QUOTE(mick84 @ Sep 7 2025, 04:30 PM)
Kasi chan kawan... Study doctor not easy, low ball until compare with part time tea barista now.
A government specialist doctor earns around RM10,000 per month after more than a decade of grueling training. But when it comes to on-call duties — 24-hour shifts that can stretch into 36 hours without proper rest — they are paid only RM220 per shift,
which translates to RM9.16 per hour.Chagee Kota Kemuning is looking for dedicated and enthusiastic individuals to join our team as Part-Time Tea Baristas.
Must possess at least an SPM certificate.
Normal Working Days: RM9 per hour
Public Holidays: RM12 per hourThey are not demanding. They just want to be paid respectfully.
lmao agreed.
it's ridiculous to ask for someone to study and give up their teens , 20s and 30s, and even their 40s and 50s if theyre in govt service.
and to pay so little.
look at this story here. but i think most people wont understand, and just say "ala semua kerja ada stress la deal with it nobody asked u to be a doctor"
simply put, if office workers feel that 9 to 5 , 5 days a week with some OT is already stressful with long working hours, until they argue for 4 day week or shorter working hours... then being a doc is easily more than that everyday...
it's easy to say let market forces decide bla bla bla. but u gotta know, once u lose the doctor to another country, there is no coming back. yes. because kkm system doesnt allow dr to return to service once they leave. so it's a one way ticket. if someone good leaves, that's it. the investment of so many years etc into that person, automatically is the gain of the new country that the dr migrates to.
also, market forces is making dr migrate overseas. esp the ones who are able. so if malaysia wants drs who are here only because they cant leave, be ready to face the consequences of that.
TLDR warning below
QUOTE
<Crazy>
My phone rang out of nowhere at 5:30 in the morning. I'm germinating names on the line. Then the phone is answered.
"Filzah, sorry to disturb, are you sleeping? ”
That time on Saturday. I took 4 days leave from saturday till tuesday going back to peninsula to celebrate the convocation of our youngest brother. Because on Friday I was still working as usual, so I took a night flight, if only I had just arrived at KLIA at 12 in the morning. Really tired when I got home, I didn't realize why I kept sleeping.
“Okay, why?” ”
"Please help, there is a case of twin in labour, 30 weeks. I don't know what to do anymore, where to start" My mother is missing. The person who called me, not even a month has reported himself in semporna.
“Os how many cm? ”
“9cm already. the first baby is cephalic (head below) but the second baby is like breech. ” Ouch. Imagine, just finished being a houseman, just about to learn to slowly build confidence for a patient's treatment plan, suddenly have to look after 3 patients at once.
Oncall ward near Semporna only one person every night. He is the one who guards all the wards that exist. If there's an intubation near the respi, he's the one who has to run away. There's peads, fitting boy, SOB - he has to attend. There's a case of a pregnant woman coming to PAC, she needs to be seen.
If tested like this,
The patient has come and is about to give birth,
after that the baby wasn't quite a month old, still twins,
She gets to standby both, for mom and baby. Kena refer both specialist and mediate through all 3 cases to safety.
Is there only MO oncall that covers ED, can I ask for help,
but if he's busy in the emergency between green, yellow and red zone,
or he was hit by a storm, cpr case, intubated. The address is that this drama is still long.
“Who is the Midwife of LR tonight? " Please help for senior midwives, who have delivered twins,
Good at delivering breech. I heard him ask my SN his name.
"Dr Filzah, Sis Jai here. Nah. Thank God. The most senior one that I could ask for. How many breech cases when I took care of the maternity early, Sister Jai taught me.
"Who else is your friend, sis?" ”
“Ada ni si Pidang ni.” Nah. Ngam la. Senior-senior semuanya.
"Do you think it can be delivered?" " Sister Jai is so true, reply as you can. Whew. I'm praying in my heart so hard. Okay, should be mother no issue.
"You have an NRP, don't you? " I asked my friend honestly if he had gone to a course for neonatal resuscitation, because it's not easy to resuscitate a baby that's less than a month, or two. I heard she retaliated.
Well, if there is even an NRP certificate, theory will never be the same as reality. It's not easy to stay calm for a baby born flat, if it has to be intubated again, there's no specialty. When I'm in the middle of a hurry, the algorithm is everywhere, I can't remember the steps. There must be I miss-miss you.
“Okay. I think now, the most important thing is you call peads specialist first, tell them there is a high risk case you want to discuss - so later by the baby already delivered you will not be misty. So if anything, all you have to do is update the condition in case you all have to be intubated. Then asked once the boss what should be ready, should have the cling wrap at least. " I can feel her heartbeat coming here.
"Weyh. I feel like crying. Serious. Come back here quickly, before I stop. ”
….
When it was my first time on emergency call in Semporna,
is the first day I've had a case of death below 5yrs.
Basically, I just moved to Semporna for 2 weeks. Before that I floated in ED UM as MO for 7 months, I rarely handle emergency peads cases, because in UM there is already its own emergency peads place. Usually if they arrange me there too, I see cases in zone 3,4 (green) only, never attended a complicated case.
