In The News: Six hours 'waiting time' at UMMC emergency dept.

2:34 AM



I am sure most of my fellow readers have seen this video. It was on Facebook yesterday. It's in Free Malaysia Today's portal yesterday. Despite trying to prove that they are smart by wanting to sue staff if anything happens, it clearly shows how idiotic ignorant these people are. These are the day to day things that medical staff have to encounter despite trying SAVE LIVES.

Dear Mr E, please don't compare your case of fever for one day with a disaster of 40 casualties in a bus. Do you expect the hospital director to initiate the disaster protocol for cases such as URTI, Soft tissue injury etc.? You should be very glad that you are not being seen IMMEDIATELY. That means you are being triaged as a GREEN case and is stable. RED means you are in serious trouble. Would you really want to be poked with at least TWO large bore branulas, a central line and a urinary catheter?!



Please Mr Elangovan, try and go to the UK, Japan or Australia and tell the staff at the triage counter that you have fever for one day and want to see a doctor stat. There was a good article in The Star on 16th September entitled In Times of Emergency. The writer is a Malaysian living in Japan and shared the experiences in Japan.

In Times of Emergency

Now, if you are truly worried about Dengue fever, it would be nice to know a little bit about it before you start suing the medical staff.
Stages of Dengue
This is a graph depicting the stages of Dengue fever. Its a simple graph, just Google Dengue fever and click on Wikipedia link. Can anyone tell me how a regular medical officer can differentiate between Dengue fever and Viral fever on the first 12 hours of fever? You expect us to take DNA sample and send to IMR which takes almost a week to interpret is it? Usually, we take blood (FBC) on Day 3 onwards to see hematocrit and platelet levels. So, lagi mau saman?

No cups and water are just nit picking. Pay RM 1 and want treatment and DRINKS?! Maybe the staff at the counter should give some water out of courtesy...but at the expense of leaving the counter unattended while SERIOUSLY ill patients with FEVER FOR ONE DAY are left outside. That will be a DISASTER. For sure get sued one! 

To the question of "Why are there only a few doctors working during the peak period in such a big hospital"
Dear Sir, the hospital is a massive organization. We have so many disciplines Surgery, O&G, Medical, Paediatrics, Emergency. Which part of ONE AM IN THE MORNING refers to peak hours. After office hours the only staff around are the ones that attend to emergency and critical cases in the hospital. Peak hours are during office hours, when the specialist clinics open, rounds are conducted and non emergency imaging are performed.

Its is not the patient's own fault here. There hasn't been enough awareness campaigns about the importance of using Emergency Department properly. A campaign such as NHS' Choose Well Campaign is much needed in Malaysia....but then again, Malaysians still don't know how to use the EMERGENCY LANES in highways as well (despite driving Mercs and BMWs).

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20 comments

  1. salam totally agree la dgn post ni..sbb it happen to me at ummc..

    couple of years be4 while driving i had an asthma attack and i'm alone.tq God polis ade buat round waktu i sesat smpai ke jerat cina mn ntah..pdhal nk p ummc je pun..maybe oxygen kurng supply ke otak tu yg lost tu..

    nk jdkn cerita polis escort till la smpai ed ppum..tp i bole p cari parking lg..dh la susah nk dpt parking..luckily dpt gk parking siap langgr tiang lg..i rs dh agak restless waktu ni sbb inhaler x working dh..

    the best part time smpai je kt triage area ramai sgt pesakit.i pun ikut que..pdhal kalo ikut logik xyah nk que sah2 la asthma pts triage yellow..

    ape yg i nk highlight kn dkt sini..how alert are the triage staff.even que pjg diorng bole nmpak i yg dh batuk2 ssh nk breathing tgh que kt situ.

    directly they approach me and asking me asthma pt? i angguk je..straight away diorng bawa masuk zon kuning..auscultate n bg nebs..x yah nk ssh2 register pun..

    so kesimpulannya as a trainer staff in ed they know well karektor of the pt..xperlu nak berlakon..

    kalo u sakit definitely they will treat u..

    sorry juz sharing my scenario..

