Wahai para suami yang dihormati dan dikasihi sekalian, jagalah isteri anda yang tengah sarat mengandung. Cuba fahami apa yang dilalui isteri. nak faham sepenuhnya memang tak dapat tapi cubalah.

Image from AmericanPregnancy.org

1. Dikala isteri hadir untuk temujanji ke Klinik Ibu dan Anak, cuba sekurang kurang nya sekali sepanjang kehamilan untuk turut hadir. Berikan sedikit semangat. Kongsi kegembiraan ketika pertama kali melihat degupan jantung kandungan. Apabila doktor mengukur parameters kandungan cuba lihat gerakan kandungan semasa sedang scan. Tak perlu selfie, tak perlu bergambar dan upload Facebook dan Instagram sakan. Cukup dengan adanya suami di sisi. Enjoy the memory. Just the two of you and no one else.

Words of Wisdom (WoW) 1:

Jangan beli buah nangka depan klinik. Or any other fruits for that matter. Tapi sedap ooo buah nangka. Nangka madu. Mmm. Eh, back to the point, resist the urge to buy any stuff in front of the clinic, nanti orang amek gambar. Viral.

The Viraled Nangka-itis

...continued

SCENARIO (Inspired by true events)

Me:   Assalamualaikum Pakcik, apa kabar?

Mr A:   <Silence + frown> Saya nak cepat ni doktor , bagi je ubat.

Me:   Pakcik dah makan ubat harini? Saya tengok gula pakcik 12.5, BP pun 150/100.

Mr A:   Dah. Tinggi ni sebab MINGGU SUDAH ada pergi kenduri.

Me:   Boleh pakcik bagitau berapa jenis ubat yang pakcik ambil sehari <while showing him samples of his medications>

Mr A:   Doktor baca je la dalam nota tu. Ada tulis kan?! Doktor baca la <voiced raised>

Me:   Kalau pakcik makan ubat ni setiap hari, mesti pakcik tau jenis ubat yang pakcik makan. Dah 3 tahun pakcik ada kencing manis ni.

Mr A:   Doktor bagi je la ubat yang sama, saya makan

Me:   Pakcik, setiap kali pakcik datang selama 3 tahun ni asyik tak terkawal je. HbA1C ni asyik tinggi je. HbA1C ni menunjukkan kawalan gula pakcik selama 3 bulan. Kalau pakcik tak ambil ubat tak guna saya naikkan dos ni.

Mr A: Pakcik makan ikut suka je. Rasa pening sikit makan, kalau ok tak makan ubat. Saya makan jus herba Tok Dalang (bukan nama sebenar). Makan ubat ni lama-lama nanti rosak buah pinggang. Saya ada jumpa doktor At***** Therapy, dia dah rawat DNA saya. Doktor bising-bising buat apa?

Me: Pakcik dah habiskan berapa Ringgit pergi rawatan alternatif ni?

Mr A: Ada la nak dekat lima ribu.

I spent a good 20 minutes explaining the misconceptions he has on his Diabetes Mellitus and Hypertension. It still baffling why he continues coming for his appointments and collecting his medications. Why waste tax money if you know you won't be taking the medications anyway? Remember this story? > WASTE OF FUNDS

Photo from Dr Abdul Rahman Abdul Kadir's page (edited)

Kenyataan tersebut adalah sangat prejudis terhadapa pihak hospital. Tanpa mendengar kenyataan dan mendapat bukti kukuh dari pihak hospital, pihak media telah menyatakan bahawa kematian adalah disebabkan bengkak dalaman yang serius. Saya bukan expect wartawan untuk mempunyai ilmu yang sama seperti doktor perubatan, tetapi sekurang kurangnya dapatkan lah PENTERJEMAHAN YANG TEPAT.

"Pro Vaxxers are just drug addicts. They want the injections so badly even with all the bad chemicals in the vaccines."

"We demand doctors and nurses to be more ethical in promoting vaccines. AEFI exists and is worse than the risk of getting POLIO or MEASLES!"

