June 21, 1999

Good Medicine

A special supplement to The CAMBODIA DAILY


CONTENTS

Cambodia’s Medical Scene Enjoying Excellent Health
Eye Care Framed in Storefronts
Route From Manila Ran Through Libya, Sudan, Tanzania
Sports Injuries Get Special Attention
Dentistry No Longer Starts With Trip to Airport
Medical Center Lodges in Luxury Hotel by Mekong
Rough Roads Can Lead to Physiotherapist
Sometimes, There’s
No Translator
1992 Start Makes Scott Dean of Expat Docs
Treatment in Many
Tongues
Montreal Surgeon Followed Adventure
Local Practices Have Some Logical Basis
Nurse Treasures Memories of Untac Days
Babies Are Marissa’s Special Joy
Anywhere on Planet, There’s Help Available
X-Rays Referred to Veteran Radiologist 
Medical Insurance Coverage Widening
New Array of Medical Problems Unfurls
Calmette Leads Cambodian Health-Care Field
Imports Supply Cambodia’s Medical Needs 
Pharmacies Dispense Myriad Drugs
Counselors Help Expats Through Rough Times
Clinic Boosts Women’s Health
Hospital Sees Thousands of New Cambodians
Kids Reap Health Benefits in Siem Reap

Rough Roads Can Lead to Physiotherapist 

As far as he knows, in this city of massage parlors, Jean-Claude Dhuez is the only person who gives massages and understands anatomy.

Dhuez’s International Physiotherapy Clinic at 8 Street 242, is an oasis of serious professionalism. He holds a degree he earned after a three-year course at the Physiotherapy School in Amiens, France. He enrolled simply because he was an Amiens boy, later discovering with pleasure that that the school has a very high professional reputation as one of the best in France.

He came to Cambodia in 1991 to work for Handicap International, teaching teachers for the Physiotherapy Technical School. He also helped to develop the curriculum and set standards for the various levels of competence for the Ministry of Health.

As a private practitioner, Dhuez offers consultation and rehabilitation therapy for a range of different disorders. He speaks French, English and Khmer.

A physiotherapist such as Dhuez helps people recover from traumas to bones and joints after surgery, after breaks or sprains and following sports injuries. He addresses muscle problems ranging from back pain and sciatica through to arthritis and arthrosis. 

Dhuez can even work out the kinks left by the torment of a trip along Cambodia’s potholed highways.

Pediatric and orthopedic problems Dhuez may see include scoliosis, club foot, infant bronchial congestion, hemiplegia and cerebral palsy. 

Physiotherapy also comes into play for neurological problems of paralysis and hemiplegia in adults; respiratory complaints including bronchiolitis, pneumonia and asthma; and post partum rehabilitation after delivering a baby. 

Additionally, Dhuez provides massage, stretching and remedial gymnastics—he has a trampoline in his treatment room to help patients develop agility and balance. 

As any professional, Dhuez is careful to refer patients to physicians for an evaluation if he is not sure he can help. 

There is no requirement for a person to have a medical referral before visiting him, but if he has doubts, Dhuez may well ask a patient to visit a doctor for evaluation before returning. 

Dhuez’s fee scale is dependent on the type of problem a patient is experiencing, between $20 and $25 for the first visit and between $12 and $20 for subsequent visits. 

About half of the people who visit Dhuez are driven there, literally, by back problems born of rough rides over rougher roads. But a significant number of patients come to him because they have been damaged by a massage. 

“Those people [giving massages] don’t know anything about anatomy and I warn people, if you are having a hard massage, a Thai-style treatment in particular, and the masseur starts working around your neck, you must say very directly that they either should not touch that area or they should proceed very softly.

“Rough treatment around the neck is how they can do damage, especially if someone has already had a neck injury, but even if they haven’t,” he warns.

—Elizabeth Wright

 



Cambodia's Health Care Facilities have undergone a dramatic improvement in recent years.

"Good Medicine"
takes a look at what's available today.