Indexing Title: TMEDINA’s Medical Anecdotal Report [04-1]

MAR Title: An Indigent Patient who underwent Appendectomy

Date of Medical Observation: April 14, 2004

Narration:

            A 33 year old male from Laguna came to the ER with a CBC & urinalysis at hand and a piece of paper with a scripture of “Dx: Acute Appendicitis”, according to them they jumped from one hospital to another because they cannot comply with the amount needed for admission and that this was their 4^th hospital.

            The patient was agonizing in pain and was noted to be hypotensive, febrile and with abdominal guarding. I admitted the patient and immediately booked for an emergency Appendectomy. Since the patient is a non-manilan and only have 1000 pesos at hand, I provided them with the materials for the operation and anesthesia.

            A week after, the patient followed up in the OPD bringing a homemade embutido, his mother was so thankful for if not for me her son might have died.

Insights (discovery, stimulus, REINFORCEMENT):

            As health care provider we should be compassionate and render service that does not ask anything in return or profit gaining. I am living up to the vision, mission of our department and that is to provide the highest quality service to indigent patients with the lowest possible cost.