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“ Whoever you are, leave it at the prison
gate. There are no politicians, doctors, teachers, monks, nuns or
students. You are all prisoners. You are all the same.”
Those are the greeting words for every new political prisoner in
Burma. The jail authorities subscribe to the junta's official line
that there are no political prisoners in the jails.
In 1991, I was detained in cell block No.1 of Insein Special Jail
(ISJ - formerly called the Attached Jail). Although it is a special
jail, the only special privilege provided was "special solitary
confinement".
The chief prison doctor was Dr. Soe Kyi, and his assistants were
Dr. Tun Tun and Dr. Aung Than Myint.
During those days, Dr. Soe Kyi was the most powerful man in the
prison because of his relationship with former Home Minister Lt-Gen
Phone Myint.
Almost every Wednesday, the chief warden made his rounds and checked
to see if the prisoners in ISJ had any complaints or requests. All
officials in the prison, including prison medical officers, had
to accompany him on his rounds. It was the only time we had a right
to see a prison doctor.
Apart from Wednesdays, we could only see a "medical worker" between
10 a.m. to 4 p.m.. At ISJ, our "medical worker" was Corporal Khin
Maung Nwe who had little clinical knowledge or experience. If one
wanted to see him, first one needed to inform the head of the cell-block.
However, to see a doctor on Wednesday, a patient was humbly made
to stand head down and with hands crossed over the groin area in
his cell. Passing officials would peer into the cells, asking the
sick what they had to say.
The doctor never gave actual examinations, but only asked us what
was wrong. Then he would tell Khin Maung Nwe what type of pills
to give the patient. But we were never told what type of medicine
was prescribed to us.
Our blood pressure and heartbeat were never tested and we never
saw a doctor with a stethoscope. Regardless of the affliction, all
patients were treated with the same medicines, usually a weak painkiller
like Burspro or an antacid called Antacin. All the prisoners began
calling Khin Maung Nwe "Mr. Burspro!"
It's strange - isn't it? We were given the same treatment even
though we suffered from different ailments.
Not surprisingly, U Tin Maung Win ( NLD-MP ) and U Sein Win died
in Insein prison in January 1991.
U Tin Maung Win was suffering amoebic dysentery but he never received
any proper medication. Only when he fell unconscious did the jail
authorities finally send him to the prison hospital. He died shortly
after. The authorities claimed he had died of leukemia.
After hearing of U Tin Maung Win's premature death, we requested
that Dr. Soe Kyi provide proper medicine for us. He replied, "You're
lucky that we are even kind enough to prescribe Burspro and Sodomite.
If MI (Military Intelligence) knew about that, we [doctors and medics]
would be fired. We were told not to give any treatment to those
who are awaiting trial or currently being tried."
Occasionally, when we were very fortunate, we were given Tetracycline,
Ampi-cillin or Paracetamol. Although prisoners are not doctors we
are familiar with antibiotics. One cycle of antibiotics is 16 capsules
for 4 days but we never received enough capsules. At most, we received
4 capsules. If we complained, the doctors and medics would say,
"Why do you think you're special? There are many other patients
here. If you received 16 capsules, how can we provide for the others?"
Finally, we realized that assuming the humiliating official posture
in our cells to request treatment was not worth it as we never received
treatment except for Buspro and Sodamint.
In February 1991, a Rangoon Institute of Technology [R.I.T] student
suffering from a bad toothache met Dr. Soe Kyi.
The doctor asked him, "Where does it hurt?" The student replied,
"My lower left jaw." Dr. Soe Kyi smiled and said, "Okay, use your
right side [to eat food]."
The student became angry and screamed, "You are not a doctor!"
"No. I'm not a dentist," Dr. Soe Kyi said coyly and went away. Until
the beginning of 1995 there was no dentist in the prison hospital.
In late February 1991, Toe Toe Tun from the Democratic Party for
a New Society, suffered from dysentery and asked Dr. Soe Kyi to
authorize special meals of porridge and boiled water. Not unexpectedly,
Dr. Soe Kyi said, "It is impossible to provide boiled water. We
don't even have boiled water to clean the needles at our hospital."
In March 1991, Moe Zaw Oo (NLD- Youth) developed a large boil on
his hip. Khin Maung Nwe said a doctor wouldn't give him any treatment,
even if he were allowed to see one. Khin Maung Nwe offered to remove
the boil himself.
Moe Zaw Oo already had a high temperature due to the infection
and there was an insufficient amount of post-treatment antibiotics
available so he refused the offer, insisting to see a doctor.
Finally, Dr. Soe Kyi came and said, "Your boil needs to be operated
on."
"But if you continue to complain, I'll send you to the hospital,"
the doctor threatened. "So you better not be concerned about HIV.
There is no operating room or sterile medical equipment and you
know there are many HIV positive Thai patients there."
Moe Zaw Oo familiar with the risks of the hospital treatment asked
the doctor: "What should I do? You are a doctor, can you help me?"
"Never forget the fact that this is a prison", was Dr. Soe Kyi's
only reply. Then he left, telling Khin Maung Nwe to treat Moe Zaw
Oo as he saw fit.
Khin Maung Nwe told us prisoners that the prison would not provide
new blades, bandages, alcohol or Ampicillin.
We asked him to buy medical supplies for the operation from outside,
but he said he could not afford to buy supplies, and asked the prisoners
for money. In addition, he could be thrown in jail if he were caught
providing medical supplies, as it is a violation of the Jail Manual
rules and MI.
We replied, "How can we pay since we are not allowed to hold money?"
We were upset and angry. "You are not a real medical worker! You
are not even a human-being!"
Khin Maung Nwe disagreed. He explained if he wasn't a human being
and didn't understand medical ethics, he would leave Moe Zaw Oo's
operation to the hospital, with assistance from his co-workers who
don't care whether they use unhygienic needles and equipment.
Indeed, there would be a high risk of contracting HIV disease if
we let Moe Zaw Oo be operated on at the prison hospital.
The medical workers, who also treat the Thai Aids patients, have
little idea about the deadly virus and neglect cleaning needles
and syringes. We later found out that some "medical workers" are
drug addicts and are infected by HIV.
Finally, we cut a deal with Khin Maung Nwe. A political prisoner
gave him his fancy T-shirt, worth 800 kyats, in exchange for Moe
Zaw Oo's treatment.
I admire Nelson Mandela who spent 27 years in a South Africa prison,
but I wonder whether Mandela could have survived in Insein prison.
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