Wednesday, 31 March 2010

Najib should give Liow Tiong Lai an ultimatum to resolve the Sabah health crisis or be sacked 纳吉应向廖中莱发出最後通谍,要他立即解决沙巴卫生危机,即亚庇医院像越南难民营般,否则将廖中莱革职,以委任新的卫生部长

I am shocked and outraged by a letter I have received from a serving medical officer of Queen Elizabeth Hospital in Kota Kinabalu about the deplorable conditions of the hospital complexes in Sabah particularly Kota Kinabalu which had been likened to Vietnam refugee camp.Datuk Seri Liow Tiong Lai had been Health Minister for more than two years and despite repeated complaints, he had turned a complete deaf ear and blind eye to the prolonged healthcare crisis and the deplorable hospital conditions in Sabah particularly in Kota Kinabalu.我接到亚庇伊丽沙白女皇医院的一名医生来信後,感到震惊与愤怒,因为他在信中道出沙巴,尤其是亚庇区医院的糟糕情况像越南难民营那般。


 The serving doctor in QEH wrote of the horrors suffered by the sick in Kota Kinabalu where they are subjected to “a wicked game of musical chairs” shunted around various hospital centres according to their changing healthcare needs as “there is not a single centre that can address a patient as a whole”.
The medical maze, which has brought total chaos to healthcare services in Sabah, includes the state’s only referral centre, Queen Elizabeth Hosptal and nearby centres like Hospital Bukit Padang the mental institution, Hospital Likas, the makeshift hospital in Lingzhi Museum in Kepayan and Umno’s favourite Sabah Medical Centre (SMC).
This is the tale of horror as narrated by this QE doctor:
“Mr. Wong, an elderly man presented at Hospital Likas because of severe breathlessness and was found to have severe pneumonia on chest x-ray.
“He was then admitted to the High Dependency Unit of Queen Elizabeth Hospital (QEH) 30 minutes away for treatment.
“He improved after six days and was then transferred to the normal ward for further recuperation.
“A bed was urgently needed one day later and the frail Mr. Wong was then shipped off to Hospital Bukit Padang for ‘rehabilitation’.
“Alas, he did not improve but instead deteriorated.
“As Hospital Bukit Padang was devoid of the necessary equipment and setup for managing emergencies and ill patients, Mr. Wong was then resent back to QEH for further management.
“More tests were required and old Wong was then sent to Sabah Medical Center for a CT scan.
“I’m not sure what happened to Mr. Wong thereafter.”
The QEH doctor who made these revelations of the deplorable health crisis in Sabah in the form of an Open Letter to Liow Tiong Lai, wrote:
The formation of the Queen- SMC-Likas-Lingzhi-BukitPadang medical maze has brought total chaos to healthcare services in Sabah.
The docile and unassuming Sabahan patients are constantly playing a wicked game of musical chairs, being transported around from one hospital to another according to their changing healthcare needs.
There is not one single center that can address a patient as a whole.
A lady in labor will be told that she can’t do so in QEH, while a fitting patient are whisked away from Likas to QEH.
A child with a broken limb may go to SMC but the surgery can only be done in Likas.
Elderly Mr. Wong is merely one of many such victims.
Continuity of care is virtually impossible when patients are moved about every few days.
Valuable investigations and data are lost in the process of multiple transfers resulting in costly, repeated tests.
Patients have even died due to the lack of emergency equipment and the deficient setup at the peripheral wards.
You will not hear all these because your little pharaohs in the state health department have done a great job concealing negligence, mismanagement and sheer stupidity.
Medical personnel are suffering in silence too.
Doctors from house officers to specialists are rushing around the five medical centers daily, wasting precious time, fuel and energy in the process of doing so.
Medical officers have been doing eight to fifteen on-calls every month as a result of the increased locations housing the sick.
That is fifteen days away from home and family every month, mind you.
Just in case you forgot we too have young, growing kids to care for.
Absent parents do not make for good family dynamics, won’t you agree?
We are risking our lives each working day wondering if the abandoned tower block will one day collapse upon us and send us to our Maker.
Our comrades serving in Sabah Medical Center are not having it any better.
