professionalism

hola. i just want to rant out about something.. 

about this. 

a part of me - is against this statement. 

the fact that when encountering a patient, doctor/s need to listen to their complaint, their history of complaint, past medical history, history of hospital admission, any drugs history, allergy history, family history and social history yadayada. then proceed to relevant investigations according to the complaint the patient presented with. and then only come out with diagnosis. usually they would pick up the most common first. by means, you wouldnt be suspecting rare diseases first. sooo from the list of possible diseases (differential diagnosis) you just pick the most common diseases that relevant to the signs and symptoms, and as suggested from the results of the investigations done. treat by the first choice first. 

some would say, 'ni je buat?' because it seems to be very lack of effort, but yea. to avoid unnecessary waste of resources. annndd as in the case as stated in the tweet, of course it would takes you a few visit to actually figure out what fits your condition based on your improving signs and symptoms after the treatment done (medications prescription and any given treatment). soo when you go to that 5th doctor, of course he would eliminate all of your previous treatment options that did not work - and come out with another specific assumption of your condition. and most probably more accurate. 

sooo in a way, your accuse of that was just pointless (referring to the tweet). some of your previous doctor/s got their points right. it was just in the matter of time - a matter of visit/ treatments.

for the latter comment right there - i agree, it would be so unprofessional for a medical doctor to joke about those thing - kalau period pain, beranak la. and in the replies - ada yg cakap 'takde selera makan, kawin la'. cant deny - it is an insensitive one, but if you try to look at it on the positive side, betullah tu. kawin - emotionally stable - boleh improve your appetite. but in another way, kalau budak tu ada masalah thyroid ke apa (hyperthyroidism - which is quite common) - yg menyebabkan dia takde selera makan? macam mana? kawin wont solve the problem. annd you, as a responsible doctor should be able to work on something lah. at least check for dia punya routine blood investigation. check liver function test would suggest something at least. 

okay that is all about that. 

another side of me do agree with that. that im having doubts in trusting some doctors (gp especially) 

being in this profession (though im not a medical doctor) i kinda can understand what was the concern about. from public side and also from practitioner side. thanks to usm for lots and lots of medical exposure back in my undergrad years. 

ada yang cakap in the replies, 

"Not all doctors were first class students when they were in high school or even when they were in med school. So I guess I can understand you only trusting specialist. Sometimes even I think those doctors should not have been doctors."

i do agree. for some, memang nampak obvious yg diorang tak layak jadi doctor. they dont really care much. maybe they care. but not that much. its really not about their knowledge in the field, but i think its more about the attitude that they have. and when it comes to attitude, it really got nothing to do with their profesion of becoming a doctor. and.. (this is quite skeptical) maybe knowledge plays a role too. biasanya yg grad dari certain negara - have lack of clinical exposure during their undergrad years. soo kureng sikit la part patient management. lagi lagi kalau jenis yg tak update ilmu - through conferences and revision - memang idok ler nak tahu latest issues or even revising the current findings that related to the field. 

and from the side of a doctor, we are human too. sometimes, nak bergurau tapi tak kena tempat. orang ada masalah but we take it easy. of course orang akan tak puas hati. kan? and memang belajar part theory tapi bukan semua benda boleh ingat. kadang perlu juga google. i know its unprofessional but yea, were human too. and we are all work differently. otak bukan genius pun. 

and (taktau ini berkaitan ke tak) but i somehow, dont like the title 'doctor'. it comes with responsibilities. and i dont like it when someone looking up to me. i mean, i dont deserve that. like ferreal, im only in dentistry just to help people ease up their task. to help people with something. not that i like with the tittle doctor pun..

okay my rants are about to divert into something unrelated but thats it. i just want to point out my thoughts bcs writing on twitter isnt as satisfying. 

adios. i need to sleep. i need to work tmr morning. 

12/12/2021; 0021.