I'm still amazed how this actually sounds. I can't believe what I just read. I initially wanted to start my sentence with;
Contrary to popular belief, you CANNOT become anything you want to be by just Googling it
Then, I just looked up Google for "How to become a potato"....and now I just have to swallow my pride. You CAN become anything you want to be on the Internet. In fact there ARE others who wants to be a potato as well. And there's a mate who wanted to be carrot as well!
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| Question on Yahoo Answers |
Last week was pretty fulfilling for me, as a doctor. A diabetic patient came for his appointment and thanked me for starting him on basal insulin. He felt relieved and great that he managed to get his sugar under control. He doesn't feel as lethargic as he used to be. Then, I read about how my ex houseman was inspired to continue working at a run down klinik kesihatan with a mountain of stress factors. A young girl had told her;
Saya takkan lupa nama doktor seumur hidup!
My ex houseman had saved the young girl's life by resuscitating the child at her ill equipped clinic. The girl had Dengue fever in compensated shock. It is no easy feat to manage a pediatric patient with Dengue shock. I'm not sure how much she learned from me while I was her MO in ED but I felt privileged to have had a chance to work with her. You know who you are girl :)
But today, I just had to reach out for my phone and open my Facebook app...I really shouldn't have as it totally ruined my mood. Thank goodness there wasn't much patients after the lunch break.
This story was told to me by a close friend. I think this story deserves a front page headline in Harian Metro.
ANAK KECIL BAKAL KEHILANGAN IBU KANDUNG AKIBAT KECUAIAN PENGAMAL TRADISIONAL
The story goes like this. A lady in her 30s was diagnosed with breast cancer last year. She was seen a few time at the surgical clinic. After a few visits she refused any treatment and opted for alternative therapies.
This year she came back to see a medical doctor. She was pregnant. She never told anyone about her past medical history (breast cancer) until a doctor examined her during a routine antenatal check up. By then, she was already stage IV cancer. At 34 weeks, she was unable to continue with her pregnancy. The obstetrics team decided to terminate the pregnancy due the strains of pregnancy on her body. Fortunately, the preterm baby survived.
"I'm Forrest, Forrest Gump. My mum always say; life is like a box of chocolates. You never know what you're gonna get."
Forrest Gump
Well Forrest, it seems that we ain't got no boxes of chocolates. Instead, we have a Pandora's Box being opened bit by bit. And when it does open, ain't no place you can run to Forrest....it's worldwide!
Recently there was a circular being shared among medical doctors. It was a statement released in March 2015 by (most likely) Jabatan Kesihatan Negeri Selangor. It was regarding the increasing incidence of Pertussis cases in Selangor.
The salient points are:
1. There were 161 cases of Pertussis recorded in 2014.
2. There were 32 cases so far in 2015.
3. There is a THREE FOLD increase from last year's statistics (for the same period).
4. 85% of those infected were less than 18 months old.
By right Pertussis should be preventable with vaccination....
If you expected a write up on the Tabung Haji - 1MDB issue; you have come to the wrong place. If you want to read about how SOME Malaysian public are wasting your precious tax payer's money, do read on.
I encountered two very different patients this week with the same chronic disease: Diabetes Mellitus.
CASE 1
Mrs A is a foreign immigrant registered under UNHCR. She has Diabetes Mellitus since 2013. She was previously under follow up at a different clinic. However, due to the enforcement of our healthcare policies for foreigners, she can't afford proper healthcare and defaulted treatment for 1 month. Naturally, her sugar level was poorly controlled. Looking at the fee schedule (attached), in order for her to get proper treatment she would have to fork out:
1. RM 15 per clinic visit
2. Metformin 500 mg, twice a day (oral hypoglycemic agent);
13 sen per tablet x 2 for 30 days = RM 7.80
3. Diamicron 80 mg, twice a day
RM 1.83 per tablet x 2 for 30 days = RM 109.80
I encountered two very different patients this week with the same chronic disease: Diabetes Mellitus.
CASE 1
Mrs A is a foreign immigrant registered under UNHCR. She has Diabetes Mellitus since 2013. She was previously under follow up at a different clinic. However, due to the enforcement of our healthcare policies for foreigners, she can't afford proper healthcare and defaulted treatment for 1 month. Naturally, her sugar level was poorly controlled. Looking at the fee schedule (attached), in order for her to get proper treatment she would have to fork out:
1. RM 15 per clinic visit
2. Metformin 500 mg, twice a day (oral hypoglycemic agent);
13 sen per tablet x 2 for 30 days = RM 7.80
3. Diamicron 80 mg, twice a day
RM 1.83 per tablet x 2 for 30 days = RM 109.80
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| Fee schedule from MOH |
Tuesday after a long holiday blues.
Anything worse than that?
Knowing that your other only colleague that is SUPPOSED to come to work will DEFINITELY take a convenient 'emergency' leave (based on past experiences).
Anything else that can be worse?
Realizing that it is 'the day between TWO public holidays' (in Perak). In other words, it is MC MEGA SALE DAY!
Taking a cue from UMP's Anti-Hysteria kit, I have developed a kit for MOs facing the same predicament that I'm in. I call it;
