Consumer magazine criticized for insensitive column about Da Torpedo’s health

Readers have sent e-mails to Smart Buy magazine, criticizing a column written by a dentist who talks of Da Torpedo’s molar abscess as bad karma resulting from speaking ill of the monarchy.

In her e-mail to the editor of the magazine on 6 Jan, Kulthida Samaphutthi expressed her disappointment at a column by dentist Nithima Sermsutheeanuwat which appeared in the magazine’s December 2009 issue.  She found the writer’s comments biased and lacking in medical ethics.

She was also disappointed with the editorial staff for the lack of sensitivity in publishing the piece in a magazine which has been devoted to protecting the rights of the people. 

She asked if the columnist and the editorial staff considered that a callous comment on Daranee Charnchoengsilpakul’s health was acceptable because she had been convicted for lèse majesté.

Daranee has been suffering from a molar abscess, and has appealed to the court for temporary release to receive treatment.  The court, however, has never heeded the request by the ‘outspoken woman’, a term used by Nithima to refer to Daranee without mentioning the real name even once throughout the article, Kulthida said.

Kulthida witnessed the illness of Daranee at first hand when, as a Bangkok Post reporter, she had an interview with her at the Khlong Prem Prison in 2009.  The interview was almost a failure, because apart from the time constraints of visiting inmates in prison and the noisy environment in the visiting rooms where everyone has to shout, Daranee could hardly move her jaw to speak.

A Prachatai report in late Dec 2009 said that Daranee could only drink milk.  Daranee’s health seemed worse than when she did the interview, Kulthida said.

So an article by a dentist about her molar abscess was a source she, as a reporter, could not miss.

‘Recently, an outspoken, plump, middle-aged woman who was prosecuted for lèse majesté requested temporary release, because of a serious molar abscess.  […]  The Court dismissed the request,’ Kulthida quoted the Smart Buy article.

According to Kulthida, the doctor then explained about the disease, saying that it was hard to treat. Normally, doctors would only try to alleviate the pain by prescribing pain killers or anti-inflammatory medicine, or installing a dental guard to reduce teeth grinding when sleeping, or using a muscle relaxant spray. 

‘Molar abscesses mostly result from personal habits such as grinding one’s teeth or psychological abnormalities, including mental stress.  So they are difficult to treat.  Dentists would normally suggest that patients lessen their mental stress by observing the Buddhist precepts, taking a retreat and meditating,’ the dentist said in her article.

Kulthida took notice of the ‘psychological abnormalities’, and her bad feeling about the article grew when Nithima said in the article that, ‘the court’s rejection of Daranee’s request for temporary release was sensible as her illness is incurable, even if she was granted temporary release.’

Kulthida came to feel really compelled to write to the magazine when the dentist went on to conclude in her last paragraph: 

‘The illness of this outspoken woman also possibly results from her own bad deeds.  She cannot escape the law of karma.  Mental stress results in physical stress.  Bearing this severe karma in her mind, she unconsciously grinds her teeth even more, both when awake and asleep.  So she cannot open her mouth, cannot eat, and cannot speak.  She is in pain like hell.  Besides wearing a dental guard to lessen the pain, she has to redeem her karma through observing physical, verbal, and mental purity, repenting, praying for a royal pardon, practicing dharma, and meditating in honour of His Majesty.  After these merits have been made, her illness should get better and better.’

Kulthida said that all patients had the right to medical treatment, and rejected Nithima’s claim that Daranee’s temporary release was not necessary, as her illness was incurable anyway.

She criticized Nithima for overstepping the role of a columnist, and being didactic.

She called on the editorial staff to be more careful.  She said she did not wish the magazine to be apolitical or politically neutral, but wanted to read constructive pieces in the magazine.

And she hoped that Nithima would be more considerate and sympathetic to all patients, whether they be convicts, or red or yellow shirts.

Another reader, Pipob Udomittipong, criticized Nithima for lacking understanding about human rights. He cited the internationally accepted rights of all people, including convicts, to medical treatment.

As a subscriber of the magazine, he felt sorry for such a narrow-minded attitude towards human rights.  If the editorial staff do not address this issue properly, he will cancel his subscription, he said.

Smart Buy magazine belongs to the Foundation for Consumers (http://www.consumerthai.org).

Comments

Recently, an outspoken,

Recently, an outspoken, plump, middle-aged woman who was prosecuted for lèse majesté requested temporary release, because of a serious molar abscess...

What a ridiculous description for a "doctor" to give!

Molar abscesses mostly result from personal habit... no real doctor would dare make a telepathic diagnosis of anyone's medical condition, with the patient sight unseen.

The illness of this outspoken woman also possibly results from her own bad deeds.

Oh... I see... she's a witch doctor!

Do you remember the various refusals of treatment for people in the "wrong" political party in Bangkok, Lampang and elsewhere? Medical ethics is just another undefined term in Thailand, apparently.

It is good to read DrJ's sane comments here when he can find time to make them, for they counteract the generally very poor image the "doctors" of Thailand are given by these very unprofessional members of the "profession".

There is no reason at all, other than vicious mistreatment, for Daranee or any prisoner to be denied medical treatment.

