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Lagi kisah doktor kerajaan tak professional
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pada patient yg underwent chemotherapy and have difficulty to insert IV line ..
My suggestion would be, try for chemoport ...
A bit expensive. but for long term ok lah ..... senang sikit nak masuk c ...
edry_faizi Post at 10-10-2009 19:36
Salam,
Sama la tu..chemo port ngan hickmans line. |
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Post Last Edit by blackmore at 10-10-2009 21:55
Post Last Edit by cik_einn at 10-10-2009 03:41
u dont even know how was the situation look like at kuantan hospital (since u bukan local pun) and yet u senang jek nk kasik pendapat songsang. ...pendapat songsang???....pendapat songsang yang macam mana tu??...adakah kerana aku kasi penjelasan tentang the issues yang ko brought up tu maka pendapat yang aku berikan itu songsang???...
Segelintir nurses kuantan sana mmg buat kerja kasar, undoubtedly, as if they were enjoying themselves prick patient. Jarum yg digunakan oleh hospital kuantan pelik kot, sbb bila sampai kt hospital ampang, nurse sana gelak2 tgk tgn adik i pakai jarum kaler biru sbb diaorang kata jarum tu besar...diaorang guna jarum kaler pink. Dan banyak lagi la mende2 pelik yg hospital ampang tak buat, hospital kuantan buat ujikaji kt adik i tu... ...for your info...jarum kaler biru is of smaller gauge...yang kaler pink tu lagik besar sikit daripada kaler biru...these brannulas are of standard colours... apa brands pon...kaler pink lagik besar daripada kaler biru...kalau aku silap on this aku harap rakan2 medik kita bley perbetulkan aku...and aku mintak maaf in aderbance kalau aku silap...tapi aku rasa2 tidak kot...kalau misi2 kat ampang cakap kaler pink lagik kecil daripada kaler biru...then macam aku nak gelakkan mereka pulak lerrr...
...eerrr...pada ko lah...perbuatan misi2 ampang gelak2 tengok tangan adik ko yang pakai jarum kaler biru tu professional dan elok sangat ke??...talk about songsang...tak songsang ke perbuatan mereka tu??...as a patient...didnt your sis feel offended bila digelakkan oleh mereka??...
and one more thing, u jgn cakap doktor hospital ampang buat2 terkejut tgk tangan adik tu semata2 nk impressed our family just bcoz we send letter to PM, i believe doc kt ampang didnt know pun about it. Tp seperti yg i cakap sebelum ni..doc2 kt hospital ampang tu generally bagus2 dan very attentive, mereka pulak yg bising kt adik i ..suruh komplen pasal tangan tu, sbb masa tht thing happened adik i belum penah kemo lagi. Hanya doc yg bagus je tak akan bersekongkol dgn doc yg suka buat cuai...kannnn??? dalam ramai2 tu syukurlah ada jugak doc yg simpati...bukan melayu pulak tu... ...setahu akulah...hospital2 nie they are in contacts with one another...kalau dorang nak transfer pesakit to another hospital...the ward staff dah siang2 talipon the receiving hospital and update them on the patient's condition...investigations that have been done...dan sebagainya...termasuk kasi warning pesakit nie cerewet ke...p.roblematic ke...dan in your case...dah hantar surat complain kat pm...jangan tak tau...perkara nie is a 100% probability...
sebenarnya banyak lagi mistakes yg hospital kuantan buat dlm tempoh 15 hari adik i dok sana, tp malas i nk cite..heboh kt sini pun buat apa, after all i dah launch complaints kt channel yg sepatutnya....kang ada pulak doktor2 yg nak backing rakan sendiri ...this is genuine case, buat apa nk tipu...tak untung pun, i nk highlight becoz i taknak orang lain terkena lagi....itu je. ...truly...aku betul2 simpati ngan nasib adik ko yang had to go thru all these unhappiness while shes being treated for her cancer...whatever yang ko citer kat sini tak pernah aku sangkalkan as being untrue...in fact aku tau ko masih marah...your postings show it all...full of angst...posting2 aku bukanlah bertujuan untuk menidakkan apa yang ko kata...bukan jugak nak backing those kuantan nurses yang kasar2 dan drs yang tak tau kerja mereka...im in the healthcare service too...aku cuma nak shed some light on what could have been the situation like on the medical punya side...cos as u noe...theres always 2 sides to a story...