In spite of the Barisan Nasional’s grandiose publicity buzz over the RM 245 million purchase of Sabah Medical Center, the medical personnel and patients have remained mere squatters in the premises.
The medical staffs are receiving summonses so very too often as a result of limited parking space.
Those of us in surgical disciplines are working till 9 pm on Mondays to Fridays so as to optimize the operating time of our three miserable rented surgical theatres.
In the SMC wards, 4-5 patients are cramped into rooms meant for two as the hospital was built to house a capacity of 150 beds only.
On QEH, the only tertiary referral centre in Sabah, the QEH doctor has this to say:
Increasingly, the Queen Elizabeth Hospital, the only tertiary referral center in Sabah is living up her grand title of being a sick house.
Partially shut down since September 2008, the ailing sick house of Sabah has turned critical recently, with worsening cracks and falling tiles and a real threat of frank collapse.
The older blocks nearby were declared unsafe and subsequently evacuated and shut down.
Ill and frail patients were shipped off in a frenzy like unwanted cargo to nearby centers like Hospital Bukit Padang the mental institution, Hospital Likas, and the makeshift hospital of Lingzhi Museum in Kepayan and of course, UMNO’s favourite Sabah Medical Center (SMC).
The QEH doctor said he and his colleagues invite Liow “to come and see the ground situation for yourself without a grand entourage of administrative boot-lickers”.
He continued:
“Patients who require hospital admission have to be turned away due to the insufficiency of places.
“The inpatients meanwhile are packed like sardines in the current wards, with hardly a metre of space between beds.
“The situation is comparable to a Vietnamese refugee camp.
“Hospital-acquired infections are the norm rather the exception.
“When a patient with tuberculosis coughs his lungs out, everyone in the ward will be inhaling the highly infectious Mycobacterium.
“After 50 years of independence, our ill patients who require close observation are still sharing monitors and other equipment between themselves.
“Is this the standard of care that Barisan Nasional is according to Najib’s self-proclaimed fixed deposit?
“Whatever happened to all the oil money that Sabah has generated for Tanah Melayu over the last 50 years?
“So you see, Mr Health Minister, we don’t need more jobless house officers, more empty promises and more tasty slogans like 1Malaysia.
“We need 1Hospital and 1HealthMinister who is attuned to the sufferings of the rakyat under his care.”
