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	<title>Comments on: More bull by  DG Merican</title>
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	<link>http://blog.limkitsiang.com/2008/02/14/more-bull-more-dg-merican/</link>
	<description>for Malaysia</description>
	<pubDate>Sat, 22 Nov 2008 13:29:59 +0000</pubDate>
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		<title>By: EXgovtDr</title>
		<link>http://blog.limkitsiang.com/2008/02/14/more-bull-more-dg-merican/#comment-99641</link>
		<dc:creator>EXgovtDr</dc:creator>
		<pubDate>Tue, 22 Apr 2008 18:12:04 +0000</pubDate>
		<guid isPermaLink="false">http://blog.limkitsiang.com/2008/02/14/more-bull-more-dg-merican/#comment-99641</guid>
		<description>damianyeow,

Youre just biased and ignorant in making your racist statement,I suggest you go to any govt clinic to see for yourself are there only poor malays attending the clinic,this would probably enlighten you.As for  overseas acceptance,every country has their own governing bodies eg GMC for the UK.Even though top malaysian medical schools are listed in the WHO medical school directories they are not accepted in the UK as the new ruling of the GMC states that non EU qualified doctors( singapore,hong kong,japan  included)are not eligible for working permit,for your information previously our degrees were accepted for training purposes(partial registration) in the UK.As for US the key is in obtaining USMLE.UKM and UM basic medical degree are accepted in singapore although not a full registration status.Local masters program is fully based on merit and not quota! One has to get his facts right before churning out such unscrupulous and malicious racist statement</description>
		<content:encoded><![CDATA[<p>damianyeow,</p>
<p>Youre just biased and ignorant in making your racist statement,I suggest you go to any govt clinic to see for yourself are there only poor malays attending the clinic,this would probably enlighten you.As for  overseas acceptance,every country has their own governing bodies eg GMC for the UK.Even though top malaysian medical schools are listed in the WHO medical school directories they are not accepted in the UK as the new ruling of the GMC states that non EU qualified doctors( singapore,hong kong,japan  included)are not eligible for working permit,for your information previously our degrees were accepted for training purposes(partial registration) in the UK.As for US the key is in obtaining USMLE.UKM and UM basic medical degree are accepted in singapore although not a full registration status.Local masters program is fully based on merit and not quota! One has to get his facts right before churning out such unscrupulous and malicious racist statement</p>
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		<title>By: drkit</title>
		<link>http://blog.limkitsiang.com/2008/02/14/more-bull-more-dg-merican/#comment-96848</link>
		<dc:creator>drkit</dc:creator>
		<pubDate>Wed, 09 Apr 2008 04:24:39 +0000</pubDate>
		<guid isPermaLink="false">http://blog.limkitsiang.com/2008/02/14/more-bull-more-dg-merican/#comment-96848</guid>
		<description>i am a medical officer currently working in private. i am not here to talk about the doctors rather the gov healthcare services. i hav to disagree with nckeat88 as i had a recent encounter with our gov services recently. i would say tat being a dr i am willing to sacrifice anything to provide better care for my pts but there r limitations of wat we can do in the gov. 
my relative was diagnosed with ca recently and him having no money for chemo i referred him to the gov. first of all no parking, then our encounter with rude front desk staff, and referral to other specialties tat can take up to 1 month. to add salt to our wound, the medication the oncologist prescribed is out of stock n we were told to wait for 2 weeks! talk about service. of course the oncologist and the mo r very pro on every appt.
when i was with the gov as a dr, i do not see the things pt had to endure to see a gov dr, but right now i can understand the pain and sufferring one have to go through just to get this so called good service. so nckeat88, u have to be a pt b4 u can give opinion on our gov healthcare service as u have not had a taste of it yet.
i am sure u can also see the many flaws, problems, limitations, red tapes,  politics, quota systems and many many more rubbish within our gov healthcare service.</description>
		<content:encoded><![CDATA[<p>i am a medical officer currently working in private. i am not here to talk about the doctors rather the gov healthcare services. i hav to disagree with nckeat88 as i had a recent encounter with our gov services recently. i would say tat being a dr i am willing to sacrifice anything to provide better care for my pts but there r limitations of wat we can do in the gov.<br />
my relative was diagnosed with ca recently and him having no money for chemo i referred him to the gov. first of all no parking, then our encounter with rude front desk staff, and referral to other specialties tat can take up to 1 month. to add salt to our wound, the medication the oncologist prescribed is out of stock n we were told to wait for 2 weeks! talk about service. of course the oncologist and the mo r very pro on every appt.<br />
when i was with the gov as a dr, i do not see the things pt had to endure to see a gov dr, but right now i can understand the pain and sufferring one have to go through just to get this so called good service. so nckeat88, u have to be a pt b4 u can give opinion on our gov healthcare service as u have not had a taste of it yet.<br />
i am sure u can also see the many flaws, problems, limitations, red tapes,  politics, quota systems and many many more rubbish within our gov healthcare service.</p>
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		<title>By: kappikappu</title>
		<link>http://blog.limkitsiang.com/2008/02/14/more-bull-more-dg-merican/#comment-77933</link>
		<dc:creator>kappikappu</dc:creator>
		<pubDate>Sun, 17 Feb 2008 04:48:23 +0000</pubDate>
		<guid isPermaLink="false">http://blog.limkitsiang.com/2008/02/14/more-bull-more-dg-merican/#comment-77933</guid>
		<description>What kind of service can you expect from these govt. clinics when their ex chief the infamous MOH Chua Soi Lek who is too busy Fxxking his so called girlfriend fit to be his daughter rather than discharging his duties as the MOH (Minister of Health). 
You may still remember the infamous 80's D P Vijandran case exposed by Sdr Karpal Singh of DAP. Both of these BN members share the same identity, both are SEX MANIACS.

