Friday, December 31, 2010
Sunday, December 26, 2010
26122010
Tuesday, December 21, 2010
unstable emotion
Saturday, December 11, 2010
how will it be in the future?
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"
...it 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).
Friday, December 10, 2010
Pissed
we have a chance, we should make full use of it
Tuesday, December 7, 2010
Back to college. i did these things...
First week in KTT was fun. i spent most of my time with my other 2 housemates, and we even went to malacca the historical city, to visit his grandparents. actually, we planned to have quick tour around malacca before we go to his grandparents' place. malacca has change a lot since last time i went there. last time there was no Dataran Pahlawan, no menara taming sari and it has change into Develop State in Malaysia recently-20.10.2010.
So, three of us walked around Bandar Hilir as if we were tourists and took lots of picture. oh ya, it was sunny day and the weather is very fine that i was able to test taking picture with my lomo loaded with lomography x-pro film iso100 which i bought at RM28 each. thought they are expensive, it's a relieve when i get to see the result. here are some of the picture taken with my sara-holga 135BC :







Sunday, November 28, 2010
This is what i did during one week hols
just came back from holiday today. not much changes occurred after a week holiday except for new apartment, i gained 2 kilos-not a big deal. and i'm homesick now, new time table, and i will be facing A2 this semester. from what senior told me, A2 is much harder than AS. idk what's going to happen this semester. just hoping that everything is going to be nice.
Spent my holiday in my hometown, sibu. but i was in sibu only for a few nights coz i followed my dad to kuching as he got works to do there. in sibu, my days started with i helping my family at my grandmother's place doing some korban. this is our third time doing korban at our own place. there were two cows being slaughtered. i was there to help my uncles to slaughter them. and i was there to chase the cow. you dont have any ideas how difficult it was to chase a cow. the second cow knew how to run away very well. even 10 men cant get the cow easily. damn tired man!!!








Sunday, October 31, 2010
gusar
Monday, October 25, 2010
Je suis amoureux
Saturday, October 23, 2010
Wednesday, September 8, 2010
This is the PROBLEM!!!


