MY EXPERIENCES IN RIPAS
March 30, 2010 – 4:38 pmMY EXPERIENCES IN RIPAS
I had a bad asthma attack on 28 February and went into emergency at 11:30pm. After several nebulizers, blood investigations, chest x-ray & injection, at 6+pm, I was told by the Doctor that I had to be admitted to Ward 16 to rule out H1N1 as the primary cause of my acute attack.
While in Ward 16 and Ward 4, I had the following experiences.
• 28 February after admitted to W16, Room 5, 3 (three) doctors came in to see me and prescribe me with medications and one of it was IV hydrocortisone 100mg. I was unable to sleep the whole night and the worst part of it is the whole of the next day (1st March) I was very alert which was bad for me as I needed to rest. Morning of March 1st, a doctor came to see me for less than 5 minutes (like a hit and run). He asked me how I was and I told him that I was having insomnia and feeling down, but before I even finished my sentences, he told me that it’s ok and just walk out the room. I don’t think it was ethical for a Doctor to treat a patient like that and if he was busy and had no time to assess my condition he should have come back later when he was less busy. I assumed he told the nurse to take blood from me but I refused and during lunch time another nurse came in wanting to test for blood sugar and I refused too. I was labeled as a difficult patient in W16. Now, don’t we the patient had the right to refused? The reason I refused was because the Doctor never explained anything to me and just say that I came in for asthma and everything was all right and walk out the room. The Doctor (he never introduced himself) went behind my back and told the nurses to take my blood. I feel that as a patient, I had the right to know what investigation would be done and the doctor should explain things to me and ask permission before proceeding. But not in my case here. They were experimenting on what other investigation and treatment could be given to me as the present treatment was not helping me. I didn’t like the fact that they excluded me from their treatment plan, as I was a human patient and not an exam Question for them to Try and Error. I came to the hospital to get better not to be stressed out by the doctors.
• Ward 16 is an Isolation Ward for H1N1 suspects and positive patients, but the nurses there were coughing. Why are sick nurses working in the Isolation Ward? Don’t they realize that they can pass viruses to their patients?
• 1st March around 2+pm the afternoon shift nurses came into my room and I asked them for hot water. To my surprise, there were no apparatus to boil water. They told me than I will be getting my afternoon tea and that I could ask hot water from the person who served me (RBC) but sad to say they too didn’t have hot water. I was told that I cannot go out of the room because I am under isolation but I was very very thirsty and ran out of water and the nurses don’t even want to give me water. Now what should we do in situation like this? Was it because I was labeled as difficult patient that they just ignore me and don’t want to give me water? Is it ethical for the nurses to behave like that? At 3pm, Two (2) nurses came into my room and one female nurse told me that I have to be shifted to Ward 4 “NOW” because I was H1N1 negative. The best part about this was, afternoon tea was being served and I had not even touched it. They did not even have the courtesy to allow me to finish my tea before kicking me out of that room. They were really rude and inhumane. I can hardly breathe and have to do everything very slowly. Even to repack everything in the room would take time at least 10 – 15 minutes. I ask nicely if they could allow me at least 15-30minutes to pack my things for transfer (I was still having difficulty in breathing and whizzing). The nurse says yes, but in less than 5 minutes a male nurse came in again to check and asked if I have finished packing. I didn’t realize that if they transfer you from Ward to Ward it MUST be done within 5 minutes and the nurses don’t even consider if you have asthma or not. I have very bad asthma and short of breath, so I cannot move fast but the nurses in W16 can’t wait to get rid of me. Is that the way they were taught in the COLLEGE of NURSING or was it because I didn’t allow them to take my blood they were angry with me? I was not DISCHARGE I was not RECOVERING, so what made them think I was fit to sprint? I just want to know why they were doing this to me. I wish that the relevant authority would look into their nurses attitude. Is it ethical for the nurses to threat patients like that?
