一日游～

哇～～～
钱包大出血啊！！！！！
竟然花了RM420！！！
本来还是RM550＋ 的
一直割爱才降低的

本来要买素体
变成买了整只娃回来
不过也没后悔啦～
因为那娃真的很便宜
要改娃就是要买这样的！
可惜不够钱
不然会买第二只来做男性的
哈哈哈～

感觉跟妹妹相处的时间太短了
不过如果是要说整体的时间安排
就很完美 6点到马六甲不会太早也不会太迟
如果自己驾车的话就更好！可以迟点回
没关系 以后再和妹妹来个一日游吧！

期待明天～

yeah～
明天要上吉隆坡了！！
终于可以跟妹妹出街
又可以去看看
小布的店 ^^V
不知道会不会花太多钱 o>.
等回来 再报告 ^_^

Momo的新天堂

终于在马六甲找到可以让我放心的让狗狗跑的地方！

太好了！ 而且是靠海的哦！

只差几步而已 ^^v

跟爸比跑啊跑～

看到海咯～

寻宝中～

呼～

好累～

Why we left and why we will continue to leave...(我们的心声啊～）

Why we left and why we will continue to leave...

blog.thestar.com.my

Posted by: MS Mohamad

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).

***************

Thank you for all your kind comments.

I have served this country for more than 2 decades, from a House officer, to a medical officer, to a specialis, and lastly a consultant.

Most of us who left, have paid our "debts" to society, sacrificing too much from ourselves to our profession, mostly from our family and social life.

If being unpatriotic is defined as not serving a country governed by fools who would rather spend a quarter of the budget sending a final year orthopedic registrar (not orthopedic surgeon) to the moon than help improve government hospitals and health care system for the poor, than yes, I am unpatriotic.

No singapore graduate would run away from a system that treats them well.

The government should not use lame excuse like patriotism, and loyalty to country to retain doctors. Instead it should improve the system for its people.

If you are a poor homeless from an underdeveloped village, working day and night to earn a penny, and a company from the big city is offering you a 5 figure job, a home
and a comfortable life, wouldn't you do the same?

By mailer_demonmy, 5-May-2010

疲惫⋯⋯

觉得越来越疲惫
根本都没有passion想要医人

真搞不懂为什么会变成这样
跟他说 他又冷笑
当初的决定对了吗？
还是很难说
这要等到多年后才能比较

对现在来说
我越来越发现
这根本都不是我要的生活
我从不知道医科是这么一回事
感觉上
好像被骗的很彻底

但 人人都说
你辛苦至少薪水不少
可以你知道吗？
你们都会有假期
我是没有的
公共假期照常做工
申请假期最长也只有三天
就算我有十天的假期拿
而且还一定要找到人代替

要做通宵
并不像你们的通宵哦！
是要做36个小时
休息一晚后
又另一个36小时

做得这么辛苦
薪水也不过是近4千而已
你们说很多了
但 我们还要付出我们的
爱好 与朋友相处的时间
甚至和家人的时间
我们根本没有时间给自己啊～
钱多有怎么样？
（而且也不是很多 >.<）

可是人生就是这样
没得回头
只有向前走
再走
走 到最后一刻

人类

到底是什么？
他们总觉得自己高高在上
却有时候会比动物都不如

失望～

我是该如何爱人类多过动物呢？
我对人类的厌恶是远远超越
对动物的厌恶

虽然不是每个人都是这样
但这些害群之马
却让世界多了很多问题

希望
有一天世界会更美好～