Looking through this thread is very saddening. Every so often in Wazua there always comes a thread of which doctor and which hospital is the worst and the 2 areas that are usually covered are obstetrics and peadiatric services.
The concerns are obvious this being very critical times to the 2 critical members of all family units.
Let me try and add some objectivity to this thread.
When patients pay out of pocket they want to spend the least they can.
Patients with insurance cover usually paid for by the employer have the assumption that money is not an issue.
Hospitals have to keep cost down to make a profit
Medical technology is rapidly expanding and is not cheap and hospitals are unfortunately judged by the equipment and the ability of services they can perform
Insurance companies are also in the business of making a profit and negotiate the lowest cost they can for all this hi tech services that hospitals are able to offer.
Medicines and trade names are also growing and there are medical reps busy pushing hospitals, pharmacist and using underhand tactics to get their medicines to the market and hence you hear rumours of Zinnat being banned when zinnat is the initial brand that the drug cefuroxime was traded as by the company that created and tested the molecule.
Babies do not get better immediately. Infections take a while to clear and the child also builds immunity to all this infections as they grow. The cause of the infection sad to say is usually the concerned parent or he househelp. This is a fact since most babies have limited contact with the outside world. If the child is having diarrhoea or have rotavirus the person feeding the child is the one that infected the child.
Disease progression takes time. If you present to a doctor with upper respiratory tract infection (Include tonsillitis and pharyngitis) and subsequently develop pneumonia that is the progression of the disease. It is not a misdiagnosis!
Doctors are so scared of malpractice suits that they now prefer to use protocols from UK US and europe that are very expensive and rely less on their clinical knowledge. That is why every time a patient presents you have a barrage of test instead of relying on clinical acumen.

Now with all this factors competing against each other it is very difficult to get objective statements from wazuans without knowing where they are coming from and just like the investor section everything said here should be taken with a pinch of salt.
You might prefer a Doctor using latest and expensive protocols since you have insurance or you might prefer a doctor who uses clinical acumen because paying out of pocket is very expensive and the list goes on and on. There is no perfect doctor for all wazuans and my advice is prevention is better than cure.
How did your child get diarrhoea? how did they get that pneumonia infection?
Simple things like washing your hands often has shown to reduce incidence of both this diseases. How many people tell their house helps to wash their hands not only after using the loo but every so often.
Vaccinations against rotavirus and streptococcus pneumoniae are available have your children been vaccinated?
I understand and I do know there are some bad doctors out there but blaming all getrude clinics, all paediatricians doesn't help and is not objective.
Take all advice with a pinch of salt!

Thank you Daktari.
However,how can Doctors remember when some will want to keep patients coming in order to earn revenue not only their own but also for the hospital. Remember when you have a medical/insurance cover you can be billed as much as three times the cost for the same drugs and lab investigations as someone paying cash!!!
Talk of "killing the goose that lay the golden egg". But its unethical

The problem with Wazua is this faceless interactions with people who do not face the responsibility of their actions. The dose you just adviced middle and upper class parents to give is what is recommended by WHO for children in high risk group. High risk group is children who suffer and are at risk of suffering from vitamin a deficiency due to poor diet imagine dadaab camp.

200,000 IU of vitamin A every 6 months can cause chronic hypervitaminosis A in children and more so to children of these middle and upper class who already have other sources of vitamin A and have adequate stores.

Vitamin A is lipid soluble and will be stored in the body and can cause increased intracranial pressure.

To add insult to injury you havent said what age group. What happens when you give a 6 month old 4 times the recommended doses (50,000 IU) of high level supplementation?? Mind you the 50000 is already a lot for well fed kids! That can cause acute hypervitaminosis A.

Advice should always be taken with a pinch of salt!

.......
200,000 IU of vitamin A every 6 months can cause chronic hypervitaminosis A in children and more so to children of these middle and upper class who already have other sources of vitamin A and have adequate stores.

......

To add insult to injury you havent said what age group. What happens when you give a 6 month old 4 times the recommended doses (50,000 IU) of high level supplementation?? Mind you the 50000 is already a lot for well fed kids! That can cause acute hypervitaminosis A.

Advice should always be taken with a pinch of salt![/quote]

Including this one above?

There was a list of the medicines that have been banned in other countries but were still in use in Kenya that was circulated by one of our medical providers.... I will look for it and post here... that's where i got my information. and may i add it was a "reputable" medical institution.

Am not saying they were right, but they did send to us.