Doktor Pemarah

One patient came and sit in front of me " doctor, I feel dizzy". I try to dig some more history however something is fishy.
I asked her " do you have fever?"

She answers, " yes."

Do you have nausea or vomiting?

She again answered "yes".

Any abdominal pain?

Yes.

Any blurred vision?

Yes.

Chest pain?

Yes.

Are you working tomorrow?

"Yes, I think I can't go to work, doctor." Case solved. Diagnosis - MC seeker.

Some people/patient is really a pain in the ass. Sometime they can make me lost my patience. For every question I asked, I did not ask it like those worker who are conducting a survey. They have fixed question to ask without using a single brain cell. For me, at 3 am in the morning, I was so tired plus aching in my head thinking of a diagnosis of a patient with dizziness, blurred vision, chest pain, abdominal pain, nausea, vomiting..... Sound dangerous.. But she is 20 years healthy looking female. I hate when it came to this situation.

The thing is, we can give medical certificate if you want it. But 3 am in the morning and you are in emergency and trauma department where MC is not as easy as it look to give making my headache worse.

Another patient came," doctor I want to get dermato appointment for my body itchiness".

I tell him politely , " I'm very sorry but you can't cut the line. You have to wait. There is another 10 more patient waiting for their turn".

" No doctor, I can't wait. My body is itchy. I forgot to bring my medication at home"

You have medication? Where you get it from?

" I memang under follow up in private clinic but I cannot manage to pay rm30 every visit. I want to be follow up under goverment now. Just open a file for me to see dermatologist".

Its 3 am in the morning, why the hell you came for appointment at this hour?

" I went to dermatology clinic this morning, they asked me to come to casualty deparment first so I can get appointment".

#*#***!

Why the hell you came at 3am in the morning if they tell you to go here yesterday morning! And you can't cut the line!

That patient eventually get scolded by another angry waiting patient and he absconded...

Another patient came, "doctor I was having epigastric pain. I vomit 1 times while waiting for my turn, now I have no more epigastric pain"

Do you feel nauseated now?

"No."

#*#//)@!

You are 15 years old girl. Aren't you supposed to be at home with your parent now or whoever I don't care. Why are you here?

Then that girl mother came in... "Doctor, can give MC for my daughter? Already 4am, we wait for hours just now. Tomorow I think she cannot go to school.

"No!" I did not gave further explanation but her daughter is perfectly fine. Gave her some syrup magnesium trisilicate and she shud be fine. I almost reach my limit of coolness.

Later another uncle came, "doctor, I'm having cough for 1 week. I took cough medicine I bought from pharmacy but it only reduced my cough. It is still not resolving".

Any fever?

No.

Any loss of appetite, weight, blood in sputum?

No.

Difficulty breathing?

No.

With a dull face, gave him so cough syrup, entertained him with some common antibiotic, go home! Please go home and sleep! Its 5 am in the morning!

Another patient came. A young girl, with headache. No need to tell details history, I diagnosed her with tension headache / migraine. Discharge with some pain killer. But then eventually she is a private nursing college student. And her tutor came upon me. "Doctor, I think she need MC."

" A time slip for her to rest for few hours should be fine"

" No doctor. If you give time slip, she don have place to rest here in hospital. Better gave MC so she can rest at her hostel. Here in hospital no place to rest"

You are right. No place to rest. And I'm tired than you. I need more rest than her. That is just a simple headache. Even the girl did not want an MC as she told me earlier. She just need a time slip for few hours rest.

Someone please give me a time slip to rest.

For the whole night, there are more than 30 patient with weird attitude and problem coming in to casualty department for some minor2 problem. I don't know why they came.

If you have dizziness or headache. Take a rest. Drink water. Hopefully the next morning you will be fine or if not then go see doctor in the clinic. You don't need to go to emergency department for that.

If you a having fever. The same thing. Rest first. Why you have to torture yourself waiting for hours in an uncomfortable place in hospital? It will make you feel worse.

If you have diarrhea, drink a lot of water.

If you are young I mean less then 1 years old or old enough = more than 70 years old then you are welcomed if you feel unwell cause we know you may need more attention. In between that, go sleep and go clinic tomorrow morning.

I almost lost my cool each time working in green zone. Day by day the patient become worse and worse. The one that did not need urgent medical attention are filling the green zone area. The one that need attention sometime left out behind.

Lot and lot patient will request for us to see them first cause they said they cannot tolerate the abdominal pain and everything, while an old auntie just sit patiently outside and she may have heart attack inside, we don't know cause they are not like those eager bloody fool young people who think that they are the only one who are sick in this world.

