2 isolated incidents

My clinic was subjected to a 100% audit by a health department team yesterday, the first in Pudu area as far as I know. It is of course the government ‘s right to inspect any healthcare facility that they want to, and I will be the first to oblige any team wishing to audit my clinic.

The team was polite and professional, and went through quite thoroughly everything in the clinic. I like to  commend their attitude and professionalism, unlike some of the stories I heard about other audit teams which could be quite rough and rude.

Luckily, I have been expecting this sort of things ever since a few months back.  I have always kept to the law, and obeying whatever regulations they authorities put in place..

My poison drug books were kept accurate down to the last tablet , meaning that I can account for every drug that i prescribed under poison schedule (including tranquillizers and so on).

No drugs near expiry was detected. I have the usual oxygen tank (which has never been used, touch wood), suction meachines, drip sets, nebulisers  and so on.

I have policy statements , patients’s register. I have files keeping track of the notifications which I submitted to the Health Departments upon diagnosing notifiable diseases such as dengue  and even  H1N1 .

My fridge complied with every specifications with the requirements, and I have installed a special thermometer (Zeal thermometer) with records daily the highest and lowest temperatures inside the fridge and I have a log book to record the temperature at 12 noon everyday, making sure that the temperature is kept at between 2 degree and 8 degree centigrade.

In the end, a few minor fault was found such as at the back of my clinic at the janitor area,  my cleaner forgot to hang up the mop and place it on the floor, and I did not have an organisation chart displayed outside my room, with me on top of the arrow chart and my three nurses below , with their names specified.


Less than 10 days ago, we had a press conference ( I drafted the press statement as well as supplying all the statistics) calling the government to ensure the standards of the mushrooming medical schools, and that we highlighted the problems of too many housemen in our hospital wards leading to inadequate teachings and supervisions by senior doctors. This was reported in all major papers except Star and Nanyang, since the health portfolios are under the party that controls the majority shares of these 2 papers.

I have only good  intention and that is to ensure that our healthcare standard is not compromised in our rush to produce 4000 doctors a year, without adequate qualified staff and training facilities.  Healthcare is an important area in any nation, since everyone will inevitably need healthcare some time in their lives.


25 Comments (+add yours?)

  1. Richard Loh
    Jun 01, 2010 @ 11:44:02

    lol..Dr. Hsu, your title “2 isolated incidences” looks funny after reading the two cases….well just thinking of the other doctor being transferred to Kedah after she divulged what she is not suppose to…..

    Anyway, you are doing a great job in upkeeping your clinic.


  2. agerakanmember
    Jun 01, 2010 @ 12:25:01

    if you are a blogger voicing out things that the government would not like to hear, you have to prepare well. Well done, Doc! you can know speak louder than before.


  3. frank
    Jun 01, 2010 @ 13:27:40

    Obviously that was a scare tactic deploy by that Hell Minister to subdue dissident voices!

    This is just a beginning of the many ‘inspections’ forthcoming until and unless Dr Hsu zip his lips and keep his fingers to the buttons of the cash register only!

    No more punching the ‘SEND’ button then will be fine for them..to sing – “That’s the way..haha..haha.”

    Liow Tiong Lai is good at that, playing from the back!


  4. klm
    Jun 01, 2010 @ 13:43:44

    This is the style of MCA ministers. Liong Tiong Lai is abusing his power. Remember the Wee Ka Siong and Robert Phang case. I strongly condemn these MCA ministers. Liow Tiong Lai must issue a public apology to Dr. Hsu.

    Chuck them out the next election.


  5. romerz
    Jun 01, 2010 @ 14:14:37

    Last week I was summoned to Bukit Aman to have my fingerprints recorded and vetted by the PDRM for criminal activities.

    The reason given was because my company was renewing its money-lending licence. The funny part was NONE of the other directors were required to be vetted, only me.

    Is it coincidence that I happen to own a blog which is anti-government?


  6. CYC
    Jun 01, 2010 @ 15:53:48


    U are part and parcel of the regime that practice this discriminatory action since your party condone it. Go ask your president to go through his politics 101 to ascertain he is indeed the remnant supposedly had its place inside the WC.

