Ngani Butuan
Brain Drain and The State of Butuan's Health Services

by: Rene C Vargas

The exodus of Filipinos, including health care providers from Butuan, to far-away places is a truly remarkable phenomenon. Never before has some 10% of the country's population left our shores to settle in foreign lands, How does this diaspora affect the health care system ngani Butuan ?

NURSES AND NURSING SCHOOLS. The 3 big private hospitals in the city seem to have no difficulty filling up staff positions. They presently employ 186 nurses. The 2 government hospitals have 78 nurses in their payrolls. The provincial and the city health offices employ 13 public health nurses. Nurses are also filling up positions in the different municipal or district hospitals in the province. Nursing services ngani Butuan have not been compromised by the ongoing out-migration of health professionals.

The top 2 nursing schools ngani Butuan last year graduated 442 new nurses. In addition, there are 2 new nursing schools expected to add another 83 new nurses next year. Twice as many nurses graduate in one year than the total number needed ngani Butuan. The nursing diaspora, instead of being a "brain drain", is in fact releasing and relieving the gnawing abscess vexing the country's economy.

DOCTORS. Neither is the Butuan's health services compromised by the diaspora of physicians. Today, there are 212 physicians in active private practice in Agusan del Norte, most of them in Butuan. Today, medical specialists and sub-specialists are in active practice here. Forty years ago, it was different.

It does not seem too long ago when accident victims with serious head injuries and intracranial bleeding for example, had to be "airlifted" at great expense (carabaos were sold, land mortgaged, financial futures compromised). It was extremely risky too. All because, sadto, there was no neurosurgeon ngani Butuan. Today, brain or other major neurosurgical operation is done ngani Butuan almost once a week. And for free to indigents too, thanks to a neurosurgeon's volunteer work supported by the the Butuan City Charities Foundation of Southern California, Inc. and the Ivory Charities Foundation, Inc., of Butuan City. It can be said that a new era has indeed dawned ngani Butuan. The exodus of professionals from the Philippines seem to have no adverse effect.

Today, ngani Butuan, there are quite a number of specialists and sub-specialists. Records of the Agusan del Norte Medical Society show that there are

	11 anesthesiologists
	04 dermatologists
	17 general surgeons
	02 neurosurgeons
	01 neurologist
	15 internists, including subspecialists in 
		diabetology, gastroenterology, 
		nephrology, oncology, pulmonary 
		medicine, cardiology.
	06 ophthalmologists
	03 ENT
	12 obstetricians-gynecologists
	03 orthopedic surgeons
	02 pathologists
	16 pediatricians
	01 physical medicine and rehab specialist
	06 radiologists-ultrsonologists
	02 urologists
	111 general and family medicine practitioners.

HOSPITAL SERVICES available today ngani Butuan include, among others, hemodialysis, mammography, ultrasonography, computer tomography (CT scan), electro-encephalography, cardiac monitoring, all these nga hadto were unheard of. One hospital has an MRI (magnetic resonance imaging) machine which should be functional soon. Gall bladders can now be removed by laparoscopic surgery ngani Butuan.

Laboratory service is capable of sophisticated procedures, such as Immunology and Serology, special chemistry, and determination of tumor/cancer markers. Fully automated machines are in use, all connected to a central information system.

TOWARDS THE HORIZON. To be sure, there are many more services still to be desired. Advances in medicine are coming on stream at an overwhelmingly fast clip. Catching up is hard to do. Efforts to keep up with the rapid advance may be likened to a journey towards the horizon. The journey is endless. The horizon is forever unreachable. Yet, the journey must go on.

Still, today ngani Butuan, it appears that there is adequate medical care for patients notwithstanding the "brain drain."


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