Health care issues

My thoughts on a few health care issues that were highlighted recently in the papers:

Qualifying exam for doctors

First it was exams for those graduating from unrecognised universities, and now this. It seems that the Ministry of Health has got little to do these days. All in the name of safeguarding the standards of new doctors in this country. So what is the reason for recognising a university anyway, if you don't want to trust the doctors they produce? And what about the standards of doctors coming right out of our medical universities here? While the Ministry is right about safeguarding the standard of medical care in this country, they must understand such a measure entails additional cost expenditure and time. Currently it takes about six months from the time these doctors graduate until they start work (if they pass their exams). Imagine if this was to apply to all the doctors graduating from foreign medical schools. Time we cannot waste while the whole public health care remains under considerable strain.

30 protest over ambulance blunder

Not another one! It appears the lesson of two months ago has not filtered down to the grassroots level. All ambulances must be available, in working condition and fully fueled at all times, especially those identified for inter-hospital transfers. It is this simple! Ensure proper individuals are in-charge; perform regular spotchecks. Offenders have to be punished. Where possible such a rule must encompass the basic minimum equipment needed for transfers: here the ambulance oxygen supply and resuscitation equipment is usually overlooked. It is also essential that medical transfers are performed by trained personnel, whether it be a doctor or a paramedic. Ambulance services is essential and it is time the Health Minister pays attention. Don't go around spending millions promoting practice of traditional Chinese alternative medicine when even the basic services are in shambles! We don't want incidents such as this and in Seberang Prai to happen all over again. Please get your priorities right Mr. Chua!

Chan wants report on asthma death at LCCT

I wonder why this has caught the attention of the Deputy Transport Minister when the Health Minister and Director-General of Health did not see it fit to be on their agenda. And this coming in the wake of a well-known entertainer having a heart attack just a few short months back at the LCCT! So much for promises of medical services there. Obviously nothing has been done. And now another person has died. While there is a medical clinic (presumably) at the KLIA, none is available at the LCCT; and we know how far apart the two are. If one gets a severe asthma attack, heart attack or something that requires immediate medical attention I wonder where he/she would get the help from. The nearest hospital (Serdang or Putrajaya) would be 30 minutes away at least. One would be already dead by the time they arrive! But I can see that no amount of deaths among commoners would suffice. I think it has to be a well-publicised death of a VVIP or foreign national (where our local media could not suppress) to bring this the attention it needs.

More dengue deaths

Dengue fever is an endemic disease in this country. It gets more attention than another major killer - malaria - because it primarily affects urban areas. We can go into the various details, but suffice to say that the number of cases are increasing because of increased awareness, change in strain of the virus itself and environmental promotion of breeding of the Aedes mosquito. Urban hospitals are continuously under strain to admit patients suspected to have dengue fever; while admission is always advisable, it is never practical. We can build a whole new hospital for dengue fever patients and it would still be overcrowded. The public must be made aware of the important signs and symptoms of the disease (there's hardly, if any, public health awareness programmes on the television or radio!) and not to see a doctor just because of a fever. General practitioners must also play their role in giving out proper medical advice and also exercise judicious blood investigations. Medical officers in government hospitals must be doubly alert as they need to triage the ones needing admission. And finally public health officials must do their job in controlling the breeding places of the vectors of this virus.

New hospital’s ceiling panels fall off

Not again! Now this involves the new Sultan Abdul Halim hospital in Kedah. Well, with problems plaguing each and every new hospital that is being built I'm not surprised. It'll be a matter of time before something happens and kills someone. I shudder at the thought of that, killed in a place that is meant to save lives! Of course until then the government will continue to turn a blind eye to things... Seriously though, how can they not see some steps have to be taken to rectify the shoddy workmanship that has been affecting government buildings recently - hospitals, the Parliament, government offices in Putrajaya and the new court complex? In other countries action would have been taken immediately (just look at our neighbour down south!) This is indeed Bolehland...