    Again, this is the kind of far sightedness of Najib proudly shared by KTK and CSL, one diligently preserving his scholarly image and the other busy building his dynasty to safeguard the party(his) wealth. What happen to other more pressing issue like transforming the ailing economy, declining education quality, worsening public security (but NKRA report shows tremendous improvement), kintergarten style of parliamentary debates, …… etc?


  7. chabalang
    Jun 01, 2010 @ 16:47:51

    What – need a organization chart for a clinic??? Which health minister stipulated that???

    We now all know:

    (i) how the Government workers (I don’t call them civil servants – they are neither civil nor serve) waste TAXPAYERS money – checking on redundant things. I can understand the need to check on clinics BUT checking for an organization chart in a clinic is NUTS.

    (ii) how vengeful or “narrow-minded” the people in power can be…we all have to be careful of what we say in the public.


  8. mozac
    Jun 01, 2010 @ 16:53:49

    Dr, I think I want to visit your clinic for consultation 😉 Sure no problem one after that whatwith a doctor like you, heh…heh…heh…


  9. pilocarpine
    Jun 01, 2010 @ 17:00:38

    well hung mops and presence of organization chart TRUMPS any bad-ass poor quality junior drs…
    *sad really*


  10. Nick
    Jun 01, 2010 @ 18:05:13

    Why do we see ‘conspiracy’ in everything? The auditors are just doing their job. No auditor worth his or her salt will report “nothing” back to their superiors. If you as an auditee are smart, leave a few ‘aberrations’ for them to highlight. It is only minor observations lah, not a major CAR, not even a minor CAR in Dr. Hsu’s case. This is a big endorsement on Dr’s clinic. Please let us not read too much into this event. And leave politics out! For crying out loud.


  11. disgusted
    Jun 01, 2010 @ 18:35:10

    Ha, ha, ha Dr maybe you or someone should go to the health ministry’s toilet to see if they hang up their mobs. And probably double check if the Hell Minister Liow’s room has an organizational chart as well.

    Conspiracy or not, easy to know. Besides your clinic, along the road, which clinic was checked as well. None? Only yours?

    Well, I wonder the Hell minister is still Liow, the anti-smoker killer. Superman is gone…gone….gone….in Cabinet reshuffle.

    Batman’s son is in, in-charge of Plantation and Commodities…..

    And more mob-sters appointed as well.


  12. klm
    Jun 01, 2010 @ 20:46:32

    You are a sick one of an illegal issue , a gerakanmember. This is like Hitler’s Germany all over. It all started by the govt intimidating people who do not agree with it. This is going from bad to worse.


  13. John
    Jun 01, 2010 @ 21:23:02

    Doc, since nobody can hold you ransom for anything, why not just quit Gerakan and join either PKR or DAP.
    Consider this as your contribution to save Malaysia.

    Anywhere Gerakan is a sinking ship and will close shop after 13th GE.


  14. Phua Kai Lit
    Jun 02, 2010 @ 09:20:15

    Dear Dr Hsu

    How can I obtain a copy of the press statement?

    Thank you


  15. Dr Hsu
    Jun 02, 2010 @ 10:04:22

    Prof Phua
    I have emailed the press statement to you. It is based on the article :a doctor too many” in Malaysia with additional statistics on housemen in each unit in HKL.


  16. Loh
    Jun 02, 2010 @ 11:12:08

    Hi Doctor,

    I shall be grateful if you could email me the press statement. Many thanks.


  17. CYC
    Jun 02, 2010 @ 11:40:38

    The major health care players in Malaysia are GLCs. KPJ, Sime Darby, Pharmaniaga, and even Pantai’s substantial shareholders is Khazanah. What have they done to improve our healthcare quality genuinely other than profiteering. Did they contribute any grant to upgrade R & D facilities in local uni? They are only concern with KPIs related to bottom line. What about CSR? Or do they set any KPIs related to social responsibilities? The greatness of a nation does not solely depend on impressive GDP but also on soft culture or other kinds of enlightenment. And it is due to this inadequacy that the west does not think China could challenge their supremacy in short period.


  18. Dr Hsu
    Jun 02, 2010 @ 12:57:06

    The biggest mistake made was in the 80s when healthcare management companies were allowed to come in. Another big mistake was allowing healthcare companies to be listed. Once they are listed, the prime aim will no more be healthcare but rather to make profits for the shareholders.