• I was transferred to Ward 4, Bed 8 on 1st March afternoon. I must say that the nurses in W4 were just the opposite of W16. They were friendly, caring and listen to their patients. I still refuse blood investigations but they respected my decision.
• Thursday, 4 March I had a very bad experience with a foreign Pakistan Doctor that was in Ward 4. In the morning he came and ask, how am I doing and I told him that I don’t feel too good and that my chest was feeling tight. I mentioned that that I felt like I was dying because the ventolin prescribed made me feel worst. I told him that I can only take normal saline nebulizer. He lost his temper and rudely told me off saying that “in the book it is stated that ventolin helps to clear the lung and that what I felt was all in my mind”. I wonder if he realizes that books are written by MAN through try and error too (research) and Doctors are not supposed to only trust books. When I tried explaining to the doctor, he rudely asked me “are you the patient and the doctor now?” I wonder as a doctor, does he realize that different people have different reaction to medications. Was it ethical for a doctor to scream and get angry with their patients in the ward and not listen to patients on feelings of their own body? Does he think that he knows my body better than me? A few minutes later Doctor Luke came, I was crying he listen and understood my situation and took me off all nebulizer and oxygen.
• I don’t understand why the doctors kept me for another four (4) days before discharging me as all my medication was only tablets and my nebulizer was also off. Don’t they realize that I (an auto-immune patient) could catch other viruses or infection that was in the Ward? During that four days I nearly became sick again, I had slight fever, sweating++ and headache so I have to keep taking Panadol to keep the fever off.
• I wonder if Doctors in RIPAS know what is Relapsing Polychondrities (RP) and if they realize that people who have RP have autoimmune disorder and is a high risk patient. The Doctors didn’t want to discharge me and I was in Ward 4 till 8th March. Ward 4 is for patients with chest problems and that could include Tuberculosis as well as influenza AH1N1. So I felt afraid to catch another bug (buy one get one free Virus).
• I was admitted on the 28th February and only 04th March my hospital case note appear. I really wonder what took them so long to get my old case notes.
• I would also like to find out more about “Do Not Resuscitate” (DNR) in Brunei Darussalam. Do we have to inform the Doctors on admission? Because while being admitted I told the Doctor that I am a DNR and he told me nothing will happen to me with a smile. But what happened IF SOMETHING really happened to me? How would the nurses know that I am a DNR?
• The mattress in Ward 4 was so thin that I had bruise all over my back sleeping on it. The mattress was with a cloth like material which made me wonder, how would the nurses clean after a patient gets discharge? Do they actually do dusting after every discharge? The RIPAS bed sheet was also an eye sore. I had a bed sheet with dry blood colored stains that I complained by there were no more bed sheets available.
I would appreciate if the relevant authority in Ministry of Health could look into some, if not all the above mentioned matters and give me an answer thank you.
MRN 46 90 77
sjy0381@gmail.com
This post was submitted by sjy0381.
20 Responses to “MY EXPERIENCES IN RIPAS”
This isn’t the first time…believe me! Even better is majority of the staff there be it the doctors, pharmacist, nurses,etc..(not all but MOST) do not take their job responsibly…they treat it as something they are forced to do because that how they will have to survive their living …that is their monthly pay. I believe that these people has one of the most important jobs in the country..numerous hopeful lives are on their hands each day…which is why they have to treat their job as their passion and give genuine care with careful examination. Don’t assume..don’t misdiagnose, don’t be ignorant to patient’s complains. They will only pay their attention to you when you are probably dying in pain or some sort. The government pays them monthly in hopes that these people will give appropriate medicare to their nation..but I guess these people no longer has any guilt of any sort that they have failed in performing their duty…they only have guilt for themselves when they have to do careful examination. MOst of the time, they just sit around and chitty chat their day away..yes being a medical staff isn’t easy but from the first day you enrolled or you educated yourself, you MUST have equipped yourself with these kind of responsibility to take. This is common sense! Doctors took an OATHS…Do you doctors still remember your HIPPOCRATIC OATH or the article I am 100% sure you read and made to understood “Duties of a Doctor”? Both are almost similar containing the basic principles..starting with these below incase you have forgotten:
* Make the care of your patient your first concern.
