This blog is for people living in foreign countries who struggle to consume culture differences during their life living, and for me to be able to back after years.

One of my patients got a heart attack 2 hours after my physical therapy. One of my colleagues asked have you seen her blood pressure before your treatment? I said “No, but I had checked her pulse during my treatment, and that was normal” she continued to say, “what kind of exercises did you do for her?” I answered, ” a few of the sitting to standing, ball exercises on the bed to move her leg spontaneously, that is all” and she said, “checking blood pressure is important.”

I am working in Mongolia as a physical therapist to improve the medical situation of Mongolia. The school for physical therapists in Mongolia was built with Japanese aid, which meant basic knowledge of Mongolia in physiotherapy coming from Japan.

That my colleague is now a 4-year therapist working in a Neurotherapy hospital. But her work content is deemed not therapist because she only does message or equipment therapy even though she is not familiar with how to use that equipment. Oftentimes, she does not know the diagnosis the patient has during her treatment, that situation is not only for her even not for the therapist, all other medical staff have the same problem, then they feel that normal in Mongolia.

I have to ask doctors about the info the patient has, such as the main diagnosis, complications, and so on to prevent medical accidents.

About that patient, I collected the info as usual. there were no such worries the doctor said. But that patient was nearly 80 years old, I should be care full to doing exercises.

It could be possible my treatment caused her heart attack, but that is not the only factor. there were a lot of possibilities.

I lost my way on how to tackle with problems Mongolia has because this event made me give up once. their behavior seemed to me that they tended to avoid accepting responsibilities which is a heart attack. they focused on that responsibilities would be gone to where rather than why the patient had a heart attack. That kind of consideration is not going to improve their medical situation, especially clinical thinking which they do not have.

The way is too long.