blackmore u r in no position to comment since u dont have first hand experience so ..pls dont comment and put forward nasty remark.... ...i may not have first hand experience as a patient yang received bad nursing/medical care...but i certainly have first hand experiences dealing with unhappy patients...sebahagian tu memang patut jugak mereka buat aduan...tapi...ada jugak segelintir pesakit yang saja2 complain itu ini...ada2 saja yang mereka tak puashati...and in the end...rupa2nya...what they really want was a waiver in their hospital bill...kalau postings aku mengandungi nasty remarks...please accept my apology..
i cuma harap staf hospital yg bekerja tu tak kira la pangkat apa sekali pun..bekerja la dgn niat ikhlas kerana allah taala...insya allah mudah2an semua kerja menjadi dan dapat barakah..
cik_einn Post at 10-10-2009 02:06 ...ditto to that... |
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Salam,
Lain kali, kalau terjumpa abg dia pulak masuk hospital, jawab la balik..ko ingat ko sape?ko tau sape aku?huhu...br dia tau..kerek x bertempat. |
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Salam,
Lain kali, kalau terjumpa abg dia pulak masuk hospital, jawab la balik..ko ingat ko sape?ko tau sape aku?huhu...br dia tau..kerek x bertempat.
firdaruddin Post at 11-10-2009 01:53
tu la...abg aku ckp tunggu dia masuk hospital plak... sebelum operate ke ape,bg dia pakai oxygen.....tp jgn buh oxygen...kentut ramai2 bg dia sedut.... |
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tu la...abg aku ckp tunggu dia masuk hospital plak... sebelum operate ke ape,bg dia pakai oxygen.....tp jgn buh oxygen...kentut ramai2 bg dia sedut....
atomicman Post at 11-10-2009 01:57
salam,
Ko bg je dia sedut ammonia skit...bagi pening2....pastu kentut la muka dia ramai2..cheh.. off topic plak...back to topic, please. |
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...maksud aku senang saja...nak insert a cannula is not an easy procedure kalau ko punya vein tak prominent...very fine or dah fibrosed...isu incompetency??...not likely becos yang aku tau...these pple must have gone thru training and competency check before they are allowed to perform the procedure...aku rasa ini standard protocol for any hospitals...
- ye la..manual instruction untuk cara2 nak cari urat salurdarah tu aku nak tau buat apa.....tapi ko ada sebut 'jika'(yg ni aku malas nak tepek...ko baca balik karangan ko tu)...meaning that 'jika' diorang skillful enuff, diorang able to do such that (kebanggaan dept bla bla bla tu la)...rite..?kalau dah antar training pon masih takde ability lagi, bukan incompetent ke tu..?
...leh???...bila masa plak aku repeatedly cakap bruises nie are small matters...ada pernah ke aku cakap camtu??...kalau ada...please tepek kat sini yang aku cakap bruises tu small matter..
-lehh..??bila masa aku kata ko yg repeatedly cakap bruises ni small matter..?aku kata it has been repeatedly stated in here la -->(www.cari.com.my>>Doktor Perubatan & Farmasi>>Lagi kisah doktor kerajaan tak professional)..aku nak tepek malas...ko baca balik from the 1st page la bai...u'll find it....
...i believe the ampang drs will take extra care on the way they manage this patient and their families to avoid another complaint letter...thats all...and tak salah kan kalau they take extra care and caution...afterall...yang benefitted from it would be the patient...cuma...i do not agree bila dorang passed negative comments about their counterparts...to me...that showed their lack of integrity...that is not professional of them...not ethical...a doctor should refrain from making gratuitous and unsustainable comments which whether expressly or by implication set out to undermine the trust in a professional colleague's knowledge or skills...
- avoid complaint letters for doing what..?giving them the right info and stand up for the counterpart..?taking extra care and caution by doing it unprofessionally tu tang mana yg tak salahnya..?
