Figuring out global health at
@dukenus
. Writing with many typos. Definitely not an academic. Occasional triathlete. Dad to a little rascal. Opinions my own.
Doctors advising SPM grads not to be doctors.
Engineers advising the same.
For me, do whatever u want lah, as long as jadi orang berguna. And also not a doctor. 😂
In a Malaysian prison soon.
Prisoner 1: What are u in for?
Prisoner 2: Uploaded wedding video on YouTube. No FINAS license. U?
Prisoner 1: Uploaded kid’s 3rd birthday on IG. No license either.
Today,
@saifuddinabd
confirmed that ALL video filming, including for personal social media, needs a Finas license.
Finas Act defines films as 'any recording on any material'.
My dear Malaysians. You are all technically criminals
South Korea, which has 28 confirmed coronavirus cases, has advised its citizens to refrain from traveling to Malaysia, Singapore, Thailand, Japan, Taiwan and Vietnam
10k out of around 14k traced. Police will track the remaining 4k. Well done to MOH and all the best to PDRM.
Too late or not, is a separate matter. To get 10k traced and screened in less than 2 weeks is not easy. So let’s continue to help by staying home
#FlattenTheCurve
I still see ppl claiming having vaccine side effects or reactions is a sign of the vaccine ‘working’. This is false, please do not cause unnecessary worry to those who did not experience any side effects.
Let me try & explain. /continue
Nasi sudah menjadi bubur. Asking all attendees to go for testing now will overload the hospitals. Just stay at home, self quarantine if u can, watch out for symptoms & practice good hygiene.
I’ve worked under KKM for 9 yrs in 2 hosp, 3 KK, serving Msians including Orang Asal & immigrants, volunteered in street clinics for homeless,went to K’tan for flood relief & write health articles.I continue to serve humanity where ever I am. So when u’ve caught up let me know.😂
The patient who was fully vaccinated in Feb had no symptoms but tested positive in a routine swab test.
All close contacts & 1500 other workers tested negative. This is the vaccine working.
#TakeTheVaccine
Felt a bit useless, so decided to compile a list of essential meds that flood shelters might need in coming days. List isn’t exhaustive, preferable to have a HCW to assess the shelter to see what’s more urgent/needed.
But coordinators can start with this list in general.
Keselamatan anda adalah keutamaan kami. Jadi makan di restoran masih belum dibuka. Nikmati hidangan kegemaran anda melalui McDelivery, Pandu-Lalu atau Bawa Balik Je! Mulai 4 Mei, 8pg-10mlm, setiap hari.
#SafeWithMekdi
Okay, apa antara discovery korang pasal negara luar yang mindblowing pada korang?
For me, aku terkejut gila bila tahu dekat UK tak ada konsep water purifier macam Cuckoo, Coway, SK Magic etc.
To put things to perspective, RM81mil for JASA is higher than:
Dermatology 42mil
Neurology 19mil
Nephrology 56mil
Neurosurg 29mil
Urology 29mil
Plastics 16mil
Cardiothoracic 60mil
Nuclear med 10mil
Respiratory 34mil
Forensic 21mil
Health education 48mil
Kesihatan Pergigian 52mil
Phase 2 states have less than 25% population fully vaccinated & new cases in the high 3 figures. With Delta around, allowing high risk social activity like dining in restaurants will increase the risk of getting Covid19 in one very vulnerable subset of the population:
Children.
Dr M giving the speech of his life to get Malaysians behind PH, to get rid of corruption & 'cash is king' culture.
Meanwhile Najib gave candies like no tax for 26 y.o & below, public holidays and 5 toll free days during Raya.
Vote wisely, Malaysians.
#GE14
#PRU14
If this letter is true, two points:
1. Price of AZ vaccine is around USD3-4 (in UK), that’s RM12-16.
2. Last two shipments of AZ vaccine is from COVAX, which means it was paid using taxpayers money.
This is profiteering.
Airlines promoting cheap tickets to affected
#COVID19
countries are unethical & irresponsible. If u want to have a promotion, give cheap tickets to domestic flights.
Reading the timeline is like watching a trainwreck in slow motion. Feeling so helpless it’s crippling.
Anybody has a link/contact for donation? It’s the only thing I can do for now.
Saw Starbucks sent an email promoting their 2022 planners. I was like, why are they selling a planner 2 years ahead?
Then I realised 2022 is next year. 🤦🏻♂️
#pandemicfatigue
The handling of the Sabah clusters shows healthcare cannot be separated from politics. It is not apolitical as some claim.
Want better healthcare? Select better representatives.
