As a graduated nursing student, I think maybe it's more of a hospital cultural difference. At most hospitals in Taiwan, one nurse takes care of about 8-15 patients in the daytime, and 12-20 at night, so it's a very heavy loading for nurses, it's impossible to ask nurses to do all those nonmedical jobs. AND, registered nurses in the states don't do the cleaning/ feeding job either, it's the nursing assistants' job (that's an extra reason of why medical care in America is sooooo expensive). Since most hospitals in Taiwan don't have nursing assistants, that's why we depend on patients' family members or hired caregivers to take care of their daily needs. It's a common sense that in Taiwan, nurses are in charge with the nursing care, and the rest are the family members' or the caregivers' jobs. If the patient is all by himself/herself, just ask the nursing station for help. Such as order hospital meals, hire a caregiver, ask for head-washing in bed service, rent a TV/ hair dryer/ wheelchair/ extra blanket or pillow, etc.
That's one difference that lowers in patient care costs in Taiwan vis a vis the States. Another reason is that most medical staff from physicians to nurses graduate with very little debt. Thirdly, the Taiwanese government buys medicine in bulk directly from manufacturers. If we could learn to take care of our own loved ones the way the Taiwanese do, maybe our hospital costs might drop and our streets might have fewer homeless.
Some great points you made in your comment. Thank you for those. The idea of filial duty is still strong in Asai in general but my students do speak of it with faining favor. I can't imagine how we would even begin to instill such a way of thinking in the U.S. Our culture placed too much value on individualism. The collective nature of most Aisian countries is what allows such practices as described in the video to continue to thrive.
Thanks for the comment. Appreciate that. We learned a lot through this experience. I was quite interesting seeing how differently things up right here than they do in the United States. Either way, I'm quite grateful that I was in Taiwan when this issue came about. Otherwise I might not be here today. It would have been cost prohibited to deal with this in the states. Had I been there when this problem arose I don't think I would have gone to the doctor. Which is just tragic! Thanks again
Thanks! I had expectations based on my cultural standards and understanding. How foolish of me to expect the exact care in another coutnry. I learned though!
Actually, most of the hospitals in Taipei have nurse assistants. If you don’t have a love one and don’t want to hire a caregiver to take care of you, nurse assistant will help you. Thank you for sharing to information. Because I learned something new too.
So have you enjoyed the video? 🙂 Thank you for watching and contributing to the conversation. Nursing nursing assistants was never anything we were ever offered. The first time I went to the hospital I was all alone because Leah was in the United States visiting family. And no one helped attend to my space at all and my food containers in trash started piling up in the room and one of the nurses told me that I had to take care of that myself. And then she gave me a card to hire out a caregiver. Of course all in Chinese so I didn't really even consider it. Plus I did not think I would be in the hospital all that long. So if that is a service that's available. It's nothing that was ever offered to to me. In fact, anytime I show up to the hospital without my wife everyone seems to panic. Sometimes I have to go to the hospital the night before and I don't need any assistance and they always insist that I bring my wife. Maybe it's just Taiwan's medical practice to let the patients just focused on resting and getting better and let everyone else. Take care of everything else
Yes. Many foreigners were surprised that there are no 24/7 nurse to take care of them. The affordable health care needs patients’ friends and relatives to help out. Anyone doesn’t have friends or relatives to help out will have to hire a caretaker to help them.
It was really big shock! I thought the nurses didn't like me. Lol. All of the food containers kept piling up on the table beside me and I was thinking, have I offended the nurses?
@@Justin_Leah One RUclipsr said she was asked to be in the wait room while her father was in the operation room where many relatives or friends of the patients waited. There was a display board showing the progress of all patients’ surgery. Like airport flight status display board. When her father’s name showed up as operation completed, she was asked to help push the bed to his room, then help move his father onto his bed. In her father’s room, there is a small bed for caretaker to sleep on. I guess you had privacy in your room, so no outsiders could see your situation and offer help. But the nurse should have helped you. They did not do a good job.
@@Justin_Leah I was surprised to read about it too. I thought there were many volunteers in the hospital and patients didn’t have to suffer the way you did.
