Patient Complaint: Poor Communication & Early Discharge at Carenang Health Center

by Dr. Michael Lee – Health Editor

SERANG, Indonesia – A family in Serang is alleging substandard care at Puskesmas Carenang after their mother, Ibu Mariam, was discharged prematurely from a three-day prescribed treatment plan for a severe cough. The incident, which occurred on February 7, 2026, prompted a tense exchange with medical staff and ultimately led to Ibu Mariam’s readmission days later.

According to family members, Ibu Mariam was brought to the Carenang community health center on the afternoon of February 5, 2026, due to declining health and a persistent, severe cough. Following an examination, medical personnel at Puskesmas Carenang reportedly recommended a three-day course of inpatient care.

However, less than two days into the prescribed treatment, on the morning of February 7th, the family was informed that Ibu Mariam could be discharged. Muslim, Ibu Mariam’s son, stated the family was shocked by the decision, as his mother’s condition had not demonstrably improved. A family member had briefly left the facility to attend to personal hygiene when they received notification from those still present that Ibu Mariam was to be sent home.

Upon returning to the Puskesmas, Muslim sought clarification from the medical staff regarding the unexpected discharge order, noting his mother continued to suffer from a debilitating cough. He alleges that a nurse responded dismissively, stating that coughs can be prolonged, and delivered the comment in front of Ibu Mariam.

“We were shocked, not receiving a reassuring explanation, but being spoken to harshly in front of my mother,” Muslim recounted. He further stated he requested a private conversation with the staff, away from the patient, fearing the interaction was exacerbating Ibu Mariam’s distress and causing her blood pressure to rise.

The ensuing disagreement reportedly escalated into a disturbance, but Ibu Mariam remained at the Puskesmas until February 9, 2026, when her condition was deemed stable enough for discharge.

Yusa, a representative from the LSM Geram Banten Indonesia advocacy group, emphasized the importance of comprehensive care, extending beyond purely medical interventions. He asserted that healthcare professionals have a responsibility to address the psychological and communicative needs of patients.

“Good communication is paramount for healthcare workers during their duties,” Yusa stated. “Beyond physical care, nurses also serve as emotional support for patients and their families.” He highlighted the need for healthcare providers to listen to concerns, alleviate anxieties, and offer encouragement throughout the treatment process.

The family has expressed hope for more empathetic and clear communication from medical staff in the future, to prevent misunderstandings and protect the psychological well-being of patients.

As of today, February 11, 2026, Puskesmas Carenang has not issued an official statement regarding the incident or the medical rationale behind Ibu Mariam’s initial discharge.

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