So much fanfare for doing the bare minimum. Food baskets are what NGOs & charities do. The government is suppose to formulate long term plans & policies to ensure our citizens don’t resort to sleeping on the streets of Singapore.
No surprise KKM doesn’t pay allowances for volunteers. Even as a KKM staff, also no allowances when u volunteer (pre Covid). Usually got makan lah, but that’s from the pockets of the local centre/hospital, etc.
Always amusing to see men (or rather boys) trying to use declining fertility of women by showing fertility rates to justify that women should marry young.
Firstly, reproduction is not the only purpose in life or partnerships/marriage.
Secondly, they are reading the data wrong.
MCO 2.0 is going to to brutal. With such a high case load/day, how long will the MCO be? Too short, outbreak doesn’t slow down. Too long, livelihoods and economy continue to get battered.
Govt wasted the earlier period between the outbreak waves. Now Malaysians pay for it.
My ex boss used to say something when we tell him patients refused our treatment. It goes like this;
“It’s not that they refuse, it’s that you fail to convince them”
Those who said the mother of 9 could’ve chose not to get involved with drugs, that’s precisely the problem. Assuming that she had a choice.
For a single mother of 9 to do that, it speaks of her lack of options instead.
Perhatian semua!
Dua kes baharu Polio telah dikesan di Sabah dan menjadikan tiga kes Polio setakat ini.
Semua pesakit masih dirawat di hospital dan dalam keadaan stabil.
Tiga kes itu ada kaitan genetik dgn kes Polio di Filipina.
Not going to repeat the ultra low incidence of blood clots in the AZ vaccines, think we’ve established that the benefits far outweigh the risks now.
But since tmrw is the big day, would like to offer some thoughts on other data, re: risk factors for the clots.
I will now forever remember KuNan as the guy who has RM900mil & still took a drink from the soup kitchen without permission when he made a visit as though it was his personal pantry.
I think lah, dont blame the ppl for thinking the vaccination rate is slow when they made such a fanfare out of it. Countdown to it’s arrival, live telecast of plane landing, photo ops at tarmac, photos of truck convoys.
Hype was built & but simply didn’t live up to expectations.
“Just pay the fine” like Hishammuddin. No, breaking quarantine is not like vaping in Parliament. Don’t equate the two to be the same.
Breaking quarantine is a serious offence which endanger public health. Someone in his position should know better. Resignation is the minimum.
Timeline of Pfizer deal betw Malaysia & Singapore
Malaysia
Nov 27 announce deal
Dec 14 NPRA received data from Pfizer
Dec 17 Health Min says takes up to 120d to approve (DG said again today)
Singapore
Dec 14 announce deal & approval
Dec 21 first shipment arrive from Belgium
😅
My thoughts after today on
#HartalDoktorKontrak
I think what our remarkable young doctors have shown today is maturity beyond their age & experience. They’ve demonstrated a strike can be held safely without compromising patient care.
Dunno how a doctor can look at that kinda bed conditions and shift the blame saying rakyat is manja. 🙄 Are we so conditioned to accept such a low standard safety and health care now?
Some concerns recently for the AZ primary series recipients, whether to accept AZ or Pfizer as the booster. Especially after some news articles and a study showing nAbs levels for AZx3 is less than AZ-AZ-Pfizer.
Let me try to ease the concerns. 1/n
Can't imagine the heartbreak parents have to go through to identify their daughter. Nothing will console them at the moment. Hope the police find out what exactly happened. We owe that to them, at least.
Rest in peace, Nora Anne Quoirin.
My daughter has been sending me voice messages of ‘I love you’ since morning. She told her mum, “I don’t want daddy to forget me, that’s why I tell daddy I love him” 😍😍
I won’t forget u Emma, not in a million years
#OhEmmaku
Like Spotify Wrapped, we should have a Outlook version. Like:
You sent 3881 emails this year
Your average reply time is 2 days
You used ‘noted’ 297 times
You forgot to attach documents in 90 emails
Your favourite sign off is ‘Best regards’
You ignored 874 emails
Ku Li should read about how vaccines work before releasing statements like this, which can be damaging if public refuse to get vaccinated or have vaccine hesitancy.
First, any vaccine’s aim is to prevent the disease, not prevent the infection. There is a difference.
Ku Li mendakwa, ada laporan menyebut, vaksin Pfizer sebenarnya hanya mampu menahan simptom COVID-19, bukan benar-benar menghalang penularannya.
#AWANInews
#AWANIpagi
#HapusCOVID19
Salam sejahtera encik. Saya harap encik dan sekeluarga sentiasa sihat, amalkan penjarakan sosial dan kebersihan diri supaya terlindung daripada penyakit COVID19.
