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I was a HO at the colorectal ward, which manage a few complicated surgical case such as enterocutaneous fistula, in which patient’s gut stick out from the abdomen and pouring feces.

In this kind of case, the usual management is to bar patient from eating,  relies on neutrient fluids which run directly into their blood and a medicine which is a somatostatin analogue was given to reduce gut mobility and promote healing.

I found out later that the small bottle in which given twice daily to patient cost RM150 per bottle!!!!

I hadpatient who had been stayed in the ward for > 1 month.

When the bill back, it;s only charge the patient for lodging and investigations. The medicine and consultants fees are not included.

Just imaging if the government start charging the real fees…

Just tell the patient to chiak sai and they were be cured!!!!!

Just read from Jimbo site and get to know what is faecal transplant (Fecal bacteriotherapy)  is all about.

It’s just a common sense. When one lost something very valuable, we just have to resupply it.

In this case, prolonged antibiotics treatment cause eradication of commensal (good bacteria) in the gut. The bad guy, C.difficile went berserk and cause pseudomembranous colitis.

So, the treatment “chiak sai” is just getting other people gut commensals and repopulate the gut and get the bad guy away.

Brilliant !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!1

Despite thousand of dollar spend on anti-smoking campaign worldwide, the number of smokers are keep on increasing.

Despite the clear health risk of smoking, people seem smoking is a risk worth taking.

It’s time for a radical approach to anti-smoking.

JUST OUTLAW IT

Made smoking cigarrattes and it’s related activities a crime againt HUMANITIES.

A public health risk. a nuisance to the society.

IS IT TOO AUTOCRATIC, HOW ABOUT BASIC HUMAN RIGHT?

We are able to ban firecracker, recreational drugs abuse, and many many other things.

MADE IT A CRIME TO SMOKE IS THE ONLY OPTION

WE SHALL SEE  THE RESULT SOON.

WE CAN SAVE HUNDRED AND THOUSAND AND EVEN MILLIONS IN HEALTH CARE.

After graduate and working for one year, the experience taught me that one must be pro-active in learing skills and acquire knowledge. It’s stated in the 8 outcome of medical programs.

The training of such skill must be started at the medical school.

No tutorial class, 2 hrs of lectures each day and problem-based learning discussion sessions weekly that does the work.

Toward the final years, students being taught of to do research of pubmed and journals and write portfolio and case reports.

This what may perceived as modern med school vs traditional med school. No more bombardment of long lecturers and subsequent tutorial.

So, to learning the fishing skill is far more than to be spoon feed with knowledge.

I think now the CHinese must be wondering why a earthquake with almost similar ricter scale can bring different damages.

Death rate at China is more 60,000 plus 10,000 more missing

Death rate at Japan is < 10, plus < 10 missings

Sure, various reasons can be given for the vast differences

It occurred in remote japan, population is minimal……

When a earthquake strike, it’s the falling of the infrastructure which is the major killer

and the China communist have the gut to admit their mistake…

The media circus focus on the rescue and welfare effort…but it too late…

Wake up, my Chinese fellows, you must ensure that it’s shall not occurs again.

It is a man made disaster in China earthquake.

AND PLEASE DO NOT DENIED IT. IF YOU THINK YOU CAN JUST TRUST YOUR GOVERNMENT, THE DISASTER SHALL REPEAT

REMEMEBER, 1976 TANGSAN , 2008 SZECHUAN…….