Chua Soi lek has the guts to ask Malaysians for forgiveness and to continue in public service. He thinks Malaysians is GOD. If an apology is all that is needed after a sin or crime has been committed, we don;t need courts and prisons in Malaysia to try and imprison convicts. Only GOD can forgive sins, not Malaysians.

Can you trust BN to lead Malaysia in the future? To the residents of Labis, be extra careful this coming GE, never vote for BN and the werewolf. Your daughter might be thier next victim! MALAYSIA BOLEH TANPA BN !!</description>
		<content:encoded><![CDATA[<p>What kind of service can you expect from these govt. clinics when their ex chief the infamous MOH Chua Soi Lek who is too busy Fxxking his so called girlfriend fit to be his daughter rather than discharging his duties as the MOH (Minister of Health).<br />
You may still remember the infamous 80&#8217;s D P Vijandran case exposed by Sdr Karpal Singh of DAP. Both of these BN members share the same identity, both are SEX MANIACS.</p>
<p>Chua Soi lek has the guts to ask Malaysians for forgiveness and to continue in public service. He thinks Malaysians is GOD. If an apology is all that is needed after a sin or crime has been committed, we don;t need courts and prisons in Malaysia to try and imprison convicts. Only GOD can forgive sins, not Malaysians.</p>
<p>Can you trust BN to lead Malaysia in the future? To the residents of Labis, be extra careful this coming GE, never vote for BN and the werewolf. Your daughter might be thier next victim! MALAYSIA BOLEH TANPA BN !!</p>
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		<title>By: HB Lim</title>
		<link>http://blog.limkitsiang.com/2008/02/14/more-bull-more-dg-merican/#comment-77464</link>
		<dc:creator>HB Lim</dc:creator>
		<pubDate>Fri, 15 Feb 2008 04:34:45 +0000</pubDate>
		<guid isPermaLink="false">http://blog.limkitsiang.com/2008/02/14/more-bull-more-dg-merican/#comment-77464</guid>
		<description>nckeat88, your dedication to serve is admirable and very much appreciated by me. No doubt about it. 

It is not a case of humiliating the government for the sake of humiliating. My contention, spoken or unspoken, is that with better use and allocation of our wealth and if meritocracy had been the basis of appointments and promotions etc in our healthcare system, we would have a much, much better health system. 

The past BN government would like all of us to be like you to be perpetually thankful to them for whatever little public facility that they have made available and would like to see all of us us to be like you to be contented with what we have, to be unquestioning, to be politically 'dead' or a political 'slave' or 'zombie'. But as citizens, shouldn't we be entitled to ask, could it have been better? 

