Pardon My Absence

Wowee. It’s been more than a couple (probably a couple of couple) of months since my last post. Lots of stuff happened at the end of the year 2014.

One of the most important event that ever happened was that I’ve been up’d a level, a status called daddy. Oh, the feeling. Awesome. Having your kid pee at you. Priceless. Seeing him cannon-poop’d your wife. Priceless with an infinity tag.

Sitting for my DFM final exam. Thought it was gonna be a piece of cake but it was not as easy as expected. Glad I made it through.

Moved into our new place. Well, it’s still a rented place but at least now we have a place of our own. Despite being able to save more while having to rent a room only, having your privacy is worth more than that.

Hopefully I’ll get into the right gear and start posting again. Not like hangat-hangat tahi ayam. And no, it does not mean hot-hot chicken shit in anyway. Have fun googling.

The Normal Days

6.45 am – Getting of from bed. Or trying, for the very least.

7.00 am – Breakfast (Carman’s anyone?) and a quick shower.

7.20 am – Towards the bus stop, which is conveniently located below my block.

7.35 am – Bus arrives. Taps the EZ-link card after getting on.

7.45 am – Arrives at bus interchange. Taps out. 70 cents deducted. Starts walking towards the clinic.

7.50 am – Reaches the clinic. Powers up the pc.

8.00 am – Ding. The first patient being called.

9.00 am- Work work work.

10.00 am – Work work work.

10.15 am – 10 minutes breather for a quick snack. And to pee.

10.25 am – Work work work.

11.00 am – Work work work.

12.00 am – Oh my God. I’m hungry. Work work work.

1.00 pm – Lunch with friends! 5 dollars a meal. May go up to 15 since there’s a mall nearby.

2.00 pm – Bah. Back to work.

3.00 pm – You know the drill.

4.00 pm – Getting excited that it’s gonna end soon.

4.30 pm – “Why are there still patients?!” Everyone starts getting really edgy.

5.00 pm – Done! Takes a slow stroll back with wifey. (Oh yes, she works at the same place as me.)

5.10 pm – Hops on the bus.

5.30 pm – Buys dinner from the the nearby kopitiam. Spends about 10 dollars for both.

6:00 pm – Chilek time. Movies, dramas, studies, gaming, music and housework all the way till 10.30pm.

10.30 pm – Catch up on some news using Flipboard (fantastic app by the way).

11.00 pm – Nite guys!

p/s. Oh, and if you’re wondering what about the not-so-normal days a.k.a syok days, those are the times when I’m back in KL! 😉

When RM12,000 a month isn’t enough.

Miraculously, an old post in The Malaysian Insider just got popular again. You can read the entire article below.

http://www.themalaysianinsider.com/malaysia/article/when-even-rm12000-a-month-isnt-enough-to-get-by-in-malaysia

Parts of the excerpt.

One of them is Caroline Wong, who believes her combined household income of RM 12,000 is not enough to sustain a living in Penang, famed for its beaches as much as it electronics manufacturing sector.

The 34-year-old clerk lives with her husband, a sales manager and their young daughter are starting to feel the pinch despite earning an income that was once sufficient to live comfortably.

“We are always eating in at home now and we can no longer afford to buy goods like branded clothing,” Wong told The Malaysian Insider in Penang’s capital city George Town.

According to Wong, every month the couple have to fork out RM 4,000 for the house and car, RM 1,500 on food and another RM 1,500 on daycare, baby food and milk for their child.

On top of that, there is RM 750 on insurance and a family medical card, RM 700 on petrol, RM 600 on phone bills, WiFi and broadband, RM 120 on Astro, RM 140 on water and electricity bills and RM 110 on a weekly housekeeper.

“We put aside RM 500 every month for road tax and car insurance. Come May next year, we will have to spend another RM1,500 a month on our second child when it arrives,” Wong said.

So is RM 12,000 enough for doctors to start a family?

I had previously written a post on how much was needed in general to be sustainable in Klang Valley here. However, that’s only applicable to a single person. One would require an estimated of RM 5,000 to be able to live comfortably. What if it’s for 2? Simple mathematics would tell you that it’s roughly gonna be about RM 10, 000. Family of 3? You do the maths.

Reading through the comments posted on The Malaysian Insider, many disagreed with the statement and justified that it was more than enough. I beg to differ. Now, of course to survive, you don’t really need that much but let’s talk about it from a comfortable (not lavishly) point of view. To have a family and to live in KL (or any where in the Klang Valley), you would probably have to get a condominium or a house, which ultimately takes up a chunk of your income. Houses in KL these days, at least within the KL vicinity, costs no less than RM 500,000. Staying further away would be cheaper, but it’ll be replaced with increased petrol cost and time vs. distance traveled. With that in mind, to service the loan itself will require you to fork out an estimated of Rm 3,000 a month. RM 1,000 left for the car loan is fair enough to get a decent car (excluding proton cars).

However, RM 700 for petrol and RM 600 for phone bills are rather excessive. Additional cost saving measures should be undertaken in those categories, which can be improved.