"Doctors" fostering the view that there are "good" people and "bad" people, that "bad" people "deserve" to be sick and should not be treated, is just beyond the pale.

I am pleased she is not my

I am pleased she is not my dentist! Indeed the so-called dentist should have to undergo re-training (see this official site for real information on the abscess - http://www.nhs.uk/conditions/Dental-abscess/Pages/Introduction.aspx). In any case the consumer association is dominated by a certain senator with a yellow wardrobe.

It is quite difficult to take

It is quite difficult to take Thais seriously sometimes, especially when you have this kind of nonsense appearing in print.

Does this woman really not know how stupid this makes her look?

Perhaps she doesn't.

That's the point, Rich. For

That's the point, Rich. For this Thai woman and many like her there is no world outside Thailand. Thai norms are all. Why should she care about outside opinion?

It was the same when the yellow shirts had their protest at the replica of Preah Vihear in the Ancient City at Muang Boran.

I feel sorry for progressive Thais who have got to be ashamed of their country at times.

It is a shame a "doctor" can

It is a shame a "doctor" can utter such blatant stupidity. There really is no hope for Thailand if this is what presumably educated people can say publicly.

From Albert Park's link, my

From Albert Park's link, my emphasis :

Without dental treatment, a dental abscess will continue to get worse, and may eventually lead to the destruction of the surrounding bone. Your GP will be able to prescribe treatment that is appropriate for your symptoms, but the only long-term solution for a dental abscess may involve treatment from a dentist.

From the wikipedia, again my emphasis :

Dental torture

Dental torture tends to be greatly feared due to the intense pain it is capable of inflicting... Damage resulting from dental torture can also make eating and drinking excruciatingly painful or difficult. Dental torture techniques can be numerous, depending on the creativity of the torturer...

Dental torture is usually considered a crime, punishable by most if not all law enforcement agencies. Penalties for dental torture may range from fines, to jail time, or even execution depending on location and the severity of the torture.

In Thailand, of course, it is the "law enforcement agency" that is the torturer.

Medical torture

The Hippocratic Oath makes explicit statements against deliberate harm not in the patient's best interests. These statements are often translated as "I will prescribe regimens for the good of my patients according to my ability and my judgement" and "to never deliberately do harm to anyone, for anyone else's interest."

Clearly this "dentist" is deliberately doing harm to Daranee for "someone else's" interests.

Clearly this "dentist" is justifying the government's plans to cause Daranee's condition to fester and worsen.

It is hard to imagine a topper for this government in terms of sheer malice. If there is a case to be made for karma taking its toll surely it is to be made against this evil regime.

Perhaps Prachatai can repost the address of the Princess' website, which seemed to have brought some small result last time?

The poor Thai people. Reduced to begging a boon from the nobility when oppressed by "their" government, in place of the human rights "assured" by (several of) their constitutions(s).

It says a lot about the moral

It says a lot about the moral ethics of Thai dentistry if a dentist seriously believes in bad karma and believes that pain is acceptable retribution for expressing an opinion. So what sin did all the dead and dying in Haiti commit? The comforts and benefits of modern technology are wasted in Thai society.

Firstly, regarding khun Daa's

Firstly, regarding khun Daa's illness, I think 'Molar abscesses' as quoted in the article, might be a misinterpretation. From what I read in various Thai media, I think her jaw problem is rather 'TMJ disorder'(Temporomandibular joint disorder). The inflammation of the joint between facial bone and jaw, that causes pain whenever the affected joint is in motion, especially chewing, yawning, in extreme case, even speaking can aggravate pain. Now you can imagine how Daa suffer from her illness.

The cause of TMJ disorder is still obscure, and beyond the point of my concern. But excessive and relentless pressure passing through the affected joint does worsen the condition, like teeth-grinding at night. When patient is under stress, or has some kind of psychological disorders affecting one's mood, the symptom gets worse.

The dentist has every right to criticize Daa's political stance/actions, but she has no right to influence the professional judgement with personal conflict. It's against the humanrights and obviously violates the patient's rights( to get the appropriate treatment regardless one's political stance).

For the 'Smart Buy' 's editors, the alleged article is definitely a prejudice piece of article to publish. The decision to do so is explicitly 'unsmart'. In order to minimize damage done to their reputation, please consider publishing khun Kulthida's email.

Says the "dentist": ‘Molar

Says the "dentist":

Molar abscesses mostly result from personal habits such as grinding one’s teeth or psychological abnormalities, including mental stress. So they are difficult to treat. Dentists would normally suggest that patients lessen their mental stress by observing the Buddhist precepts, taking a retreat and meditating,’ the dentist said in her article.

She specifically calls the problem a molar abscess and then uses language more nearly consistent with a discussion of some cases of TMJ disorder.

It could well be that Da's problem is indeed a molar abscess and that the "doctor" and the regime are spinning into it the psychological realm in order to... what? Prevent Da from seeing a doctor. Why?

A real doctor could diagnose Da's problem and definitively characterize it as TMJ disorder or as a molar abscess. But a doctor might treat her condition and end her suffering. Is that a problem for the regime?

This regime, this putsch, is suffering from a moral abscess and both Da's molar abscess and the regime's moral abscess are in obvious and urgent need of treatment.