* Protect and promote the health of patients and the public.
* Provide a good standard of practice and care:
o Keep your professional knowledge and skills up to date.
o Recognise and work within the limits of your competence.
o Work with colleagues in the ways that best serve patients’ interests.
* Treat patients as individuals and respect their dignity:
o Treat patients politely and considerately.
o Respect patients’ right to confidentiality.
* Work in partnership with patients:
o Listen to patients and respond to their concerns and preferences.
o Give patients the information they want or need in a way they can understand.
o Respect patients’ right to reach decisions with you about their treatment and care.
o Support patients in caring for themselves to improve and maintain their health.
* Be honest and open and act with integrity:
o Act without delay if you have good reason to believe that you or a colleague may be putting patients at risk.
o Never discriminate unfairly against patients or colleagues.
o Never abuse your patients’ trust in you or the public’s trust in the profession.
You are personally accountable for your professional practice and must always be prepared to justify your decisions and actions. Some of these points are worthy of further discussion below.
Make the care of your patient your first concern
* Our first duty is to our patients, not to the Trust, the NHS, or to Society. Society, preferably with the guidance of NICE, may make decisions about the validity and cost-effectiveness of certain types of treatments. Care for our patients does not mean resuscitating the terminally ill but we need to act with care and compassion in the interest of our patient.
Provide a good standard of practice and care
* Keep your professional knowledge and skills up to date:
o Medicine is changing rapidly and we cannot do what is best for our patients if we are out of date. Keeping up to date is no longer an optional extra but is required for revalidation. We should try to practice evidence-based medicine where it exists.
* Recognise and work within the limits of your competence:
o The Hippocratic Oath refers to physicians opting out of surgery in favour of those more adept in that work. One of the great attractions of General Practice is the breadth of practice but we must acknowledge our limitations. Within Secondary Care specialist centres and specialist surgeons get better results than generalists. We must do what is in the best interests of our patients.
* Work with colleagues in the ways that best serve patients’ interests:
o We are all part of a multi-disciplinary team and the aim of us all is to serve the interests of our patients.
Treat patients as individuals and respect their dignity
* Treat patients politely and considerately:
o Complaints and even litigation are often precipitated by attitudes rather than the belief that a mistake has been made. All patients should be treated politely and considerately. Some people, particularly the elderly, like to be addressed more formally than others. Not everyone likes a stranger to greet them by their Christian name. However fraught you might feel never let go of basic civility.
o Be sensitive and discreet in what you say or do. A light-hearted air of informality can be valuable but it may also be misinterpreted. Give patients somewhere private to disrobe. Ask permission before doing things, including before inviting a student or registrar to examine the patient.
o For intimate examination chaperones should be offered and used.
* Respect patients’ right to confidentiality:
o This is also a reflection of the Hippocratic Oath.
o As the care team becomes wider, the question of who should be entitled to share information becomes more complicated.
o A court can compel a doctor to divulge confidential information but due consideration will be given.
o Guidance states that a doctor should breach confidentiality if it relates to a serious crime.7 The problem is what constitutes a serious crime? If in doubt seek advice first.
o A doctor is also under obligation to breech confidence if the welfare of children is at stake.8
o The balance of best interest in terms of confidentiality and disclosure can be very difficult.
o Confidentiality must also be respected when talking to relatives. They do not have an automatic right to know. If feasible, ask permission from the patient first.
o Teenagers must also know that they can approach health care professionals in confidence.
