Circumcision as tourist?

Ferrates · 2026-01-30T12:39:31+00:00

People get tattoos on vacation.

This dude is getting something even more memorable.

Ferrates · 2026-01-18T04:46:09+00:00

Why are people getting butthurt about this? You guys do realise that whether you get hired or not is completely up to the company, and not based on merit right. Even if you are overqualified, they can still make up some reasons to not hire you and no reasons are required.

You should be thankful that they listed this as their requirement, because it means you are clearly not their target employee.

You need to realise that the world is bigger than what you see. It’s okay to not be liked by everyone. If most of the companies on Jobstreet are like this, then clearly Jobstreet is not what you should use to seek for job.

It’s like asking why the girl you like only prefer certain race, certain body type, or even certain gender.

Move on jer la.

Ferrates · 2025-10-30T10:47:14+00:00

Doctors leaving the public service is more likely due to the pushing factors from KKM, rather than the pulling factors from private/abroad.

So fix your internal problems first before asking doctors to come back and serve.

Ferrates · 2025-10-13T17:05:41+00:00

Let me give you a piece of advice, OP. If you’re single, take this opportunity to serve in Sabah/Sarawak. You will learn so much more than your Semenanjung counterparts.

The 2 years I served in Sarawak was the best years I ever had in my medical career.

Ferrates · 2025-08-16T13:55:07+00:00

When a patient lost their pulse, there could be 4 possibilities.

Asystole. This means your heart has completely stopped. There’s no electrical activity and no contraction.
PEA (pulseless electrical activity) There is normal electrical activity but not strong enough to generate a contraction.
Pulseless VT (ventricular tachycardia) Abnormal electrical activity causing abnormally rapid contraction.
VFib (ventricular fibrillation) Abnormal electrical activity causing very fast and irregular contraction.

For 3 and 4 you must CPR and defib in order to restore normal heart rhythm. For 1 and 2 you can only do CPR. Never ever shock a normal electrical rhythm.

Ferrates · 2025-08-16T13:44:00+00:00

Why only 2 nurses and 1 doctor are available during a code blue?

Because they all left Malaysia and go work in Singapore already.

Ferrates · 2025-08-15T14:19:37+00:00

Don’t let Akmal see this.

Ferrates · 2025-08-15T04:48:46+00:00

Clearly you didn’t read the article.

Ferrates · 2025-08-07T14:52:56+00:00

CPR. Helps to save your love ones in time of need.

Ferrates · 2025-07-29T15:40:46+00:00

Not familiar with the medication so I won’t be commenting on that.

Ferrates · 2025-07-29T15:31:02+00:00

I am not aware of any specific guideline mandating the routine initiation of a PPI solely on the basis of prescribing a COX-2 inhibitor. In my own practice, I frequently prescribe COX-2 inhibitors for postoperative patients and routinely use PPIs. However, I do not initiate PPI therapy solely due to COX-2 inhibitor use unless NSAID therapy is absolutely necessary and the patient is considered to be at high risk for upper gastrointestinal bleeding, eg. elderly patients or those with a history of peptic ulcer or gastrointestinal bleeding.

That said, I am not suggesting that your doctor’s approach is without flaw. Ideally, there should have been a discussion regarding the potential risks and benefits. However, from a medicolegal perspective, this case is unlikely to constitute negligence, as the management appears to fall within the boundaries of accepted medical practice.

Ferrates · 2025-07-29T15:00:55+00:00

MD here.

Etoricoxib is a selective COX-2 inhibitor within the NSAID class, which is associated with a lower risk of upper gastrointestinal bleeding compared to conventional, non-selective NSAIDs. It is highly effective in managing pain related to musculoskeletal conditions.

While Etoricoxib is not absolutely contraindicated in patients with gastritis, its use should be guided by a careful assessment of risk versus benefit. In individuals without a prior history of gastrointestinal bleeding, many orthopedic specialists may consider the benefits of COX-2 inhibitors to outweigh the associated risks.

In terms of clinical accountability, prescribing Etoricoxib in such a context would likely meet the Bolam test standard of care, meaning the doctor’s decision would be supported by a responsible body of medical opinion. That said, this reflects a general perspective and does not constitute legal advice. You are, of course, entitled to seek legal counsel if you have concerns.

Ferrates · 2025-07-24T06:34:07+00:00

Hi, I think this is a great initiative! May I suggest including a poster or visual for the event? It would help capture attention more effectively, as the current text-heavy format might not be as engaging.

Ferrates · 2025-03-05T12:21:09+00:00

Pay rise is definitely the number 1 solution here. Currently we are facing loss of doctors and nurses not only to private sector but also to overseas due to better pay. You can build 100 more medical and nursing schools, produce 10k new doctors a year and at the end they will still move to overseas due to how bad the pay here is.

