Jan 26, 2013

Human flesh search: From Sharifah to William

I gotta to know this term of 'human flesh search' after watching the artistic movie of 'Caught in the Web'.

It is an intriguing movie about the gloomy reality about human flesh search.

In our neighbouring country, a famous site functions as the ground zero for human flesh search, exposing top scandals and uncivilized practices of the people in the community.

Here in Malaysia, there were 2 major human flesh search in a single month of January.

To be exact, both of the human flesh search do not end up nicely.

Let's start with Ms Sharifah Zohra Jabeen

Sharifah's speech which sounds more like a stand up comedy on a Saturday night took the centrestage in a formal forum.

Her Barisan-esque attitude towards the suggestion of free education went into a complete wrong detour into how animals' problems are worse off than humans, which sounds to me like a complete overstatement.

Since when animals are better of than humans?

Ms Sharifah is just the tip of an iceberg.

One third of Malaysians have the similar mentality as her.

The second one-third have a completely different mentality yet either chose to be quiet or perhaps bold enough only to be keyboard warriors.

The last one-third of Malaysians just couldn't care less, totally apathetic and continuously believe that every blardy thing in the news is politically-driven and politics is a dirty thing.
So dirty that a good distance should be kept. IMHO, this last one-third should be given a tight slap to wake them up from their apathetic slumber.

And that is the reason why our next General Election will be an interesting battle of votes between the first and 2nd one-third. The last one-third will be the deciding factor and thanks to Sharifah's outstanding oral performance, they will probably sway towards the 2nd one-third. Still, there will also be a good percentage of them swaying to first one-third as well.

It is purely a tragedy when Ms Sharifah came out in video (unadulterated, I supposed) telling everyone her original video was altered by the opposition and offering her forgiveness to everyone, as if she was being possessed by the late Mother Theresa.

IMHO, she was a victim herself.

A victim of Balisan's 'pendatang' mindset and the completely lack of insight of her origins similar to our Tun's recent suggestion for the establishment of RCI for pre-independence granting of citizenships.

And we had punished her enough by making fun of her and profited from a small industry based on her infamous 'Listen'.

The undergraduates who clapped ever so loudly for Ms Sharifah also became part of the smaller human flesh search.

IMHO, they all clapped not because they are supportive of Ms Sharifah, but mainly everyone enjoys a bitch fight every now and then.

Basically, most of them belongs to the last one-third who only classify the impromptu debate as another exciting entertainment after the long boring  run-of-the-mill pro-government forum.

Let's move on to William Yau.

Up to date, no definitive evidence surrounding his death.

There were 2 hypothesis so far.

He fooled around and performed gynmastics around the river banks or the shore lines and accidentally fell down to the sea.

Or, he was captured by human traffickers and decided to drown him once his missing news went viral.

The 2nd hypothesis sounds more plausible but nothing in life is that straightforward.

Like most of what our answers to life is 'It's complicated'.

If William was being captured and kidnapped, then people started to doubt whether media and the internet hype have indeed played a major role in his demise.

If it was the media, then everyone in the facebook or blogs or alternative news channels have blood on our hands. William's blood.

But then again, if one can recall, the case was different with Nayati.

He returned safely

If we put ourselves in the kidnappers' shoes, in such situation, they have 2 options at hand.

1. Let the kid go.
This option leads to a higher risk of detection or capture, but lower sentence as they will only be sentenced to jail for kidnapping. A wise move in Nayati's case.

2. Kill the kid.

This option will lead to lower risk of capture, provided the evidence surrounding the kid can be adequately eliminated. However, the sentence for murder would be a heavy one.

This appear like a much moronic option in the case of William as he is definitely younger than Nayati and I doubt William can recognize the kidnappers as well as Nayati, unless he or she is a relative to William (and the plots thickened).

Thus, the kidnappers, if not related to him, could be too panicky and accidentally executed the wrong judgement.

Or maybe, they are so experienced in killing that their brutal killing of William is just as casual as washing car on the Sunday morning.

Personally, I believe that contrary to belief, human flesh search have intense pressure not to the kidnapper, but to the law enforcer of our country and our leaders.