Work in partnership with patients
* Listen to patients and respond to their concerns and preferences:
o Communication is a two-way process. In a free society everyone is entitled to their beliefs and opinions. Reason by all means but ultimately the autonomy of the individual is paramount. A sane adult is permitted to refuse effective treatment. Be careful to respect people’s religious beliefs.
o The patient may simply be expressing fear or misunderstanding. Be caring and helpful in your approach, not confrontational. You may explain the lack of evidence and potential dangers of alternative therapies but avoid being dogmatic yourself. The patient makes the final decision.
* Give patients information in a way they can understand:
o Consent can only be informed if the patient understands what they has been told. Avoid jargon, technical terms and abbreviations. When explaining risks, people of low education may not understand percentages.
o The problem of informed consent, whether for a procedure or a drug, is to decide what is relevant. If a list of every possible complication were to be recited it is unlikely that anyone would ever take any drug or submit to any procedure. A list gives no indication of risk. It is a difficult balance to decide what to tell and what to omit. A very low risk may be omitted but it becomes more important if the adverse consequences are serious or fatal.
* Respect patients’ right to reach decisions with you about their treatment and care:
o Not everyone may want this but as far as possible it is good practice to involve your patients in making decisions about their management.
o When the GMC relaunched ‘Good Medical Practice’ in 2006, “partnership with patients” was an important issue.
Be honest and open and act with integrity
* Act without delay if you have good reason to believe that you or a colleague may be putting patients at risk:
o A doctor who is not fit to practise from mental or physical illness must not do so. It is a demanding profession and we do our patients no service if we are not up to the requirements for whatever reason. If a colleague appears unfit to practise then action should be swift, appropriate and discrete. One may need to approach the colleague, the PCT or other employing Trust. Never denigrate a colleague publicly or to patients. Approach the correct authorities and if in doubt seek advice.
* Never discriminate unfairly against patients or colleagues:
o However much we may disapprove of a patient’s lifestyle we must not deny them autonomy or care. If a doctor has a conscientious objection to anything such as contraception or termination of pregnancy, the doctor is not obliged to be party to it. However, he must not be obstructive and must refer on the patient to a colleague who has no objection. We cannot impose our views on others.
* Never abuse your patients’ trust in you or the public’s trust in the profession:
o Doctors have a favoured position in society and we must not abuse that trust.
This poses a huge question whether these people actually do practice diligently before or even qualified..if you are then pls do yur job…just because these patient’s are not your loved ones doesn’t mean they do not need the extra care as much as yours..they are also someone’s loved ones! If you think these extra care is too much or you think you that these people are not worth your time..then it is time you kindly resign and let someone else who can provide better care to take the postion..don’t waste the govt’s funds to maintain such employees as you guys. It is really just unspeakable on how these people can be so unresponsible…this is why most people prefer to do major surgeries and seek second opinion in other country even it is costly….because they have doubts over your diagnosis and treatment! People are willing fork out their whole life savings just to be well again…that shows how much lives means to them..so why are you not willing to fork out quality medical care & skills? Does it cost you a leg or an arm to do so?
