Are we really THE BEST?

https://www.thestar.com.my/news/nation/2019/02/07/malaysia-ranks-1st-in-worlds-best-healthcare-category/

MALAYSIA RANKS 1ST IN THE WORLDS BEST HEALTHCARE CATEGORY!

Woooohoooo!!!! Everyone cheers for this! We were so hyped up! From medical students to doctors, I can see everyone posting about this.

Today, I see the failure in our system. It's not just today, I'm seeing it daily.
The fault of our stars? Nope! The fault of our system.

Where?
Severe life threatening AEBA secondary to Pneumonia with underlying POORLY CONTROLLED Bronchial Asthma which leads to Hypoxic Ischemic Encephalopathy.

Where did we went wrong?
EDUCATION! We often think that we have educate our patients and the parents (for kids) about the disease and the management of it at home.

So, lets say for this case, ASTHMA.
For kids, we will discharge them by explaining to their parents on the Asthma Action Plan.


We make sure that they understand what we are saying and what they have to do in case of exacerbation. But we failed to inculcate to them the importance of this. 
What are the complications of asthma? 

People will just say, rilek laaa… asthma je kan. amik pam sudah. 
Dude! Asthma can irreversible effect. DEATH is just a door knock away. 
I'm hearing a mother sobbing today and telling that if only she had brought the child earlier. 
This child, lost her consciousness, had a cardiac arrest, went asystole, given IV adrenaline and intubated for cerebral protection and now has a cerebral edema with features of HIE. 
That is what ASTHMA can do! 
If education on this went right, if understanding of this went right, and if people do get serious about the conditions they have or their kids has, things can go differently. 

We are no GOD. We don't play GOD either. What can be prevented, can be prevented. If only people understand. That is our job, making them understand. Application on the understanding is not in our hands. 
Until people don't get it, we are not done here. I done claimed that we have the best services then. It's the whole package that comes into account, until we don't get this right, we are no where to be the best.

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