Friday, May 13, 2011

Doctors are treated like crap in Malaysia?

I remember when im in Paediatrics posting, our specialist asked the nurse to suck out saliva from a cerebral palsy patient. The nurse, totally ignored his request.

In other posting, surgery, i remember asking nurses about a patient condition who was in pain, his IV drip was not running, he asked me to tell the nurses. The nurse, being so busy, replied to me with a killing stare " saya sibuk. Biarlah patient tu." (somewhat like that)It happened in O&G too "kita tak cukup staff." I understand, they are under stress pertaining to the workload. But still, i've seen nurses having chill out time, but not housemen.

There were complains, that housemen rely to nurses so much. "Housemen ni, mendalah camni pun nak harapkan nurse buat" I remember hearing that quite often while im in the ward. And then, my friend Fairuz shared this article on facebook.

 I read an interesting article today about a few prominent figures addressing their concern over the increasing UKM and UM medical graduates who have left the country to continue their medical practice overseas.
After reading the news for 3 times, I called a very close friend, an MD (UKM) graduate to ask his opinion on how the news might have affected him. He has been working in Singapore for more than a decade as a Consultant Surgeon with a certain sub-specialty
"Why be a slave in your own country, when you are a king in another?" He replied.
Indeed, if anybody would want to find a reason why all of us left, either after housemanship, after being a specialist, or even after sub specializing, and now, even prior to doing housemanship, they need not look at our payslip, or the wealth that we have gained overseas, but only to the Medical System that has been rotting in the ignorance and politic-based stupidity that Malaysia has been well-known for (in the medical field).
I have served the system for nearly 2 decades of my career, waiting for it to improve for so long, and only finding myself in despair, quitting with a 24-hour notice and serving abroad. The system is, in my opinion, keeping doctors, since the beginning of their career as House Officers to the end of it, in the lowermost priority. When I was working there, doctors are so ill-treated, while the nurses and the medical assistants are overpowering us.
I still remember the days when I was doing seeing patients and rounds as an MO, while the staff nurses would mind their own business, having breakfast in the pantry, or having gossip chats at their own leisure. My House Officers would then have to do merely all the labour-work, up to the extent of setting intravenous drips, and serving medications. If I am to expect the nurses, my patients would have been dead, or the work would have been too slowly or incompletely done.
When I was a House Officer, I had to run down 4-5 floors just to review a blood investigation of a dying dengue patient. The ward staff would either be nowhere around, or will say that he is busy (busier than the doctor?) or the answer I got at that time:
"Doktor nak cepat, doktor turun sendirilah, gaji doktor lagi banyak dari saya"
Even when I was a Specialist, the staff nurses had to be called again and again just to make sure the management plan for the patient would be done. I was already used to answers from them:
“I’m busy with something else"
“My shift is already over" was routine for me.
The Medical Assistants were worse. They would hide behind their so-called boss, the Head of Medical Assistant. They feel hiding behind him would make them not under our jurisdiction, that we have no power to instruct them in managing the patient, that they have power to manage own their own. I've seen them giving medications not as we prescribed, performing procedures without our knowledge, as if they are the actual "Doctors". They are in their own world, and we have to do their job, taking blood, labelling samples, and even cleaning gadgets from the procedures that we have done.
Oh, but the ministry loves this group. They even let them run a clinic now, instead of upgrading the clinics already run by doctors. The government feels that the MAs are very important and should never be ill-treated by those big bad doctors. One time when I was a District Hospital Medical Officer, I was conducting a delivery of a baby. An MA insisted that I remove my car which was block-parking his car. I answered through the phone that I was busy.
He came to the labor room and yelled "Semua orang pun sibuk jugak, macamlah doktor seorang yang sibuk!”
It is insulting that an MA or a staff nurse claims that they are BUSY, as busy as a doctor? As a Malaysian Doctor, I have even worked for 72 hours straight. I have experienced working until my 6 month old daughter did not recognize me at the end of the week.
Is that how busy they are? I am very sure that they are so busy, that they can only spend 2 hours at the nearby Mamak stall, or can only leave at 5:10 PM instead of 5, or can only have 1 hour of lunch.
The management staffs are worse. I have to beg and plead so that I can get my on-call claims, of RM25 per 48 hours of work. While sitting in an air-conditioned office, they will at their own leisure, process my call claims so that I will receive them by the next decade.
The state health or Hospital Director would just give another inspirational talk (of bollocks) on team effort and beauty of teamwork.
That is how Malaysian doctors are treated in the government sector: without respect, without dignity and without significance. Why?
It is because we are bound by ethics to try our best to save lives, despite how ill-treated we are. We hardly have time to complaint because we are too busy or tired, and we would rather spend the precious time resting or seeing our loved ones. The burden of trying to save lives is on our shoulders alone. No MAs or Staff nurses would shoulder it with us. They have their own bosses: the Sisters, Matrons, or Head of MAs, which job description is to ensure that the big bad doctors will not ask their underlings to do extra work.
This is how the Malaysian Ministry of Health have treated their doctors. I am very sure that in each and every doctor, there is a slowly-burning patience in serving the Malaysian people, which will eventually fade and cause them to surrender to serving a place that treats them better.
A few colleagues who graduated from UK choose to serve there:
"The pay is more, and we get the respect we deserve"
Another works in Brunei:
“Here the staff nurses respect Malaysian doctors, and they are very co-operative" (He ended up marrying one)
A few are consultants in Singapore (working with me):
"Here we are treated well, we spearhead the management, and every else do their work to the best of their capabilities".
A few even enjoys working in Indonesia:
“The work-load is horrible since there are a lot of patients, but we are well respected by every hospital personnel" (They have migrated there for nearly a decade)
I am sure that people will see doctors as power-hungry individuals who want to be the boss in the hospital. Trust me, after having graduated 6-7 years of medical school, earning a DEGREE, and subsequently MASTERS, and SUBSPECIALITY, you would expect a degree of respect and being considered important. We are trying our best to improve patient's quality of life, or making sure he lives another day. Is it too much to ask from the system that we are important?
I find that Malaysia is the only country that is making doctors' lives miserable and treated like rubbish. It was never about the pay in the first place. It is about the treatment we are getting and the false political-based promises. Do you know that the so-called circular about doctors can have the day off after working 24 hours straight released JULY 2009 is not yet implemented? Do you know that the raise of UD 41 to 44 does not involve every doctor in the government service?
We are waiting for improvement. We have waited a long time when we were working in the system. Somewhere along the line we decided to leave and wait outside the system. Until the system changes, we will continue to work overseas, in countries which are appreciative of us. Trust me, Malaysian-graduate doctors are considered highly skilful and competent in neighbouring countries, and the 15 % brain drain is more significant than you think.
We will return when the system prioritize us and gives us the quality of life we deserve.
If it stays the same, Malaysian Hospitals would end up having Staff nurses and Medical Assistants as "Doctors", and we would have to send patients to Indonesia for an appendicectomy.
Hear our voice. We hardly speak, but will usually fade away from conflict (and fly to another place).

