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This column is for self-study or classroom use and gives guided help with reading the wide variety of writing styles and topics that appear as feature articles in the Bangkok Post. The lessons include background information, skill-building practice and vocabulary explanations.
April 26, 2005


A thorny issue!

INTRODUCTION
We get a lot of mail sent to our daily Postbag section. People often use this forum to voice their opinions on topical issues but occasionally use it to air a complaint about a company or service. Naturally, any company on the receiving end of such a public complaint will want to “set the record straight” and this often happens.

In this lesson you can see copies of two letters printed recently in Postbag. The first letter is a complaint made against two Pattaya hospitals by someone calling himself “Daniel C”, while the second is a response from one of the hospitals mentioned in his letter.

So, what can we learn from reading these two letters together?

Well, firstly we can see that the complaint is a very serious one that warrants the attention of people high up in authority – which is why “Daniel C” probably chose to write to the Bangkok Post instead of to the hospital directly. It’s much easier to get a response if lots of other people know about your complaint!

Secondly, the response had to be written carefully by the director of Pattaya Bangkok Hospital Trauma Centre. It was probably a much more difficult letter to write than the first one because the director had to take into account a number of important things:

1) He had to remind readers of the original complaint so that they could better understand the response. He had to do this in a concise way or else he would have put off the reader who would want to get to the response quickly.
2) He had to be seen to deal with the main points of the complaint in a constructive way. This is quite difficult because if he had been dismissive of the complaint he would come across as uninterested in criticism – which is bad for business. However, bending over backwards to apologise would also look bad because it would suggest that the hospital was really incompetent.
3) He had to create confidence for readers who read the original complaint and needed to use the hospital in the future.

Read both letters and then decide for yourself if the second letter was an appropriate response. Was it clear that the director had shown an understanding of the complaint and was taking the necessary action? Did he manage to create confidence in those readers who might need to use his hospital? What do you think “Daniel C” would have made of the response? (It may be worth considering that “Daniel C” may not have been the writer’s real name.)

Write down your thoughts on the matter but make sure you focus on the effectiveness of the language used rather than on the actual issue. Remember that both letters are good examples of English in action because they are designed to provoke a response of some kind. As a further activity, you could write a letter of complaint to an imaginary company and then write your own response – or respond to a classmate’s letter – in which you pretend to be that company’s director.


Hospitals violating Hippocratic oath

I recently had the unfortunate circumstance of being injured during a snorkelling accident on Koh Larn, near Pattaya. I accidentally stepped on several black sea urchins, resulting in numerous, painful, open wounds on my feet.

To seek medical assistance, I first contacted Pattaya Bangkok Hospital and made an appointment to see Dr Hathairat.

However, when I arrived at the hospital on time for my appointment, I learned that the doctor had left early for the day (“Sorry sir, he go home already”) and no other suitable doctor was available.

Frustrated by this hospital's incompetence, I contacted Pattaya International Hospital and made an appointment to see Dr Willawong.

However, when I arrived at the hospital on time for my appointment, I was informed that the doctor was not available at the appointed hour (“Sorry sir, we forget to enter your name in computer”).

After waiting more than 2-1/2 hours to see a doctor, I gave up and limped out of the hospital.

Due to the unavailability of medical care at these hospitals, I have been treating myself in my hotel room, though I have absolutely no medical knowledge or training.

Thai hospitals and Thai doctors should acknowledge that they violate the Hippocratic oath when they fail to provide medical treatment to patients holding confirmed appointments.

Moreover, Thailand has little hope of establishing itself as a medical tourism destination centre if its doctors and hospitals continue to reject the Hippocratic oath.

DANIEL C, Pattaya

incompetence
the lack of skill or ability to do your job or a task as it should be done

appointed
a time or place arranged for doing something

acknowledge
to accept that something is true

violate
to go against or refuse to obey a law, an agreement, etc

Hippocratic oath
the promise that doctors make to keep to the principles of the medical profession

 

Details of complaint need clarification

This is in response to the letter from Daniel C which was published in Postbag on April 9. In his letter, Daniel C stated that he accidentally stepped on black sea urchins, resulting in numerous, painful, open wounds on his feet.

He further stated he contacted the Bangkok Pattaya Hospital and made an appointment to see Dr Hathairat. However, when he arrived at the hospital on time for his appointment, he learned that the doctor had left early for the day and no other suitable doctor was available.

We would like to contact Daniel C and see what actually happened on that day. As far as our hospital is concerned, when a patient in Daniel C.’s condition walks into the hospital, he is immediately taken for emergency treatment.

Dr Hathairat is a part-time dermatologist who works in the evening and on Saturday afternoon. She would not treat Daniel C for this injury.

When a patient calls, we would have some details of his medical situation. In this case, the staff member taking the call would advise him to come straight to the Emergency Room. We have checked our records and could not find any recent appointment made for a Daniel C. All the Daniel C's who came to our hospital came in 2003 and 2004.

When a patient calls in to make an appointment, the staff member taking the call will ask for his name, address and phone number and whether he has an ID number or is a new patient. This information is then entered into the computer for the appointed doctor. Again, we could find no records for a Daniel C.

Our hospital has over 60 full-time doctors in all specialised fields. We always have at least one doctor on duty at the Emergency Room 24 hours a day, seven days a week. Our policy is that if a patient is bleeding, we would direct him to the Emergency Room to see the surgeon on duty at once. If the patient has a family doctor, that doctor would be called to attend the patient if necessary after the patient's wounds have been treated.

We would like very much to understand the situation that Daniel C described so we can properly take care of the complaint.

NARINTARA BOONJONGCHAROEN, MD Director

dermatologist
a doctor who studies and treats skin diseases

specialised field
to become an expert in a particular area of work

attend
deal with

• This lesson was prepared by Neil Stoneham,
an experienced secondary school teacher and trained journalist.

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Last modified: April 26, 2005