Exam ended and holiday start XD






Friday, September 3, 2010

Thursday, September 2, 2010
Monday, August 30, 2010
I want you X)
Seems that i cant wait any longer to go back. I cant focus on my study now. Exam is still going on, look like i play more rather than study. My 2 housemates-muadz and amirul keep on advising me to study. Yeah..I know i should. But, this is me who like to play and SLEEP a lot. That is what the youngest in 13-1-A4 always do aite?Lol.
After this i must be more dedicated to myself. I dont want to let haziq ruin his own future. Never! Guys can u gve me chance for me to change :(
though my 2 housemates are like more studious type, we can get along very well. Thanks to muadz i really had a great weekend with u all :) sleptover at your place for two nights, being awake the whole night to watch tv series, went out for shisha and football. It's nice to get ourselves out from jungle for two days. I really appreciate that and. I am so lucky to know you. And sorry if i gve u bad influence. Lol
.
what make the weekend more special was, i could spend time with someone that i really like to spend a lot with before. Credit to muadz again XD we didnt plan anything to bring u out. But that's it. Never plan anything as most of the time, the plan will fail. Breaking fast with u make me feels happy. It's nt like last 2 years when we sit at different tables.Lol. Last time we seldom see each other and being together. But after everything had change, opposite things happen. At least we are having a very good friend relationship now aite??I hope to see and meet u more frequent. Can i?. Happy 18th birthday to you though there are about 4 or 5 more days to go. Now no need for me to go to courier to send u present lol make sure those presents are still in good condition. Thanks again coz spending ur time with me. Two days with u are not enough actually. We only went out for sungke and sahur bah.. :p
to my housemates : thanks for everything, both of u rocks!!Err..Can we go out again nxt time?Hahaha..Glad to have wingmen like 2 of u :p
till we meet again
p/s : i should sleep by now..Sorry. Hahahahahahaha
Sunday, August 15, 2010
August talk
Im missing my family now. It's fasting month, and last time i used to sit at the same table with them for 'sahur' and 'sungkei'-sarawak's term for breaking fast. But now they are not here with me. Luckily ive 2 great housemates here-muadz and
Amirul. And not forgetting other close friends here in KTT.
First day of fasting i had LEGENDARY menu for sahur, maggie mee :-) my mom would kill me if she knows im taking instant noodle for sahur. Sorry ma!! But i still can forbid myself from eating n drinking though i only take maggie mee. Enough talking bout that. Let's proceed.
I bought myself a pair of futsal shoes-f5 a week ago and i just used it last tuesday. That futsal shoes nearly make me bankrupt. Luckily JPA is very kind that they gve me money. Lol. With that futsal shoes no need for me to play futsal with my jogging shoes anymore. Sadly, on the last day i used my jogging shoes for futsal, it's front part got torn up a lil bit. Sorry shoes..and now i have to get use with the new shoes. Team!!next target-jerseys. Im so glad that im a part of the team together with muadz, harith, acap and alyster. Maybe we're among the best futsal team in KTT. Lol. Talking about futsal, eventhough it's fasting month, playing futsal is a routine.
After going to sunway pyramid last week, Yesterday i went out again to pavilion with my friends-lawrence,jackson,y tsin,ying ying,maxine, adelaide and another girls who i dun know her name. Sorry.. Im glad that i could hang around with them. We watched movie-the expandables and went shopping. It's fasting month so i can save my budget for food. I just accompanied lawrence to buy shoes besides getting myself a new shirt. I tried not to be a big spender. Hope to hang around with you all again next time!
It's sunday and tomorrow will be monday. Class will resume and that's my weakness. In one week time will be my pre AS exam. Hope i'll done better than my mid sem. Muadz i need you..lol. Wish me luck for my trial exam.
P/s : next mission-spend less for food
Monday, July 26, 2010
A level mid sem
Ok..for this week, no more games n futsal or captain ball for me..im having mid semester exam nxt week..i dont expect it to be that early..but..thats it..i cant change anything..being a 1 year programme stdnt is really tiring..hardly for me to have fun..really?actually im having so much fun here..im not the study type..so i spend most of my time playing futsal in the evening..outing during weekends and SLEEPING when i am at my apartment..that's my main prob nw..i have more than enough sleeping time..i cant manage my time..haizz
I hope within this week i'll be able to control myself from overslept..hope it will end soon.
Good luck to me n study hard!!u can do it haziq!!
Thursday, July 22, 2010
Old love story
But now. After a few years, i really appreciate her num 1. After being in KTT for almost a month. I get in contact again with her num 1. So now i spent most of my time on her after i finish class. But one problem had arise. I'm addicted to her. Hardly for me to stay away from her. I've try my best to stay away from her. But i cant . I hope my relationship with her will end soon and i will totally forget everything about her. Lol. So mean.
However i still need her now to fill my leisure time. Thanks for accompanying me need for speed racing game :). But sooner i will once again leave u alone because study is more important. Hahahaha
What a lame post =.=''
Wednesday, July 21, 2010
Story from sepang :)
For the first week, nothing much had happened. Like school, here in college the first week is also the orientation week, where the new students get the chance to know the college better and have fun before being tortured. Muahaha. For the orientation group performance, my group task was to perform a talentshow. And i didnt expect to dance according to lady gaga song-bad romance. Maybe that will be my first and last time to dance. Hahahaha. We had so much fun during orientation week. At the same time i was making new friends from all states. Thanks god now i already have a large sum of them. After the orientation week ended, i join my sarawakian friends to go for an outing at midvalley. There were around 13 of us. What can i say about the outing was, it's awesome! So tat's the end for the first week.
Then for the second week, the class started but lots of class are cancelled due to the registration of diploma students from UITM and UPM. So, i can say that our first study week was a bit relax and free from books. Lol. During weekends, i went to KL to see my aunts and uncles. There was a wedding ceremony to be attended. Being a student for only two weeks i already spent my weekends in KL. Who cares. The class was not officially start yet. Not wrong for me to have fun right?
THIRD WEEK
The class went on as usual but less cancellation. Then, during the weekends, i just stayed at the college because i've no where to go until saturday night when i went to nilai for a concert-demimu al aqsa. Overall, i spent my weekends doing nothing at the college.
FOURTH WEEK
Classes is going on as usual this week. But there is an extra event will be held tonight. The indian culture society held a charity event named colours of hope to help a school to gain more donation if i'm not mistaken. I'm looking forward to be at that event tonight :)
P/s : i wrote this during my class. Hahahaha too bored
Friday, June 25, 2010
My last night in sibu :(
as i'm leaving, my cousins and uncles took the opportunity by visiting me tonight to bid their last farewell. quite sad to leave them all especially my bestest cousin, khairul nidzam. though he is 2 years younger than me, but we're very close like brothers :( now i will seldomly go to his place to hang out and no more going out with him.
maybe these pictures will tell u more what's going on tonight :)
New chapter in my life :)
but at d same time i'm ready to go to KL. haha.. extra two days for me as i'm going to register on the 28th of june. yeah. shopping spree??hell yeah!! LOL XD wait for me!!
oh ya..maybe after this, my blog will only being updated after a while. my laptop is not with me now. urghhh. screen prob and have to fix it though i had sent it last week and it still undone :( i miss u MBP
Learn from mistakes :)
I bet lots of people out there were on italy side as they are the defending champion. they have to play well if they want to defend the world champ title. but, somehow, i dont know what happened to them last night. maybe the world is now has become upside down. what??italy was beaten by little slovakia 3-2. it's nightmare for italy, the 2006 world cup champ.
slovakia played very well last night. i was shocked. i thinks lots of people are shocked to see the way they play. quick short passes which were done neatly during the games was one of the winning key for them. the matched was so thrill and i couldnt sit still while watching the match last night.
the slovakian start to get their rhythm after vittek scored the first goal. i can say that they controlled the game and after half time vittek once again became the hero. he scored second goal for his team before italy scored a goal and then the game became more interesting. both teams were trying to attack each other and slovakia got their third goal by kopunek which was the substitute player. it's his first touch and he has midas touch. he made italy to go home in misery. but the azzuri didnt gave up easily. they scored one more goal to make it two in the injury time. but it was too late for them. i feel sorry for italy which have to go back early from world cup final :)) sorraayyyyyy..
what we can see from the match is, the spirit of small team who fight with a bigger and stronger team can lead to a great finish. just see how slovakia-who was once at the bottom of the group can beat italy. slovakia can be very dangerous for other teams. so, watchout!! it's unpredictable. the slovakian are hero for last night. but for italy, they are just from hero to zero. maybe better for them to sit at home and make pizza :) next four years, italy should learn from their mistakes and same goes for other teams with big name. what important in team game is the chemistry among the players and not the quantity of how many stars in the game. believe me, team with lots of stars will go home earlier :)