    But healthcare is getting expensive, partly because of the new technologies used. A Cats scan costs more than a million dollars, and a PETS scan more than 10 millions.


  19. klm
    Jun 02, 2010 @ 14:40:27

    Dr Hsu. The problem you mentioned about the trainee doctors. It is here now and it is urgent.

    I was told a bunch of trainee doctors were send to a Johor hospital. The doctor in charge found that these trainee doctors cannot even identify body parts. They do not know how to cut through the skin. Seemed these trainee doctors were trained on plastic” dolls”. There were not cadavers for them to practice on in school.

    This problem is a present and urgent problem already. It is not something for the future. It is here now.


  20. Dr Hsu
    Jun 02, 2010 @ 15:17:57

    I received so many emails after I highlighted this problem in Malaysian Insider. Even some trainee doctors emailed me and said 8 of them are on call a night. Imagine if that night only 4 patients are admitted, how are these doctors going to learn to clerk cases and handle the basic like blood taking and so on?

    One father told me that the son had to loiter in the canteen since there were no work in the ward.

    Many senior doctors have voiced out, but so far, I seem to be the only one taking this case to the blogosphere, and the press. I am also going to submit a memorandum, but since i am researching on something else at the moment , the memo may only be ready end of this month.

    I hope more of the senior doctors can voice out.

    It is something that will affect evryone of us, rich or poor, believe me!. Once the standard has gone down, even private hospitals will be affected too, since they also need doctors and other health personnel. ANd when you are sick, you may not have the time or condition to travel overseas for treatment even if you have the money.

    I believe the minister may not be well briefed on this problems, since the problems is with the little napoleons below him, especially The all powerful little napoleon that those in healthcare will know. read the commnents in my article : a doctor too many in MI and you will know what I am talking.


  21. klm
    Jun 02, 2010 @ 15:42:09

    Dr Hsu. The problem is only known in public hospital. Many senior doctors are in private hospital and they would not see this problem. I have a relative who is a neuro. Never heard him talk about it.

    Is it true that new doctors are trained mostly on plastic dolls? They are playing with Barbie Dolls?


  22. klm
    Jun 02, 2010 @ 15:43:48

    And oh, on this Minister of Health. I dont think he knows the difference between a cadaver and a Barbie Doll. 🙂


  23. Dr Hsu
    Jun 02, 2010 @ 16:36:11

    you are right. The new medical schools are all using plastic models to teach their students.

    In the old days, we had to dissect the cadaver, and each of us owned a set of skeletons(real). I kept mine under my bed in university hostel.

    We would study the bones and handle it until it turned yellowish…well used.

    I believe it is again because of profits and demand. Medical sshools, even when using plastic models to teach, charge much much higher in their tuition fees than engineering and so on. Certain U charges about RM 100,000 a year (almost like overseas), but their lecturers are paid local lecturers’ salaries. So the profit is high.

    Some more most of them do not need to build hospitals. They use existing hospitals in MOH, and all depends on their connections with the right Napoleons. Even district hospitals are used in teaching… Which was not the case in advanced countries… Overseas medical schools need to run their own hospitals and research units. Here, there are so much profits to be made.

    And t=the demand is there of course. Many parents want their children to be doctors.. SO with so many medical shcools competing for students, the admission standards do come down, since they need to fill up their classrooms to make more profits.

    So even students who have mediocre results are now being accepted into medical schools as long as they can pay. I highlighted this in the press conference…

    BUt those parents must realise that with 4000 doctors being produced a year, there will come a time when their children might have to drive a taxi after work to make ends meet.No joke.

    I have just heard that NO 25th medical school has been approved… Masterskill college, which formerly was set up to train nurses, have been given a license to run a medical faculty in year 2012… adding another 200 doctors ayear to our healthcare system. I wonder which district hospitals they are going to use for this college?


  24. disgusted
    Jun 02, 2010 @ 18:50:06

    So Dr, how, if seriously sick?

    If so, will die. But after seeing trainee, will surely die faster. Hell, between the devil and the deep blue sea.


  25. klm
    Jun 02, 2010 @ 20:39:10

    what do you expect when these new doctors can only treat Ken and Barbie. Sure to mati.


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