Wow! I learned something new as well! I was born in Taiwan but have been away for decades and have never been admitted to a hospital there! It may be an idea to suggest to the hospital to make info available to foreign patients re having a family member with you or organising your own carer ? Thanks for sharing your experiences!
That would be a great if hospitals had foreigner liaisons. It's difficult to think of all the cultural differences that need to be explained to a visiting foreigner. When something is normal to you it's not always in your mind to explain what that is to someone from another country. Even if I had mastery of the language there are some questions I just would not think or know to ask. I think the same can be said for the staff taking care of me.
BTW, if you are put in ICU, the nurses there will take care of you everything because once you are in ICU, there are only a couple of time slots per day your relatives can visit you within 15/30 minutes.
even in Canada, nurses won’t take care your meal, trash, of course not. Nursing has a different levels, like PSW, or watching. Their duties are different. Nurse and doctor they take care of medication only. Hospital offer you food but not taking care the trash......I think it is very common in the world
Maybe that's a reason is so expensive in the US, there are various levels of healthcare providers. You have certified nursing assistants, lpns, RNs, and of course cleaning staff. Each time I've been in the hospital in the United States, one of the above have tended to me and have actually prohibited my own mother, who is a nurse, from tending to me because it was their job and their responsibility. I still believe the cost of medicine and healthcare in the United States is ridiculously too high! But I'm beginning to find out that the type of care you get might be superior to other places. ~JB
I found the same things so weird when I was in hospital here, that the hospital doesn't seem to really provide food, or help clean up your space. Luckily my wife brought me food the first time, and the second time I was able to still walk thankfully.
I didn’t realize staying overnight with a family member in the hospital was also a part of Taiwanese culture. It’s the same in mine. Hopefully you are feeling better and was able to get a care giver during your stay. Looking forward to your next video.
Hey Hua, when we were in Vietnam we walked through the campus of a large convalescence home and saw family members tending to loved ones, hanging wash ourside, walking loved ones, and the like. We thought maybe the presence of loved ones and the types of activities was due to the nature of the establishment. It stated convalescence home but we were more under the impression it was a hospice center rather than an actual hospital. Again, you can only understand something initially through your own cultural perspective until that perspective is challenged.
You can also request (pay few thousands NT more) to have single bed room all by yourself, yet you still need to hire care taker. You probably already noticed that Privacy (in hospital) is very important in the US, but not in Taiwan. Also in the US, the ratio of nurse : patients is 1:4 . The quality of the care is much better in the US hospitals, but the medical bill is way much higher ~
Yes, HIPAA standards are nowhere near being met in TW. As for qualitiy of care, that's an intersting consideration. IF.... if all my medical needs were met even though I was not as "comfortable" as I would have been in the states is that a higher quality of care or just greater comfort of care??? Only by comparing TW to the U.S. can I issue a critique. Now if I only knew the TW standards of care I would have to say that I was teated with the best of care. I guess, well.... it's all realative I suppose, to an extent anyway. ~JB
@@Justin_Leah Yes, you are right. It seems US just has “greater comfort of care”. Thanks for the insight. I do believe TW meet all patient’s medical needs since my families and friends in Taiwan has gone through several surgeries or hospitalization. All surgeries were successful and they recovered well. My mom actually prefers staying in the recovery room with several people while I found that annoying… After all, Doctors and nurses’ knowledge and skills are about the same in both countries. ( you need to shop doctors in both countries . Ask around for recommendations. Most are good but some are bad)
ah, that's an interesting way to do things. Actually makes a lot of sense as the nurses can focus more on the health side of things... btw Jon is currently googling "what is a male karen?" I think we have an answer ;P All jokes aside, that would have been pretty stressful not knowing what was going on. Glad you know now and hope you're feeling better.
It all made sesnce once I put the information into cultural context and furhter observed the enviroment. I was the only one without a family member at myside, even in the emrgency room. Once the light buld went off in my head it was much easier to focus on the improtant medical matters at hand. I hope your time in the U. S. doesn't scar you. Take care while there.
