A Humble Doctor
8:18 AMA few days back, a screen capture of a surgeon bashing an MO from primary care on Facebook went viral. It even got the attention of the Health D-G. I won't paste the screen capture here as I am sure most of my fellow readers have already read it on Facebook or Whatsapp. Basically, it goes something like this (in no particular order);
"What la, KK MOs. Which hole did they come from?"
"It is worse teaching MOs from KK than HOs"
"These MOs are like cows"
But is this something new? Specialist (and even MOs) from each discipline will rubbish the other disciplines. Surgeons will say physicians only know how to order tests and gets nothing done, while the physicians will say surgeons only know how to potong. From my personal observation the top of the hierarchy always goes to the surgical based discipline while the bottom most are the doctors from primary care. Even the public has this mindset, doctors working in the hospitals are ALWAYS better than those in Klinik Kesihatan and primary care.
Having experienced both sides of the divide, I think those surgeons should have a go at life in Klinik Kesihatan. Yes, there are MOs who lenggang kaki and do nothing. They sit in their comfy chairs and order other junior MOs to see cases in Maternal and Child Health clinics and Outpatient departments. They see very minimal patients and sometimes don't even do physical examinations. But most of the other MOs do proper work. Unlike in the hospital setting, doctors in primary care see EVERYTHING under the sun. We refer to the specialist clinics whenever it is deemed necessary.
On top of that there is MCH. I had to tag 3 months to learn how to do transabdominal ultrasound (TAS) properly. You miss something and you might end up in a mortality meeting. You might even end up having to present at a mortality meeting when you have never seen the deceased in your life! For example, an Orang Asli lady died during labor at home in the pedalaman not too long ago. The deceased NEVER visited the clinic to get herself checked. The doctor at the clinic was hauled up because no one went out and searched for the deceased when she was pregnant.This is despite the clinic always being packed to the brim.
Then, there is the continuous health awareness programs as part of the key performance index. There is a specific number of individuals that should be screened for any non communicable diseases. If the KPI is not met, akan dapat surat cinta. Doctors at KKs are also required to give talks to the community and react to any outbreaks. The recent Dengue outbreak got most MOs in KKs going bananas.
Of course, no one sees all this. In their mind doctors in KK ONLY see cough and cold cases and a bit of diabetes and hypertension. They failed to realize that these doctors in primary care are doing their best to keep patients out of the hospital.
28 comments
TDL
ReplyDeleteAgreed
ReplyDeleteWell said bro .......................
ReplyDeletewell said and so true .... Being respectful of others and being humble unfortunately not taught in medical schools or in hospitals....its either one has it or hasn't .....
ReplyDeleteHumbleness..hu4 yup3..btw i know u dowana put d screen capture but its better than u intepreted it wif ur own word coz the last 2 sentences make d surgeon sounds more aweful..coz she said teach kk mo as heavy as teach fresh graduate ho not worse..n she said like teach lembu..when we want to comment bout other ppl..juz make sure we r not soiling our hands also..good blog love to read..im also a frust menonggeng m.o
ReplyDeleteExactly...agree on what you said.
ReplyDeletePhysician in the tertiary hospital most of the time has narrow their view only on the symptoms and disease process only, but have forgotten that all these are preventable through primary care.
I work in an acute area but always agree on Prevention better than Cure which the primary health providers are the foundation groups of people who really lead public to good health.
i am wworking in outpatient department in district hospital with specialist. My problem is not the surgoen, physician or radiologist, but the MO of the specific depart. Even they are setahun jagung but act macam bagus...they did tell patient that OPD mo is stupid. they was once my 'stupid' HO..they forget it I believe.
ReplyDeleteYes..totally agree, a good doctor is a humble doctor. No doctor in this world knows everything...just ask an ortho surgoen to correct hyperglycemia, surely they will ask you to refer to Medical. u ask a physician to do T&s, believe me, patient will get secondary infection.
u ask radiologist latest treatment of diabetes which are kacang to us..MO KK and OPD, cracked their head oso, they will never get the answer unless they google it.
Back to basic. Be a good person. Jadilah resmi padi, makin berisi makin tunduk.
tq MOfrust
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