Team 1

Yesterday, my superior informed me that me and another colleague will be representing the clinic in spearheading the vaccination programme of Covid-19. It will be rolling out in 3 different phases. The clinic is sending 2 teams. Each team will have a medical doctor, a medical assistant, a nurse and an admin officer.

The vaccination programme will be rolling nation wide starting this month in 3 phases.

PHASE 1 : Frontliners

PHASE 2 : The elderly population those with co-morbidities

PHASE 3 : To the rest of the population more than 18 years old

It will be on a voluntary basis. No compulsion. Considering the immense effort put into gathering this vaccine and analyzing the ample data for its safety and efficacy by a designated team – I would strongly suggest members of the public who have no contraindication to get their jabs.

At the moment, I can see that the society is more confident from not dying of Covid-19 than to die of the vaccine. At least, that is how I see it. In the western community, those opposing are on the grounds of side effects, ?brainwashing, Islamization. In our local Islamic community, the concern is suspicion towards Illuminati, New World propaganda and death.

Again, vaccine is not compulsory. It is a social responsibility to protect those who cannot protect themselves.

Expectation vs Reality

Today, I have been mistaken so many times as a person who is not a doctor. Dietitian la. Nurse la. No doubt, patients would expect to be seen in a consultation room and not some other room. Yet, this is what we have to work with.

Increased number of patients requiring more manpower with little readily available space to work in.

So we create spaces at corridors. At meeting rooms. At any spare room we can find. Bertabahlah yer.

The Social Factor

In Klinik Kesihatan, one of the most important aspects we healthcare practitioners have to pay special attention to is the social factor in the patients life. The family support system, the job, the wage that comes with it, the transport, the god-knows-what-else factor which will affect the patients compliance to treatment and capacity to attend appointments.

And we see A LOT yang tak cukup bab2 ni.

Dari yang anak-anak sibuk takde org nak bawak mak ke klinik, to yang tkde kereta. What more those yang battling addiction and those in financial difficulties. Everyone is a unique case but would require some time before we could piece the problems together as we dig as much as we can during each meeting. It is important to filter out which masalah is genuine and could be helped as opposed to exaggeration and stories from batu api.

Yeh, batu api pun ramai. Bajet mulia di mata doktor tapi hakikatnya habis appointment ko takdelah care sgt kan kat ‘makcik’ or ‘mak’ yang ko bawak tu. We can tell through questions we ask and answers you give.

Despite the hurdles in getting assistance for these patients – there are success stories. Which I could perhaps share later. In this life, every bit helps. But it requires participation and commitment from all sides.

The patient must be transparent and honest in laying out the problem.

The doctor must be able to sift through the information and provide temporary suggestions whilst the permanent ones take place. Suggestions of course get better with time and experience as we deal with more patients, learn more and work together with other personnel (physiotherapist, nutritionist, social worker).

Once a plan has been drafted and agreed upon, the patient must honour subsequent appointments with the relevant authorities. No pointlah bincang sampai mulut berbuih, ambik masa berharga pesakit2 lain yang sedang menunggu nak jumpa doktor and tetiba kau default appointment atas sebab lupa atau tkde org bawak. Appointments are always given in advance – so rancang lah. Use GrabCar ke apa.

And finally be open and receptive to the outcome. We cannot expect that all our shortcomings are fulfilled. These assistance’s are meant to assist as their best capacity and it may not be able to solve a problem that has been there for 10 years for instance. So take what you can, appreciate the help and try to work your way around it. Always always pray to Allah that your burden will be eased at His Mercy. InsyaAllah, everything will be well.

I prayed and she appeared

During this few weeks of sitting in the Mother & Child Clinic (MCH), I have been praying a lot.

Doa maknya sihat, selamat dapat baby.

Babynya sihat, boleh minum susu sampai mok2.

sometimes ada jugak doa supaya patient tu dtg balik ke klinik for a different symptom if I termissed out on crucial information masa clerk patient. So that I can clarify the facts and rectify the mistakes. At times I just pray I get to see the patient just to know how they are doing.

Alhamdulilah. My prayers have been answered often. Like today.

This lady is in her 4th pregnancy and had bore 3 other beautiful children to 2 different husbands. Her current pregnancy has been complicated with anaemia and towards the end of  her pregnancy is required an intravenous form of medication to bring up her red blood cells. This is important as in any delivery – we anticipate bleeding hence we should be prepared and keep our Hb levels as optimum as we can to prevent further complications.

Despite advice of consuming a high iron diet – she still couldn’t keep up because she couldn’t even have a complete 3 course meals with snacks in between. She was unemployed, the husband had no stable income and the family is lodging in with her brother in law. She just can’t afford to buy food, what more nutritious meals of vegetables and poultry to feed herself and her family.

Habis tu awak makan apa kat rumah?

Saya makan megi lah doktor.

And then she would tersengih innocently because that is how she is. Nak marah pun tak sanggup because dah macam tu gaya hidupnya. The husband? Umph.. doesn’t have a proper job and ‘kerja kalau ada kerja”. Ko rasa?

Just a few days ago, she gave birth to a lovely girl. Such a pure little girl. I got to meet them both today. I asked how are things at home. As usual, to her everything is OK. Thank goodness we have scheduled home visits postpartum. At least one of my nurses will check up on her from time to time. I wished her a hearty congratulations and I slipped an RM50 note into her hand.

REzeki Anak, I say. 

Hoping it’ll be put to good use. I also hope that she will have an abundant milk supply so they won’t have to buy formula milk. I too hope that her baby will not get jaundice and require phototherapy. Aku jugak harap anak2 nya yang lain mampu membesar dgn secukupnya biarpun ada kekurangannya.

InsyaAllah – setiap anak itu pembawa rezeki. InsyaAllah hak-hak mereka juga akan dipelihara.