That night the cases came in circles.
I am still a year of corn, not enough experience,
looking at cases one by one slowly.
still not good at reaching the diagnosis.
Patients been raging been coming since 12
night, 3 o'clock and I still haven't seen it yet. It's not easy for me to take a quick look, at the same time, ensure the patient's diagnosis is correct, and treated well.
Already arrived at 12 o'clock and opened the folding bed because there are too many patients, my judgement is starting to be challenged.
Had one baby, came threw up one day.
Vitals are stable. Still crying tears out. Still active. But the boy is chubby. Want with 4, 5 times SN/MA I try to find a line, to draw blood. Can't.
Cause my patients are many,
I can't attend one by one completely.
so I told his mom to try to give him a drink
milk in the ED.
I observe for 2-3 hours. 2,3 times for milk. No vomit. Still in active mode. I asked her mom and she agreed. So I'm giving it back. Without drawing any blood.
At 9 o'clock that morning, the mother came back with the same baby, dead. CPR 40 min.
I cried a lot after I broke the news to mother. But since my shift continued until the evening, I'm preparing to review more patients.
While doing postmortem, they deduct that this case is aspiration pneumonia - choking on milk. But my soul is sullen. Repeatedly I did a simulation in the brain, if I had to draw blood, admit the patient. Maybe there will be no issue. For weeks I've been dreaming of the same baby face, still alive, still active, still crying.
….
My friend in the first story,
after that case,
He sent out a resignation letter.
Wow how quick he made his decision,
I'm still on vacation with my family, it's only the 3rd day, 2 days after the case, I haven't returned yet.
After I returned, I found her,
I wanted to ask him why he made a hurry decision, but his answer kept me silent.
“I'm afraid I'm going insane. ”
It's me,
From last week, too many deaths, from the old already sick, or a 2 year old drowned intubate cpr 40 min. Every time a patient dies in my hands, my head goes into overthinking mode - Did I do enough, Did I really tried my best, or if other people were here, they who knows better could save this person. It make me hesitate a lot when the case is more or less the same, come and I scrambled to do everything, but still have the same outcome. Am I the one to blame?
….
When you think back,
Work near district hospital ni;
Continuous work under pressure sometimes up to more than 24 hours,
plus with bad work schedule due to lack of doctors,
plus lack of knowledge and expertise to handle complicated cases,
Got angry with specialist because not good at managing patients, making a plan to be a mess,
Add with meeting again, with other services, clinic again. Holiday is hard to ask for more.
Away with the family again.
Oncall allowance is only RM8-9/hour more.
Pressed by the patient's family again,
When you get a little chair to sit on, you have the sanity to joke; recorded and viral by the society again.
If sent to Sabah and Sarawak, can't come due to family/business constraints, still criticized by the people.
And,
face to face with self gulit,
When the patient dies on our hands.
Sequence of work has always been covered with deaths.
And we become so overwhelmed not being able to give the best treatment to patients.
Why are you not crazy?
The crazy one, who is still able to continue to be here, in the name of devotion to the nusa, nation and country. Literally.
……
"Filzah, do you think that if you don't take leave, there will be a time for our CPR case, you can sew the cervical tear? Maybe then she'll still be alive. ”
.
"Weh, seriously I've never installed a chest tube near a baby. How is this? If I'm too much, she'll penetrate, she'll die, if I don't install it, she'll suffucate and die. ”
…
As for me,
it take tons of guts to stay and serve,
We struggle most daily doubting ourselves,
wheather we are good enough, skillfull enough,
We stressed over soo many mortality meeting,
that judge upon our decision making,
that jeapodize and cost someones life,
They think that just because we see so many death, we don’t value life as much as others. They thought we are used to it.
But no one can ever be used to death.
Not even crazy people.
so don’t judge those who decided to leave,
Or even,
Decided to not come.
…..
"Sister, during the case of the deceased the other day, his family wanted to crush and beat me, I was angry again. These people shouldn't do this to me. I'm not even from here, it's not easy for me to round up the will to come and serve here. ”
.
Kring. Kring.
"Hi, I'm MO from HKL, later I'll get placement in Semporna. Not sure if I would be of use in district hospital because I only use MO Radio here. But, if you guys willing to teach me, I will be diligent to learn. ”
.
I was talking with a HO in HTWU while doing my attachment, when I found out dia orang semporna.
"When I run out of HO, I really want to request to Semporna. If I didn't take care of Semporna, wouldn't I ask the boss to sit here for a long time? Boss has a family near the peninsula there. ”
…….
But, instead,
For those that decided to take the challenge heads on and stay,
you’ll gained the most expensive and surreal
experience that will help you grow into a fine and a good doctor.
Staying here for more that a year,
I think I have become a bit crazy.
But without craziness,
I don’t think you can survive in district hospital.
This post has been edited by Knnbuccb: Sep 7 2025, 05:42 PM 
Sep 7 2025, 05:21 PM
Quote
or amybe dump everything to the person on call? ok, good as it is the oncall person is already so busy, then we dump more of the unfinished work on him, who cares , we leave at 5pm.
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