Friday, April 27, 2018

Modern Medicine in the Bahamas

The United States always seem like the best option for medical care. This week I interviewed a doctor here in the Bahamas and the answers to some of the questions left me thinking that maybe the Bahamas has better medical care than the US. I know it may be a huge thing saying that, but I have some evidence.

I recently interviewed – Dr. Melanie Cooper at Exuma Medical Clinic and found some interesting differences between going to the doctor at home compared to the Bahamas:

Mix of public and private clinics –  In the US everyone is competing. Doctors’ offices compete with other doctor offices, fast food restaurants compete with other fast food restaurants. Here in Georgetown Bahamas, it’s different as it is part of their culture to help each other.  

There are two types of clinics here private and public.  If you don’t have money, then go to the public clinic and if you have more specific needs then go to the private one.  Each one offers great medical care and they work together to help their patients.

More affordable – It is cheaper to see the doctor here and a lot cheaper for prescriptions.  A three-hundred-dollar prescription in the US is just twenty dollars here. 

The clinics here also won’t turn you down if you can’t pay for the price of an appointment, you just pay what you can afford. In both types of clinics children and elderly visits are free and adult appointments usually cost about eighty dollars.

Get in right away to see the doctor – To schedule a doctor’s appointment you don’t have to wait weeks in advance, all you have to do is call ahead or just show up and you will be with the doctor in ten minutes.  There are also some islands out here that don’t have local doctors, but the doctors will fly out at least once a month to go do checkups with everyone in town. 

Each community looks after their own – Sometimes the people on other islands get sick and can’t fly to Georgetown, so everyone in the community will make sure that person is well supplied and well fed until the doctor comes to see them.

Improving all the time - One of the questions I asked Dr. Cooper was: “If you could add anything to this clinic what it would be?”  Since the clinic was really new and they just opened in September she had a lot of things on the list.  She wanted a pharmacy in the building so a client could leave with everything they needed. For blood tests they have to send it on a plane to Nassau and wait, to save time she wanted a local lab to get results in minutes.

It isn’t all "Better in the Bahamas" though as they are facing challenges such as:

Keeping Doctors- It's sadly not everyone’s dream to be a doctor in the Bahamas and right now they are facing some real problems, the Bahamas are losing doctors and nurses. The doctors and nurses are traveling to the states for jobs that pay higher. [i]

Lifestyle Changes- The Bahama Lifestyle has changed tremendously since the 1970’s.  Another interesting question I asked Dr. Cooper was what is the biggest health care problem facing the Bahamas? The answer was obesity. They eat to many fried foods and sugary drinks according to her. In the 1970s everyone walked everywhere and ate what they grew and caught.  Now people eat whatever the latest fast food restaurant has to offer and drive, instead of walk,  everywhere.  The Bahamas is the highest obesity rate in the Caribbean and Latin America.[ii]

Food Supply-  I thought that reef fish poisoning would be a lot more common here but apparently only a few people have come in to the clinic with this problem. Reef fish poisoning is when someone eats a fish that lives on the reef like a barracuda. The barracuda can get ciguatera from eating the smaller reef fish.  This is a growing problem here in the Bahamas. [iii]

Visitors– When tourists visit they can bring viruses and bacteria the Bahamians aren’t used to so a lot of them get sick with a cold or the flu every season.

To summarize, the Bahamas has great health care at reasonable prices, so you won’t go bankrupt when you are sick. Everyone has to exercise more and eat heather but, in the Bahamas, it is a huge problem with 69% of the population being overweight. Since their community is so strong I am sure that they will overcome this problem together. 


Full Interview with Dr. Melanie Cooper

Exuma Medical Clinic - Georgetown


 
The new private clinic in GeorgeTown

Does each doctor do something different?
Yes, I work in family medicine meaning that my clients are from babies to elderly. The other doctor specializes in woman’s health and babies.

 What do you mainly treat?
Usually chronic diseases like diabetes

How many doctors are here 
Two 

How much is a regular checkup? 
It depends a regular adult checkup is about $80 but kids and elderly is cheaper.

How long have you been a doctor?
About 12 years.  

Were you born in the Bahamas?
Yes, I was born and raised in Nassau Bahamas and moved to Georgetown for a quieter more relaxing place.

Do you have to send tests any were to get results?
Yes, we send our blood tests to Nassau, but we will be getting a lab here in this facility

where did you get your medical degree? 
I spent two years of collage in the university of the Bahamas. Then I moved to coneticet to get more medical school last I moved back to Nassau Bahamas and interned there for 2 years and worked there 

what are your thoughts on eastern healing?
If the client thinks that that type of healing in working for them then I won’t shove medicine down their throats I will just ask them to take their blood pressure every day and just send in the results.

Has someone ever been so sick that you had to send them to the hospital?
There have only been about 1 or 2 cases where it got that serious 

If there was something that you would want to add to the clinic what would it be?
Since the clinic just opened in September we haven’t had the chance to add the major things, so I would want a lab or a pharmacy or a ultra sound.

Have you ever worked at another clinic or hospital? 
Just the one in Nassau

Was being a doctor your dream when you were a kid? 
Yes, when I was 7 or 8 I had in my arm and I went to the doctor to get it drained and after it felt so much better. From then I always wanted to be a doctor since then.

Do you run into more bacteria or virus?
It usually depends on the time of year around this time we run into more virus because people are traveling from different places and bringing in sicknesses that we are not familiar with.

Have you ever seen antibiotic resistant bacteria? 
No thankfully not yet

Do you travel to treat clients?
When I worked for the public clinic we would travel around the islands that don’t have doctors for at home visits or we traveled to the elderly that couldn’t get here.

What’s the biggest health problem facing the Bahamas 
Obesity because here we eat a lot of fried foods, we drink a lot of sugary soft drinks, and drive everywhere so we get no exercise. Here we eat a lot of fried foods, a lot of processed foods and a lot of red meat.

2 comments:

  1. Great post Emma! Keep 'em coming!

    Chris on S/V Radio Waves
    MangoesMarleyAndMermaids.com

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  2. GREAT article, I hope your teacher gave you an A++. Well organized, information, research articles referenced....fantastic. I know people in high school that would struggle to do a similar report....GM

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