Im not done with primary healthcare always being at the lowest of the food chain. Primary healthcare in malaysia is being treated like an isolated department which deals with useless cases. Instead of structural integration of primary healthcare as part of the healthcare system, Primary healthcare doctors are always labelled as doctor tekak and mc.
Everyone keep saying emergency department is being misused, abused and flooded by non emergency cases. What is done to change that? Nothing.
Imagine the workload reduction for doctors, specialists, consultants in tertiary centre if we are able to manage 80% of chronic diseases like diabetes, hypertension, cholesterol, astha, thyroid without letting it slip into their absolutely horrendous side effect counterparts?
Infact primary healthcare physician job is to educate on chronic diseases and bring awareness of medical war ie obesity, anti vaccination, unwanted pregnancy, diabetes and high blood complications, correct the myth of misinterpretion about how taking multiple medicine can lead to dialysis and kidney failure. We have the power to educate on contraceptions usage and monitor blood sugar and blood pressure efficiently at any given days. We are the first barrier to healthcare.
Another topic to discuss next day.
Kk and gp. Should have worked hand in hand. But there are still misconception about kk ubat is more power than gp’s ubat. Padahal same ubat.
Why because many doctors going into gps wanna earn fast money from medicine. Gp undercuting one another. Chain Gp is now a business instead of healthcare service. Majority Gps have lost touch of the golden family ties. Nada. Nil. Zero.
Many Gps have not lived by the dictum “prevention is better than cure” coz money seems the best unfortunately.
Also, what do we get most of the time? Being looked down upon and verbally abused by hospital doctors. Being labelled doctor tekak and doctor mc. And the list goes on and on and on and on. 🥶
Lastly, to all my friends and public strangers, i will not be nice anymore next time you ask me this:
What do u do?
Im a doctor.
So What do u specialise in?
Im a family doctor ie Gp.
Oh doctor dont wanna specialise?
OR
Doctor are you in aesthetic?
Like no. *shoot! Bazooka! Laser! Headhsot!
I love what im doing. Im a primary healthcare doctor who deals with everything under the sun. I vouch to be the first contact for u and your family. To ask for advice. To speak to confidentially about your unprotected sex, about how your life is driving you nuts ie depression, about stupid issues that you cant seem to shake off ie anxiety/ocd, to discuss on effectiveness of managements, cheaper costs of management.
Wtf. Just because you guys cant google ligitation management or law pointers, u all bully the profession who studied freaking 5yrs in medicine.
Imagine going to a lawyer and then demand for a consultation. Then complain why so expensive wan!
That asides, big business in chain clinics are paying peanuts for locum. Rm 35-40 per hour! How cheap. And junior doctors and many still get cheated. TBH we deserve it because many of us whore ourselves. And of course the supply is way more than demand.
Let me reiterate:
Our worth is not rm 40/ hour.
Oud worth is not consultation of rm5-15/patient.
Then want to cry when pharmacist fight for dispensing seperation!
People really underestimate the importance of primary healthcare. Maybe because of some nila, rosak susu sebelanga. Hospital green zone should shut off urti, dandruff but we cant. Everything is so bloody messed up.
Whatever la. I will advocate what and who i can.
As comparison to other first world countries, primary healthcare importance in my desr country has a a big contrasting effort.
#riphealthcare END OF RANTING.