I speak on behalf of my several terrible experiences…foreign so-called specialist included! Esp to the gynae department…pls what era are we living in now? Don’t be living in a denial that pre-marital sex doesn’t occur..it occur long time ago just not widely spoken at earlier eras. Why is it so embarassing for you doctors and nurses to be speak directly to your patient like..are you sexually active,etc? Instead of are you married?…what is that suppose to mean?! How are you going to diagnose your patient properly when you can’t even have the courage to speak directly and clearly and not beatinga round the bushes?! I was horrified when I accompanied my friend who was having heavy bleeding for then 3 weeks and after so many referrals…I was so concerned I lost my temper at the emergency ward in the middle of the night as she was in critical pain and was as pale as a sheet. She seek several treatment before that incident and was proscribed various meds for the bleeding..in the end after I spoke up angrily they ask us to go to the specialist the next day..why did not they did that earlier on the last few visits?! Do we always have to raise our voice at them to get their attention? Upon being referred we went back to see the specialist thinking we finally could get to the bottom of this all…but NO! we were so wrong…instead the SPECIALIST who was an indian lady ask several similar questions that we have heard 3 times before coming to see her with other few doctors already…told her to lie down which is the 4th time for the same problem..she pressed her tummy just lightly..and what is stupid is that she spoke to the nurses instead of us…as if we could not soeak english when we actually spoke in english to her! She ask the nurses to ask if my friend was married..upon telling her she is not married…the nurses ..ahh bah lau alum kahwin nda payah check d bawah…i was shocked with their assumption that women who are not married doesn’t not need to be physically examined down there..says who?! says medical books?! There is no medical books saying that non married or a person who is inactive in sex will not have any problems. That is absurd and whichever doctor who can claim that isn’t fit to be one at ALL! Plese dont tell us that you guys are shy to be direct or make it sound nicer..first of all…rudeness is your no.1 expertise..ur never shy when it comes to rudeness and 2nd..”nicer” is not need when you need to find out the right answer..be direct and you will get direct answers. We have also heard lots of stories about them from others who have seek medical care there. We cannot expect flawless medical treatment from all of you but atleast we expect you to minimize those flaw as much as you can! The possible existence of flaw doesn’t give you the excuse to slack on your professional skills but infact evaluate and improve it as much as you can. This isn’t a joke..this isn’t just an animal’s life..its human just like yours!
Some people reading this may be offend…but I can tell you most people wud agree RIPAS’s medical staff need a whole lot of changes in attitude. They are the worst people to communicate with at times of distress…they assume they know everything without even asking much..they just diagnose you to the nearest common disease,etc base on a few simple examination…send you home with a bag of panadols ( seriously it seems like panadols or almost similar meds are given out like candies there..almost all the times there wud be a bag of panadols!). Told to come back in a week or 2…do you know what a week or two can do to someone with serious condiitons that may look like common symptoms of mild asthma, flu, cough, etc? Results tests and x-ray are also awfully slow if you are not a dying patient..! Population in brunei isn’t made up of millions…speeed it up..if facilities and equipments are the problem then upgrade it..do something about it not just go with it and have a apa buleh buat attitude!! If we were one of the 3rd world countries then I guess we just have to bear with it but we are DEFINITELY NOT! Keep that attitude up…no improvement will be made…but backwards instead!..it is already going backwards!
I know some of you reading may be infuriated and say….bah lau luan kan banyak mengomplen baik aga bah ke private d Jerudong ada jua..baik sdh kana bagi rawatan murah mau jua maseh mengomplen dsana nda pandai besyukur. Thankfully, we are blessed enough that we can afford our own private medical care be it overseas or local…at our own expenses. But I am just unsatisfied on how our beloved sultan and govt has been paying for these inefficient staffs!…these money shud go to staff that perform their jobs dutifully and professionally. Not everyone can afford their own private medical care at their own expenses..and besides every local citizen of brunei is entitled to such privileges from the poor to the wealthy! So why should people who cannot afford their own be treated any differently…? They are humans too they can feel physical pain as well and as much as any other human. If they were not in pain or discomfort they wud not even bother going to RIPAS! How many of you actually like to go have a walk around hospital when you have nothing to do? People who think this is a small problem made big are those who hasn’t have their own bad experience…youw ill learn to swallow what i say when it happens to you or your family one day then you will know how furious you will be. The bottom line is…upper managements should look into these matters and not just be as ignorant as your staff below. I bet even the government high paying civil servant wud not prefer to be treated locally and wud immediately get a second opinion somewhere else…because they themselves have no confidence in the disgnosis,etc. DO your job as what you are trained and paid for not as what you think is convenient for you…is it your duty to do things that is to your patient’s best interest not the other way round!!!