"Don't treat our kids as mere numbers. Be more ETHICAL"

"Doctors and nurses are just agents of destruction to destroy mankind!"

"The studies done have just been altered in a way that is biased towards provaxxers!"

If you have not yet realized, the doctors, nurses, assistant medical officers (MA) and everyone in the medical industry (except ALTERNATIVE medicine) are scums of the earth. We submit ourselves to the orders of WHO. And if you have not noticed yet, WHO is an establishment which is TOTALLY funded by big pharma. WHO develops nanochips that can penetrate human cells and CAUSE cancer and all sort of illnesses. Vaccination is a process to inject these nanochips that will infect millions of people and cause chaos. Mwaa Haa Haa....this is evil-er than Dr Evil!!!!


<This is where the sarcasm ends>

The above are some of the accusations that have been hurled at (conventional) medical staff since the advent of social media.

NOT ETHICAL  -  BIASED STUDIES  -  NOT FOLLOWING THE RELIGION

So, it comes as a surprise when Pseudoscience Watch highlighted this issue:



To those uninitiated, The Kingdom of Saudi Arabia makes it compulsory for pilgrims from other countries to get vaccinated prior to Haj or Umrah. This policy was formulated to protect other pilgrims from all over the world from major healthcare issues, especially in the spread of potentially life threatening communicable disease. You can say all you want about the Saudi Arabian government but they ARE the guardian of Mecca.

So, what do you do when you are TOTALLY against vaccination but want to go for Umrah?
A. Get vaccinated
B. Don't go for Haj or Umrah at all
C. FORGE the travel documents

Aku seorang doktor perubatan. Bukan doktor pakar, hanya memegang ijazah M.B.B.S. Title ku tiada Dato' atau Professor mahupun Sir atau Prof Emeritus. Dalam Facebook profile ku, tidak ku ingin meletakkan title 'Dr.'. Tiada siapa dalam friend list berbuat begitu; mahupun rakan setugas ataupun professor-professor dan pensyarah ku dahulu.



Aku masuk kerja sebelum jam 8 pagi setiap hari bekerja. Punch out pula jam 5 petang. Jika terdapat kes yang memerlukan perhatian yang mendalam atau jumlah pesakit terlalu ramai, terpaksa pulang lebih lewat. Gaji ku TETAP. Kalau tengok SATU ORANG sehari pesakit banyak tu, tengok DUA RATUS pesakit pun sama la juga. Tetapi biasanya tak menang tangan. Istilah KOMISYEN tiada dalam kamus. Bonus pula, berdasarkan keputusan pak menteri. Kalau RM 500, lima ratus la. Kalau diorang tak luluskan, tak merasa lah. Nak cakap hidup susah takde la, tapi takde la kaya.

Setiap pesakit yang dilihat pula akan diberi rawatan yang selengkapnya. Jika tak cukup kemudahan di klinik, pesakit akan dirujuk ke hospital. Kos rawatan dan ubat-ubatan ditanggung 90% oleh kerajaan. Doktor yang biasa-biasa ni tiada kuasa untuk pilih ubat yang mahal-mahal. Semua ubat diberikan berdasarkan keperluan pesakit dan peruntukan kewangan yang ada. Maka, jika syarikat-syarikat besar BIG PHARMA nak sumbat duit ke, belanja melancong ke tak guna. Sebab kami memang tak boleh nak mempengaruhi ubat apa yang ada dalam list ubat kebangsaan.

Kata kunci disini; diriku sebagai seorang doktor marhaen yang tiada apa ini memang takde dapat KOMISYEN. Gaji jalan, kerja jalan. Lantak la beban kerja banyak mana pun, gaji tetap sama.

Jadi. amat terkejut badak lah aku bila tiba-tiba pesakit dan rakyat jelata yang celik Facebook (tetapi tidak celik common sense) tuduh doktor-doktor marhaen sebagai orang yang BERSUBAHAT MENGHANCURKAN UMAT kerana BERSEKONGKONG DENGAN BIG PHARMA.

