Director of Hospital 57357: The financial crisis reduced the number of patients by 20% (dialogue)

Updated Friday 12/30/2022 08:07 AM Abu Dhabi time There is no voice raised in Egypt over the crisis of the “57357” hospital for free treatment of children with cancer, and its impact on the economic crisis in the country. Dr. Moataz Al-Zamiti, the hospital’s medical director, revealed that donations have not declined in favor of 57,357, stressing that the crisis lies in the rise in the value of the dollar against the Egyptian pound. Al-Zaiti said, in an interview with Al-Ain news, that the hospital needs expansions, including increasing the number of marrow transplant beds from 9 to 30 beds, and this would raise the recovery rate by about 10%. Support of 75 million pounds and an appeal for donations.. The Egyptian government intervenes in the crisis of Hospital 57357. The Deputy Director General for Medical Affairs confirmed that the hospital was forced, in the face of the recent financial crisis, to reduce the number of children it receives, and the number of cases decreased by 20% compared to 2021. And to the text of the dialogue: – First. What are the dimensions of the recent financial crisis? Before answering this question, it must be noted that the hospital treats children and receives compensation in the form of donations. Our patient does not pay, but the donor is the one who pays, and the journey of cancer treatment is very long, leukemia, for example – without Calculation of complications or bone marrow transplant – may take 3 years and 3 months. With regard to the recent crisis, donations were not affected and did not decline, but the cost of operating and medical supplies increased due to the high price of the dollar against the pound, so we need to expand the donor base and increase donations, as we are a hospital based on donations, and we depend on the recovery rate, and this is determined according to factors many, including the services provided to patients. – Why are the expenses of “57357” high compared to other charitable hospitals? There is an English proverb that says “compare apples with apples”, and to compare operating costs in “57357”, we must compare it with a hospital that specializes in treating children with cancer, and we can compare with the most famous specialized center for treating children with cancer patients in the world, which is “St. Jude” Hospital in America, He is the one who inspired the founders of “57357” to establish this medical edifice in Egypt, and thank God we outperformed them in some aspects, such as the number of beds. Calculating the average cost of treating a cancer patient is a highly variable issue. A patient may cost you 600 thousand pounds, while another patient with the same diagnosis may cost you 3 million pounds, and no one in the world is able to set a budget for treating a cancer patient; Because the patient’s response and complications differ, and there is a patient who needs a bone marrow transplant, so it is not permissible to compare the expenses of 57357 with the expenses of the “Magdi Yacoub” center, the “people” hospital, or even the “Bahia Foundation”; Because the latter specializes in treating breast tumors, and for this reason the treatment mechanism differs, just as the cancer patient differs from the heart patient who often needs surgical intervention. This is because a cancer patient usually needs chemotherapy or radiation and undergoes a treatment protocol. In terms of expenses, surgery such as bone marrow transplantation is considered the last hope for some patients. A patient may undergo a treatment protocol that does not succeed, so he needs a bone marrow transplant. We have 9 beds in the hospital for bone marrow transplantation, while we need 30 beds, and if we reach this number, the recovery rate will increase. 7 to 10%, God willing. Our role is not limited to treating patients only, and it is not limited to receiving 3,000 patients annually. We have a commitment to receiving patients and increasing the absorptive capacity, which is to keep up with everything new, especially if it will increase the efficiency of treatment and the rate of recovery. For example, we have a modern service, which is the “cyber” technology. Naif”, and it can be called bypass “Radiosurgery”, it is not surgery and is not radiotherapy, but it is very important in some types of cancer that are not suitable for radiotherapy or surgical intervention, and this service treats some brain and prostate tumors with very high accuracy and with much higher safety rates than surgery Why should I deprive the patient of it?! This project, in addition to increasing the recovery rate, is a charitable endowment. The number of active patient files in the hospital is 19 thousand files, of which 7 thousand and 500 patients are subject to treatment protocols, and the rest are follow-ups. As I said, a “leukemia” patient takes more than 3 years to be treated, and therefore my need for donations will never decrease, but rather increases constantly, and the more capital increases The hospital will keep pace with everything that is new and developed. There are no frills in “57357”. The office of Dr. Sherif Abul-Naga, Director of the Hospital and CEO of the “57357 Group”, is very simple. My office, as you can see, is also simple. The furniture is very traditional, just wood. From the beginning, we were targeting simple materials that achieve sustainability. For the goal of reaching the best treatment service, this is not a luxury, but a duty, and deviating from it is a crime in my personal opinion. – What is the average cost of treating a cancer patient in “57357”? A child with cancer costs us an average of 30 to 50 thousand dollars, and in the American “St. Jude” center, the average cost of treating a child with cancer is 425 thousand dollars. Therefore, the cure rate in “St. Jude” is 83%, while it reaches 83%. 