by lakshmiregu on  Blog TheStar

Sunday, May 01, 2011

Mencari Suami, Semudah ABC?

Menjangkau alam 20-an, teman taulan di sekeliling asyik berbisik hal-hal munakahat.
Tak kiralah, lelaki atau perempuan, sama-sama tersenyum lebar menyebut hal ini. MUNAKAHAT.

Besar sungguh pengaruhnya.

Siapa baca kisah cinta Qani'ah dan Dr Muslih dalam buku Pemilik Cintaku Selepas Allah dan Rasul (mungkin juga kisah benar Ustazah Fatimah Syarha dan Dr Farhan Hadi)? Masing-masing berharap kisah cinta mereka akan menjadi se-sweet itu. Siapa cakap hati budi perlu dikenal dalam-dalam sebelum bersama menempuh alam rumahtangga?

Sapa baca Jaja & Din karya Noor Suraya dari JemariSeni? Peribadi Din cukup ideal sebagai seorang suami idaman Malaya. Siapa tak mahu? Wajah sekacak Sami Yusuf, zuhud lagi, tiap malam memperdengarkan si isteri akan cerita-cerita para andia dan para sahabat. Jaja pula, sekadar biasa-biasa. Sebiasa kita, yang mahu mencari lelaki sebaik Din. Layakkah?

Dari jendela yang lain, kami-kami terpegun akan indahnya cinta dalam drama Korea, Secret Garden (dan puluhan lainnya). Cinta (konon) tak tipikal antara Joo Won dan Gil Ra Im. Perempuan mana tak cair dengan Joo Won yang sangat protective? (dan handsome, of course)

Itu contoh-contoh yang terlintas. Kalau lelaki, saya tak tahu buku sepertimana yang diorang baca. Mungkin trilogi Aku Terima Nikahnya dari Ustaz Hasrizal atau Tentang Cinta dari Ustaz Pahrol,

Kalau perasan, saya banyak sebut genre cinta Islami. Kenapa?


