What Goes Around Comes Around

8:51 PM


.....tindakan tergesa-gesa seorang pelatih perubatan di sebuah hospital di sini mencabut beberapa wayar termasuk wayar ECG pada badan ibunya telah menyebabkan ibunya meninggal dunia.

Berita Harian, 10th July 2014

Did I just read properly? My Bahasa Malaysia is not that perfect, but DEATH BY PULLING OUT THE ECG WIRES?! That's a bit over the top isn't it?

"Doktor mengesahkan ibu saya mati secara MENGEJUT."



Is this a literal translation of SHOCK? To those not familiar with medical jargon, MENGEJUT and SHOCK are NOT the same. The article did mention on jangkita paru paru bernanah. I can assume it is empyema and possible cause of death is SEPTIC SHOCK. A direct translation would be jangkitan mengejut, which doesn't sound right. Basically, it is a severe infection that can lead to a circulatory compromise and has a high mortality rate. This is Malaysian journalism at its best!

I mean no disrespect to the family of the deceased though. It takes time to accept the death of a loved one and one of the stages of bereavement is BLAME. Perhaps it would have been better to consult the head of the department or even the hospital director first instead of going through a political party. I shouldn't be talking about political parties any further, nanti kena paksa letak jawatan pulak!



However, the actions of the attending doctor to just yank off the ECG leads is still wrong. It should have been professionally done by telling the patient what to expect or by just waking up the patient. Of course this is easier said than done. Its hard to think straight during the chaos of resuscitating a patient.




Recently, I have been watching 24 Hours in A&E on Astro's National Geographic Channel. It's a show about life at the Accident & Emergency Department of King's College Hospital. The cases are similar to the ones being seen at hospitals in Malaysia. However, there are glaring differences between A&E in UK and Malaysia. I am not referring to the patients though....I am referring to the medical staff at King's College Hospital. Their manners are exceptional. Here are some differences:

Paramedic
Malaysia:        

Pick up a patient from a crash site. Set line, give oxygen, put on a splint. Come to A&E, leave the patient at Red Zone. When doctors asked what happened; "Saya tak tau, orang triage suruh masuk Redzone."

King's College Hospital:

Doctor picks up a phone. Paramedics inform the doctor on what to expect and expected time of arrival. The relevant departments are notified and put on stand by. Once patient arrive, some sort of order is in place as compared to utter chaos.

Doctors
Malaysia

"Weh, bangun bangun. Apa jadi? Tau tak kat mana sekarang?" and proceed to exert pain in order to assess the Glasgow Coma Scale.

King's College Hospital:

"Hi, my name is Dr MOtakfrust. May I know what happened?" and proceed to secondary survey.

Nurses
Malaysia

"Saya nak check jantung ni. Jangan gerak-gerak TAU!" while shouting at the patient with a terrifying stare.

King's College Hospital:
"Hi love, I'm just going to put some wires on you to check your heart. Will that be ok?".......tenang sikit dengarnya.

I am not saying the service in Malaysia is rubbish. The examples I gave don't happen all the time. There are plenty of good doctors, paramedics and nurses. To be honest, I was rubbish as well. But after watching just an episode of 24 Hours in A&E I realized that I should change. Yes, some patients are just plain rude. But I do believe that what goes around comes around.....even doctors have to become patients at the A&E some times.

MOfrust

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2 comments

  1. I still believe in proper, calm explanation and proper communication when dealing with patients and their family. Majority of times in works.

    From my not so long experience of 4 years, most patients are satisfied when they feel they are being listened to, and given explanation and advice on what they have. Sometimes they come to the clinic just to vent their worries and anxiety. Granted our clinics are full to run a 1 hour counselling session but its when we rush a patient and dismiss them without a satisfactory consultations that things get conflicting.

    I just had a patient whom passed away on table. The mother of the deceased child looked for me afterwards. She just wanted to say thank you for everything I did before. I was touched but felt a little undeserving. Despite multiple admissions, I only saw the child once in the ward a few months back and all I did was spend some time talking to her. No heroic procedures, of life saving events. Just explained to her regarding her child's disease and what are the options available for management. Despite that she still remembered me and even looked for me a day before the fateful surgery. At the time I was on leave. I guess that few minutes I spent to talk to her was enough for her. Despite the unfortunate outcome, she was able to accept at the time even though in grief and express her gratitude.

    Yes, Mok, we do need to change.

    Some patients need to change too. Yang VVVVVVIP mintak ubat gout ? cholchicine to quote one :ppp

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  2. Hi mofrust, in order for that to happen u have to start teaching your paramedic,nurses & doctors about "total quality management" which we practice here (at least some of them practice) in Emergency Department HKL. Pls PM if u want to know more about it or u can ask those who hv worked here before. Tq.

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