71.8%. Back to the financial crisis.. Have you taken measures to confront it? Indeed, we decided to reduce the number of patients due to the recent economic conditions, and the number of cases that we received last year reached 3,300 cases, and this number decreased by 20%, or an average of 700 cases this year, and here it must be said that our commitment is always “We treat correctly, we will not treat how much.” We target quality, not number of cases. In your opinion, what caused the recent fuss about the hospital? Gossip about the hospital is non-stop, and has been around since 2016, culminating in 2018 with the famous campaign. This matter does not stop, and is constantly present, but it goes in a curve, and recently the hospital was a “trend”, and there was another opinion and opinion, and as is the case with all trends, the positive and negative trend rises, this is very normal from my point of view. – After the financial crisis reached the media, did you see an improvement in the volume of donations? Indeed, the volume of donations has increased since the crisis reached the media and social media, and your coming to the hospital is a form of support. – With the month of Ramadan approaching.. Will you continue the advertising campaign? It’s not my business, but our advertising campaign is definitely going on. – Are there criteria for accepting patients in “57357”? 57357 Children’s Hospital, so the patient must be a child, and the child in Egyptian law is every person under 18 years of age, and we are a cancer hospital, not tumors; Because some tumors are non-cancerous or benign, and we stipulate that the patient should not have undergone a treatment protocol outside the hospital, so the best thing for a cancer patient if he has started a treatment protocol in any direction is to complete the protocol, and the patient who started treatment abroad had an opportunity for treatment, so why should he come and take Another patient’s chance who hasn’t had any yet? The hospital here has a limited capacity, and this matter does not depend on the number of beds only, but rather depends on many factors, including the availability of medicines, funds, operating rooms, and others. In “57357” we take into account the complete separation between the waiting list and confirming the diagnosis, and we have clinics for the initial examination, and it has a system affiliated with the administration, but it is outside the hospital, so as not to constitute a burden on the outpatient clinics that diagnose the patient, and these initial examination clinics are considered the first stage in the patient’s treatment journey. – How many cases are registered on the waiting list? This is a constantly changing matter, on some days the number may reach zero, and it may reach 90 cases, and this is due to several factors, the patient who comes to receive the dose occupies a bed for 5 days, and this patient receives chemotherapy, and may be exposed to complications, and may be forced to stay In the hospital and occupied the bed for a month or more. – What happened in Branch 57357 in Tanta? The Tanta headquarters was affiliated with the Red Crescent Society, and in 2015 we agreed to rent the headquarters, and we raised its efficiency and equipment to suit patients. Tanta Hospital, and the purpose of that branch was to give chemotherapy doses to patients. So chemotherapy was the only service provided by the Tanta branch, as for cases of bone marrow transplantation, surgeries and radiotherapy, they were limited to the Cairo headquarters, and all cases were coming to Cairo, and therefore we can say that the Tanta branch was to shorten the journey for the patient who came to get a dose of chemotherapy only. However, with the high costs due to Corona and economic measures, we decided to withdraw all patients from the Tanta branch to Cairo after their referendum, and all of them expressed a desire to move No to Cairo, and this decision was taken for economic reasons, and we sat down with the Prime Minister, Dr. Mostafa Madbouly, and he graciously decided to entrust the supervision of the branch to Tanta University instead of closing it completely. What are the stages of treatment for a cancer patient in the hospital? After receiving all doses and completing the protocol, we follow the patient for 5 years, because 99.9% of relapses (recurrence of the disease) occur during this period, and this is what we had to do recently. Before the crisis, we followed the case for life, and the case was brought to the hospital once a year. year, and we have post-recovery clinics, which are dedicated to monitoring the long-term effect of treatment and cancer. To check on her health, and there is a hidden reason, which is to know if the person is alive or not. We also have a “protocol show screen accountability” team. We have internationally approved treatment protocols that are modified to suit Egyptian children. We have a specialized team to monitor patients’ compliance with treatment protocols. We have the most skilled pediatric oncology consultants in the Middle East without a doubt. I would like to point out here that we ask all survivors to visit the hospital to give hope and support to sick children, and this is an unparalleled psychological factor. We also have a relatively new service, which is a laboratory service to measure the patient’s response to treatment according to several factors, and we measure the toxicity of the treatment before it is presented to the patient, and this helps us in many cases to modify the treatment protocol before applying it to the patient. As I said, the journey of cancer treatment is very long, and the commitment of the sick child and the commitment of his family to the doctor’s instructions, food, etc. is extremely important. If the child is not psychologically prepared, he will refuse treatment and receive the dose as well as food. The death of the child, and for this reason, the need for the rehabilitation and psychological support department “Therapy”, and our interest in the psychological aspect of the patient is part of the treatment; Because if a child becomes depressed – depression affects children like adults – and refrains from food, he will not complete his treatment, and it is very important for us that the child live his childhood, and this is our role as well.

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