Unhappy..who posted his/her concern on one of the hot topics regarding how her daughter was given the wrong meds and no apologies were given but excuses instead…U did the right thing to speak up to her…you have the right to give her a good scolding and lecture..probably this will help remind her for the next one week not to sleep on her job. It could have been a fatal incident if those medication was actually for something serious. There is no reason nor excuses that is acceptable..and apology is just a a minor soother. Like i said earlier, staff in RIPAS has the poorest communication and work ethics..and unfortunately apology doesn’t exist in most of their vocabulary…but to those good medical staff..which are as hard as to find a needle in a stack of hay…keep up your good work and hopefully you can inspire those other irresponsible colleagues to improve themselves!
By tikah77 on Mar 31, 2010
Hi i am very sorry to hear your awful experienced at the hospital,i hope your getting better by now.
I think poor management is the main problem at the hospital,i heard so many complaints about staffs,nurses and doctors.I am with you that its right that every patient had their own right to ask wat medications are given to them and wats the purpose too,especially on injections.wat saddens me the most is that u mentioned a foreign doctor screams at you when u refused to take some certain meds i assume,that is just not proffesional enough.
lastly well written,let MOH and the public knows wats going on at the hospital,hopefully changes will be made
By Dr.J on Mar 31, 2010
If you had decided to see a doctor, then let the doctor treated you. There’s nothing more irritating than refusing cooperation when the doctor was trying to treat you. Let the doctor be the doctor and you stayed as a patient. Otherwise, let’s go home and play doctor yourself. The demand for doctor’s time is huge and there’s never enough doctor to go around. Their time is precious and the hours are long. They are always on the go to see other patients. So be patient when you decided to see one and seek help to make you feel better. Let them do their work please. I speak from feedback from 2 of my sons, one is an oncologist and the other is a psychiatrist. Have a good day.
By Robert Heng on Apr 2, 2010
This is what happen when we don’t pay health insurance and taxes, doctors dont really care for the welfare of their patients and we cant ask much from them really:p just a thought, dont flame me:p
By Tax-idermist on Apr 2, 2010
Am really sorry to read about your stay in ward 16 and 4,what you have wrote are mostly true regarding some of the medical staffs in the clinics and wards but I am glad that during my medical fitness checkup,I am treated politely by the nurse which came to my knowledge that she is the only nurse there attending to so many patients but she can still smile,explained and jokes with us compare to the so many nurses in some clinics and I believes quality is better than quantity and hoped some of the nurses can be like her.
By observerlady bug on Apr 2, 2010
Thats a lot of complaining sjy0381. Sounds to me like you have difficulty accepting facts and tend to tell yourself that you are always right.
Well hope you get well then. You probably should see a psychiatrist first before seeing a medical doctor. Cheers mate!
By Awang D on Apr 2, 2010
it doesnt really matter if we pay health insurance or not, these doctors would still not care. i mean, come on.. the doctors are paid thousands by the gov. The children get education allowance n all that. They are paid to provide proper treatment to us but they end up mkn gaji buta. I have better experiences with local doctors. Foreigners??? they wud just send u off with some tablets n ask u to come back again if u still dont feel better, so that they can prescribe u with more painkillers. They are not bothered to check thoroughly.
By Akma on Apr 3, 2010
Believe me, nost doctors do care about the well being of their patients. They take pride in treating their patients to full recovery. The unfortunate thing is that they work long hours and become tired after a normal 12-30 hours shift. Sometimes, when a person is tired, it’s difficult to put on a smile. It’s even tougher if the patient does not cooperate and refuse treatment. So be patient and nice to each other.
Canada has a unniveral healthcare system which is fully funded by the government. It’s not the best of the system, but at least it provides the neccesary healthcare to everybody in Canada. The waiting list for a certain procedure could be long but patients are never put in danger of their illness. It’s based on priority and urgency of the need for the procedure. In US, If you’re insured, you will be treated quickly. But the annaul premiun is about US$10K. Only those who’re employed by the governments and big corporations can afford it. That’s why some 50 million Americans are left with no healthcare benefit and can’t afford to see a doctor when they’re sick. Obama changed that now. So there’re some good and bad things in both system. No one system is perfect because of the high cost of healthcare. In Alberta, it eats up 60% of the budget.
