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…