Sunday, November 20, 2011

The Storm has Come

Much warning has been given regarding the "Storm" in the country. For relevant articles you can read on a few of the following:
1. "The Storm is coming..."
2. "Storm is coming" for medical profession
3. The Standard of Medical education
4. The Impending Disaster

With the reference to articles above, I think "storm" is the common word now to be used to describe this disaster. Perhaps the incidences below will give you more idea on the severity of the matter.

Heard these from various sources:
1. Intern referred a case to cardio for chest pain TRO ACS. ECG showed "giant Q waves" (new invented term) and patient's "stable". It was found out later patient was actually having Ventricular Tachycardia and just left in yellow zone and nothing was done.

2. After being commented on mistakes, intern became emotionally unstable and pointing the needle to the senior's throat and asked him to "shut up". Just dramatic like in a movie.

3. Intern was found to take ABG from patient's carotid artery.

4. Intern was asked to serve IV Dextrose to a hypoglycemic patient. Later the nurse found that the patient actually had no branula. The patient next bed, witnessed that the intern actually shot all the dextrose into waste bin.

There are many more. These are just the complication of chasing "cheap & fast" med graduates, and patients are the one who ultimately suffer. Instead of advancing, the system is actually driven to the totally opposite direction - and very near to the other end.

Disclaimer:
To any laymen/non-medical ppl, pls view the stories as fictions. The ppl & location is very non-specific, or even nonexistent.

p.s: I'm not trying to be harsh, everyone of us made mistakes when we were new, but the bottomline is even before any benefit you're going to offer, DO NO HARM. This is the first medical ethic that we learnt. You don't have to be the smartest, but you must be a safe doc - at least you know what not to do!
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Sunday, November 06, 2011

How to choose your Specialty?

(From doctorshangout)
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Quite true..and absolutely hilarious! ;)
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Friday, November 04, 2011

Help Cambodia

A physician friend of mine has sent me this email. With his permission, I'd like to share this out hoping to gather more help.

"Dear everyone,

We had planned months ago to go to Cambodia on Nov 6-10, to visit the temples in Angkor. Today, we found out that there has been flooding since August 2011. This made us hesitate slightly, but we've now decided to go ahead anyway. Instead of seeing Angkor however, we will volunteer with the flood relief efforts in Battambang.

We will help DCO and CWARS with medical/logistics in Battambang, for the entire five days of our trip. Battambang is the rice capital of Cambodia, where 170,000 hectares is now destroyed. The city has a lot of flood-displaced people now, given that it's on relatively higher ground, and is the biggest city in the province. I have spoken to DCO, CWARS and a New York Times journalist to find out more about the situation on the ground.

The floods in Cambodia are little-publicised, mostly due to the concurrent (and “popular”) floods in Thailand/Bangkok. Devastatingly, the Cambodian floods have hit 75% of the country since August 2011, and there have been at least 60 deaths so far (the fewer people die in natural disasters = the more survivors you have to care for). The water is receding, and now "the tips of ruined rice stalks peek above the surface". In Battambang, we're looking at upwards of 6000 displaced people managed by the two NGOs, facing hunger, diarrhoea and water-borne illnesses.

1.2 million people are displaced (8% of the population), and the young government is incapable of rendering aid, leaving NGOs to fill the gap. The Thailand government is richer and more stable, and they have activated their military – these options are unavailable to Cambodia.

Therefore, we'd like to plead for your help, during this difficult time for an already-unlucky country. Please consider donating any amount that you'd like to the flood relief efforts in Cambodia. One option is to donate directly to any flood relief appeals in your country.

Alternatively, please pledge any amount you'd like to us, and any pledges we receive by email/text message before we fly off from Singapore on 6 Nov, will be converted into cash and brought to Cambodia for the NGOs we are working with. The cash will be used to purchase medicines, food and water. Clean water is the obvious need, and I aim to have a long-term practical solution to this problem, and will concentrate resources to this end. A preliminary idea is to use Lifestraw as a short-to-medium term answer. Longer-term plans will be to engage the government/raise media awareness to have proper piping systems, but this is multi-stakeholder challenge.

For transparency, all pledges will be made public, unless you opt out of this arrangement. Receipts and acknowledgements from the NGO/flood appeals will be provided wherever possible.

Many best wishes,
Kar Yee and Swee Kheng"

Let's do something to help the unlucky ones. Anyone who wishes to make the donation can contact Swee Kheng here.

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