There are many cases of kidnapping that seems getting more and more rampant and the proper authority just go on with their usual tempo, unless the pressure of media comes in.

And through this 2 human flesh hunt, we able being made to realize the rot in the Malaysian mentality through Sharifah's rebuttal.

We able to realize how unsafe our country can be despite the rosy picture our Royal Malaysian Force trying to paint for everyone to see.

Of course, we can put our blame only to the hardworking police, the main and only blame should go out to the parents who could not care less about the whereabouts of their children. Letting them roam free is good, but without proper monitoring, it is purely bad parenting. News of how kid found in pool drown the day after, kids being knocked down by a reversing car at home, and etc kept making headlines.

My personal experience would be to be driving around my neighbourhood and seeing a 2 years old girl only in her diapers standing there in the middle of the road alone with a pacifier in her mouth, without any adult supervision at all. I had to stopped my car, bring that girl to the roadside. Basically, I had to wait for around half an hour before her grandfather came looking for her. And the grandfather did not seem worried or particularly in distress - that worries me more.

Maybe these irresponsible parents should be part of the human flesh search.

Jan 24, 2013

Save a life. Get your shit together!

Just when you think your poop is just another disgusting waste material and nuisance, please be reminded that it can also save lives of patients suffering from Clostridium difficile colitis.

Wondering whether our local medical fraternity is prepare to make this brave contemporary move in the foreseeable future...

Shit just got real!


The Centers for Disease Control has issued an urgent plea for fecal transplant donors. After the recent publication in the New England Journal of Medicine of a randomized prospective trial documenting the efficacy of fecal transplants for the treatment of C. difficile colitis, a critical shortage of suitable feces has occurred.

Potential candidates must be in good health and not have taken antibiotics within the 30 days before donation. Fecal typing is not necessary as adverse reactions to donated feces have not been reported. For most people, donation is painless.

After much deliberation, CDC Vice-Director Dr. Steven Gerrard has announced that the drive for fecal donors is being launched with the slogan “Save a life. Get your shit together.”

Jan 22, 2013

Practical usage of "Listen! X3" ?

Post call yesterday.

Almost to passover time in the morning.

Not much of a difference as I was in-charge of labor room anyway.

My colleague and senior MO, Dr J stepped into the labor room.

First thing she heard was the loud echo and volume of a hollering mother in labour.

It was so loud that I was surprised there wasn't any crowd forming outside of the room.


J was trying to communicate with the mother, not knowing much about her background.


"ARRGGHH!! ARRRGHH!! ARRGGHH!!!" continued.

"Err.. J, she's not from Malaysia, and neither speaks English or Malay."

"ARRGGHH!! ARRRGHH!! ARRGGHH!!!" continued.

"Oh, luckily, I didn't say let me speak, let me speak..."


When woman in labor, there's this peculiar moment when temporary partial deafness sets in, where they don't hear whatever that you trying to tell them.

My dearest described during short early phase of active labor, she only able to hear monosyllables word and couldn't care much about whether we're scolding or encouraging her.

The language of pain is indeed very deafening.

Jan 14, 2013

LISTEN - special edition! (updated)



From Lowyat: 

Pertubuhan Suara Wanita 1 Malaysia (SW1M)

user posted image

user posted image

and Anti-Ambiga

user posted image

and Anti-Hillary
user posted image

no wonder... Supporter of The Obedient Women Club (OWC) sweat.gif sweat.gif 

She is famous for the University forum lately


Kak Zat #2 in the making sweat.gif

her FB https://www.facebook.com/nikki.dabest.5 brows.gif

video Sharifah Zohra Jabeen dan miss bavani Listen

video Sharifah Zohra Jabeen dan miss bavani Listen
"Memang telah disahkan bahwa tiada timbulnya isu politik"????
Tapi nama forum "Seiringkah Mahasiswa dan Politik =_=''
It's not about using this issue as political tool!
It's about freedom of speech. (Basic Human Right)
It's about having a proper way to listen to someone opinion,
and giving a valid argument
or atleast use a proper way to correct someone if they are wrong especially when there are 2000 Mahasiswa around!!!

The big show & big joke for the month of January 2013 ...