This is an utter shame for the Prime Minister Datuk Seri Najib Razak’s 1Malaysia and his pledge of “People First, Performance Now: I will send the QEH doctor’s indictment of the healthcare system and the Health Minister ‘s failure and negligence to the Prime Minister, who should table it on Friday’s cabinet meeting as an example of failed Minister in his Cabinet.
Either Najib give Liow an ultimatum to immediately resolve the deplorable healthcare crisis in Sabah or Najib should make an example of Liow by sacking him and appoint a new Health Minister for the country.
接到亚庇伊丽沙白女皇医院的一名医生来信後,感到震惊与愤怒,因为他在信中道出沙巴,尤其是亚庇区医院的糟糕情况像越南难民营那般。
廖中莱已当了卫生部长两年多,儘管接到许多投诉,他对沙巴,尤其是亚庇长久以来的卫生危机及医院可悲状况,不闻不问。

上述医生道出 了亚庇病患的的恐怖遭遇,他们被投入“随乐声抢椅子的戏谑遊戏”中,根据他们的病情,在各医药中心兜转,因为“没有任何一个中心能完整的治疗一名病患”。
这种医药迷宫,令沙巴,包括州内唯一的转诊中心伊丽沙白女皇医院及附近的中心,如Bukit Padang精神医院、里卡士医院、Kepayang的LingZhi博物院临时医院及巫统所钟爱的沙巴医药中心(SMC),都陷入一片混乱中。
以下是该名医生道出的恐怖情况:
“年老的王先生因呼吸困难而被送入里卡士医院,照了X光後証实是患上严重肺炎。
他被转到30分钟车程外的伊丽沙白女皇医院的加护病房接受治疗。
他的病情在6天後好转,跟著被转到普通病房作进一步复健。
当天较後时,由于极需一张病床,虚弱的王先生被送去Bukit Padang医院休养。
由于Bukit Padang医院缺乏处理紧急与严重病症所需的设备,王先生被送回伊丽沙白女皇医院。
需要更多检验的王先生被送去沙巴医药中心进行电脑断层扫瞄。
我不知道王先生之後的情况。”
上述伊丽沙白女皇医院医生以致廖中莱公开信方式,揭发沙巴的卫生危机,他写道:
皇后、SMC、里卡士、LingZhi、Bukit Padang的医药迷宫,令沙巴的卫生服务陷入一片混乱。
温顺与好商量的沙巴病患不断的被拉入随乐声抢椅子的戏谑遊戏,根据他们的病情,在各医药中心兜转。
这裡没有任何一个中心能完整的治疗一名病患。
一名要生产的女士将被告知,不能在皇后生产,而装配义肢的病患将被从里卡士送去皇后。
一名断肢的儿童,也许可以到SMC去,但手术只能在里卡士进行。
年老的王先生只是许多这种受害者的其中一名。
受到持续照顾是不可能的事,病患会每几天被转院一次。
在不断转院的过程中,可贵的检查报告及数据会遗失,而需重覆昂贵的检测。
由于紧急设备及周边病房的设备欠佳,病患也许因此不治。
你不知道这些事件,因为在州卫生局的小法老们很懂得封锁疏忽、管理不当及十足愚蠢问题的消息。
医生们也同样不出声。
从见习医生到专科医生,每天来回这5间医院,其间浪费了许多宝贵时间、汽油及精力。
由于安置病患的地点增加,医生每个月必须随时候召8至15天。
听好,这等于每个月,要离家与家人分开15天。
别忘了,我们也有年少及成长中的孩子要照顾。
父母不在身边,不会带来良好的家庭活力,你同意吗?
每个工作天,我们都在冒生命的危险,如果被搁置的大楼倒塌在我们身上,我们将会去见造物主。
我们在沙巴医药中心服务的同僚情况也好不到那裡去。
儘管国阵大肆宣扬以2亿4500万令吉收购沙巴医药中心,裡面的医生及病患仍旧是非法住户。
由于泊车位有限,医生时常接到传票。
负责动手术的医生每周一至周五,必须工作至晚上9时,以充分使用3个租赁的手术室。
在沙巴医药中心,4至5名病患挤入双人病房,因为当初该医院兴建时,只能容纳150张病床。
提到伊丽沙白女皇医院时,上述医生写道:
属于沙巴唯一转诊中心的伊丽沙白女皇医院日益被冠上病屋之名。
这间已生病的沙巴病屋,自2008年9月开始局部关闭,最近情况恶化,其裂痕扩大及瓦片跌落,有倒塌的风险存在。
附近的旧楼已被宣佈为危楼,病患被疏散後关闭。
虚弱的病患像没人要的货櫃那般,乱成一团的被送去附近的医院,如Bukit Padang精神医院、里卡士医院、Kepayang的LingZhi博物院临时医院及巫统所钟爱的沙巴医药中心(SMC)。
该名医生说,他和同僚邀请廖中莱“在没有大群拍马屁行政人员随行下,亲身来看看有关情况”。
他继续写道:
由于空间不足,要入院的病患被拒。
与此同时,病房中的病患如沙丁鱼般拥挤,床与床之间很难找到一米的空间。
情况有如越南难民营。
院内感染已成了家常便饭。
当一名肺结核病患大力咳嗽时,病房内人人都将吸入具高度感染性的分支杆菌。
独立50年後,需要严密观察的严重病患之间,仍必须共用监察器及其他配备。
这就是纳吉所谓的定期存款的国阵照顾标准?
沙巴在过去50年来为马来半岛赚取的油钱去了哪裡?
卫生部长先生,我们不需要没有工作好做的医院官员,更多的空置建築物及像一个大马这种动听的口号。
我们需要一个医院及了解人民疾苦的一个卫生部长。
这对首相纳吉的一个大马“以民为本、即刻表现”承诺,是一大耻辱。我将把上述医生对卫生制度及卫生部长疏忽职守的控诉传达给首相,好让首相在周五的 内阁会议上提出这个他内阁中部长失职的例子。
纳吉应向廖中莱发出最後通谍,要他立即解决沙巴卫生危机,否则应杀鸡儆猴地将廖中莱革职,並委任新的卫生部长