Latest CD4 count

Visited Research Institute for Tropical Medicine last Friday for medicine refill and CD4 testing. Been a long time since I last went here. I came in very early at 6:45 am for CD4 testing. They recently changed the cut-off time for blood extraction to 7am-8am only. At this early, I’m already on the 9th spot from the line. The process changed and improved a bit from the previous topsy turvy scene. Their process is more effective but less efficient. It took me roughly 8 hours waiting in vain. CD4 results are released within the day, in most cases 11am, after lunch otherwise. Since I am about to refill, they told me to wait for the doctor since she will be the one providing the prescription. You will encounter a very long and pain-on-the-ass wait. I’m gonna to another post about the crucial wait-for-results experience.


So far, I’m thankful for the result. In time for Thanksgiving day. 

From 406 units of CD4, it went up to 710 units.

This, perhaps, is one of the reason to be happy. Somehow, still thankful.

And oh by the way, I’m trying to resurface again. Struggling, but trying.

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Deteriorating

I went to RITM last Friday to have my CD4 count and refill of meds. Nothing much new with them aside from the topsy-turvy process they are implementing. They don’t have the right and proper system in accommodating patients, they even proposed a ‘scheduled’ trip when requesting for CD4 test, which is not really effective. They also implemented a number system, just like those of a bank. When the number of patients are at large with the addition of the staff, the small ARG clinic is not at a crowd. There are also some staffs that are quite new to me.
I’m just wondering if ‘charts’ are confidential to an extent that even the owner can’t view it? I’m trying to view my chart for the results of my past tests when this new staff said ‘hindi pwede tingnan’ – ‘you can’t see those’. I was like… Hello that’s my chart and I think I have the right to view it? I’m not really sure if there’s an unsaid rule about a patient can’t check his chart thingy. I f that’s the case, I just hope that only medical professionals see it and if the rule is exercised it is consistent. Staffs are now masungit and aburido which is bit annoying.

*I totally understand this but I just hope na *only* certified medical staffs like nurses and doctors can view it, not the volunteers na hindi ko naman din kilala so start with.*

One thing I noticed was their file management system. Their system is really prone to file and pertinent paper loss. Documents like Philhealth papers are too much important to get lost.
I understand that cases are increasing so much and it causes difficulty in handling the situation, this is a great opportunity for process improvement. They don’t have to do it overnight but I hope they have the initiative of gradually doing it.
They all changed overtime after transferring the ARG clinic to that location and when they substituted a different nurse for Ate Ana.
With these issues I have told and the lurking anomaly with the staff who disclosed a fellow poz guy’s status publicly on Twitter… I think I’m leaning towards transferring to a different health institution or perhaps hoping they’ll realize what needs to be done and act on it.
The exclusivity of the RITM as a treatment hub is slowly deteriorating.