To be sure there is nothing wrong to be contented about life like you and think great about and be thankful to the government like you. But your kind of attitude is precisely the type that fuels the rot which is spreading through our dear country threatening to destroy it to its core. When educated people like you becomes politically 'dead' or a political 'slave' or 'zombie', what future do we have for this country?  

As a specialist doctor, I am sure you are more than able to see better than ordinary folks the situation now prevailing in the healthcare system and contrast that with our wealth or the wealth that have 'gone away' from the national coffer and assess whether we could have a better system if our resources have been better managed and used. If so, should we be contented to say that this is the only country in the world that provides reasonable healthcare for everyone or that this the best healthcare system?

What all right-thinking people, especially the educated ones like you, should be grasping is that the main Malaysian policy malaise is that much, much resources have been wasted on the Bumiputra subsidy policies and the the results we get from these subsidy policies are deteriorations in standards, more corruption, more discrimination, wider cleavages between the races, more inefficiency and hence more wasting of national resources. 

This rot has pervaded all public systems, not just the heathcare system. We have to arrest the rot but one of the main reasons we are very hampered in our efforts is because of educated people like you who are politically 'dead' and who adopt the defensive or the 'tidak apa' attitude.

nckeat88, I am not being personal but speaking generally from my heart on this aspect of abled professionals who are contented with and defending the system despite the apparent and undeniable rot. I hope you understand. Of course if the premise or basis of your argument is still that we should be indebted with what we have or that this is the best that we can have, then I have nothing more to say to you nor should I waste anymore time on you. 

On your part, if you still hold on to that premise or basis, so as not to do an injustice to your high academic and professional qualifications, I think you should just be quiet and think again about the future direction of this country if the widening gaps between the various races and religions are not attended to and mended but allowed to be on this roller coaster to bigger and growing widening and tensions, fueled, kept in motion and accelerated by the Bumiputra policies and the policy of the State promoting one religion at the expense of the other or governing this country as an Islamic country rather than a secular one. 

