what's it like to be in their shoes..?

Sibuk sikit mbeli barang2rumah kat Aik Hoe..Biasala kalo la beli barang rumah..mata xsah kalo x dapat glaucoma dengan harga barang..terutamanya barang2bilik air..mahal2semuanya.tiber2..

No wonder nama kedai Aik Hoe..asyik sebut "aik..aik..aik" setelah meneliti harga baranag...sambil pembantu kedai pun jawab "ho..ho..ho"...

 "doktor beli barang? ingat x anak saya"-ayah patient sambil hulurkan salam..

"oooo..anak encik masuk ward kanak2ker?sihat dah la ni"?-tekaan mengagak tanda tak ingat tp
nk jugak jagahati keluarga pesakit.

"sihat apa nya doktor..anak saya kan dah mati dulu kat PICU..doktor la yang tengok ( then clearly i remember a very unfortunate boy who died 2 months ago in our ICU).
"huh?maaf2saya silap..pesakit lain kot..saya kdg2 tertukar..minta maaf mak/ayah dia"..(terlajak bicara..cubaan menggulung kembali kesilapan lidah meneka rawak peristiwa masa lepas)..saya minta maaf mmg betul dr hati n otak yg byk lupa"..

"beli barang rumah encik?"-tanya utk alih topic.

"kami nk cari perkAkas baru sbb dh pindah rumah baru..xboleh duduk rumah lama sbb bayangan arwah masih membuatkan kami sedih sangat kalau tinggal rumah lama.."balas ayahnya..

I can understand that..some of them couldnt even hear their child's name being said,or meeting any doctor who have treated their child since it is too traumatic to think back the memories of the losses ..up to some extents even seeing the hospital building makes their heart aches.

Ni  bukan kali keempat atau kelima..mau dh byk kali salah aku teka..tp byk jugop aku teka tepat kalo hal2 mcm ni terjadi.

But i remember the boy since the parents are so cooperative when he was terminally ill..he groaned in pain which was only partially relieved by morphine infusion..but with the severe pain  he was still cooperative to let us examined him during our daily routine rounds..some children might extremely throw into tantrums,verbally become abusive or very difficult to handle but unlike him..he was still persistently showed his respect to us even we have 'nothing' to offer as a cure.tp apa yg menyentuh perasaan adlh bila melihat parents yg x fussy membantu jagarawatan wpun anak dah nazak..akhirnya the boy went to rest in peace with God with the echoic screaming pain.

..Mcmana nk buat kuala terengganu sahaja populasi rakyat 1 juta..kalo 40% adalah kanak2.maka2buat lah perkadaran linear sendiri utk dptkn nilai 'x' tu.. N then yang pernah dirawat setiap tahun bertambah sure otak xdpt ingat sangat semua pesakit or bekas2pesakit.

But from my direct observation for a social dynamic aspect..Terengganuan is actually a nice n unique Group of peoples who are really well attached about this kind of attitude..kalo jumpa kita kat luAr waktu kerja pun masih menghulurkn sillaturrahim wpun scr teknikalnya kita bukan lagi merawat ahli famili mereka..

Cuma sesetengah org Terengganu are 'unique' in another way round..kdg2 kita pun xmampu nk handle kepelikkan mereka..

Kalo kat ward cuba la tengok..kdg2 dtg melawat pesakit lain tp diziarah hampir separuh ward..yg hebat lg kadang2 xde kaitan keluarga pun mcm buat routine round tanya diagnosis pesakit lain..

Blom lagi kes sekampung datang melawat n then terus berekreasi kt ward..pesakit pun xselesa nk rehat.

Do they know that the children also need a good rest when they are ill..

 Xpun kadang2mmg concern sampai kita cakap dgn pesakit tiba2 yang tanya soalan adalah katil sebelah..worse..yg menziarah plop tanya.

Xpun yg datang n mgharapkn antibiotic segera..mcm drive thru..yg dh started plop baru satu hari dah nak balik..

Thus, kita yg menyediakan servis kesihatan terpaksa la memahami jugop kelakuan2 n habit serta situasi mereka yg kita rawat..

 Jangan kita marah plop semata2makcik mintak AOR discharge.. yg anak ramai nak jaga kat rumah so mmgla ada pikiran xsenang bg ibu yg mjaga bbndg seorg yg sakit di wad..mungkin kalo kita kaunsel elok2 dia phm n xjadi discharge.

Xpun jgn la kita ingat semua level pendidikan sama dgn kita..ada org jauh di luarbandar.. anak terlantar xboleh bangun baru nak bawsk dtg hospitAl in which generally it is too late..tp ada jugop yg demam baru pagi tadi dah bawak terus..jadi kena tanya n educate them properly..some of them are so glad if we pour some new knowledges on good parenting in monitoring health status at home.

some parents can digest this kind of explaination..but majority most likely cannot..

Akhir kata..sama2la kita menjaga mereka kerana kalau kita sakit sure kita mgharapkn org paham kesakitan n kesusahan kita..

Learn to understand others..even they are greatly different with your belief upbringing or social status..or caste..or pocket-fulness..respect their belief and thought..

dare to care..

Lama sangat xmenulis berkurun2..of course bkurun..sbb bersawang blog ni..lagi la lately banyak nk kena pikir..otak rasa macam tersekat cerebrospinal fluid di midbrain..pons pun rasa ketat..bernafas pun gasping n cheyne stokes breathing..whyla december ada 31 hari je bukannya 60 hari..
sebenarnya monsoon kali ni betul2 membekukan idea..agaknya sejuk sgt ..

this monsoon possibly brings a lot of 'happines'

One not-so-fine day,mendung x bersalji di kuala terengganu..dgn awan di langit memberi petanda akan mencurah lagi hujan yang dikandung tanpa gerimis menjadi tanda 'show'..