I have some really great American friends that have retired early in Seville. If you make your way down that way let me know and I'll put you in contact with them. We have really been considering Spain as our next destination but we just can't seem to make enough money in Spain to meet our budgetary requirements. We to are trying to save for retirement.
@@Justin_Leah We won't make it down as far as Seville this time around unfortunately, but hopefully some day! Spain can be quite exy - we hear Portugal is a good budget friendly alternative.
We have certainly learned a lot about the different responsibilities. Also, nurses in Taiwan do not make nearly the equivalent to what nurses make in America. So certainly the responsibilities are different. Thanks for watching 🙂
No, it is: NEVER go to any hospital alone, EVER.... You know how if you want a good meal you go to a sit down well established reputable restaurant, and if you don't mind or care you deal with MACDONALD'S.... Then you go to the better choice and realize ITS ALL MACDONALD'S.... The hospital, the court rooms, the prisons, all run by educated well informed people, who if not checked up and challenged will error and have no consequence.... A lil mustard on your burger is no biggie, how's that surgery you never needed though....😅
We're pretty confident that Taiwan wouldn't give me an unnecessary surgery because they have the national health insurance program and that would be wasting the people's money! The United States on the other hand, well... You might come out of surgery with a few parts missing that you didn't even know you had. 😆
As a graduated nursing student, I think maybe it's more of a hospital cultural difference. At most hospitals in Taiwan, one nurse takes care of about 8-15 patients in the daytime, and 12-20 at night, so it's a very heavy loading for nurses, it's impossible to ask nurses to do all those nonmedical jobs. AND, registered nurses in the states don't do the cleaning/ feeding job either, it's the nursing assistants' job (that's an extra reason of why medical care in America is sooooo expensive). Since most hospitals in Taiwan don't have nursing assistants, that's why we depend on patients' family members or hired caregivers to take care of their daily needs. It's a common sense that in Taiwan, nurses are in charge with the nursing care, and the rest are the family members' or the caregivers' jobs. If the patient is all by himself/herself, just ask the nursing station for help. Such as order hospital meals, hire a caregiver, ask for head-washing in bed service, rent a TV/ hair dryer/ wheelchair/ extra blanket or pillow, etc.
That's one difference that lowers in patient care costs in Taiwan vis a vis the States. Another reason is that most medical staff from physicians to nurses graduate with very little debt. Thirdly, the Taiwanese government buys medicine in bulk directly from manufacturers. If we could learn to take care of our own loved ones the way the Taiwanese do, maybe our hospital costs might drop and our streets might have fewer homeless.
Some great points you made in your comment. Thank you for those. The idea of filial duty is still strong in Asai in general but my students do speak of it with faining favor. I can't imagine how we would even begin to instill such a way of thinking in the U.S. Our culture placed too much value on individualism. The collective nature of most Aisian countries is what allows such practices as described in the video to continue to thrive.
你需要的是看護,告知護理單位你需要雇請一位看護! 當然後面我看到結局了~~
我最后学会了。 现在我知道台湾的方式了。(google translate)
Other Western RUclipsrs who overly praise Taiwanese hospitals get views several times higher than yours, but you are the only one who tells the truth.
Thanks for the comment. Appreciate that. We learned a lot through this experience. I was quite interesting seeing how differently things up right here than they do in the United States. Either way, I'm quite grateful that I was in Taiwan when this issue came about. Otherwise I might not be here today. It would have been cost prohibited to deal with this in the states. Had I been there when this problem arose I don't think I would have gone to the doctor. Which is just tragic! Thanks again
Love how real and transparent he is.
Thanks! I had expectations based on my cultural standards and understanding. How foolish of me to expect the exact care in another coutnry. I learned though!
Hi My dearest friend!
Hope you are doing well.
I really enjoyed watching your lovely video.
Be healthy.buddy^^* 😊 Like 49 !!!
Thanks you! Happy International New Year 🎆
Actually, most of the hospitals in Taipei have nurse assistants. If you don’t have a love one and don’t want to hire a caregiver to take care of you, nurse assistant will help you. Thank you for sharing to information. Because I learned something new too.
