Tip of the iceberg of a medical crisis?

Written by Anonymous Wednesday, nineteen Dec 2012 11:55

Commentary

CPI's introduction

We received a minute of censure upon open healthcare services in Negeri Sembilan.

A statute has been released saying which red red red red red red red red red blood tests for most medical conditions can no longer be carried out by a supervision hospitals as good as clinics in a state.

We have been reproducing a complainant's minute in its strange Bahasa Malaysia as good as upon condition which a translation of a content in English (see below).

We have discussed with various doctors a expected impacts of this statute upon discontinuing red red red red red red red red red blood tests. Prospective patients, healthcare workers as good as a general proletariat should be finished aware of these.

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The c onsequences include:

• Cancer detection. Patients who have undergone operation or chemotherapy for cancer right away cannot check for a recurrence of a following cancers (the applicable red red red red red red red red red blood exam have been here cited): colon cancer (CEA), prostate cancer (PSA blood), ovarian cancer (CA125) as good as testicular cancer (AFP).
• HIV detection. It cannot right away be reliable either patients have HIV or not. For patients already being treated with colour for HIV, a progress of their treatment cannot be monitored (CD4/CD8 counts).
• Diabetes monitoring. The gold standard for monitoring a patient's red red red red red red red red red blood sugarine level (HbA1c) in supervision diabetic clinics in a state will no longer be available.
• Drug abuse. Tests which have been required to brand brand new candidates for drug rehabilitation programmes, similar to a methadone programme, cannot right away be finished (HIV; Hepatitis B as good as C). Monitoring cannot be finished to safeguard which patients have been not taking unlawful drugs such as cocaine, morphine as good as amphetamines (urine drug tests for these).
• Epilepsy tests. Epileptic patients who have been not responding good to medical treatment for seizures need sure tests to determine a correct concentration of a prescribed drug for treating seizures effectively. These tests have been right away not accessible (carbamazepine, phenytoin, valproic acid). Without these tests, doctors cannot check either a studious is being rightly medicated for seizures, or either a studious will need a opposite drug.

See a censure minute for some-more information.

This have a difference has broader implications. These are:

Poor patients right away have to review to in isolation healthcare

! Given wh ich these tests right away cannot be finished in open hospitals as good as clinics, patients competence have to go to in isolation hospitals or in isolation red red red red red red red red red blood contrast companies. This is a monetary burden for reduce as good as center income patients, quite in a belt-tightening economy.

The opening of doctors would be affected

In a environment where red red red red red red red red red blood exam report and/or medicine reserve have been lacking, a settlement as good as services of a supervision doctors will expected be impaired. This would be to a detriment of a patients. There could occur a kind of triage situation where usually a most obligatory cases will embrace treatment whilst alternative patients who still need treatment competence be denied it.

Rationing could meant queues as good as bottlenecks during hospitals

The rationing of red red red red red red red red red blood tests or even medicine reserve competence meant which there could be bottlenecks or queues during a influenced hospitals as good as clinics. Aside from inconveniencing sick patients, this could serve aria a operations of hospitals as good as clinics. Hospitals elsewhere competence have to cope with a probable spillover of patients from a influenced hospitals.

A sign of alternative crises

If a basic as good as vicious partial of healthcare such as red red red red red red red red red blood tests cannot be carried out since of monetary difficulty, alternative areas of healthcare have been additionally expected to have been affected, such as a sustenance of medicines as good as illness programmes (e.g., diabetes as good as smoking cessation), which is in truth a case. The probability cannot be ignored which this Negeri Sembilan episode competence be a tip of a iceberg of bigger monetary misgovernance. It forces open questions about a tangible illness of a country's! finance s.

The authorities should respond swiftly since a sobriety of this complaint. Other stakeholders competence want to investigate a efficiency as good as firmness of a open illness system. The competent provisioning of basic needs for a people cannot be compromised in any scrupulously managed country.

*****************

From: XXX

To: The authorities concerned

December 14, 2012

Urgent Crisis: Important Blood Tests No Longer Available during All Negeri Sembilan Hospitals as good as Health Clinics Due to Lack of Funds

Salutations.

I am a late Malaysian polite menial as good as diabetic studious with a thyroid problem.

I need to do red red red red red red red red red blood tests to check which my thyroid level is healthy.

Two days ago we sought treatment during a supervision illness clinic in Negeri Sembilan.

The doctor pronounced he cannot lift out a usual red red red red red red red red red blood tests for me.

I was surprised to be told which red red red red red red red red red blood tests have been dropped during a clinics as good as supervision hospitals in Negeri Sembilan.

I was sensitive which this directive is an sequence from a government.

Quite recently, a necessity of medicines in supervision hospitals as good as clinics was debated in Parliament as good as a have a difference remains unresolved. Now (we're told) even red red red red red red red red red blood tests cannot be carried out.

It defies logic which a crisis such as this can occur in a pacific as good as moneyed country similar to ours. If we were a war section similar to Gaza in Palestine then it could have better sense which red red red red red red red red red blood tests as good as medicines could not be provided. How is it probable which a situation in Negeri Sembilan has become same to which in a conflict zone?