Therefore, a note to all future doctors out there, your starting income will hardly be enough for you live comfortably, let alone starting a family.

Here’s the salary of a house officer (Pegawai Perubatan UD41).

Base: Rm 2,778

Housing allowance: RM 250 (pathetic, can’t even rent a decent room)

Public service allowance: RM 300

Critical allowance: Rm 750

COLA: RM 100 – RM 300

A grand total of whooping Rm 4,378 (using max COLA), which is hardly even close to RM 5,000, or RM 12, 000 on combined income assuming your spouse (assuming a doctor too) is working too. What’s next? For those planning to do medicine, better be really prepared. And for those already in it, plan your finances in advance as it ain’t gonna be an easy road ahead.

Being Listeners

Doing medicine is not just about giving the best advice or the best drug. Myself at times tends to get hasty when the workload gets too hectic, and starts jumping to conclusions before the patient could even finish his/her sentences. At the end of the day, what the patient needs most may not be the advice you give, or the blood tests or x-rays you’ve ordered, or even the medication you’ll be giving. They just want some of your time, to have you listen to their troubles and that, easily be the best medicine you could ever give.

Come to think of it, I’ve talked about this before in one of my previous post. I can be a little cheong hei (long-winded). In person, I don’t really like to talk much and I’m not really a people person but when it comes to talking to patients, I can talk non-stop. The irony.

A couple of days ago, I saw an elderly gentleman who was in his late 60-s, complained of body aches. He had multiple issues like an excised kidney for renal cell carcinoma, underlying gastric reflux, osteoarthritis and all the yadda-yadda stuff. Funny part was I didn’t dwell much on his presenting complaint. After asking a few quick questions, he then started sharing about him having the initial thought of dying as soon as possible since he had so many medical problems at hand. However, since the coming of his new born grandson (which he described him as sooooo cute), he decided to live a little longer until at least he’s in school. And he asked, “Can right?”. Speechless moment with an awkward pause, which I replied with a smile. And of course he carried on sharing about his life stories for a while. In the end, he thanked me and left the room happily without having me to examine him (Fine. I admit I had totally forgotten about it). Somehow, after the conversation, it kinda brightened up my day, especially when you’re being bombarded relentlessly with tons of patients to see each day.

Just thought of sharing it with you guys as listening, is both therapeutic not only for the patients but for the receiving party as well.

Are you a good listener?

Good Doctors – Dr. Ng Kwee Boon (Obstetrician and Gynaecologist)

Dr. NgDr. Ng, a very soft spoken and humble man. He takes time to explain the details and loves to chat. He believes that the best way to treat if through knowing the patient as a person rather than treating the disease itself. He never rushes through a consult. You’ll notice funny little antiques between him and his trusty nurse who urges him to see at a faster rate as there are so many other patients waiting in line to see him. Speaks in a variety of dialects including Hokkien and Cantonese, although he communicates best in English.

Specializes in scopes, which includes laparoscopic and hysteroscopic surgeries, which most patients prefer these days as these surgeries leave smaller scars and have a faster healing time. If you’re wondering what is laparoscopy, click HERE.

He runs a clinic in Tung Shin Hospital. You can get more HERE.

Rumor has it that he will be retiring soon. But when, no one knows. However, if you’re looking for a good O&G specialist around Klang Valley area, you may want to consider seeing him.

Captain Earth

Like I always do, on the look out for a good anime to watch. And here’s one. If you’re into mechas, gundams and stuff, you will like this.

CE01

Main protagonist to your left.

CE02

Sexy.

CE03

Familiar?

No like mechas?

CE04

Just too bad.

Family Medicine Specialization in Malaysia

You may ask, why do I need to specialize in Family Medicine? Fortunately (or unfortunately), you do not require any specialization to be a general practitioner (GP) in Malaysia as anyone with just an MBBS or an MD can be one, as long as they finish their service with the government. In other countries, a GP is a specialist, and you have to pass exams before you’re allowed to practice independently.

However, if you do plan to improve yourself, take this as a challenge, be it for self-improvement or for the betterment of the patients that you’re treating.

There are 2 pathways that you may take.

If you’re in the government sector, you can always try to get yourself into the Master Program. Total number of years for completion would take 4 years. However, there will be no guarantee of when you’ll be enrolled into the program. Just gotta keep trying until you get it. Bear in mind that you’ll be bound by the government upon completion. Failing the exam will cost you money, and yet, you will still be bonded.

For those who’s not keen on waiting, the alternative path is to take post graduate training offered by the Academy of Family Physician of Malaysia (AFPM). Duration of the program will be 4 years too. However, if you’re working as a general practitioner long enough (10 years or more), you can be enrolled into a cram course called DFM-S which takes only a year instead of two, then to continue on with the Advance Training Program (ATP). Only after ATP, you’ll be eligible to sit for the FRACGP exams. Thing is, you’ll be financially tighter as compared to taking the Master Program as you would have to fork out about RM40,000 during these 4 years, which is quite a considerable sum.

Choice is yours.