So have you enjoyed the video? 🙂 Thank you for watching and contributing to the conversation. Nursing nursing assistants was never anything we were ever offered. The first time I went to the hospital I was all alone because Leah was in the United States visiting family. And no one helped attend to my space at all and my food containers in trash started piling up in the room and one of the nurses told me that I had to take care of that myself. And then she gave me a card to hire out a caregiver. Of course all in Chinese so I didn't really even consider it. Plus I did not think I would be in the hospital all that long. So if that is a service that's available. It's nothing that was ever offered to to me. In fact, anytime I show up to the hospital without my wife everyone seems to panic. Sometimes I have to go to the hospital the night before and I don't need any assistance and they always insist that I bring my wife. Maybe it's just Taiwan's medical practice to let the patients just focused on resting and getting better and let everyone else. Take care of everything else
Great to know u r getting better! Hope u will cover soon🤞
Thank you. I have had some more procedures but the outcome is positive.
Yes. Many foreigners were surprised that there are no 24/7 nurse to take care of them. The affordable health care needs patients’ friends and relatives to help out. Anyone doesn’t have friends or relatives to help out will have to hire a caretaker to help them.
It was really big shock! I thought the nurses didn't like me. Lol. All of the food containers kept piling up on the table beside me and I was thinking, have I offended the nurses?
@@Justin_Leah One RUclipsr said she was asked to be in the wait room while her father was in the operation room where many relatives or friends of the patients waited. There was a display board showing the progress of all patients’ surgery. Like airport flight status display board. When her father’s name showed up as operation completed, she was asked to help push the bed to his room, then help move his father onto his bed. In her father’s room, there is a small bed for caretaker to sleep on. I guess you had privacy in your room, so no outsiders could see your situation and offer help. But the nurse should have helped you. They did not do a good job.
@@SargonofQueens yep, that's what Leah had to do for me. Thank goodness she was here!
@@Justin_Leah I was surprised to read about it too. I thought there were many volunteers in the hospital and patients didn’t have to suffer the way you did.
Wow! I learned something new as well! I was born in Taiwan but have been away for decades and have never been admitted to a hospital there! It may be an idea to suggest to the hospital to make info available to foreign patients re having a family member with you or organising your own carer ? Thanks for sharing your experiences!
That would be a great if hospitals had foreigner liaisons. It's difficult to think of all the cultural differences that need to be explained to a visiting foreigner. When something is normal to you it's not always in your mind to explain what that is to someone from another country. Even if I had mastery of the language there are some questions I just would not think or know to ask. I think the same can be said for the staff taking care of me.
BTW, if you are put in ICU, the nurses there will take care of you everything because once you are in ICU, there are only a couple of time slots per day your relatives can visit you within 15/30 minutes.
I remember that!! According to Justin, the nurses there were phenomenal even though he was only in ICU for 12 hours! They took great care of him!
even in Canada, nurses won’t take care your meal, trash, of course not.
Nursing has a different levels, like PSW, or watching. Their duties are different.
Nurse and doctor they take care of medication only.
Hospital offer you food but not taking care the trash......I think it is very common in the world
Maybe that's a reason is so expensive in the US, there are various levels of healthcare providers. You have certified nursing assistants, lpns, RNs, and of course cleaning staff. Each time I've been in the hospital in the United States, one of the above have tended to me and have actually prohibited my own mother, who is a nurse, from tending to me because it was their job and their responsibility.
I still believe the cost of medicine and healthcare in the United States is ridiculously too high! But I'm beginning to find out that the type of care you get might be superior to other places. ~JB
I found the same things so weird when I was in hospital here, that the hospital doesn't seem to really provide food, or help clean up your space. Luckily my wife brought me food the first time, and the second time I was able to still walk thankfully.
Definitely a bit of culture shock but learning what I have about Taiwanese culture it completely makes sense.
I didn’t realize staying overnight with a family member in the hospital was also a part of Taiwanese culture. It’s the same in mine. Hopefully you are feeling better and was able to get a care giver during your stay. Looking forward to your next video.