After a 6 hours sleep, having a good dinner with friends, I manage to tone my anger down. Tomorrow, will go to work again with a smile. Will keep my anger inside and be polite. But you know, sometime it hurt myself with my anger burning inside.
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Battle of Modern and Tradisional Medicine

"I have cured my hypertension. My blood pressure never high anymore. I checked. Always normal. Doctor also said I do not need medication anymore" says a patient on a hospital emergency and department bed with an ECG beside him showing T wave inversion in all lead, he is complaining of chest pain, his Trop I was high and his blood pressure... 260/135. I'm imagining his head explode with that pressure so high.

What can cured hypertension? Diabetes? Even cancer? You won't find cure for this disease in a thick well recognized medical textbook, but you will find this all over the place here in our country. Traditional practioner still gaining point after long way of battle with modern medicine and somehow they always win or they never lose.

People tend to believe something or someone can cured them. Imagine of you go to a hospital and you are diagnosed with Diabetes. In the beginning the medical doctor will stand in front of you and says " your disease will never be cured. You need to take medication and change your lifestyle.. For the rest of your life." How frightening is that. If you go to a traditional practioner in contrast they will says " with the permission of God, you will be healthy as soon as possible.

Without enough knowledge, even myself will choose to go to someone that can cure me. But how far is the truth? Closer to the lie it is.

I, standing with the modern medicine and evidence based medicine I learn for years did not deny completely the Traditional medication. Somehow, maybe, at certain point, the substance they used in the herbal medication they prepared could really be an active ingredient that can cure your disease. The question is, would you risk your precious life in 'maybe', 'somehow', 'at certain point'.

Modern medicine originated from Traditional medication. After thousand years studying and filtering all the side effect that the herbs can cause, born a drug that is safe that can be use with full knowledge on its effectiveness, side effect and how to reverse the effect. This is the only difference. If you take the herbal medication, how do you measure how much is the dose that you required before the thing become poisonous? You can't tell.

A patient with a heart attack, still firm on his stand that his blood pressure is cured by the traditional medication in front of me. If it really cured then why is he here complaining of chest pain? Why is his BP shooting up high now?

With the best effort and the fullest energy, casualty doctor play their role, medical doctor throw away their weekend plan, the nurse leave their children at home, the pharmacist have to work extra time, cardiologist have to wake up at night from a deep sleep, just to treat and cure this patient.

Within few weeks, he is a normal person again. Escape from his death. His life is prolonged, another chance for him to be with his family. Now he is happy and he feels healthy.

In a few months he began to feel that the medication is a burden. He is handicapped with all the medication that he need to take. The burden cannot be tolerate anymore. He wants a cure.

And the one that can provide the cure is not the doctors. The cure is from God ( yes it is ) and from traditional medicine practitioner. Once again the cycle restart. We will never win, and they will never lose.
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A concern to Malaysia Government

I try not to talk about politics in my blog. This is not like a politic post but more like a citizen post who sit under the middle class group of Malaysian.

I have observe a lot of wind of change flying everywhere. I don't like to be involved in politic but I do have my right to vote. I never against government and I never reject opposition. Which one that make sense would be enough for me.

I just feel that from my point of view, talking to a lot of patient, a lot of middle class goverment servant, private worker, coffee talk, pedestrian, stranger in a cinema, ear dropping them all.. I guess I have not met one person that agree that the current government should continue ruling this country?

Why? We did live peacefully. We are much more peaceful compare to other country in south east asia. What is wrong with the government?

It is actually not the policy or law that concern this middle and lower class group of citizen which make the most of voters.. It is the person who are on the top that they concern about. Maybe this class like me and the rest not interested enough to study the details of law and rule that government made but for them the person that they don't like will shape their vote.

Why they did not like our politician? Not because of the law, or the project or road not completed, but they now more to looking at those politician spending money, appear very rich while they struggle to live. Nobody care if a road is terrifying if the politician walk the road with them. With us.

Simple minded like this sometimes make sense in shaping this whole country. Day by day since previous election, politician never stop gaining wealth and living these people behind them. They forgot to turn their head to look at these people who start talking, start walking away.

I've met a few uncle and auntie from rural area of Sabah, even them said they don't like government. I ask is it because their life condition did not improve, they don't care about that cause they live they life like that for a long time. They hate the government because of the people up there... They are arrogant, they rich, they took our money..