A sum of 50 red red red red red red red red red blood tests have been listed as disc! ontinued , as good as they embody important ones such as:

- Tests for HIV

- Tests for cancers

- Tests for dengue fever

- Control tests for diabetes

- Tests for hepatitis B as good as C

- Follow-up tests for thyroid treatment

- Tests for thalassaemia

- Tests for infertility

I received report which red red red red red red red red red blood contrast is unavailable since a supervision has no some-more monetary allocations for laboratory materials.

In fact, it is pronounced which laboratory materials worth RM500,000 procured earlier were performed upon credit (that is, by incurring debt) from medical suppliers .

Many patients including myself have since red red red red red red red red red blood samples but it is expected which these samples will be discarded as a red red red red red red red red red blood tests will no longer be carried out.

This is a waste of a rakyat's time as good as a rakyat's money.

I am angry as good as unhappy with a lackadaisical perspective shown in dealing with this critical matter.

It is not logical when a sovereign supervision can means to spend millions of ringgit upon KR1M/BR1M handouts as good as upon reward payments to a polite servants.

What make use of is all which if a supervision does not have a singular sen to pledge a sustenance of a basic service in open healthcare?

The Negeri Sembilan supervision voiced final week which it performed a 'smart city' accede to of USD400,000 (~RM1.2 million) from a IBM mechanism association for a state.

Is a 'smart city' status a greater priority than a illness of a pang masses?

I hope which my censure will open a eyes as good as hearts of a leaders as good as which immediate action can be taken for a basic wellbeing of a people.

Thank you.

STILL SERVING THE COUNTRY

A late polite servant

Daripada:

XXX.

________________! ________ _____________

Kepada:

Pihak-pihak yang berkenaan.

14 Disember 2012

Krisis Gempar: Ujian-ujian Darah Penting Tidak Lagi Dapat Dilakukan Di Semua Hospital Dan Klinik Kesihatan Di Negeri Sembilan Kerana Kekurangan Wang

Salam sejahtera.

Saya seorang pesara kerajaan Malaysia dan pesakit masalah tiroid dan kencing manis.

Saya perlu melakukan ujian darah untuk memastikan paras tiroid dalam badan saya adalah sihat.

Dua hari lepas saya telah pergi ke sebuah klinik kesihatan kerajaan di Negeri Sembilan untuk mendapatkan rawatan.

Doktor memberitahu saya beliau tidak boleh lagi melakukan ujian darah untuk saya.

Saya terkejut apabila saya diberitahu bahawa kebanyakan ujian darah telah diberhentikan oleh klinik-klinik mahupun hospital-hospital kerajaan di Negeri Sembilan.

Saya dimaklumkan ini perintah daripada pihak kerajaan.

Lewat-lewat ini, masalah kehabisan bekalan ubat di hospital-hospital dan klinik-klinik kerajaan telah dibahaskan di Parlimen dan perkara ini masih belum selesai. Sekarang ujian darah pula tidak boleh dibuat.

Pelik sekali krisis seperti ini boleh berlaku di negara kita yang aman dan makmur. Boleh diterima sekiranya ujian darah dan pemberian ubat tidak dapat dilakukan di zon peperangan seperti Gaza di Palestin, tetapi apakah situasi di Negeri Sembilan sudah tenat seperti di kawasan peperangan?

Bayangkan, sejumlah 50 ujian darah telah disenaraikan tidak dapat dilakukan lagi. Ini termasuklah ujian-ujian darah yang mustahak seperti:

- Ujian untuk HIV
- Ujian untuk penyakit barah/kanser
- Ujian untuk demam denggi
- Ujian kawalan untuk kencing manis
- Ujian untuk hepatitis B dan C
- Ujian untuk rawatan lanjutan tiroid
- Ujian untuk penyakit 'thalassaemia'
- Ujian untuk pasangan kurang subur

Saya menerima maklumat bahawa ini berlaku kerana kerajaan negeri tidak ada peruntukan wang lagi untuk membeli bahan ujian makmal.

Malahan bahan ujian makmal bernilai RM500,000 yang diperolehi sebelum ini dikatakan didapati secara pinjaman (atau hutang) daripada pihak pembekal.

Ramai pesakit termasuk saya sudah memberikan sampel darah mereka tetapi kemungkinan semuanya terpaksa dibuang sekarang kerana ujian-ujian darah tidak dapat dibuat lagi.

Ini satu pembaziran masa dan wang rakyat.

Saya marah dan kecewa dengan sikap sambil lewa yang ditunjukkan dalam menangani perkara yang serius ini.

Tidak logik apabila kerajaan pusat mampu membelanjakan berjuta-juta ringgit untuk KR1M/BR1M dan untuk wang reward pegawai kerajaan.

Apakah gunanya semua itu kalau kerajaan tak mempunyai satu sen pun untuk menjamin kepentingan asas seperti kesihatan rakyat?

Minggu lepas kerajaan Negeri Sembilan mengumumkan penerimaan geran bernilai USD400,000 (~RM1.2 juta) daripada syarikat komputer IBM untuk menjadikan Negeri Sembilan 'bandar pintar'.

Apakah status 'bandar pintar' diutamakan manakala kesihatan rakyat yang menderita dikebelakangkan?

Semoga keluhan saya ini membuka mata dan hati para pemimpin kami dan tindakan segera dapat diambil demi kebajikan asas rakyat.

Sekian.

MASIH BERKHIDMAT UNTUK NEGARA

Seorang pesara kerajaan Malaysia.

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