...is that how u feel??...the gp is an idiot??...aku tak cakap pon gp tu is an idiot...tapi bila ko baca citer aku...u came up with the assumption yang gp tu is an idiot...heh...ive got nothing else to say...
- why the hell should i assume otherwise..?ko memang la tak cakap, tapi dalam penceritaan ko,point kat GP tu takde bernada positif pon...takde tunjuk pon any smart move from him/her..all the negativity was clearly pointed to the GP..aiyaa...ini lu punya sindli celite maaa...
..drs are human afterall...arent we all??..
if u care to narrow the phrase down, u may spot the difference.. |
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Post Last Edit by blackmore at 12-10-2009 00:17
...maksud aku senang saja...nak insert a cannula is not an easy procedure kalau ko punya vein tak prominent...very fine or dah fibrosed...isu incompetency??...not likely becos yang aku tau...these ppl ...
Rayz_1 Post at 11-10-2009 02:48 ...rayz...manual tu sekadar menunjuk cara2 bagaimana nak cucuk jarum dan which veins yang commonly used to cannulate...
...cuba ko panggil a few of your frens...ko carik members yang kurus...yang gebu...yang gemuk...yang kulit cerah...yang kulit gelap...dan kalau ko ada budak2 kecik...ko kumpulkan dorang jugak...kalau ada baby pon bley...pastu ko tengok dan periksa the veins on their hands...ko bandingkan ngan the ones yang on your hands...sama tak??...kalau veins kat tangan ko prominent...ie...senang nampak dan timbul2...adakah veins on these other pple sama ngan ko??....tentu sekali tidak kan??...individuals yang berisi veins dorang agak deep seated...sukar tuk kita melihatnya...even after applying the torniquet...kalau sukar to visualise these veins...we use another method of palpating/feeling for the veins...which can be difficult jugak kalau the patient is fleshy...
...besides being skilful...it also depends on the veins yang u have to cannulate...kalau dapat veins yang baik...sekali cucuk dah cukup...kalau dapat veins yang agak mencabar...even if u are skilful...u may not necessarily berjaya with just one attempt saja...it is said that anaesthetists are the most skilful pple when come to cannulation...but...ive seen many anaesthetist yang took more than one attempts in cannulation...does this mean that they are incompetent???...definitely not...yang membuat tugas mereka sukar are the difficult veins of the patients....
avoid complaint letters for doing what..?giving them the right info and stand up for the counterpart..?taking extra care and caution by doing it unprofessionally tu tang mana yg tak salahnya..? ...katakanlah u are a salesman...then your colleague happened to encounter one very difficult and rude customer yang dia dah tak bley nak handle lagik...so...this colleague of yours called u and let u noe that he is referring one customer to u...and he mentioned also that this customer is very difficult and rude and has the potential to lodge a complaint to the higher management kalau dia tak berpuashati ngan layanan yang diberi padanya...and your colleague asked u to be extra tactful and patient when handling her later...now i asked u...is your colleague being unprofessional when he pre-empt u of this difficult and rude customer??...him informing u to give your extra extra super service to this particular customer salah tak??...well...by rite u have to treat all customers equally...but...there are some yang would expect a super extra service from us...same goes to the patients in the ward...
why the hell should i assume otherwise..?ko memang la tak cakap, tapi dalam penceritaan ko,point kat GP tu takde bernada positif pon...takde tunjuk pon any smart move from him/her..all the negativity was clearly pointed to the GP..aiyaa...ini lu punya sindli celite maaa... ...yelah...citer aku...tapi perception formed by readers are not mine...tu hak korang...personally...aku tak beranggapan yang gp tu is an idiot...but kalau ko rasa from my story yang tak bernada positif nie gp tu is an idiot...then thats your prerogative...
...samalah ngan citer2 yang korang tepek kat sini...kebanyakannya yang bernada negative tentang the medical/nursing personnels...and as someone yang working in the healthcare service...and has first hand experiences in handling all types of patients...aku cuma ingin shed some lights on what is the normal or standard procedure within the healthcare industry nie...so that...korang will have better understanding on the issues yang being raised rather than jumping into conclusion...
