By Christina Pas
Ha Noi's Bach Mai hospital
: Still a war zone
Cien Chanh, 79, a lifetime in Viet Nams Peoples
Army after joining at 16.
After complaining of chest pain, he was admitted to
Bach Mai hospitals' cardiology ward where he was awaiting
his turn to undergo mitral valvuloplasty surgery
the use of a balloon catheter to unblock a major coronary
His daughters Do Hong Van 49, and Do Thi Loan, 58, had
been waiting with him for three days and two nights.
The old soldier vacated a shared bed for one of the
few wheelchairs to make way for another patient. Two
or three patients to a bed is common throughout the
over crowded hospital...See
Ha Noi's Back Mai public hospital will be a hundred years old next year
and it shows.
The war torn hospital was built by the French in 1911 and looks over the
railway line that runs north to the Chinese border and south to what was
at the turn of the last century Sai Gon.
Bach Mai Hospital was bombed during an American raid on a nearby airfield
at Christmas 1972 and killed 28.
A new French hospital was built beside it and started to admit both Vietnamese
and expatriates in 2000.
There are only 65 beds at the new international hospital: Bach Mai hospital
adjacent to it has 1340.
But its not the lack of beds at the new Hospital that drives about
300,000 Vietnamese to the old hospital every year.
Its the cost.
Patients are required to pay in advance on admittance at the International
Hospital in either cash or international credit card.
A bed costs between 300 and 500 US dollars a day with surgery, x-rays,
blood tests, medication and meals as extras added to the five-star-hotel
Both Vietnamese and non Vietnamese who can afford health insurance have
a bed and a room to themselves and can buzz for a nurse for help.
The patients have a pillow, clean sheets and the constant smell of antiseptic
to remind them of the hospitals hygiene.
Fortunately both public Bach Mai and the private French International
hospital maintain the required standard for medical treatment for rich
and poor alike.
Physicians at both hospitals are registered with Vietnams Health ministry.
The expertise at both hospitals was tested seven years ago when their
physicians and nurses contained the spread of the deadly Severe Acute
Respiratory Syndrome (SARS) virus.
But in January this year the Vietnam News Service reported that Around
20 percent of the patients who use respiratory machines at the Bach Mai
hospital get pneumonia.''
Bacteria at the hospital was spread by equipment that has not been sterilized
properly and hands that had not been washed regularly.
A 2003 survey showed that only 13 percent of hospital workers washed their
hands. In 2007, the figure had risen to 17 percent and last year it was
In 2007 the Vietnam News Service reported that 'Overcrowding was the
major contributor to the high rate of transmitted infections at the hospital.
Paediatric ward administrator Le Kien Ngai said: " More than 40 patients
a month were infected at the hospital despite the installation of the
most modern hospital sanitation systems in Viet Nam'.
There were then 900 patients in the 350 bed paediatric ward.
Rooms in the hospitals Cardiology ward are smaller than a bathroom in
a Ha Noi five- star hotel and are meant for two beds. But a third carrying
one of the increasing number of patients requiring cardiology treatment
is regularly added to the room.
The cardiovascular ward had 300 patients to 150 beds in 2007 and the figure
has probably increased.
Cardiologists from America's Mayo clinic who shared their knowledge with
the physicians of Bac Mai's cardiology ward last year noted that not only
were the Vietnamese surgeons the 'busiest mitral valvuloplasty surgeons
in the world' but that the same balloon catheter used for unblocking a
major coronary artery was used on seven or eight patients and not one
only as in the US.
Vietnamese surgeons perform about 150 operations a year or three times
more than surgeons in the developed world.
The Mayo Clinic visitors also noted that patients at the Bach Mai hospital
were accompanied by an abundance of relatives.
The relatives keep a 24- hour watch on the patient, the respirator and
intravenous drips because there are not enough nurses to do the job.
They quickly learn how to read the monitor so as to call for help if
the heart stops or when the drip bottle is empty.
Relatives wash the bed bound patient and empty their toilet bowls and
they also provide the patient with food.
It is not uncommon to see a rice cooker under the bed and plugged into
a power point next to the respirator.
Patients are not provided with any bedding except for a straw mat.
There are no white sheets, pillows or blankets at the Bach Mai hospital.
The relative who can afford to buy the bare necessities including a plastic
stool to sit on beside their loved ones can do so from the hospital's
At night relatives sleep on folded beds and straw mats in the hallways
or in the grounds of the hospital because they cannot afford to pay for
a hotel room.
Last month Health Minister Nguyen Quoc Trieu opened a special ward at
the Bach Mai hospital in an effort to accommodate the relatives of patients
who act as substitute nurses.
The new ward will provide 300 bunks that will cost almost US1 a night.
A blanket and a mosquito net is included.