Wednesday 11 March 2015

Conscientious

Too little conscientiousness. That's what happening at our workplaces nowadays. Add in the assumptions. Now that's the best recipe to kill off any respect.

When I received the invitation letter as a speaker today, not only was my marital status changed but a new surname (which also implied that my religion was changed too) was given to me. I really salute the effort put into creating a whole new identity. Maybe I should just let this imaginary speaker do all the hard work.

People's reaction? Some started laughing, some got angry. I can understand that because such an absurd thing can happen. Maybe if there wasn't that much fear or religious polarisation going on, I would have been amused. Yet I felt insulted and feared that rumours will start.

It isn't hard to be conscientious. My full name isn't a secret. All it takes is a little extra effort.

Friday 6 March 2015

Missing Fish and Chips

My cravings for fish and chips didn't just come out of the blue. It was triggered by seeing a photo of fish and chips while surfing Facebook.

I was in luck that I'd arranged to meet Pei Lian for lunch today. There's no fish and chip in Kulim but luckily there's Manhattan Fish Market at Sunway Carnival Mall. So, I get to kill 2 birds with 1 stone.

 Fish and Chips at Manhattan Fish Market, Sunway Carnival Mall

So satisfied! It's been too long since I'd ordered fish and chips. Somehow didn't get any cravings previously. Plus it's so difficult to get good fish and chips. Nothing beats the original fish and chips from the UK.

Scanning through my memories, there are a few places where I really remembered eating my fish and chips.

Llandudno

Having my dose of fish and chips at Conwy Castle. Best peas that I've tasted.


It was that good that I even brought my parents there for round 2

 One of the best moments in Llandudno - having fish and chips by the promenade

 Isle of Sky:
 Fish and chips during one of the road trips north

Black Country Living Museum
Fish and Chips at Hobbs and Sons Fish & Chips shop within the museum. Look at the size of that fish!

Apologies if anyone feels hungry after reading this post. Malaysian fish and chips can never beat UK. Anyone up for trip to the UK just to have fish and chips?

Wednesday 4 March 2015

Blog revived after so long

Procrastination somehow led to the urge to start blogging again, like how I used to procrastinate from revision and ended up composing blog posts. I wonder if anyone even read blogs nowadays. Hahaha. Working life is so much different as compared to student days. Free time is a luxury no longer a right.

Work has been getting busier and busier. Gone were the days where I had time to give teaching to my staff and spend more time talking to patients. The number of patients has doubled if not tripled as compared to last year. Maybe this can serve as a very sensitive indicator to the economic situation - the more the number of patients, the worse the country's economy is performing. 

Points to support this include:
1. Lower spending power leads to switching from private GPs and hospitals to government as nothing beats RM1 per visit to the doctor plus supply of medication. This is true as so many patients bring medications that they've been getting from private and asking if they can get them from my clinic. Sadly, most of them are listed under specialist prescription only or not even available.
2. Economy slowing down means more jobs will be cut leading to higher stress levels and less care for health and subsequently falling ill to acute or chronic illnesses in the long run. More requests for medical certificates, application for welfare, SOCSO, insurance claims, younger patients with non-communicable diseases, etc. I'm not sure how the productivity of existing employees will be affected if suddenly there is a need to work harder to cover the jobs of employees who has been fired. One can argue that factories can increase automation but can they afford to upgrade that quickly?

Speaking about medical certificates, I feel that reward should be given for employees who has been able to take good care of their health and well being with less than 5 days of sick leave taken in a year. This will encourage more awareness of one's health and discourage people from seeking MC from the poor doctor. Why do I say poor doctor? No one empathises with the doctor if any patient hurls threats, verbal abuse and sometimes physical abuse when being denied of an MC. Sometimes I hoped that there will be a clear guideline issued by any authority be it the Malaysian Medical Council or the Ministry of Health on the issuance of MC so that we can protect ourselves. I've seen so many actors and actresses even as young as teenagers who deserves the Oscars for amount of effort put into getting and MC. Other who are not as talented revert to threats. Sometimes as the only female doctor in the consultation room, I fear for my own safety. I try to overcome this problem by requesting for an assistant but due to shortage of staff, it is a luxury to have an assistant/chaperone/safety measure at all times. Maybe it is my fault for not being more firm on this decision. Nowadays, due to the pressure of seeing so many patients in such little time, minimising the risk to oneself, giving up, whatever you call it, I've decided to just close one eye or even both eyes and just issue that MC. It doesn't help when patients' complaints are being held in so high regard nowadays and opinion of the attending doctor over-ridden easily.

Does anyone feel irritated by frequent news on excessive doctors? It is so different on the ground level. Patients visiting government health care are increasing rapidly and yet the number of posts for doctors remain the same and revision of these posts do not occur frequent enough. The visitors to my clinic a year back never had to worry about finding a seat to wait. Nowadays, the number of standing patients are quickly outnumbering the number of seats available. Short term measure - increase the number of seats. Mid term measure, increase floor area to fit more chairs. Long term measure - increase the number of doctors and health care support staff. Sorry for being so sarcastic.

I always tried my best to provide sufficient counselling so that my patient understand their disease and take appropriate measures to manage it properly. In the long term, this will reduce their number of visit and of course complications. However, I am reaching the point of giving up as patients come barging into the consultation room too frequent to complain that they've waited too long. I don't want to adopt the 'Touch n Go' approach but seems like there's not much of a choice. I look forward to the day when primary care can adopt the appointment based system.