...aku kasi contoh lagik...pesakit diberikan obat A tuk merawat penyakitnya...then...selepas makan obat A tu...dia mendapat alahan yang teruk...to some layman...dorang kata dr telah tersalah kasi obat sebab tu dia dapat alahan yang teruk...dan dr yang prescribed that medicine dipersalahkan...but...in medicine...this is what we call as an allergic reaction...this is not a medication error...and is of nobody's fault...
...but...if pesakit tadi memang dah ada kes allergic pada obat A tu dan dr yang merawat somehow memberi dia obat A...then this is a case of negligent...a medication error has occured and an incident report must be put up...pesakit mesti diberi rawatan ngan segera dan segala cost rawatan yang terbabit ngan this negligent act ditanggung oleh pihak spital...
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Post Last Edit by blackmore at 12-10-2009 00:17
...cuba ko panggil a few of your frens...ko carik members yang kurus...yang gebu...yang gemuk...yang kulit cerah...yang kulit gelap...dan kalau ko ada budak2 kecik...ko kumpulkan dorang jugak...kalau ada baby pon bley...pastu ko tengok dan periksa the veins on their hands...ko bandingkan ngan the ones yang on your hands...sama tak??...kalau veins kat tangan ko prominent...ie...senang nampak dan timbul2...adakah veins on these other pple sama ngan ko??....tentu sekali tidak kan??...individuals yang berisi veins dorang agak deep seated...sukar tuk kita melihatnya...even after applying the torniquet...kalau sukar to visualise these veins...we use another method of palpating/feeling for the veins...which can be difficult jugak kalau the patient is fleshy...
...besides being skilful...it also depends on the veins yang u have to cannulate...kalau dapat veins yang baik...sekali cucuk dah cukup...kalau dapat veins yang agak mencabar...even if u are skilful...u may not necessarily berjaya with just one attempt saja...it is said that anaesthetists are the most skilful pple when come to cannulation...but...ive seen many anaesthetist yang took more than one attempts in cannulation...does this mean that they are incompetent???...definitely not...yang membuat tugas mereka sukar are the difficult veins of the patients....
blackmore Post at 11-10-2009 15:05
Salam,
Sukacita juga nak bagi tau pada sesiapa yang tak tau. Pada patient haematologi yang biasa kena chemotheraphy, kebanyakkan urat mereka yang digunakan untuk pasang line tu akan block paling lewat dlm masa seminggu. Paling cepat tu jangan tanya lah.sejam dua dah block. so akan bertukar2 la beberapa kali pada setiap kali admit ke ward. urat u tu pula berkemungkinan BESAR, boleh tenggelam. yup.memang ku katakan tenggelam atau terbenam. Jadi kalau kebanyakkan uratnya dah tenggelam, jangan kan yang noob/newbie, yang expert pun berbuih nak cari kadang2 tu.kalau lucky, dapat la dengan SEKLI cucuk saja. Kalau x, ko try 20 kali pun x tentu dpt lagi. |
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Salam,
Sukacita juga nak bagi tau pada sesiapa yang tak tau. Pada patient haematologi yang biasa kena chemotheraphy, kebanyakkan urat mereka yang digunakan untuk pasang line tu akan block paling ...
firdaruddin Post at 12-10-2009 13:54
betul tu..
some hospital kdg2 dah selalu sgt kena complaint pasal benda ni...wat mcmnie...seseorang doc tu kalu try kali ke 3 x dpt jugak, kena bagi kat pakar/doc senior....so that bg patient sedap ati sikit...haha |
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81# kismis
memang selalunya pegi swasta...cuci gigi semua kat sana...klinik tu pulak lambat bukak..tu yang try pi sana..bodohnye doc.:@ |
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kerja kat govt hospital kan banyak... patient pun ramai sebabnyer murah..
