Baby vaccinations and check-ups at the MCHCs
- 07-15-2011, 04:45 PM #9
I go to the Anne Black MCHC in North Point and have never seen mainlanders there! Is it just an issue at certain MCHCs?
I go because our insurance doesn't cover vaccinations at all (although for SOME of them, we get them done at a private pediatrician as they are better there - but the ones that are the same, such as MMR, I just get done at the MCHC). I also go because I think that their developmental check ups are quite good and thorough. I would say for developmental issues, it's probably better that our pediatrician who doesn't have the same "checklist" to test at particular ages. The most I've ever had to wait was about 1.5 hours and the shortest was about 30 min. Not bad for something that's free, I think!!
- 07-15-2011, 05:55 PM #10Registered User
- Join Date
- Oct 2010
- Hong Kong
In any case, I stand by my remarks regarding how the paeds in the MCHC just don't care. In fact, I will go as far as saying all paeds in the public healthcare system just don't care.
If you're fortunate to have a full-term healthy child, then it's fine. They weigh and measure your child. They tell you he/she's on the curve and everything is just fine. You leave the clinic as happy and satisfied parents.
My children (twins) are not as fortunate due to prematurity. Each of the paeds in the public healthcare system that we've seen just don't care. I get the feeling my children's conditions are problematic to them and they just want to dismiss us as quickly as possible so that they can go on with their less problematic patients.
One of my sons have grown to dislike his feedings. When we told the paeds at QEH of this, he just dismissed it by saying "It's normal. He's just going through a phase and it will pass."
That's odd because we then took him to a private paeds doctor who specializes in preemies and she instantly recognized he disliked feedings because of mucus buildup in his nose causing breathing difficulties.
My other son has muscle stiffness. He's constantly bent to one side, his legs cross, his elbows don't extend, etc. The paeds at the MCHC saw this for herself when she did that thing where she grabbed both knees of the baby and opened and closed the thighs to check the range of motion. She said NOTHING even though it took her considerable strength to move my son's legs. We finally spoke up and said "His muscles are always stiff. Do you think he needs to see a physiotherapist?"
She actually said "Oh, YOU think he's stiff? He's just a bit stiff. I think you should just observe him for a while longer."
That's odd because our private paeds doctor (without us saying anything) not only acknowledged that the stiffness was serious enough to require physiotherapy but she also identified the cause of the stiffness.
Actually, I've had a couple more horific experiences with the public healthcare system. But that's a story for another time.
Bottom line is, if you have healthy children, then go ahead with using the MCHC services. There's no harm and it's free. But don't go in hoping for the MCHC to identify developmental issues that require further followups, reference letters, etc. It will only end in disappointment.
- 07-15-2011, 06:00 PM #11Registered User
- Join Date
- Jan 2011
- HK Island
- 07-15-2011, 06:07 PM #12Registered User
- Join Date
- Jan 2011
- HK Island
JayJay, I hear you and I can totally understand your frustration. It's unfortunate your experiences have not been good and that the MCHC was unable to do more for you and your children. I can see why the Hung Hom MCHC would be more popular with the mainlanders than the other MCHCs given it's proximity to the train station. I guess it's the workload, the sheer number of patients that need to be seen and the limited resources available. It shouldn't be that way, but I guess that's a problem that's found all over the world these days.
As I'm weighing up the pros and cons of MCHCs vs private, I do want to hear all the positives and negatives.
- 07-15-2011, 06:08 PM #13Registered User
- Join Date
- Jan 2011
- HK Island
- 07-15-2011, 08:09 PM #14
Off the top of my head: the Prevenar vaccine offered in the MCHC is the "Prevenar 10" which protects against 10 different strains or something, but the private pediatricians give "Prevenar 13" which has an extra 3 strains. Also, we chose to immunise our daughters against HiB and chickenpox - those vaccines are not offered through the MCHC so we had to go through the private pediatrician for those ones as well. Everything else, I believe, is the same.
- 07-15-2011, 08:35 PM #15
JayJay - I'm really surprised and sad that you've had such a negative experience. Like you, I have a daughter who has had special medical needs. It was detected at 17 weeks of pregnancy that she had a possibly lethal skeletal malformation. Since then, I was followed very closely by the public hospital system, having a 4D ultrasound every 3-4 weeks, meeting with a geneticist who travelled from QEH to Tsan Yuk to see me, and meeting with the neonatologist who would be in charge of her care in the NICU when she was born.
At birth, she had problems breathing and other complications and she spent her first four months in NICU at QMH. After discharge, she has been seen by many specialists and therapists in the public system. So far, the different specialties that she sees are neonatology, ENT, plastic surgery (for cleft palate), pediatric dentist, orthopedic doctor, physiotherapist, occupational therapist and medical social workers. Some of the doctors I like more than others, some are better than others, but none of them I can fault on their medical expertise. My biggest frustrations are the long waiting times (once I waited nearly 3 hours for an orthopedic appointment) and sometimes the lack of "personal care" (although some of the doctors are brilliant at that as well).
I have found that in general, the doctors take all my concerns seriously. At the ENT appointment recently, I mentioned that hearing loss was common in her condition and while I know she can hear, her speech development was slower than my older daughter's and I was wondering if we could get her hearing retested - and they arranged that for me rather than just blowing me off. Also at our latest neonatology appointment, I mentioned that she seemed to be allergic to dairy and they referred me to the immunologist (yet another specialty) who will perform allergy testing on her.
This is my 2nd child, my first had no health complications and we always followed up through MCHC and had an overall positive experience there as well.
I'm sorry you have had a poor experience with the public system - but for many people, it can be and it is a positive experience.
- 07-15-2011, 10:50 PM #16
we used the hung hom mchc too, longest wait was the first time, maybe about 2 hours? quickest record was about... 20 minutes, ran in, queue, jabbed, ran out.
the nurses were always friendly and very pro-breastfeeding. booking was easy since i always just booked when i was there for the next time, so i didn't really have to call in. my son had some issues when he was about 6-9 months old and we got a referral letter to the hospital in our area quite quickly too.
ps. maybe it's because we always pick weekday mornings to go?
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