made a statistic and forgotten about. The general gist of the articles seems to be that more needs to be done to deal with counselling and treating those with HIV and also helping to spread awareness, especially amongst young people. The ToO article then goes on to say that drug addicts that inject themselves and share their needles are the most likely to become infected.

I was somewhat amazed that the ToO article then went on to suggest that there are only 80-90 new infections in Oman each year since 1999. At least the people at Muscat Daily clocked that this statistic must be totally inaccurate and so didnt print the ridiculous statistic.

How about the case at the school in Salalah in 2009 as reported by Dhofari Gucci where 5 girls were diagnosed with HIV in one go. How about all the poor Omani wives who only find out they're infected when they become pregnant and go to the doctor? Well, at least recognising that more support needs to be there for people infected with HIV is a step in the right direction.

I hope a successful campaign to spread awareness is rolled out.

Thats all for today.

le fin.