Between "Lesson and Listen"

Jan 12, 2013

Sad, angry, unmotivated doctor

A must read about the 'beauty' of our healthcare system...

Everything Is Illuminated


I AM one of the thousands of JPA sponsored doctors who came home to serve after spending five years learning the trade overseas.

The change is sizeable I must admit, from the patients’ disease spectrum, expectations, understanding and social background to my colleagues and seniors’ working attitudes, clinical competence, career progression, team support and ethics.

I see little benefit in discussing the quality of housemanship, insufficient training resources for post-graduates doctors, or even the national healthcare system when we are not doing much to address the core component of the problem – politicking policy-making.

The major difficulty in delivering good healthcare is the lack of the will to address the flaws rather than not having a good system.

Our policymakers are mostly not feedback-friendly and take negative comments on the system and policies in place as mischievous and uncalled for.

Nothing saddens me more than to hear a senior personnel brushing off a complaint of our inadequacy with: “That is how the system works”, or “Please work within the system”, and then paradoxically advising us to “Express our discontentment via the channels in place”.

In Malaysia, five out of 10 decisions are “flip-floppy” mainly due to the over politicking policy making.

I am being very nice to give that figure of five in 10.

Inconsistency is the most consistent feature in our system.

Two years ago, the Health Ministry came out with the system that all peninsula doctors who agreed to serve in East Malaysia, where doctors are most needed, would be granted priority in transfers back to their peninsula hometown after their two- year stint and new doctors from the peninsula would take their place and the cycle continues.

A very well-intended system to address the issue of getting healthcare to places that needed it most. Well done.

But what happens in reality?

The transfers happen to a certain extent, but it is not all according to plan.

The sadness of our Malaysia system, like in all other sectors, is that those who refuse the transfer and have powerful connections or know how and who to complain to will be able to defy the system.

When there is no replacement, there is little choice for the local administration but to make sweet promises to the current batch to work a little longer.

There is a saying among the rural doctors: “Don’t make your life more difficult in exchange of making those who sit in office’s life easier.”

We doctors pledged to give equal treatment to all, not to the selected few who are educated or who have money and it is only fair that we be treated the same by the system.

We must strive to have a system in place where everyone will have to follow and happily respect the system, and there is no cutting of corners, jumping queues or different queues for different people. That should be our aim.

For my esteemed policymakers: Your job does not end with the issuance of a “pekeliling” (circular) of your carefully crafted well-intended system: You must make sure it is adhered to: fully and not only to those who are willing to follow.

Will the patient be anymore happy having a sad, angry and unmotivated doctor compared to having no doctor at all?

Of course in the politics of policy making, numbers are more important.

There are a lot of us who are willing to serve wherever we are needed.

But it saddens me when some are here and stuck due to a Janji tidak Ditepati.



Jan 10, 2013

Close monitoring

Consultant: Why do you want to keep this patient in High Dependency Unit?
Me: She requires close monitoring as she is a high risk patient.
Consultant: Come, take off your shoes and lie down on the bed beside the patient. Now, you can closely monitor her.


Reminds me of my first boss, Dr K.

Dr K saw the plan in the case note, nicely written "Strict Pad Chart"
Dr K: So, what is strict pad chart? Do you use a microscope to see the Pad, Pilo?


P.S. Bring back good memories..

Jan 9, 2013

Bright sparks

This was done in Philippines.
Water and bleach in bottle of coke was fitted on the roof.
It absorbs and reflects sunlight and is equal to 55 watt..


Jan 8, 2013

Forgiving your enemy

Toward the end of Sunday service, the Minister asked, 'How many of you have forgiven your enemies?'
80% held up their hands.

The Minister then repeated his question.

All responded this time, except one small elderly lady.

'Mrs. Neely?'; 'Are you not willing to forgive your enemies?'

I don't have any.' She replied, smiling sweetly.

'Mrs. Neely, that is very unusual. How old are you?'

'Ninety-eight.' she replied.

'Oh, Mrs. Neely, would you please come down in front & tell us all how a person can live ninety-eight years & not have an enemy in the world?'

The little sweethe art of a lady tottered down the aisle, faced the congregation, and said:

'I've outlived the bitches.'