Contohnya;

"Encik punya kandungan gula dan cholesterol ni tinggi sangat" aku cuba terangkan kepada pesakit.

"Memang saya tahu saya ada kencing manis. Dah dua tahun dah. Tapi saya dah minum AIR LEGEND dan air alkali yang dituras dengan alat yang berharga RM 15 ribu!. Doktor jangan tipu saya. Doktor saja je nak saya terjebak ambil ubat." Aku diherdik pesakit.


Pelik la pulak. Gaji aku sama je. Tak masyoook pun setiap kali prescribe ubat ni.

Di alam maya juga begitu. Facebook page orang yang meletakkan gelaran Prof., Dr. dan Sir secara tak malu dan meletakkan gambar konon reti pakai stethoscope disanjung tinggi. Diberikan fakta - fakta dari sumber internet yang mendakwa rawatan moden ni tak berlandaskan agama dan didalangi Big Pharma. Ramai yang percaya. Tapi ramai yang tak klik pada link page tersebut dan explore betul-betul. Pung pang pung pang, jual water filter rupanya. Pung pang lagi...oh, jual kapsul herba yang tak dapat kelulusan KKM rupanya.

Cer pikior sekejap yop yong sekalian.

1. Buat orang takut dengan doktor > konon ada title Dato', Dr., Sir > jual produk > duit masyook

2. Beri kesedaran > Beri fakta > Jalan-jalan dekat market pun orang tak kenal dia doktor > Gaji masuk setiap bulan. Gaji sama, takde masyook apa-apa.

OK, cer kome tengok betoi-betoi berapa ramai yang percaya orang yang 1st tu.
Bak kata pepatah, ada udang di sebalik batu. Tapi ramai yang nak makan udang yang sedap tu dan tak nampak batu.

MOfrust

My Financial Discovery

The Makan Doctor

A family claimed that medical staff refused to see a boy because the mother was wearing shorts to the clinic. Apparently, he was only attended to after the mother was given a sarong to cover herself up. So, everyone from left and right, up and down blamed the staff and the state health department for coming up with crude, draconian rules that is not so relevant in this day and age except in CASINOS!



Do you believe this story ONE HUNDRED PERCENT? Can you pass judgement based on JUST ONE point of view? It's your choice really. You can take it whole or sit down, think for a while and question yourself "Did this really happen?", "Maybe I should listen to the other side of the story".

This prompted a reply from Dr Abdul Rahman Abdul Kadir regarding the management of snake bites. (The admin of Penang Kini should be given a pat on the back for highlighting both sides of the story). This was no ordinary reply. Dr Abdul Rahman Abdul Kadir IS an emergency physician of Malacca Hospital. His points are based on FACTS. NOT emotions.

After doing some reading on the Internet (where else?!), I have to admit that I have been wrong all this while. No matter how much the medical fraternity denies it, the truth is out there. The conspiracy theories that anti vaxxers have been trying to push IS REAL!

The POLIO VACCINE is a conspiracy to shut down the company that produced the IRON LUNG! If Jonas Salk never developed the polio vaccine in the 1950s, the iron lung would still be produced until this day. Look at us now! I have studied medicine for so long and worked as a doctor all this while and I have NEVER seen an Iron Lung. Have you? Kesian all those people who were put out of work. They could have passed on their expertise in building these magnificent machines.

Imagine a room full of Iron Lungs. A room full of poliomyelitis patients.

Did I mention that Jonas Salk was an American Jew? Imagine all those propaganda they put into each drop of polio vaccine?! It will make people stupid you know? Even the N 95 mask is not spared. If you put it up on your head for NO APPARENT REASON, it will instantly turn you into Kyle Broflovski of South Park (he's Jewish by the way)!

Not sure siapa yang bodoh

Kyle Broflovski

Jom main teka teki nak? Cuba teka, saya kat mana...saya, saya kat mana. Teka dengan 'testimoni - testimoni' yang diberikan ini.