Kerana di umur ini saya rasakan cinta Melayu tipikal  (yang seperti dalam filem atau drama Melayu) itu sudah tidak menarik lagi. Maaf kalau saya katakan cinta seperti itu kosong, tidak bererti. Sekadar buang masa dan sia-sia, disamping mengundang dosa dan kemurkaan Allah.

Maaf sahabat-sahabat yang sedang bercinta bukan cinta anda yang saya condemn, tapi cara bercinta.(kalau cara anda tidak bermasalah tiada sebab untuk terasa)

“Cintailah apa yang kamu cintai sekadarnya saja, boleh jadi apa yang kamu cintai itu menjadi sesuatu yang paling kamu benci pada suatu hari nanti. Bencilah Sesuatu yang yang kamu benci sekadarnya saja, boleh jadi ia akan menjadi sesuatu yang paling kamu sukai pada suatu hari nanti.”

(HR. Tirmidzi)

Mencari Suami, Susahkan?

Siapa yang cakap, mengenal ABC tu mudah? Adakah dengan sekali nampak, kita sudah kenal? Cuba renung dan ingat balik. Bukankah jenuh juga mak ayah nak memperkenalkan kita perkataan yang tiga itu. Itu pun kita hanya kenal sebutan. Penggunaan? Kena tunggu beberapa tahun yang lain.

Samalah juga, kalau bab pencarian suami. Bolehkah dengan hanya sekali dua cam dan jumpa? Satu dua pertemuan, bolehkan dia jadi calon sebagai seorang suami? Kalau nak membaca perlu peringkat mengenal, menghafal dan memahami, tapi cari suami? Cukupkah dengan hanya bertemu dan saling mahu? Bunyi, macam lagi senang dari ABC.

Pelik kan?

"Habis tu, macam mana nak kahwin? Kenal lama salah, kenal sekejap pun salah.."

Siapa cakap salah? Sebab itulah wujud perkataan JODOH.

jodoh temukan lelaki dan wanita dalam ikatan perkahwinan

Jodoh itu, Misteri

Aneh kan, mendengarkan cerita polan yang dah bertunang sama si polan selama 7 tahun, berpisah. Akhirnya si polan bernikah sama orang lain......

Tak pun, Si polan yang cukup anti lelaki, sampaikan satu sekolah sudah cop muka dia "KONFEM TAK KAHWIN NANTI" , datang ke majlis alumni 3 tahun lepas SPM bangga mengendong seorang bayi comel.

Misterinya jodoh, ia boleh datang sendiri tanpa diundang, dan ia boleh tidak datang-datang walau jenuh di cari.

Namun, agama tidak menjadikan jodoh ini sebagai satu barang free-free. Jodoh datang adalah dari usaha diri sendiri.

Nakkan jodoh yang baik, berusaha jadi baik. Nakkan jodoh yang soleh, solehahkan diri.
Selain itu, usaha direct dari perbuatan, seperti guna khidmat orang tengah, guna email, guna surat jertas kajang etc.
Selain itu, lagi, doa. Doa juga untuk ibu ayah, agar bila jumpa tidaklah pula keluarga tidak berkenan. (atau boleh juga suruh mak ayah doakan supaya bila jumpa yang kurang berkenan, mereka taklah rasa terkilan)
Kalau sampai ke sudah tak jumpa jodoh anda, jangan terkilan, jangan salahkan rupa anda tak semanis wardina safiyyah atau jangan sedihkan ilmu agama anda tak sedalam jurang mariana. Sesungguhnya anda di'jodoh'kan dengan hal-hal yang lain.

Percaya pada Allah, pada apa yang Dia janjikan, pada apa yang Dia tentukan.

Sebab itu, lelaki, suami, anda adalah orang terpilih. Bukan senang seorang wanita nak menyerahkan dirinya pada anda berharap anda akan take over kerja ayahnya, mendidik dirinya menjadi seorang solehah. Sama-sama nak kejar syurga bukan?
Tugas anda bukan habis takat salam tangan tok kadi saja. Lebih jauh dari itu. Sangat JAUH. Anda bakal memimpin tangan isteri anda ke syurga.
Kalau didunia tangan isteri tak berpimpin, apakan anda rasa boeh anda pimpin dia untuk akhirat?
Jangan tamakkan bidadari syurga, anda biarkan isteri anda terkapai-kapai kesorangan.

Perkahwinan dunia adalah untuk akhirat. Kalau anda tak pernah fikir pasal akhirat, tak guna anda kahwin di dunia. Tak guna untuk dunia, tak guna untuk akhirat.

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