P.S. Now you understand why health is soooooo important

Heatlh Ministry replies.

In response to HOUSEMAN from Kuala Lumpur, the Heatlh Ministry have a few statements in reply to the letter.
"IT has been almost a year since the sad passing of Dr Danny Lee. And from that incident until now, promises were made to ensure the well-being of houseman.
May Dr Danny Lee rest in peace and not be a scapegoat for the blame of long working hours. If it was the Heatlh Ministry overworking him to death, it should surmount to manslaughter and his family members should chose to pursue this in the court of Law.

Seniors before you had been working long hours with less incidence of depression and zero suicide. When our Ministry's Director-General was a house officer, he worked long hours and never heard of any suicides in the same rank. Anyway, we have suicide cases in various occupations, including the competitive secondary school students and mothers who can't cope with many children. Maybe in the same context, the students should learn less and have more holidays, and perhaps the mothers should give away their children, just because she requires less work.
Further more, some of us have been working for 28 days straight with no break/off days (oncall nights, we work minimum 14 hours a night).
Please be reminded there are no such thing as on call nights. It is an oxymoron. It is called night shift. Anything related to on call is out of the context for house officers. Kindly refrain from using the word on call with any of your shifts.
We are working in a hyper-stressed environment, overworked to our physical and mental limits and worse.
Kindly submit a full time table how you are being overworked to your physical and mental limits.
We are living in an evidence-based world, you know.

We would also appreciate an evidence that your baseline limits is not way way below the average people who supposedly had graduated from a medical school.
So my question to the MOH, was the promise made about us working 60 hours a week true and will it be truly and strictly implemented or was it a publicity stunt?
We compliments you for asking such a good question.

Now, having been working for a year, can you answer this question - what is the normal level of total white cell count, platelets, hemoglobin, urea, creatinine, AST, ALT and blood glucose? (without looking at the reference value).

The Heatlh Ministry can assure you that this is not a publicity stunt and we welcome your resignation for a better job offer in neighbouring countries which will NOT make you work more than 60 hours a week and probably in your context, maybe you can have more than 2 days off a week.

No one is pointing a gun or strap a C4 to your head to work in our Ministry.

If you have problem in typing the resignation letter, don't bother to. Many your peers had just disappear without any words, verbal or written. We will accept it as your precious resignation as long as your parents do not file any police report by 24hours of your disappearance.

Read also For Future Doctors: Shift work for Housemen?

Original letter.


IT has been almost a year since the sad passing of Dr Danny Lee. And from that incident until now, promises were made to ensure the well-being of houseman.

I refer to the report “Housemen still being overworked and bullied, sending some into depression” (The Star, April 14, 2012).

The Health Ministry (MOH) stated that housemen are supposed to work 60 hours a week with two off days.

But the sad reality is, that is not happening.

Let me shed some light on a typical houseman’s work day is. Depending on the posting, most of us have to be at the hospital as early as 6.30am (not taking into account where some of us live) and work up to 6.30pm. That is an average of 12 hours of work per day, seven days a week.

Further more, some of us have been working for 28 days straight with no break/off days (oncall nights, we work minimum 14 hours a night).

What is worse, in some postings, housemen are forced to work from 7am to 7pm.

And that is the reality of life as a houseman.

We are working in a hyper-stressed environment, overworked to our physical and mental limits and worse.

Not many houseman dare to complain as threats of extensions by their superiors constantly remind them that they have no say in anything as long as they carry the title “houseman”.

Please don’t get us wrong, some of us enjoy working but we do not enjoy working every single day with no proper break/off days.

My context of “off days” means a break from work between 24 hours and 48 hours.

So my question to the MOH, was the promise made about us working 60 hours a week true and will it be truly and strictly implemented or was it a publicity stunt?

I can assure you most housemen in other hospitals, still work an average of 12 hours a day, seven days a week.

We do not mind working long hours, but we mind not having two proper days off so that we can have a break from the stressed environment of the hospital.

Kuala Lumpur

Simple remedy

Prof: What is the solution to obstetricians' distress?
Me: - silence -
Prof: Seek another senior colleagues without distress.