Yes, medical specialists are high priced. But to get in medical school, you need to be the cream of the crops where your GPA has to be at least close to 4. The average age of 1st year medical students stands at 28 years and most of them carry master or doctoral degrees. Medical school takes 3-4 years to complete, then 5-6years training as a medical resident in the hospital and finally a year or 2 as a research fellow before fully qualified. So, won’t you deserve a C$300K in your 1st year. It would be double if in the US. I think doctors are worth every penny they get when life and death is in their hands. Have a good day.
By Robert Heng on Apr 6, 2010
Exactly,its all based on priority and urgency,and wat sometimes can be quite frustrating is you find people present themself at the A+E for a normal batuk or cold etc..not some kind life threatning disease.This can cause staff at the A+E to be more busier than they shuld be therefore things can get out of hand at times.
theres also a big sign board attached outside the outpaitent area..for the definition of ACCIDENT AND EMERGENCY.
By Dr.J on Apr 7, 2010
THIS IS ABOUT MY BAD EXPERIENCE FROM ENFORCEMENT DEPARTMENT
THIS IS MY REGUEST TO HIGHER AUTHORITIES,PLS TEACH RULES AND REGULATION TO ENFORCEMENT DEPARTMENT OFFICERS.BECAUSE,THEY ALL MIS USE RULES AND REGULATIONS,SOME DONT KNOW WHAT THEY ALL STILL DOING
SORRY
By razak on Apr 30, 2010
cakap psal hospital/klinik ani, mbari marah ada jua. mbari cali ada jua. tpi banyk plang marah dari cali.
dalam 10 doktor, 1 saja yg comitted. dalam 10 nurse, amah yg comitted. Apa inda nah, amah suruhnya mencek tempreture. nurse cakap2 di kawasan belakang, apanah…doktor plang yg memangil nombor giliran…hahaha cali jua tu. Masa nunggu ubat. yg menuggu ani kosong bah. aku baru datang kan ngambil ubat saja, biasa lah ubat bulan2 ngambil. bleh alum tah g i beangkat badannya kan ngambil kad ku atu. becerita tah plang sambil ketawa basar. Alum g i membagi no. giliran tu ah. Sudah lama-lama baru ia bagi no. Pas tu batah g nunggu tu untuk kana pangil ngambil ubat. Pun payah mbaca tulisan tu bulih jua di refernya tu arah doktor, p inda jua ia keluar…andang batah plang mnunggu ngambil ubat ani, tapi klinik yg ku aga ani jgn nda heran, orng nunggu ubat nada tapi nunggu setangah jam. Ada plang taimnya ia laju. Masa nda laju tu tah yg panas hati pasal nada banyak orang datang bah. Nda pecaya?….agatah ke Kilinik bunut atu. Mun datang patang, jgn datang pkl 1:30 ptg. datang saja pkl 2. mana ada orang banyak tu. sekajap abis tu sal kan balik umah bah pkl 4:30. Nda pecaya? datang tah.
By tulip on May 14, 2010
i am annoyed by ur language, ur tone writing. u know people like u are the ignorance. just know how to complaint here. if u are brave, speak frontly. that make u a chicken u st*pid coward..