It is time to look ahead twenty, thirty, fifty years ahead and start formulating and implementing the change that we need now to avert a national disaster. The changes to the healthcare system are but a small portion of the big overall change that we need. The ultimate situation that we need - true meritocracy and affirmative policies based on needs, not on race.</description>
		<content:encoded><![CDATA[<p>nckeat88, your dedication to serve is admirable and very much appreciated by me. No doubt about it. </p>
<p>It is not a case of humiliating the government for the sake of humiliating. My contention, spoken or unspoken, is that with better use and allocation of our wealth and if meritocracy had been the basis of appointments and promotions etc in our healthcare system, we would have a much, much better health system. </p>
<p>The past BN government would like all of us to be like you to be perpetually thankful to them for whatever little public facility that they have made available and would like to see all of us us to be like you to be contented with what we have, to be unquestioning, to be politically &#8216;dead&#8217; or a political &#8217;slave&#8217; or &#8216;zombie&#8217;. But as citizens, shouldn&#8217;t we be entitled to ask, could it have been better? </p>
<p>To be sure there is nothing wrong to be contented about life like you and think great about and be thankful to the government like you. But your kind of attitude is precisely the type that fuels the rot which is spreading through our dear country threatening to destroy it to its core. When educated people like you becomes politically &#8216;dead&#8217; or a political &#8217;slave&#8217; or &#8216;zombie&#8217;, what future do we have for this country?  </p>
<p>As a specialist doctor, I am sure you are more than able to see better than ordinary folks the situation now prevailing in the healthcare system and contrast that with our wealth or the wealth that have &#8216;gone away&#8217; from the national coffer and assess whether we could have a better system if our resources have been better managed and used. If so, should we be contented to say that this is the only country in the world that provides reasonable healthcare for everyone or that this the best healthcare system?</p>
<p>What all right-thinking people, especially the educated ones like you, should be grasping is that the main Malaysian policy malaise is that much, much resources have been wasted on the Bumiputra subsidy policies and the the results we get from these subsidy policies are deteriorations in standards, more corruption, more discrimination, wider cleavages between the races, more inefficiency and hence more wasting of national resources. </p>
<p>This rot has pervaded all public systems, not just the heathcare system. We have to arrest the rot but one of the main reasons we are very hampered in our efforts is because of educated people like you who are politically &#8216;dead&#8217; and who adopt the defensive or the &#8216;tidak apa&#8217; attitude.</p>
<p>nckeat88, I am not being personal but speaking generally from my heart on this aspect of abled professionals who are contented with and defending the system despite the apparent and undeniable rot. I hope you understand. Of course if the premise or basis of your argument is still that we should be indebted with what we have or that this is the best that we can have, then I have nothing more to say to you nor should I waste anymore time on you. </p>
<p>On your part, if you still hold on to that premise or basis, so as not to do an injustice to your high academic and professional qualifications, I think you should just be quiet and think again about the future direction of this country if the widening gaps between the various races and religions are not attended to and mended but allowed to be on this roller coaster to bigger and growing widening and tensions, fueled, kept in motion and accelerated by the Bumiputra policies and the policy of the State promoting one religion at the expense of the other or governing this country as an Islamic country rather than a secular one. </p>
<p>It is time to look ahead twenty, thirty, fifty years ahead and start formulating and implementing the change that we need now to avert a national disaster. The changes to the healthcare system are but a small portion of the big overall change that we need. The ultimate situation that we need - true meritocracy and affirmative policies based on needs, not on race.</p>
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		<title>By: nckeat88</title>
		<link>http://blog.limkitsiang.com/2008/02/14/more-bull-more-dg-merican/#comment-77314</link>
		<dc:creator>nckeat88</dc:creator>
		<pubDate>Thu, 14 Feb 2008 17:52:05 +0000</pubDate>
		<guid isPermaLink="false">http://blog.limkitsiang.com/2008/02/14/more-bull-more-dg-merican/#comment-77314</guid>
		<description>HB Lim: It doesn't matter who wrote the article. The writer and LKS are only interested in humilating the government. Malaysian health system may not be perfect but this is the only country which can offer reasonable healthcare to everyone. It is sad to see people only criticising without appreciating what we have. We, the medical staff who are working on the ground do not treat patient according to their race. Even though the pay may not be as good as in the private sector but I am still paid 4X the Malaysian GDP which I considered is above average compared to most Malaysian but most importantly I got the job statisfaction but treating the people in need.