I don't know what will happen in the next election. Even in a state like Sabah which I am pretty sure BN is strong but people here start talking. From this talking, it can generate a wind, a wave, later a tsunami of change.

Should pay more attention to this...

I did not believe people in Sabah start talking about changes... But this is it. It can happen.

Hope we made a right choice. I just want Malaysia to be peaceful like this forever.

P/S: I did not need to talk about my hometown Labuan. It's a war of thought and idea there. Sabah could remain without a wave, but in labuan, a wave is already generated.
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The Avenger is Iron Man

Maybe it's the iron man. He is the one who can light up the whole avengers thing. 

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 This movie, to tell the truth, may not be the best superhero ever, but it is sure a nice and you will miss something if you did not watch this movie. After all the franchise movie regarding the introduction of avengers, i can say this movie is one of the best after the iron man movie. 

Iron man is, i guess, the best superhero ever created. He act like a normal billionaire human being, he never hide his identity, he is just plain human that have super powers. I love iron man movie. The previous two movie of iron man is superb. The rest.....hulk...I can accept the 2nd film not the first one. Thor....lame. Captain america....super lame. But when all of them put together with iron man, it can still be the best. 

The film consist of two and a half hour action packed type of movie with lots of slapstick jokes that can instantly make you laugh. The cgi.... I hate to admit this, is sucks. Why? I thought this is a mega movie where all aspect of the CGI should be polished. It really sucks. Hulk look like an animation from walt disney 3d movie. So unrealistic. I just watch Wrath of Titans a few weeks ago and I already set a standard that hollywood movie should have this Wrath of Titans and Avatar type of graphic or else it look very lame.

The story in this movie is enough for us to wait until the end without sleeping. 

Enough said, I don't want to be a spoiler. I gave 4 out of 5 for this movie. It worth paying. It is not bad at all. 

Maybe it's the iron man. he is the one who can light up the whole avengers thing. If you can realize after watching this movie, Iron man, hulk and Hawk Eye is enough to beat the hell out of the enemy's ass. Captain America? He is not necessary in this movie. He look like a man on the side in Chinese Kung Fu movie. That sexy girl, i forgot her name..is more necessary as perverted audiences need a sexy girl or else this movie is too gay to watch. Hawk eye is cool (why he did not have his own solo movie?). Hulk, huargh! Iron man..you are shiny, you can fly, you has all the super amazing weapon, you are genius, and you are funny..the movie is all about iron man. Without him, i believe this whole avengers things will suck a lot. 

Btw, this is one of the movie that i recommend others to watch. Its nice. 

Battleship 2012

Battleship sure is a 'huha' huge movie. With the advertisement saying it was from the same producer for the Transformer or what so ever, people tend to categorized this movie a good movie even before they watch it. They even did not realize the reality that Transformer end up being a lame movie in the last 2 franchise.

The ads were great. Looking at the trailer before the movie comes out make me feel that I must watch this movie. This could be the best of movie for this year....hardly it will.

I end up watching this movie last Sunday. Before I enter the cinema hall, I already realize something odd... there is children around 10-12 years old everywhere. Parent brought all of their small children to enter the cinema hall. It gave me a hint, this movie is targeting this age group of audience.


The movie turn out to be ok. Nothing much except explosion, explosion, and more explosion, until you fed up with it and I fell asleep in the middle of the battle with lots of explosion. We tend not to sleep during explosion but in this movie, we will.

The story is simple, easy to understand even if you did not pay much attention to it. For 10 years old child, this is necessary. The acting is a little bit dull. A big alien battleship land on earth and destroying humanity with an advance technology supposed to give us fear, but in this movie, the actor does not seem to give us that kind of expression. All of them look like nothing happen and even throw a jokes in the middle of a war with well equipped aliens? The jokes is necessary cause without it, it will become more boring until the end. At least we can laugh watching an alien conquering the earth.

A few more explosion and... the movie end up with a happy ending. So nice. An advance aliens came to our earth and show us that they have a tough weapon to be defeated, and we defeated a group of them then we are all rest assure that they will not come to us again. The ending was typical. Alien lose, human win, tired of it.

I did not like this movie much. What is the difference watching this one and the other alien invading movie. We always win, they always stupid. Even with their super advance technology, they still stupid. So stupid until they cannot shoot an enemy in front of them. This movie is a very typical movie. For those who like a good explosion, this is the movie for you. If you are like me, that prefer a food storyline, a proper climax and proper unique ending, maybe you will keep your money for the other movie.

I like Hunger Games better.