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Philippine Medical Tourism & the Woes of Louem Martinez

Imagine yourself in a pristine white sand beach enjoying what the tropical paradise has to offer sipping a cocktail relaxing in all serenity…… heaven, pure heaven with no worries in the world away from the rat race unwinding in your own leisure time. Welcome to the wonderful mecca of Philippine Medical Tourism .........

Everything is so cheap where your depreciated dollars go a long way, people catering to your every whims and caprice not a worry in the world. Ideal, isn’t it?

That is exactly what the brochures and internet site entice you, vacationing in the Philippines’ beautiful tropical paradise while at the same time taking a journey towards life-enhancing cosmetic surgery procedures which can restore or enhance your features. A trip so rewarding in terms of gaining inner confidence looking and feeling years younger in your quest for affordable rejuvenation at a significant cost savings that you can only dream of is possible in the tropics.

The growing industry shows a lot of potential that the Philippines have included medical tourism in their government program to get a share of the burgeoning market of neighboring Asian countries.

All is well that ends well in a fairy tall tale, but what happens if somewhere along the line something goes awry and instead of the enhancement you expect from the medical procedure it went south causing undue physical and psychological damage. What will you do? How will you deal with the problem when you are already back home thousands of miles away?

A boon or vain or worse a botched procedure that may not just leave you with a scar or permanent damage to the most delicate part of your body where you dread the most in joining the bandwagon of Philippine Medical Tourism but psychological as well.

That is exactly what happened to Filipino American Louem Martinez also known as Louem Boschuk who underwent a procedure for penile enlargement and ended up in pain and his cherished possession disfigured. Ouch!

At the risk of being the subject of ridicule it took some cajones or should we say his balls are still intact went to a lawyer and filed a P26 million suit against the doctor. Filing a case against the husband and wife popularly known as the “Doctors to the stars” Manuel and Rosario Calayan, registered owners of the Calayan Surgicenter for the botched procedure in 2007. Indeed a mess that Happy Thoughts wished Louem Martinez should have first researched Maxoderm: An alternative for men, than underwent the procedure avoiding the end result of having a "badly deformed, sagged and bumped" prized possession.

Take note, if ever you are contemplating on enhancing your “prized” possession you should check out the Philippine laws and regulation first because they are not exactly the same laws and regulation that you see in the US that protects the patient that holds the medical profession to the highest ethical standards. Also, while there are laws to that effect you have to make sure that the establishment you are dealing with strictly abide and follow said rules and regulations. After all, it is still a nation where corruption is so endemic that some people actually thrived on it and thus skirting the law is a common accepted practice.

It’s a messy legal battle with the Calayans' insisting that the patient signed a liability release form which the patient claimed was shoved to him by the clinics' personnel and no one explained exactly what it means. On the other hand Calayan insist that he explained everything to him and has been doing this procedure for quite some time. Confusing I should say especially when claims and counter claims are opposite what both parties are saying. What is interesting is that the substance used to enhance Martinez pride and glory errr however you want to call it should be enough for one to be ultra cautious if one is contemplating this kind of procedure or any procedure for that matter, to quote:

He and his lawyer Dioscoro Peligro showed reporters a letter from the Bureau of Food and Drugs (BFAD) stating aquagel and aquamid are two different products and chemicals.

I have been told that aquagel is banned, while aquamid needs a permit for its importation and that this has already expired in 2006,” Martinez said.

In the letter, BFAD director Leticia Barbara Gutierrez said both aquagel and aquamid are “medical devices and their registration prior to importation and sale is mandatory.”

“Calayan Surgicenter Corp. is not the licensed importer of the above products,” Gutierrez said.

I know I heard this before that an illegal contract is not enforceable so I just don’t know if this applies in this case. If what the lawyer of Martinez is saying is true then a banned or illegal substance was used to enhance Martinez “pride and glory” that is now deformed so that should really give people the creeps if they are contemplating on similar procedure in the Philippines. Unless one is willing to risk ones deformed "pride and glory" and the hassles of messy lawsuits and counter suits, as shown in this case:

“I did not participate in any of the medical procedures performed on the complainant, nor did I give any opinion or medical advice to the complainant,” she said, adding that Martinez was never her patient.

In her complaint-affidavit filed in April, Rosario Calayan claimed there was no legal basis to hold her liable as she has never met Martinez nor did the patient consult with her.

She also accused the patient of perjury and unjust vexation because of the “malicious filing of the baseless criminal complaint.

Her lawyer Reggie Ukol maintained that such circumstances do not immediately hold her liable for the supposed crime.

“Those circumstance don't mean that there was a conspiracy to commit the crime,” he said in an interview Thursday.

A patient seeking redress for his deformed pride and glory being counter sued is not pleasant and truly makes it a horrible experience. Top that with a banned device if it is true as claimed by Martinez lawyer and BFAD Director Gutierrez implanted inside your body is not exactly safe and reassuring. Calayan claims that it was Aquamid that he used and just made a mistake in saying Aquagel but the point is these substances are irrelevant if both were not approved by BFAD. Think of what will happen if a woman goes for breast augmentation, or reshaping some snub nosed Filipinos that may end up shaped into a bursting tomato using banned medical devices is just scary..... yikes and you get bullied with a counter lawsuit is like adding insult to injury and what about organ transplant? Oh never mind, lets deal with that some other time.......