maybe tenaga kerja tak cukup itu yang jadik tensen & berkasar
betoi niii....coz time aku bersalin kat h.selayang....doc n nurse siap mintak maaf kat aku.......coz layanan kurang
coz time tu mmg ramai ngat patient....doc tu pon ckp diorg actually tak cukup org tok cover ngan jumpalah patient yg ramai......tp kes tuan tanah tu gua salute laa..sapa2 yg berada kat situasi mcm tu akan wat benda yg sama.. |
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sadisnya..mayb doktor 2 rse dri dy bguss sangat ........dats y lar angkuh n bongkak dgn jawatan dye tuh...huh... |
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tak sanggup gi spital kerajaan.. nasib bek ada insurans nk g private. |
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[b]aku sokong tuan umah terus komplen kat pm. sbbnye byk kes kite komplen kat pengarah hospital x di layan.
betul tu...kalau komplen kat pengarah takde action pun dia ambil. mcm aku, baru2 aku ada tak puas hati pasal satu klinik kesihatan..kitorang (aku n hubby) dah lama sabar...tapi still nurse2 kat sana tak buat apa yg sepatutnya. so aku emel kat pengarah kesihatan batu pahat
hmmmm sampai ke hari ni takde tindakan je..aku ngan hubby dah malas pi sana..
kitorang nak bwk anak pi private je pasni.. |
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ada duit x payah la pergi kat hospital yg free tu..tp nanti bila x ada duit...hospital yg korang hina tu jgk ler korang dok minta tagih simpati menyembuhkan anda dan keluarga anda nanti... |
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nasib baik la doctor ni skema2 ...kalau jenis mcm aku la dapat patientmcmnie....mmg sumbat kasut lah pada seko2 yg wat perangai BODOHmacamnie...
- beza antara abg ko dgn ko, abg ko mmg selayaknya jadi doktor....
[/quote]so moral of the story...kadang2 Family pd Patient yg x tahu apa2 ttg medical dan wat2 pandai mmg menyusahkan kerja doctor...dia google situ sikit sini sikit pastu wat ckp pandai...sungguh menyusahkan.
- tapi kalau tak buat2 pandai sikit dan meng google sikit2,nanti senang pulak diperbodoh2kan oleh doktor pulak nantinya..dak gitu..? |
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ada duit x payah la pergi kat hospital yg free tu..tp nanti bila x ada duit...hospital yg korang hina tu jgk ler korang dok minta tagih simpati menyembuhkan anda dan keluarga anda nanti...
atomicman Post at 14-10-2009 02:07
pegi tetap pegi bai...janji spital...tapi sebelum pegi kena le tau serba sedikit kemungkinan2 yg ada... |
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Post Last Edit by Rayz_1 at 18-10-2009 06:39
[quote] Post Last Editby blackmore at 12-10-2009 00:17
...cuba ko panggil afew of your frens...ko carik members yang kurus...yang gebu...yang gemuk...yangkulit cerah...yang kulit gelap...dan kalau ko ada budak2 kecik...ko kumpulkandorang jugak...kalau ada baby pon bley...pastu ko tengok dan periksa the veinson their hands...ko bandingkan ngan the ones yang on your hands...samatak??...kalau veins kat tangan ko prominent...ie...senang nampak dantimbul2...adakah veins on these other pple sama ngan ko??....tentu sekali tidakkan??...individualsyang berisi veins dorang agak deep seated...sukar tuk kita melihatnya...evenafter applying the torniquet...kalau sukar to visualise these veins...we useanother method of palpating/feeling for the veins...which can be difficultjugak kalau the patient is fleshy...
- waa...kebetulan...last year aku and the gang (4 of us) ada gi menderma darah utk member kat spital, kita orang gi on different day and it was my first time, yg lelain tu dah pernah 2-3 kali la kot...kalau ko nak tau, yg paling seksa kena cucuk ialah member aku yg urat tangan berselirat cam mee maggie tu..compare dengan tangan aku and the other two,member aku yg terseksa nih la yg ketara sgt timbul urat tangannya...aku lupa apa ayat yg dia sound kat nurse tu tapi ada membabitkan perkataan'lempang' la jugak...takpe..nanti aku try tanya dia balik whether dia igt lagi dak apa ayat yg beliau guna waktu tu...yg aku pulak ok je..mmg aku tak terasa langsung jarum tu tembus kat lengan aku...tau2 je nurse tu kata dah settle…member aku yg lagi 2 tu pon ok je walaupon yg sorang tu boleh dikatakan urat kat lengan beliau adalah dari kategori terbenam…...lepas ni ko nak suruh aku test pe mende lak ..?camni la...aku sendiri pon ada banyak cerita yg aku sendiri encounter yg boleh relate dgn isu yg diperbincangkan ni, tapi ini bukan thread aku,senang camni je la..ko jawab aje 'ye' atau 'tak'..integriti kat ko...lepasni aku tak tanya lagi...soalannya:mustahil atau tidak nurse/doktor tersebut mengambil darah dengan sekali percubaan sahaja..?tu je cukup...