Hey Hua, when we were in Vietnam we walked through the campus of a large convalescence home and saw family members tending to loved ones, hanging wash ourside, walking loved ones, and the like. We thought maybe the presence of loved ones and the types of activities was due to the nature of the establishment. It stated convalescence home but we were more under the impression it was a hospice center rather than an actual hospital. Again, you can only understand something initially through your own cultural perspective until that perspective is challenged.
Enjoyed watching. nice place thanks for sharing stay connected 🦋🌟
Thank you! We're working on a follow-up video about Justin's surgery and hospital stay. Stay tuned!
You can also request (pay few thousands NT more) to have single bed room all by yourself, yet you still need to hire care taker. You probably already noticed that Privacy (in hospital) is very important in the US, but not in Taiwan. Also in the US, the ratio of nurse : patients is 1:4 . The quality of the care is much better in the US hospitals, but the medical bill is way much higher ~
Yes, HIPAA standards are nowhere near being met in TW. As for qualitiy of care, that's an intersting consideration. IF.... if all my medical needs were met even though I was not as "comfortable" as I would have been in the states is that a higher quality of care or just greater comfort of care??? Only by comparing TW to the U.S. can I issue a critique. Now if I only knew the TW standards of care I would have to say that I was teated with the best of care. I guess, well.... it's all realative I suppose, to an extent anyway. ~JB
@@Justin_Leah
Yes, you are right. It seems US just has “greater comfort of care”. Thanks for the insight. I do believe TW meet all patient’s medical needs since my families and friends in Taiwan has gone through several surgeries or hospitalization. All surgeries were successful and they recovered well. My mom actually prefers staying in the recovery room with several people while I found that annoying… After all, Doctors and nurses’ knowledge and skills are about the same in both countries. ( you need to shop doctors in both countries . Ask around for recommendations. Most are good but some are bad)
👍🏼
Thanks for watching. Have you ever been to Taiwan?
ah, that's an interesting way to do things. Actually makes a lot of sense as the nurses can focus more on the health side of things... btw Jon is currently googling "what is a male karen?" I think we have an answer ;P All jokes aside, that would have been pretty stressful not knowing what was going on. Glad you know now and hope you're feeling better.
It all made sesnce once I put the information into cultural context and furhter observed the enviroment. I was the only one without a family member at myside, even in the emrgency room. Once the light buld went off in my head it was much easier to focus on the improtant medical matters at hand. I hope your time in the U. S. doesn't scar you. Take care while there.
@@Justin_Leah Good thing the lightbulb went off in the end :) We've survived the US unscathed and are in Spain now. ole!
I have some really great American friends that have retired early in Seville. If you make your way down that way let me know and I'll put you in contact with them. We have really been considering Spain as our next destination but we just can't seem to make enough money in Spain to meet our budgetary requirements. We to are trying to save for retirement.
@@Justin_Leah We won't make it down as far as Seville this time around unfortunately, but hopefully some day! Spain can be quite exy - we hear Portugal is a good budget friendly alternative.
u should try chinese medicine clinic
I think the nurse in Taiwan only responsible for meds; the patient needs to hire care giver to do all the works😢
We have certainly learned a lot about the different responsibilities. Also, nurses in Taiwan do not make nearly the equivalent to what nurses make in America. So certainly the responsibilities are different. Thanks for watching 🙂
No, it is:
NEVER go to any hospital alone, EVER....
You know how if you want a good meal you go to a sit down well established reputable restaurant, and if you don't mind or care you deal with MACDONALD'S....
Then you go to the better choice and realize ITS ALL MACDONALD'S....
The hospital, the court rooms, the prisons, all run by educated well informed people, who if not checked up and challenged will error and have no consequence....
A lil mustard on your burger is no biggie, how's that surgery you never needed though....😅
We're pretty confident that Taiwan wouldn't give me an unnecessary surgery because they have the national health insurance program and that would be wasting the people's money! The United States on the other hand, well... You might come out of surgery with a few parts missing that you didn't even know you had. 😆
@@Justin_Leah If my hotwheels out back from 86 tell me anything Taiwan makes quality....