damianyeow: "One of the reason it is RM$1 is to help the poorer Malays" Please don't try to be racist. We are just a bunch of medical staff trying to do our best. WE don't ask our patient to vote BN first before we treat them. Why should I care whether I am accepted overseas? Of course I am, I can work in UK or Singapore and I graduated locally but most important is that I want to serve the Malaysian!</description>
		<content:encoded><![CDATA[<p>HB Lim: It doesn&#8217;t matter who wrote the article. The writer and LKS are only interested in humilating the government. Malaysian health system may not be perfect but this is the only country which can offer reasonable healthcare to everyone. It is sad to see people only criticising without appreciating what we have. We, the medical staff who are working on the ground do not treat patient according to their race. Even though the pay may not be as good as in the private sector but I am still paid 4X the Malaysian GDP which I considered is above average compared to most Malaysian but most importantly I got the job statisfaction but treating the people in need.</p>
<p>damianyeow: &#8220;One of the reason it is RM$1 is to help the poorer Malays&#8221; Please don&#8217;t try to be racist. We are just a bunch of medical staff trying to do our best. WE don&#8217;t ask our patient to vote BN first before we treat them. Why should I care whether I am accepted overseas? Of course I am, I can work in UK or Singapore and I graduated locally but most important is that I want to serve the Malaysian!</p>
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		<title>By: damianyeow</title>
		<link>http://blog.limkitsiang.com/2008/02/14/more-bull-more-dg-merican/#comment-77304</link>
		<dc:creator>damianyeow</dc:creator>
		<pubDate>Thu, 14 Feb 2008 17:29:10 +0000</pubDate>
		<guid isPermaLink="false">http://blog.limkitsiang.com/2008/02/14/more-bull-more-dg-merican/#comment-77304</guid>
		<description>NCKeat, if what u said is true that means u're must be one of few remaining dinosaurs waiting to be extinct, only one out of many who really work their butts-out but get paid peanuts. But how many others of your calibre are out there, I dare say near zero
One of the reason it is RM$1 is to help the poorer Malays, that is the plain truth, but the doctors, I just wonder how many of the newer generations ones(benefiting from the Quota system) is truly capable &#38; of course graduating form such questionable Quota-filled medical degrees, can u really be accepted overseas????</description>
		<content:encoded><![CDATA[<p>NCKeat, if what u said is true that means u&#8217;re must be one of few remaining dinosaurs waiting to be extinct, only one out of many who really work their butts-out but get paid peanuts. But how many others of your calibre are out there, I dare say near zero<br />
One of the reason it is RM$1 is to help the poorer Malays, that is the plain truth, but the doctors, I just wonder how many of the newer generations ones(benefiting from the Quota system) is truly capable &amp; of course graduating form such questionable Quota-filled medical degrees, can u really be accepted overseas????</p>
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		<title>By: HB Lim</title>
		<link>http://blog.limkitsiang.com/2008/02/14/more-bull-more-dg-merican/#comment-77254</link>
		<dc:creator>HB Lim</dc:creator>
		<pubDate>Thu, 14 Feb 2008 14:30:15 +0000</pubDate>
		<guid isPermaLink="false">http://blog.limkitsiang.com/2008/02/14/more-bull-more-dg-merican/#comment-77254</guid>
		<description>Are the services and helicopters really free? You mean the money comes from the government and not from the people?</description>
		<content:encoded><![CDATA[<p>Are the services and helicopters really free? You mean the money comes from the government and not from the people?</p>
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		<title>By: HB Lim</title>
		<link>http://blog.limkitsiang.com/2008/02/14/more-bull-more-dg-merican/#comment-77252</link>
		<dc:creator>HB Lim</dc:creator>
		<pubDate>Thu, 14 Feb 2008 14:27:34 +0000</pubDate>
		<guid isPermaLink="false">http://blog.limkitsiang.com/2008/02/14/more-bull-more-dg-merican/#comment-77252</guid>
		<description>nckeat88, the article is not a piece of writing by LKS but a letter by someone else. I think you should apologise for your abrasive and disrespectful language on a man who has done and sacrificed so much for people like you and me. 

The main thrust of the article is that with the wealth that we have, the healthcare system should be better. The amount of money and resources spent unnecessarily or unwisely or channelled elsewhere could have been better managed and utilised for a much better healthcare system. No use asking the people to pay peanuts and get monkeys to treat them.

Maybe we should all hold our horses and be calm and start analysing if things could have been better so far our healthcare system is concerned rather than latch on to a position and start calling names and shooting with uncouthed language. 

Start with yourself, nckeat88. How many patients do you have to personally attend to a day as a specialist? How many patients do you have to delegate to medical officers? What is your pay now? How long do you intend to stay with the government hospitals? What do you think is the standard of medical services and personnel provided? Maybe you have been too long in that system to be able to make a professional independent judgement?

Just because we charge RM1 per person whether citizens or foreigners does not mean that it is a good system. There is no need to pick on a few small things and get emotional and abrasively defensive.</description>
		<content:encoded><![CDATA[<p>nckeat88, the article is not a piece of writing by LKS but a letter by someone else. I think you should apologise for your abrasive and disrespectful language on a man who has done and sacrificed so much for people like you and me. </p>
<p>The main thrust of the article is that with the wealth that we have, the healthcare system should be better. The amount of money and resources spent unnecessarily or unwisely or channelled elsewhere could have been better managed and utilised for a much better healthcare system. No use asking the people to pay peanuts and get monkeys to treat them.</p>
<p>Maybe we should all hold our horses and be calm and start analysing if things could have been better so far our healthcare system is concerned rather than latch on to a position and start calling names and shooting with uncouthed language. </p>
<p>Start with yourself, nckeat88. How many patients do you have to personally attend to a day as a specialist? How many patients do you have to delegate to medical officers? What is your pay now? How long do you intend to stay with the government hospitals? What do you think is the standard of medical services and personnel provided? Maybe you have been too long in that system to be able to make a professional independent judgement?</p>
<p>Just because we charge RM1 per person whether citizens or foreigners does not mean that it is a good system. There is no need to pick on a few small things and get emotional and abrasively defensive.</p>
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		<title>By: nckeat88</title>
		<link>http://blog.limkitsiang.com/2008/02/14/more-bull-more-dg-merican/#comment-77237</link>
		<dc:creator>nckeat88</dc:creator>
		<pubDate>Thu, 14 Feb 2008 13:24:40 +0000</pubDate>
		<guid isPermaLink="false">http://blog.limkitsiang.com/2008/02/14/more-bull-more-dg-merican/#comment-77237</guid>
		<description>For once, I have to disagree with LKS. I am a specialist in MOH and I am not supporting any side politically. I think Malaysia has one of the best system in the World. Where else in the world that you will get RM1 treatment (you can even refuse to pay) including the specialist care. Not even in Singapore. We even offer free chemotherapy to cancer patients FREE, the SIngaporean don't even do this to thier own citizen.  Our MOH hospitals is even willing to go extra mile to treat all the foreigners when they are seriously ill (also FREE). We doctors in public hospitals are willing to do our best despite the poor pay. I worked in Sarawak rura hospital before, I was even given the power to 'order' a helicopter from Kuching just to transport patient to General Hospital (also FREE).