The problem started when Martinez went to doctor Calayan for the removal of a cyst through Liposuction and the penile enlargement was supposedly an added bonus or part of the package deal. Now what was that all about? Liposuction to remove a cyst? Guess how that turned out? According to the new P14 million complaint of estafa and reckless imprudence resulting in serious physical injury filed by Martinez the operation did not work and the cyst instead spread and grew bigger.

The bottom line is that you get what you paid for and come to think of it the hassles of the court system is not something one enthusiastically wants to get involved with. Dealing with the court system is bad enough and to get entangled in the justice system in the Philippines that is perceived by the public to be corrupt is an experience you don't want to be in. Then the distance which is thousands of miles away does not help either and the time, energy and resources you spend in going back and forth in a court system that is known for its turtle paced disposition is a very expensive proposition. What about the unrealized income that you will lose for the time you have to spend flying back and forth to attend your hearings? Is it worth it?

Luckily or perhaps unluckily whichever way you want to look at it this case was noticed by the press thus hopefully will send a message that people are watching attentively on how this will unfold. But that alone is not a guarantee that the aggrieved party will get justice so what happens if the case is not a celebrated case, what are the chances of getting a decision in favor of the aggrieved party? How many more botched procedures are out there that the victims are not reporting for fear of ridicule and the scandalous embarrassment one has to go through? Can't get enough of this, here go see the news video on this botched procedure.



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12 Speak Out:

Bonedoc said...

That's why it is always a must for patients to examine and re-examine, understand whatever procedure he is undergoing, who's going to do it and what are the risk involves before even signing a consent form. And for MDs, anything that will give patients an idea of "mistrust" will always end up in the court room. An unhappy patient post op means a bad surgery for that surgeon.

Anonymous said...

bone md sums it up. Patients must be fully informed and understand what procedural process are performed. If you don't ask questions, then you can't expect answers.

Dom Cimafranca said...

And then there's the story of the OFW who died during liposuction at a clinic in Eastwood....

Unknown said...

How true bone md & mo, but the cyst removal using liposuction and packaging penile enlargement with it should have given the patient a hint of what is in store for him. Perhaps he should have asked for a second opinion before going through with that doctor. But then again the bulk of the responsibility lies with the doctor who is the professional.

dominique, wow that is sad and hopefully this is not another case of medical mal-practice.

Anonymous said...

If the Philippine government are really serious in promoting medical tourism incidents like this is not helping the industry and will only discourage prospective tourist patients. Why will people opt for the Philippines when they know that there are doctors and clinics using banned medical devices and worse see the doctor in question ridiculing his patient with "having 3 girlfriends and could not help use it immediately" is just unethical. Assuming it is true has he not heard of doctor patient relationship? Tsismoso at dalahira kalalakeng tao eh mahadera itong doctor na ito.

Bonedoc said...

Yes, I agree jaywalker. Any doubt in patients mind regarding his MD, the procedure or anything else in that contract, the patient should have asked for advice or opinions. As a rule, you do not sign any contract that you don't understand. Especially if it deals with your life or health.I cannot answer for the doc's side for this, but if he does cross the boundaries of ethical practice, he is bound to answer for it. Thats for the court to decide I guess. But nowadays, patient empowerment is such the trend that I myself encourage patients to participate in their well being thru education and counseling. And after educating them on their illness and problems, ignorance and "the doc is right because he is professional" excuse for not knowing, is even more dangerous to themselves!

Unknown said...

bone md,

True, the patient cannot rely on the doctor alone even though they are licensed professional, as they say in Filipino, "ako ang bahala ikaw ang kawawa" seems to apply in this case.

Yes, you cannot speak for that doctor, let the board and the courts decide what is in store for him. Personally I believe the doctor and the wife should be held liable and responsible. This is a black eye to medical tourism that the government is promoting and will be a hard sell with this kind of practitioner.

Robbie said...

If you use a reputable medical tourism company, they will have done extensive research on the facilities they partner with, assuring that your care is as good or better than what you'd find in the U.S. Long waiting lists is another the non-wealthy travel for care. Check out the stories of patients, and you'll see it's not the wealthy at all: http://www.worldmedassist.com/medical_tourism_testimonials.htm

Unknown said...

Good point Robbie and as much as I want medical tourism in the Philippines to succeed they are the ones killing it.

They see the money to be made but until they establish their credibility and rid the nation of corruption and questionable practitioners they will have a hard time competing with established company in this field.

The benefit of dealing with refutable companies especially those with offices in the US is that you can run after them in case of botched operation due to mal-practice other procedures that is not according to international standards.

Unknown said...

Thanks for the visit and comment Jack. This is exactly why the internet is so great. We are all connecting and sharing information that allows people to navigate the web with more direction to see that there are other options available out there.

Shannon said...

I don't want to blame the guy but really, why would he go for liposuction to remove his cyst? Though I am not an expert to this matter, I never heard of such procedure. If the doctors are "doctors to the stars", this should put them to shame. Even if they did not meet Martinez personally, their medical group is still liable for what happened, IMO.


Shannon
Costa Rica Plastic Surgery

Reika said...

Why would the surgeon permit such procedure? Liposuction to get rid of a cyst is totally crazy.

Liposuction in Mexico

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