...katakanlah u are asalesman...then your colleague happened to encounter one very difficult andrude customer yang dia dah tak bley nak handle lagik...so...this colleague ofyours called u and let u noe that he is referring one customer to u...and hementioned also that this customer is very difficult and rude and has thepotential to lodge a complaint to the higher management kalau dia takberpuashati ngan layanan yang diberi padanya...and your colleague asked u to beextra tactful and patient when handling her later...now i asked u...is yourcolleague being unprofessional when he pre-empt u of this difficult and rudecustomer??...him informing u to give your extra extra super service to thisparticular customer salah tak??...well...by rite u have to treat all customersequally...but...there are some yang would expect a super extra service fromus...same goes to the patients in the ward...
ok..let say ko the first salesman, aku the second one...lepas ko antar customer to kat aku and alert aku, adakah ko expect aku ;1)pertahankan ethics by giving the customer the same explanation same as u did but with different approach from different angle or 2)ko expect aku menipu dia dgn memburuk2kan ko sebab aku takut customer to lodge
complaint..?tapi aku nak tanya ko,apakah situasinya disini...?adakah aku dgn ko adalah salesman under the same team with the same target or kita ni rival yg rebutkan komisen..?kalau same team, aku pilih no 1 (yg ni aku refer kepada statement ko yg mengatakan hubungan antara doktor di malaysiai ni adalah baik,kalau dah baik takkan nak tikam belakang plak..ye dak..?tepek2 aku takmau..nak kalu..ko selak sindri), kalau rival,no 2 tu paling menguntungkan aku(yg ni aku refer bila ko fikir yg kemungkinan perbuatan doktor ampang tu memburuk2kan doktor kuantan sebagai mengambik hati dan untungnya ialah beliau tidak akan dikomplen)...lagipun,kalau ko aware with the risk, pe jadah ko nak refer customer tu kat aku..ye dak..?dalam kes salesman ko nih, customer tu berpotensi sahaja untuk buat komplen to the higher level,tapi tak buat lagi kan..?bergantung kepada layanan salesman kedua kan..?tapi dalam tuan rumah punya case, complaint dah dibuat dah pon...agaknya kalau la 'salesman' ampang tu mempertahankan 'salesman' kuantan tu, adakah tuan rumah ini akan lodge another complaint atau tuan rumah ini akan malu dengan sendirinya..?melainkan tuan rumah ini memang mempunyai hobi mengarang komplen,that's another story lah...
...yelah...citeraku...tapi perception formed by readers are not mine...tu hakkorang...personally...aku tak beranggapan yang gp tu is an idiot...but kalau korasa from my story yang tak bernada positif nie gp tu is an idiot...then thatsyour prerogative...
Ok..the gp is a complete idiot.
..samalah ngan citer2yang korang tepek kat sini...kebanyakannya yang bernada negative tentang themedical/nursing personnels...and as someone yang working in the healthcareservice...and has first hand experiences in handling all types ofpatients...aku cuma ingin shed some lights on what is the normal or standardprocedure within the healthcare industry nie...so that...korang will havebetter understanding on the issues yang being raised rather than jumping intoconclusion...
usaha ko 'shed some lights' tu aku rasa semua org dlm ni appreciate (agaknya la, but i know i do), cumanya apa yg aku paham di sini issue yg cuba diperbincangkan ialah the 'darkside' of healthcare service...not the lights...and one more thing,not conclusion, experienced... |
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