1. Dekat sini, layananan sangat buruk. Kena tunggu lama bebenor. Saya datang jam 11 malam, saya hanya dilayan pada jam 2 pagi. Di keliling saya ramai yang mengeluh;

"Saya dah 10 hari dah ada bengkak kat lutut ni (walaupun masih boleh berjalan). Kalau kena tunggu lama macam baik jangan panggil tempat ni KECEMASAN!"

"Saya risaukan ayah saya ni. Dah tiga bulan tak check darah. Saya datang pukul 12 malam ni sepatutnya cepat la nak check darah untuk kencing manis, kolesterol dan buah pinggang!"

The haze is back again. It has been a yearly affair for us Malaysians, perhaps the whole of South East Asia. Every year, it's the same culprits. This year seems to be particularly bad. Even after a night of heavy rain, the haze did not seem to subside.

Call me a paranoid but I have a feeling there is a movement out there to create fear and distrust among the public towards hospitals and Western medicine. Remember the epidural predicament? Some random person posted about 'her experience' suffering from 'side effects' of epidural only to later give out a statement that it was not her but just a story to 'inspire' others to make informed decisions before undergoing epidural.

Sleep well Aylan Kurdi. You are in a better place.

MOfrust

InvestDotMOfrust

The Makan Doctor

<POP QUIZ>

We've been attacked by conspiracy theorists. They say we are the Illuminati's agents of destruction.

We've been attacked by pro (unassisted) home birth. They say we poison the mothers with chemicals and destroy their bodies.

We've blamed by anti-vaxxers to be the cause of autism.

We've been punished and labelled useless, heartless doctors for not giving out MCs for pro-MC seekers.

When a picture of a doctor performing a procedure on a female patient went online, the medical fraternity was at the center of attention for all the wrong reasons. Questions regarding a patient's modesty, privacy and confidentiality became the talk of the nation. According to some initial reports the doctor involved was attending to a case of umbilical cord prolapse. She had to manually use her fingers to prevent the umbilical cord from getting prolapsed before a Cesarean section is performed. She acted according to her clinical judgement and it should be commended.

Lately, I have seen quite a number of people making very disrespectful remarks towards nurses.

It's 4.45 p.m. Suddenly the nurse calls from the MCH clinic. A lady was brought in by ambulance. She was unbooked (never seen by any doctor for the current pregnancy) and unsure of date. She was in labor. Her os was already dilated 2 cm and her contractions were getting stronger.

Questions ran through my head. It's fifteen minutes to punch out and I had to pick the kids from school.

"Why did she come at this hour? There's only fifteen minutes left!"
"It's not her first child. Why did she not come to the clinic to get herself checked?"
"Why call the ambulance? Why can't she just go straight to the labor room?"
"Takkan la tak tau dia ni mengandung?"

It's easy too judge. In fact the most difficult part about being a medical staff is to NOT JUDGE A PERSON.

One thing I noticed after the Raya holidays is that MC seekers, just like any other human being have habits. Through my observations, there are SEVEN traits which makes some MC seekers become HIGHLY UN-successful. Biasalah, dah cuti lama mesti la malas nak kerja balik kan?

1. Use repetitive words

Saya rasa macam nak demam. Rasa tak larat nak pergi KERJA. Saya KERJA dekat XXXX. Penat KERJA tu. Tempat KERJA saya tu air con kuat sangat. Tu yang saya tak larat KERJA ni.

See how many times KERJA is used?

2. Excessive faking

When sitting at the waiting area, they talk on the phone. Laugh with their partners in crime to their heart's content. Never at the slightest minute looking sick.

SATU - DUA - LIMA - LIMA - BILIK - ENAM

"Uhuuuuk"
The most fake (fakest?) cough you can ever hear.

"I woke up today with cough doctor. Very bad. Uhuukk. Snoorrt. Runny nose got also. Like demam also got."

Tipu or not ni?

3. Refuse any sort of confirmatory test

"Hmmm....seems you have a rather serious case of AGE. Diarrhea 20 times, vomiting 10 times. Any other person might be lembik already. Your BP and pulse rates looks normal also. Let's take some stool sample and blood test. Takut electrolyte imbalance pulak!"

