Thursday, April 24, 2008

somemore could be done...

I am sitting here in the govt clinic for specialist clinic session...life is boring here but the payment is good. Usually the patient no. are countable with fingers...


Unlike the klinik kesihatan(govt. Clinic) in Malaysia - it does not serve the local people well... I had this mother who brought her vomiting child to clinic few weeks ago. No injectable/suppository anti-emetics...I planned to refer her to our hospital which was 5 km away - but she refuse : money problem .... the govt clinic is free of charge...

I have this old lady with dizziness and headache today - her SBP was 240mmHg ( double checked !)... No NTG, no captopril and not even nifedipine(It is contra-indicated,I know...), all I had are those long acting once daily dosing antihypertensive, and the lady had taken her usual losartan and esidri in the morning.....I drove her over to the hospital and on the way she kept asking me about the payment....

Well, I think I would bring a small amount of medication - NTG, Captopril, Supp Domperidone next time...at least I could do something for them....


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