..A story of A patient who came at 15 minutes past 3pm..tetapi BAKAL diberi date yang lain sbb dah dtg lambat..and now kn sistem dh berkomputer.so kena la ikut jadual staggered time katanya..tmbhn pula doktor semua dh naik ward..

scr xsengaja i met them at the corridor..in front of the clinic..

A very young parents with their small baby..(kebetulan time tu ttinggal barang di klinik..so lps lunch patah balik..terserempak la mereka ni..)

"nak pi mana ni?klinik pakar ker?"..

"ho..lewat sikit hari ni.."jwb ayahnya..

"ni bukan lewat sikit.. lewat banyak ni encik..biasanya kami 2.30pm plg lewat abis clinic"-saje aku bg hints kt dia.

"nak buat mcmana doktor..td anak dr pagi buat pe'el xbhenti nangis..saya plop bawak moto jer..pastu tghari nampak cerah sikit..pg2 tadi gelap guggup alik nung (he means it was too cloudy)"-sambung ayahnya.

"meh masuk dalam saya tengok"-aku sgt tsentuh dh ksusahn dia ni..kalo org xphm sure nak pertikaikn kenapa dtg lewat..tp pernahkh kita bayang mcmana nak bawak moto dgn anak meronta..dahla usianya baru 26 hari..pastu bawak plop naik moto and hari mendung nak hujan monsoon2 ni blom masuk dgn angin sesejuk salju winter sonata lagi..tebal mana sgt la balut cover anak ni menahan rahmat cuaca di bumi pantai timur ni..

Bukala fail HIS nya..fast lane case (means : to-be-seen fast case)..lo..nk check LFT normal ke x je..not more than 10 minutes for me to check it plus physical exam.. the effort required for them to come to clinic was so greatly disproportionate(mcm kesian je)..blom lg td dh nk batal TCA nya..utk tarikh lain..maybe ni bukan luarbiasa berlaku..agaknya pesakit2 di klinik lain pun mungkin menghadapi problem yang sama..

Staff nurse bgtau dh tried call doktor yg jg fastlane few times tp xdpt2..doktor lain semua dh naik..(but personally i think any doctor can be called actually)

It is UNFAIR at all at any given time we subject the patient for another appointment just because a lame excuse as above is the issue..

Patient should have some oppurtunities to have good medical n health services comparable with what private practitioner can offer(wpun ada byk doktor yg pakar demam n selsema jer).

of course ..we dont want to be specialised in this..

If they dont come WE MUST CALL THEM (kena risau kalo mereka xdtg sbb ini tanda kepercayaan mereka pada kita) FIND THE REASON.(jgn marah2plop terus mana tahu ada kematian ke kt rumah mereka..logicla kalo xdtg clinic).

If they want to come BUT they couldnt make it on that particular day..GIVE THEM ANY DATE THAT THEY CAN MAKE IT..EASE THEM ..not dictate them to come first and we see later if u can come or not..of course they cant come eventually..berapa byk pesakit diabetic or HPT.. i believe yg retinopathy ..special age group warga emas mcm diaorg ni xdpt dtg dgn tepat semua temujanji..why bother bg jugop temujanji kalo siang2 dh pakcik n makcik ni bbuih bgtau boleh x amik tarikh lain (but frequently the answer : xpe dtg dulu,kalo xdpt dtg laun ceriter? What a kindergarten answer we provide).

If they can come at another date either to postpone or to make it earlier..DO ACCEPT THEM..since they know better their own needs..TEACH THEM TO CALL US BY LOOKING AT THE CONTACT NUMBER WRITTEN AT THE BACK COVER OF THE APPOINTMENT BOOK..

If they do come MAKE SURE U ASK THEM ANY QUESTIONS THAT THEY WOULD LIKE TO ASK US OR ANYTHING WE COULD HELP THEM?GIVE THEM AN AMPLE OF TIME TO TALK WITH US AND DISCUSS THEIR PROBLEM WITH US..why should we be in hurried..remember that a major effort might been given by them just to attend the follow up(boleh jadi mereka dtg jauh naik bus dr hulu setiu semata2nk suruh doktor check anak cerebral palsy yg mana most of the time the damage is so irreversible and beyond help with no medications can cure it-unless time.so bg la sesuatu yg kita mampu tolong as a doctor.

and to PRACTICE a good medical care sometimes doesnt mean to offer everything UNDER THE SUN..

do NO  harm n unncessary things unto them..

last but not least ...TREAT THEM AS WHAT WE EXPECTED OTHERS TO TREAT US/OUR FAMILY..

Kadang2 kata orang "not all disease need a treatment,sometimes they only need is a care"..

Show some cares..mudahkan hidup orang lain..berfikirlah utk kemudahan pesakit not to finish the clinic early so it will look so effectively done..

*tp kalo ada pesakit yg tikam doktor dgn pisau sbb lmbt tengok tu susah sikit nk komen.

** some patients' parents are also an aggressive type.no doubt, we are so nauseated with them.

sejauh manakah kita jika dibandingkan mereka seperti di bawah :

we can..if we start to be dare to care..

sesuatu yg biasa bg kita boleh jadi luarbiasa utk org lain..