This is another interesting circular that was sent by the Head of Cardiology of the particular hospital to the state Health Director. For the last 2 month, the angiogram machine is down. The Hospital was using the facilities from a private hospital for their cases. It seems that, even that fund is finishing and there are no more stents and balloons, thus from 29th November onwards, no elective angio cases will be done!! More people will ” Mati Katak” in this famous hospital!
Pagalavan's Avatar 
doc… check this out. i’m a gp in a suburb near kl…
sometime back i had this 60+ chinese lady presenting to me with a history of fall at home and c/o rt elbow/arm swelling.
dis x-ray…# lower end humerus with dislocation ( it was so clear even my newly employed clinic assistant could see it)
REFERED TO HOS SG BULOH..N GUESS WHAT…. PATIENT WAS GIVEN APPT TO SEE BACK AFTER 2 WEEKS.
next day she came back to my clinic.. this time with severe pain and arm has become like popeye”s … my locum saw it.. got bloody furious abt it. immediately referred her to his colleague in htar klang. ( colleague was in er) . she was operated next day..
Case probably seen by the counter nurses that never looked at the letter and not seen by the doctor.
Nothing new, I have heard all this before many times. Just 2 days ago, we had a patient who had Intestinal Obstruction, clearly seen on AXR(done at the hospital) but was discharged from A&E and given 2 months appt!
I think the patient was not discharged by the A&E MO and A&E MO has no right to give clinic appointment. UNLESS the patient was seen by the respective surgical MO oncall and discharged by them. So it was not A&E’s fault.
Nowaday, the A&E admission right has been ‘conquered’ because without ‘green light’ from the ward, A&E couldn’t admit the case. If A&E admit, they will be scolded by the respective discipline MO. So, pls do not blame the A&E. It could be the surgical MO’s problem.
I wish to correct the situation.
I did not tell you the whole story! The patient was seen by an Mo in A&E and did correctly order an AXR, TRO IO. Subsequently the MO changed shift by the time the Xray came. A different MO saw the Xray and missed the obvious but picked up a phlebolith at RIF area, which he thought was a stone. Called up Uro MO. Uro Mo just saw the Xray and gave appt 2 months!
If I am not mistaken, both the 2nd MO and Uro MO DID NOT see the patient! They only saw the AXR and even then missed the dilated bowels.
that’s the problem nowadays, they treat the blood investigation, or xray or CTG or anything else except the patient, I tell and remind this to my houseman and junior MO’s all the time, I feel basic history taking and clinical examination is a dying art…..
The reason why money finishes as the end of the year is because, ….
…
surprise!!
A LOT of Money was used in the beginning of the year to overcome deficits induced by the previous year’s ‘end of the year’ problems.
The problem is not just not enough money, its also a combination of the following factors.
1. unnecessary investigations and admissions –> this is because of ‘fear’ of patients complaints since the KKM treats every complaint very very x1000 seriously.
2. crap attitude by most management staff who do not have incentives for cutting costs or working efficiently
3. ‘tutup mata’ attitude towards obvious low yield spending by some h.o.d’s (btw, most gov specialists still demand their free lunches from pharm companies)
4. lack of proper supervision from the top to bottom ..pengarah –> h.o.d –> specialist –> m.o –> h.o… but then the problem is also bottom to top.. too many h.o’s –> m.o’s who are not interested in work since specialisation prospects are ‘biased’ –> specialists who are clinically competent but have no idea about finance/organizational strategy/etc –> h.o.d’s who never made it successful in private practice. (ouch)
5. weak as hell MMA, who is presided by a cardiologist with heavy interests in private practice.
many many more reasons do exist. no solutions being implemented.
anyway, if you are not planning to approve my previous comment (freedom of speech is non existent, thus anonymity is a sanctity in Malaysia), at least approve this comment.
We need to seriously employ management consultants in hospitals, to look at the ‘problem’ which is unique to every state (cultural + economic + political differences)/14 different states= absurd for a one size fits all strategy.
Nah, unlikely. Join private hospitals or insurance companies, wait for the phoenix rebirth, then.
I approve all comments. I support freedom of speech but you need to wait as I am not sitting infront of the computer all the time!
haha!! touche! 😛
yup..we are going to 3rd world just like CUBA…
MALAYSIA and CUBA has 1similarity: health care system in both counteries are subsidized by the government.
i’m not surprised when our health care system is almost to CUBA.
“subsidy bring down productivity”