First, let us praise all the rescue and medical personnel involved in the recent bus crash near Genting Highlands. It must have been really busy and required a tremendous amount of effort. Condolences to the victims and their families.
Thank you also to the people who lined up by the roadside to gawk and stare at the crash site. You just wasted the rescuers response time and the first responders had to waste energy to cordon off the area. BRAVO!
Back to the main topic of M.C. When I was a little boy, I was raised at a prison somewhere in the Middle East where people can attempt to escape by climbing a wall up to civilization (if you don’t get this, please go watch The Dark Knight Rises).
Back then, I thought M.C was “minta cuti”. Minta, meaning POLITELY ask, request etc. Nowadays it is MESTI cuti. Those are capital letters and supposed to denote shout. It means:
“Doctor shut up, you are useless and a complete waste of my 1 Ringgit and taxpayer’s money if you don’t give me MC. I MUST get an MC.”
Officers in Klinik Kesihatan and Emergency Departments have gotten a lot of this nonsense. A lot of people assume that whenever they see a doctor it is their human right to get an MC. I have no idea how to convey to patients that MC is a privilege for really sick people. It is at our own discretion. The situation is made worse when politicians try and be a hero without understanding the real situation. There are cases when politicians call up a particular doctor just to inquire why we don’t give MCs to patient and threaten doctors with their job.
Earlier this year, there was a report in the newspaper stating that Malaysia’s productivity is low compared to other Asian nations because of the long holidays we have. Maybe next year doctors will be blamed.
“Malaysian GDP and productivity at all time low due to over issuance of Medical Certificates by doctors” The Bintang newspaper, 22nd August 2014.
Doctors are not cruel to deny a patient’s MC. We give MC when it is necessary. There was a case when an employer threatened to sue a doctor for giving its worker a few days leave, deemed as too long. It turned out that MC was altered. What was 1 day, was changed to 7. Patient’s might think they are smart but we have records to see how long an MC was given.
For new MOs out there, when you write MC, please write 1 as SATU and cross out the remaining space. Also always keep your chop along wherever you go. Don’t leave it around the place. It is a commodity. Some people are always on the lookout for your chop to build an MC dispensing factory. TRUST NO ONE. In hospital, your HO can use it to forge your signature in your logbook! While other staff may you use for their own gain. You can never know until its too late.
The ‘nice’ ones will say,
“Takpe doctor, bagi je lebih. Nanti kene tolak gaji kalau takde MC’.
Don’t fall for it cause if the employer suddenly chase after you…YOUR gaji kena tolak for good.
There is also such a thing as MC day. It usually falls on a day after a long weekend or the odd day out before a weekend. I predict the next THE BIG MC SALE to be on 14th October 2013. It’s a Monday before Hari Raya Haji (15th-16th October). So people, try not to work in Green Zone or Jabatan Pesakit Luar on these days. While others have Monday blues, in ED we have Sunday blues. Patients will come for MCs with lame excuses
“Saya rasa sejuk sangat, pastu panas. Dah 5 hari dah. Ada batuk sikit, uhuk, uhuk (time tu la nak batuk nye)”
“5 hari kene cucuk ambil darah ye Adik”
“Hah, cucuk????? Tapi saya nak ambil MC je. Jalan jam bang,tak leh balik esok”
That’s how it usually goes. For me, if you have documented fever, broken bones, dehydration with AGE, I will definitely give MC, no need to request for it. Patients will go to great lengths to get it. Some will resort to vandalizing the hospital property and shout vulgarities. I will politely ask them to leave the clinic (guards at my place are crappy). If you can’t respect others, I will not entertain you.
So, after my postings so far, do you still want to be a doctor in Malaysia?
Here’s MC Hammer for all the young ones. This is what we call MUSIC during our time. ENJOY :)