TAGBILARAN CITY A practicing doctor of medicine and, at the same time, a government doctor is in hot water as more investigations are coming his way to be launchedby the Sangguniang Panlalawigan on his decision-making and practicing privatelydespite the fact that he is the chief of the hospital.
Dr. Nestor Jumao-as, chief of Francisco Dagohoy Memorial Hospital based in Inabanga town, confessed for the lapses, if not blunder on his part, relative to a male patient who suffered abdominal pain and with the dextrose took the bus on his way to this city for more treatment. But his confession has opened
up the floodgates of probes for the provincial board to dig deeper into the
management and operation of the hospital as what provincial Board Member
Godofreda O. Tirol, a full-blown investigation. For the mistakes I committed
in my decision-making, I apologize. Rest assured this will not happen again,?
he told the committee meeting presided over by BM Dr. Cesar Tomas Lopez last
Friday held at the conference room of the Capitol. The said meeting was
attended also by BMs Atty. Tomas D. Abapo, Jr., Atty. Dionisio D. Balite,
Tirol, Elpidio M. Jala, Atty. Benjie Arcamo, Antonio Ouano, and Jovanna
Jumamoy, Inabanga Mayor Josephine Socorro C. Jumamoy and Dr. Mary Fruserma Mary Uy of Provincial Health Office. Dr. Jumao-as, who admitted
he practices his profession as he is allowed on certain instances, hastened to
say: ?looking back now, I can see that flaws of my decision. Now wiser, I can
see that there were avenues I could have taken and people I could have contacted in order to aid me in that situation. Ambulance
unit broke It will be recalled that Eugenio Quiroa, a resident of barangay Taytay, a neighboring town of Getafe, was admitted on May 11 with slow stooping gait, the doctor said in his narrative report to the committee. The patient was accompanied by his wife, Valentina, is a surgical abdomen suspect, the doctor found out later on. Considering that fever, abdominal pain, nausea, vomiting, jaundice and dark brown colored urine, the doctor said, he decided to refer the patient to tertiary hospital. I told the patient that he has to be referred to tertiary hospital because he needed surgical operation based on my physical examination and history. The decision was reached because the hospital which is ten-bed capacity, does not have a surgeon and have no diagnostic capabilities, Jumao-as said. The said hospital has 11 nurse employed as casual workers; four (4) regular nurses; two (2) janitors; two (2) drivers; and three (3) doctors. It caters an average 30 patients.The patient would rather go home and die if he has to take the ambulance. But the situation worsened since the hospital?s ambulance unit is broke at the time when it is most needed. I told him further that our ambulance was under repair and he could use their municipality ambulance for that of LG Inabanga whichever is available,? the doctor said. Mayor Jumamoy said that the
amblanc eunit owned and operated by her administration is ready to lend the
unit without cost on the part of the patient but the doctor appeared did not
contact the town officials despite the fact that it can be contacted even if it
was a Sunday. The doctor said that if only the patient agreed to be serviced by the ambulance, he could have ask help from the Inabanga town since it has an ambulance unit, if not ask from Getafe town for the same. But for Mayor Jumamoy, it could have been easier for Jumao-as to contact his brother, who is barangay captian of barangay Cagayan, where the hospital is located, since the barangay has its own ambulance. The doctor did not argue the contention of Mayor Jumamoy, however. Despite the offer, the patient still stood pat on his decision to take the bus or go home. The couple, the doctor said, had only Php 80 for their bus fare. But foremost of the concern of the doctor is to save the life of the patient, so he initiated fund raising from hospital staff to augment the patients meager money for the bus or van fare. It was not clear if it was
a mandatory protocol that a traveling patient with a dextrose hang on the bus?
window must be accompanied by a nurse since there were only two nurses on duty at the time.The ordeal of the said patient was seen by the GMA reporters based here and posted it on social media that went viral, Dr. Lopez said.
Investigation The committee after it adjourned the said meeting did not issue what are the categorical concerns to be probed on Dr. Jumao-as. But the committee learned that indeed Dr. Jumao-as is practicing privately. This he admitted based on the go-signal of the current administration. He allegedly and presently holds a separate clinic, just a stone-throw away from the hospital where he serves as its chief as alleged by Mayor Jumamoy. He denied having maintained a clinic but admitted that a certain IMAP lying-in clinic has rented his house. He also admitted that he helps or assists the lying-in clinic but it is not his
or his family.In an interview by this writer, a patient confirmed the doctor is practicing medicine at his home. Reports received by Mayor Jumamoy also bared that indeed the Jumao-as is practicing that some residents here fear it could be a conflict of interests. Mayor Jumamoy said point blank on Juamo-as, who sits about two chairs away from her during the committee hearing, You really doesn?t care at all. You?re always at your OPD. You?re not visible. This ut be stopped.BM Ouano reinforced Mayor Jumamoy’s accusation against Jumao-as, saying.it is unfair that you?re practicing at government hospital and (at same time) practicing privately. Jumao-as, who is a Medical Doctor III under the plantilla of employees, retorted that is is not true that he is always out of the hospital. In fact, he said, he serves 7 ? 11 hours in a month attending his duties as a doctor and as a hospital chief. He said that they (doctors) are allowed to practice privately by this administration ?after officer hours.? It was learned that
government-run hospital, as in the case of provincial government?s operating ten hospitals around the province after the devolution, offers little salary for
doctor of medicine practitioners. This may prompted some government doctors to augment their incomes in private practice. Ombudsman Dr. Jumao-as has been sued at the Ombudsman for selling medicines or drugs by complainants Melinda S. Lofranco, Jasmin L. Lofranco and Noemi P. Jumamoy, in a complaint obtained by this writer.But the complaint was withdrawn by the complainants and the Ombudsman issued an order to effect the said withdrawal, provided that Jumao-as stops and refrain from selling medicine/drugs even at the hospital and in his residence since it is a violation of Pharmacy Law or R. A. 5921, as amended.
But the complainants may file the same case against Jumao-as if the latter found to have violated, again, the said law. Copies of the Ombudsman complaint
were submitted to the said committee for documentation purposes that may be an aid of investigation and legislation. (RVO)