    ER NURSE

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    Replies
    1. Thanks for sharing your experience. A trained staff will know what to look for. I hate it when patients underestimate support staff like telling MAs "saya mau jumpa doktor, bukannya dressar"
      Respect is important!

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    2. yes..respect is important...dlm sesuatu institusi tu hatta tea lady or cleaner pun memainkn peranan penting..aperpun insyaallah if kite keje ikhlas nawaitu kerana Allah aperpun masalh yg timbul Allah akan bantu kite...

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  2. Kesian now adays people. They think they are smart but yet they make fool of them self.
    To all doctors .. we know what we are doing so org mcm ni tak payah nak layan sgt.
    And to all triage nurses and staff.. keep up a good work .

    ReplyDelete
    Replies
    1. Exactly...its really putting some good medical staff off. When we want to do work properly and passionately, we get complaints like this...nanti HOSPITALSTAFFfrust.blogspot.com pulak muncul

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  3. Kesian now adays people. They think they are smart but yet they make fool of them self.
    To all doctors .. we know what we are doing so org mcm ni tak payah nak layan sgt.
    And to all triage nurses and staff.. keep up a good work .

    ReplyDelete
  4. Good article Mok..tapi ini norma kehidupan duktur..kena sabar layan patient yang "lebih pandai" dalam bidang kesihatan ni. Ignorant is indeed blissful

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    Replies
    1. Adoi, hafiz mana ni? Kat sini hanya ada MOfrust.hehe

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  5. Whether you guys
    (doctors) like it or not, you are public servants. So stop picking on the patient and continue to do your work.....

    ReplyDelete
    Replies
    1. don't talk nonsense if you just know about gaming. nobody like you

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    2. let's not get emotional.everyone is entitled to their opinion

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    3. picking on patient? yes,...we discriminate. because if we don't people die. if your stubbed toe is more important then another heart attack, then go to out patient department during office hours

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    4. Im sure the one who made this statement is an uneducated narrow minded person. I am also sure this particular person is a good example of one who will fill up the A&E Green Zone just because its RM1 for the ridiculous reasons. Let say cant sleep and need MC?
      I hope you have guts to step in to A&E Gov Hospital anywhere cause you have balls to say such statement. Our A&E is Accidents and Emergency NOT Anything and Everything...

      This blog just beautifully said so straight forward and to the point. Do keep on writing MOfrust! Bravo! We encounter the similar experience but different gov hospital.

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    5. Thanx Dena. Let's just let him be. Together, we try to educate the public to be less ignorant on our plight :)

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  6. Doctors are not public servant because they have to. They serve in the public service because they want to. Annoy them enough, and they will just leave for the private service. Then, when you don't have enough doctors in the public service, maybe the wait will just go longer. Be appreciative that there are people out there serving the public at 1am while the rest of you are sleeping comfortably at home.

    ReplyDelete
    Replies
    1. All around me there are more MOs leaving the service to start their own business, some not related to medicine. I met one recently. She's leaving because of the stress of dealing with patients and the low pay

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  7. Public servant does not equals to public slaves or the context of slaves of the public masses. By clarifying on the current situation only the public will know what's happening. This happens in every single hospital in Malaysia, which showed off our 3rd world mentality. Besides, each and every doctor here are doing their work, mostly well done, compared to the public who thinks that the doctors are their maids/slaves who should just shut up and work like an obedient dog.

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    Replies
    1. I do feel like a dog sometimes....sometimes I just give them what they want so that I don't have to deal with them

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  8. well , while it is true many cases which bog down the system in ED, is not emergency cases, perhaps PPUM ED can do better in area of waiting area for patients. like provide drinking water for the patient or some form of entertainment

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    Replies
    1. That's a good point for the PPUM Management

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