@yoongkhean
Budak Yoong ni tunjuk pandai dan berpolitik tak abis abis. Elok juga kalau Tuhan bagi dia COVID-19. Sebab dia terlalu bijak . Pasti dia boleh lawan COVID-19
Nephew said the govt issues cloth face masks are the most comfortable ones so far. So we got the adult version to test.
He was right. It’s very breathable with elastic bands. It’s so light & soft, almost silky. Doesn’t itch at all. 3 layers, with outer hydrophobic surface.
I think why everyone is praising Dr Dzul is simply because he is unlike the usual politicians getting a ministership. And the likes of him should be the norm, serving selflessly.
In that sense, he is basically what the health DG & KKM staff is doing all these years.
The worst people on the internet this week are the ones defending child marriages & the ones blaming the poor mum who had to leave her baby at the babysitter.
Apparently my daughter accidentally started a protest in class today. She felt bored or tired during a class activity, so she lay down on the floor. By the time the teacher realised, half of the class was also on the floor with her 😂
#OhEmmaku
The strength of a woman is truly incredible. To stick by Dr M all this while, unwavering support and love. Tun Dr Siti Hasmah represents the best of Malaysia and her people.
Dr Mahathir Mohamad's wife, Dr Siti Hasmah Mohamad Ali, hugs him after his press conference at Yayasan Al-Bukhary this morning. He was seen playfully rejecting her advances.
Every time I pass by the British Council building it reminds me of my IELTS test, but it was 3 years ago so it means I don’t know how to speak English anymore.
Some like to frame tobacco smoking as just a personal choice but when it harms the ppl around us with 2nd or 3rd hand smoke, it becomes more than a personal choice, it’s also a public health matter.
Good or bad is very relevant.
Infuriating to see politicians getting it before hospital frontliners (or teachers). They may have some risk but no where compared to those working in hospitals & easily mitigated by keeping to SOPs.
#FrontlinersFirst
Menteri Pendidikan, Senator Datuk Dr Mohd Radzi Md Jidin tiba di PKD Presint 11 untuk terima suntikan vaksin jenis Pfizer-BioNTech
@RadziJidin
@KKMPutrajaya
Kid misbehaved & made a mess at the dinner table. While cleaning her up, she asked her mum, “Are u upset?”. My wife said, “A little”.
Kid’s reply?
“If u are upset, close your eye & count to 5, u will feel better mummy”
Took all my willpower not to laugh 😂😂
#ohEmmaku
Malaysia inching towards treating the situation as endemic when death cases are rising while Singapore inching back towards a lockdown when population is 81% vaccinated.
Crazy timeline we live in.
After paying rent, bills & putting away money for savings, it is time to delete all the stuff in my online shopping cart cause I don’t have any more money.
Having the option to WFH is great for me. Now I send the kid to school on Wednesdays & Fridays. Really enjoy these short walks with her. She is usually super chatty in the morning (definitely didn’t get that from me!) 😂
This is not only a story of the resilience and love of the parents wading through flood water to make sure their children are safe, but a story of how the authorities completely failed Malaysians in time of need.
Salam. Sy terpanggil utk clarify berkenaan gambar anak sy yg didukung oleh Sarjan Awang. Sy tak nafikan jasa Sarjan dlm operasi menyelamat mangsa banjir namun kisah yg dipaparkan di media adalah tidak berkaitan dgn kisah sy sekeluarga...
When I was a HO, I once referred a case to haemato. After presenting, the MO said,”Ok send for Jack too”. I put down the phone & called operator for Dr Jack. No such person. Called haemato again, kena bebel for 15 mins.
And that is the story of how I learned about JAK2 mutation.
No we don’t. TBH, health workers are usually uncomfortable when we get recorded, visual or audio.
If u want to ensure your dosing is accurate, just ask politely to have a look after vaccinator withdraw from vial to check. Say thanks & let them do their job.
Long story short; nothing changed. No extra posts, no money to hire and contract MOs still getting paid UD41 salary.
This is how we take care of our young doctors.
KKM tidak mampu menyerap sepenuhnya Pegawai Perubatan Siswazah (HO) ke jawatan tetap termasuk graduan tajaan kerajaan.
16,407 HO telah dilantik secara kontrak dan 1,152 masih menunggu.
Kenyataan penuh Men. Kesihatan
@DrDzul
Some info on vaccine efficacy. We tend to make the mistake of 95% efficacy (Pfizer) being 95 out of 100 is protected from the disease while 5 out of 100 will get infected/succumb to disease.
But that’s not how vaccine efficacy works. So how did we get that 95%?