Thursday, 30 July 2009

Malaysian Doctors giving bad advice

Malaysian doctors treat H1N1 virus as though it is much milder than
common flu.

So much that even those that have asthma and suspected of having Swine
Flu, was allowed to go home to rest. Fortunately the patient survived.

It shows that Malaysian doctors are not well trained in mathematical
analysis and believe that 10 deaths a month of an infectious disease
is much milder than 30,000 in a year.


Since the population of the earth is only about 6 billiion, i.e. only
10 zeros, it will wipe out the entire population. This is what the
figure very clearly states and it is shown very clearly by the facts.
In 3 months, 1000 DEATHS already.

These doctors also don't read the news in the internet, let alone

July 30, 2009 16:34 PM

H1N1: Doctors Who Don't Comply With Guidelines To Be Called Up

PUTRAJAYA, July 30 (Bernama) -- Doctors who fail to comply with the
guidelines from the Health Ministry to detect the Influenza A (H1N1)
infection much earlier will be called up by the Health Ministry for an
explanation so that the problem would not recur.

The Director-General of Health Services, Tan Sri Dr Mohd Ismail
Merican said the investigation was not meant to penalise the doctors
concerned but to understand why they did not comply with the

For this purpose, he said the Director of the Disease Control
Division, Datuk Dr Hasan Abdul Rahman would instruct a team to
question the doctors concerned to get further information on the
medical examinations carried out.

"If there are doctors who still don't adhere to the guidelines issued
by the ministry, we will call up the doctors concerned, ask them
whether they understand (the guidelines issued).

"Some of them may not understand, so I will call them. Like in the
case who died within 24 hours (first death of H1N1), he saw the doctor
and after one hour, he died. So I want to find out from the doctor,
did he examine the patient? And if so, why is it not recorded in the
outpatient department (OPD) card? How can a patient collapse just like
that?" he said.

Dr Mohd Ismail said all doctors must also have their own computers
with internet facilities to ensure that they kept abreast with current
developments on the infection, particularly directives issued by the
ministry on the matter.

"I was told that some doctors don't even own a computer, so please buy
a computer, hook on to the internet and visit our (ministry's) website
so that they will be up to date in the management of their patients,
and it is not just for H1N1, it is for continual professional
development (CPD).

"Find out what are the things that you need to do, be aware of things
like guidelines about tamiflu, about wearing mask, about treating
patients, everything is there. There is no excuse for people to say
they do not know anything," he said.

Dr Mohd Ismail said this when asked about the action to be taken
against doctors who failed to adhere to the guidelines on examining
Influenza A (H1N1) as stipulated by the Meeting of the Technical
Committee on the Influenza A (H1N1) Wednesday.

The guidelines which, among other things, stated that all severe cases
of pneumonia for which a throat swab was required to be taken for
Influenza A (H1N1) tests and antiviral treatment given, were issued
because there were doctors who failed to detect the ailment in the
four fatal cases of Influenza A (H1N1) recorded earlier.

Asked whether the investigation was carried out in the four fatal
cases earlier, Dr Mohd Ismail said so far the doctors concerned were
only given reminders, and further action would depend on the
subsequent developments.

He also said doctors could not refuse to see patients with influenza
like illness (ILI) on their second visit, and the patients could
actually insist on being tested for Influenza A (H1N1) on their second
visit, if they had not recovered from their flu.

When asked about a case in Hospital Kuala Lumpur (HKL), where a
patient suffering from asthma and suspected to be infected with H1N1
was asked to go home and rest instead, Dr Mohd Ismail said he would
bring the matter up with HKL.


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