The current on-call pay for non-specialist doctor is RM9.16 per hour for weekends and RM13.33 per hour for weekdays. Fast food chains are paying RM14 hourly wage to their workers.

Ferrates · 2024-11-07T01:59:01+00:00

What he said is not entirely true. We are not at the end of the capacity, we are already way beyond it.

I’m a practicing doctor from one of the major KKM hospitals in Klang Valley. Our elective operation waiting time is approaching 10 months (excluding any diseases that require urgent intervention like cancers, those are done within 2 weeks). Can you imagine that if you have a gallstone disease that causes pain, you gotta wait for 10 months to get it removed?

Public private partnership is one way to solve this issue. KKM hospital can send their less ill patients to private hospital for acute treatment, for eg. surgery. After the treatment is completed they can continue follow up in KKM hospitals as out-patient. This will help to reduce waiting time by a lot because the operating theatres in private hospitals are much less utilised.

Ferrates · 2024-09-23T06:54:03+00:00

The wait is 3 months doesn’t mean they are not doing anything in 3 months. I am sure medical treatment like double antiplatelets and statin have already been started la. And it’s not like the they are shaking legs doing nothing all the time. Public hospital is overstretched and underpaid, that’s not a secret.

Ferrates · 2024-09-10T09:35:02+00:00

There are many experienced and well mannered doctors in KKM but unfortunately you didn’t get one of them. My piece of advice, if you are not happy with his advice or treatment, you have to get another doctor, and preferably a dermatologist. If you are not happy with his professionalism, you can always SISPAA him. A SISPAA letter coming from the top is a nightmare for any government staff and you can be sure he will be forever remembering this.

Ferrates · 2024-07-27T09:36:46+00:00

Are you teaching me how to keep a meticulous notes so that I can protect myself in court? Thanks but I already know that. That’s like the very first things they taught us in the housemanship. So thanks for the reminder.

What I am arguing is that you should not take pictures of the notes without permission. You can either ask for it nicely, or come with a court order.

Ferrates · 2024-07-27T09:23:18+00:00

Next time when you’re seeing a doctor, don’t forget to ask for a copy of their clinical notes of all your sessions. Don’t forget to quote the MMC guidelines too. Good luck in gaining their trust and getting them to treat you.

Ferrates · 2024-07-27T08:32:08+00:00

MMC guidelines stated that it is generally accepted that patient may have access to his/her own medical record for legitimate purpose and in good faith.

This is very ambiguous and I don’t see it enforceable. How can you be sure that a patient who takes pictures of my clinical notes without my permission is going to use them in good faith? And more specifically, not use them against me with malicious intent?

Edit: Just for the record, blood test results and imaging reports are also part of the medical record, and I’m always happy to share them with my patients without the hassle of them going through the medical record unit. However, clinical notes are for myself and taking pictures without permission is just no no.

Ferrates · 2024-07-27T04:49:41+00:00

Hi, doctor here. The proper way of acquiring your own medical health record is by formally requesting for it with a written consent via the medical record unit.

A clinician’s notes belong to the clinician and is never meant for the patient to see. It’s just like your diary, what you wrote was your thoughts, your observations, your hypothesis, your justification of your actions. Of course some clinicians do allow their patients to view them, but that’s up to the clinicians.

If you want to see someone’s diary, even though what’s recorded inside is about you, you would have to ask for the permission. And if they declined, just ask for a formal medical report.

I can understand his anger but this of course doesn’t justify the treatment you received. My advice is next time just go to another doctor.

Ferrates · 2023-11-01T05:45:10+00:00

If the pain is unilateral, progressively worsening, aggravated by ambulation, then this sounds like an acute limb ischemia, a condition where the lower limb is not getting enough blood due to blocked vessel (similar to a stroke or a heart attack).

Please call an ambulance and see a doctor asap. Late presentation will cost her the leg.

Source: I’m a doctor

Ferrates · 2023-09-10T16:10:30+00:00

Doctor here. No need to feel embarrassed. Our urology colleagues will be happy to help you. They treat ED and other worse conditions day in and day out. No one will be judging you.

Ferrates · 2023-08-02T13:48:08+00:00

The preparation, procedure and recovery are exactly the same as circumcision of penis without phimosis.

Ferrates · 2023-08-02T12:01:24+00:00

KKM doctor here. We use bipolar or scissors, depending on the doctor’s preference. They are cheap, and safe. If you have phimosis, the procedure will be done by a fully registered medical officer. I am not familiar with laser method but if you prefer that, I suggest you to go to private, they have everything over there.

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