병원에서의 소독과 외국가는 것의 단상
Paracelsus<소독법>
대개 고압멸균기(autoclave)로 수술포나 금속, 기타 열에 강한 기기등으로 이루어진 장비를 소독하고 열에
약한 내시경등과 같은 장비나 수술 기구는 액체소독액을 이용합니다. 이것도 곤란한 경우 즉, 보형물 등은 EO gas로
소독합니다.
1회용을 사용하면 저도 좋지만 수술비보다 기구값이 비싸버리는 황당한 의료 현실이기도 한 경우가 있고, 보험에서 대개 인정을
안하고 있는 실정이어서 비용상승이 되는데 비용 상승에 대해서 환자들이 관대하지 못한 경우가 많습니다.
또한 일회용 기기가 생각보다 비쌉니다. 한국의 저수가 실정에선 배보다 배꼽이 더 커버리는 상황입니다.이들이 보험에서 인정이
된다면 막대한 재정적 부담이 발생하는데 퍽 곤란한 문제죠.즉 , 병원에선 비용이 추가로 발생하는 현실입니다.
어쨋든 실제로 일회용 기기를 가지고 수술 시 비용이 발생하는데 환자분 들에겐 같은 수술이면 수술일 뿐이며 결과가 더 중요하죠.또한 왜 비싸냐고 따지기도 하죠.
<해외 원정 진료 및 수술 받는 경우>
외국으로 나가는 경우에 최근에는 발달된 의료때문도 있지만 저가의 의료가 관심사인경우와 고가인 경우, 두가지로 볼 수도 있습니다.
1)저가 의료의 경우;
일인들이 부산에서 성형수술을 한다거나,한국인이 태국이나 독일에가서 유방성형술을 한다거나 하는 경우가 있더군요.
중국에 가서 임신시키는 보약을 사먹는 다거나 하는 경우도 있습니다.
기타 여러분야에서 이런 일이 일어날 가능성이 있습니다.
한 켠에선 의료의 서비스의 질을 이야기 하는데 더 못한 듯한 곳에서 돈을 쓰는 부류도 증가하고 있습니다.
사람간의 차이가 ,인종간의 차이가 얼마나 있겠습니까? 국제화의 시대인 오늘날 모든 분야가 경쟁이며 양질의 서비스로 고객을 끌어들이려하는 것이고 그것이 주요하게 작용하는 것 같기도 합니다.
2)제가 이건희 같은 폐암에 걸리거나 하면 굳이 가지 않을 것 같습니다.제가 알던 스탭들도 각종 암에
걸렸어도 같은 병원 본인들의 후배들에게 수술받았습니다.이 것은 의학적 지식과 현장에서 보는 것으로도
한국의 의술을 믿기 때문입니다.
수술 술기 같은 것은 손재주가 더 중요한 요인입니다. 한국의사들 재빠른 손재주는 어디다 내어놓아도 뒤지지 않는다고 파악합니다.
비수술적인 경우에도 그리 염려할 것은 못된다고 생각합니다. 의학은 국제적인 교류가 많고 전화나 이메일로 대가들과
연락합니다.세미나 장이나 연수를 통해서 최신지견에 대가의 꽁수까지 알아낼 수가 있습니다.그들이 앞서가긴 해도 유효한
치료법들은 금방 파악이 됩니다. 한방처럼 비장의 무기란 개념은 거의 없다고 보면 됩니다.
의학은 특성이 그러합니다.
중요한 인류의 생명을 다루었기 때문에 정보가 오래 전부터 공개되어 공유되어온 특성이 있습니다. 새로운 기술
치료법이 발표되면 대개 곧 바로 혹은 교육을 통해서 이용이 가능한 것입니다. 그들이 신지식
새기술이라고 따로 돈내놓으라 하지 않습니다. 물론 장비나 약품등 한국에 상륙하는데 시간이 걸리는 경우도 있습니다.
이득만 생각했다면 오늘날 한방처럼 감춰놓고 뭔가 보이게 했을 것이고 그렇다면 오늘날과 같은 발전도 없었을 것입니다.
목수//우리나라 의사가 필리핀 의사를 무시한다고 누가 그러던가요? 필리핀 의사들 중에도 훌륭한 의사 많아요. 모든 의사가 그러한 것처럼 매도 하덜 마세요.
<Paracelsus님의 동의하에 Bric 게시판에서 옮겼습니다.>
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