"Their duties - check your BP, sugar, etc and dish out 30 year old medication for the next 6 months packed in two polystyrene bags with a â€œKalau mau jumpa doctorâ€¦tunggu tiga bulan yaâ€¦â€. If the patient returns alive on follow-up, repeat above."

This is a BIG LIE coming from the mouth of LKS just because you are antigov and is not based on fact. I don't blame your stupidity because LKS is not medically trained. 30 year old medication do not mean they are less benefit. Latest and most expensive drug also do not mean they are the best drug. 

Patients are given appointments in specialist clinic according to the seriousness of their illness. Those will serious illness will be seen immediately or even admitted for emergency treatment. 3 months appointment will be usually given to stable patient.

"Any complications, refer to â€œHospital Besarâ€ and join the queue where the rest of Malaysia will also be waiting to see not a specialist..but a medical officer in the specialist clinic" 

All the medical officers will be under direct supervision of specialists and consultants. They are not allowed to work alone.

LKS, I am very disappointed to your article This just show that LKS is willing to write anything just to make the government look bad even though it's a lie.</description>
		<content:encoded><![CDATA[<p>For once, I have to disagree with LKS. I am a specialist in MOH and I am not supporting any side politically. I think Malaysia has one of the best system in the World. Where else in the world that you will get RM1 treatment (you can even refuse to pay) including the specialist care. Not even in Singapore. We even offer free chemotherapy to cancer patients FREE, the SIngaporean don&#8217;t even do this to thier own citizen.  Our MOH hospitals is even willing to go extra mile to treat all the foreigners when they are seriously ill (also FREE). We doctors in public hospitals are willing to do our best despite the poor pay. I worked in Sarawak rura hospital before, I was even given the power to &#8216;order&#8217; a helicopter from Kuching just to transport patient to General Hospital (also FREE).</p>
<p>&#8220;Their duties - check your BP, sugar, etc and dish out 30 year old medication for the next 6 months packed in two polystyrene bags with a â€œKalau mau jumpa doctorâ€¦tunggu tiga bulan yaâ€¦â€. If the patient returns alive on follow-up, repeat above.&#8221;</p>
<p>This is a BIG LIE coming from the mouth of LKS just because you are antigov and is not based on fact. I don&#8217;t blame your stupidity because LKS is not medically trained. 30 year old medication do not mean they are less benefit. Latest and most expensive drug also do not mean they are the best drug. </p>
<p>Patients are given appointments in specialist clinic according to the seriousness of their illness. Those will serious illness will be seen immediately or even admitted for emergency treatment. 3 months appointment will be usually given to stable patient.</p>
<p>&#8220;Any complications, refer to â€œHospital Besarâ€ and join the queue where the rest of Malaysia will also be waiting to see not a specialist..but a medical officer in the specialist clinic&#8221; </p>
<p>All the medical officers will be under direct supervision of specialists and consultants. They are not allowed to work alone.</p>
<p>LKS, I am very disappointed to your article This just show that LKS is willing to write anything just to make the government look bad even though it&#8217;s a lie.</p>
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