"Never mind la doctor. OK je. Just give me some rest. I tak larat la nak pergi toilet je."

4. Inappropriate clothes

Severe diarrhea
Severe vomiting
Cannot tahan need to go to toilet so many times

But can wear so bling bling clothes like want to go shopping or clubbing. Can use so much perfume until can cause others to suffocate. Can have so spiky hair like use satu tong hair gel.



All this while the attending doctor have to see patients at 8 am sharp and have to deal with their own episodes of diarrhea and can't take MC for themselves because there are not enough MOs at the clinic.

5. Beating around the bush

"Badan rasa sejuk tapi panas di dalam. Saya ni demam kot."

Doctor picks up the thermometer and check the thermometer. "No fever".

"Pastu apa saya rasa ni? Ada la rasa pening pening sikit. Nafas ni bunyi macam semput"

The doctor proceeds to auscultate the lungs. All clear. SpO2 100% under room air. Respiratory rate normal. Throat clear, not injected.

"Jap. Tadi ada la cirit sikit. Rasa nak muntah pun ada."

Bowel sound normal.

After 10 minutes, while FIFTY other patients wait outside the consultation room with fifty different shades of madness (kemrahan), he finally blurts;

"Doktor, saya nak MC je. Tak larat nak kerja harini."

I wanted to make SEVEN habits but tak larat nak tulis dah. Don't take this too seriously though. I just need to take a breather from all this dizzying turmoil affecting Malaysia.

You can get this gem of a book as well to let off some steam.

Get ONE PINT OF FRUST now!

Now Everyone Can Fly

The Spudd Magazine

I received news about the passing of a fellow colleague. Dr Afifah Mohd Ghazi, a anesthetic medical officer from Hospital Sungai Buloh, was killed when her car crashed into a tree. She was driving back home after a night of on call work at the hospital. It was presumed that she was too tired to drive back home at the time. Her husband, a neurosurgical MO managed to rush to the seen to be by her side until she was extracted out from the wreck. Dr Afifah Mohd Ghazi leaves behind her husband and a year old child.



May her soul be duly rewarded in the Hereafter for her efforts and sacrifices during her line of duty.


If anyone has any information on the schedule of her Solat Jenazah or how others can contribute to the family, please share at the comment section or in my Facebook page.

To all doctors out there please be careful when you get back from work. If you are too tired, do take a rest before you drive off. Take care of yourselves.

MOfrust

Manners maketh man. A quote made popular by the movie Kingsman. If there is to be a movie about doctors in Malaysia, a more fitting quote would be;

When a doctor says something like:

"You shouldn't believe all these hearsay from people who only obtained a certificate after a few months course. The consultant obstetrician has years of experience."

A few people will say:

"Don't be EGO doctor. Knowledge is everywhere!"

"Doktor ni dah jadi agen Yahudi."

"This is all a conspiracy to reduce the population of ____________(insert race and religion in the blank space)."

But what happens if someone cooked up a story from somewhere and post it up online. There were no specific details of the story. The facts stated were questionable. And it gets shared by hundreds and thousands of naive people. Yang ni agen mana pulak? 

 Compared to the one about Dr Fazly from SIUT, this seem genuine. However, compared to the other one as well, this DID NOT go that viral. Only ONE person shared this. Perhaps there is a logical explanation.
1. The target group are people living near Hospital Raja Perempuan Zainab II Kota Bharu, Kelantan.
2. This is REAL stuff. People are more obsessed with fake news than real ones.

I posted this in my status today:

I received an email from a certain MObored (bukan nama sebenar) last week.

Hi MOfrust.
I need your opinion on something. I've been working at a private hospital doing general medicine for the past 5 years. No masters degree or papers. I've been feeling rather bored with work for the past few months. I love my patients but I have the urge to walk out of the hospital and never come back.

These were not his exact words...can't just copy paste, meh. Need to maintain confidentiality. But I did get a consent to write this entry based on his story.