By Mr Hormat on May 23, 2010
tulip: i think it wasn’t a doctor yang membagi ubat n panggil number giliran. pharmacist kali. biskita confused kali dgn uniform drg. hahaha. sorry~~~~
By pilih cara selamat on May 23, 2010
foreign doctors are rude……….. drg makin staie mentang2 doctor d brunei.. duiii, jgn harap lah. I respect local doctors more than them coz foreign doctors are ignorant except when they meet their own or ’same’ species from the same country
By hh on May 26, 2010
Nda ku conpius eh. banar ia mangil nubur tuk pesakit sal numbur atu aku yg punya. jadi aku tau ia doktor. aku jumpa ia bahh lapas atu. kelinik kampung ku kali ni ah.
nada ku kata yg bagi ubat atu doktor. maksud ku, kalau ia kan refer nama ubat ku atu arah doktor(due batah bah nda kana pangil nama ku atu) nada jua ia keluar. kalau ia pakai interkom cakap ma doktor, nada jua sulnya pasal sunyi bah kelinik atu nda banyak orang datang. jadinya memang terdangar kalau bisdurang beibun terlampau atu.
bukan plang nda mau komplen arah hospital secara tarang2. Biasanya bisdurang ani, kalau di komplen, minta bukti. kalau di bagi bukti, mana ia lawankan kitani tu jua yg komplen ani. paling habis pun di ucapkan nya pesakit ani fussy. im old enough 2 understand da situation.
paling jauh tu karang , di ucapkan nya yg tukang komplen ani nutup periuk nasinya. jadinya aku harap yg ku tulis ani sampai kesana.(arah diorang). Ku mention jua kelinik mana kan. bukan mcm sesetengah yg lain, nda mau sabut nama. jgn plang sampai ku mention di sini nama diorang.
Bah Mr Hormat, kalau aku, memang ku tukar nik ku atu. Kalau hormat, nda pangil orang “u st*pid coward” Baik tukar-Mr Name Master. sesuai…….
By tulip on May 28, 2010
I believe that the patient knows his or her disease or illness better than the doctor, so what the doctor needs to do is to listen to what the patient says - the patient’s perspective - not get angry when the patient refuses treatment - that is so unprofessional and not ethical, otherwise rude. Like the saying: The customer is always right.
What the doctor can do at that time instead of being angry was to ask kindly why the patient made that decision to refuse treatment, and then can provide an explanation of his plan to treat.
They chose to become doctors, so they must expect to get a hectic workload in the hospital, and it is no reason for him or her to show a miserable face, it is part of being a doctor.And a good doctor treat all patients equally.
Sad to hear these kind of stories in our hospital.Makes me ask this question, do we have a governing body in Brunei which ensures a good quality of care and investigates those medical professionals who do not maintain professionalism? - A medical ethics committee I suppose… Hope things get better in a few years time.
By nsro148 on Jun 17, 2010
response to tikah or MRN 46 90 77…
first of all, sorry to hear your story..i just wonder who are you. you seem to know all the ethical codes and rules& regulations of nursing code. as far as i am concern, we all have our ethical codes when we are working. there is nothing to be compared to RIPAS hospital. for me, semua sama sja. it is up to the person her/ himself to do have the practice right etika kerja or not.
as you mentioned about pre-marital sexual.. yes it is the COMMON issue in brunei.. some peoples rasa malu or offended when the nurses asking directly.. as u have STRESSED the words ethical issue..” KEEPING PT CONFIDENTIALITY AND DIGNITY IS ONE OF THE ETHICS AND IT SHOULD BE RESPECTED” . so there is no harm if the nurse asking” are u married? ” rather than ” have you done sex before marriage?”….o Be sensitive and discreet in what you say or do. ( THIS IS YOUR TEXT THAT I HAVE QUOTED).
some of your points i do agree.. about the bedsheet.. do not blame the nurses if they can’t give clean bedsheet as they already did their job. you should ask to CEO and present your complaint. the nurses already requested and they are totally aware of the bedsheet but there is nothing much they can do..
i hope you can understand the situation and im sure RIPAS’s staffs always wants to upgrade the service. and it is between the communitty itself to have collaboration with the workers, i.e: PATUHI WAKTU MELAWAT PESAKIT….
SEKIAN TERIMA KASIH
By dayang K on Oct 26, 2010
To all of you who experienced POOR services from RIPAS, this is a great truth!!!
Patients become really more sick and toxic because of the long wait. And will end up with an Indian doctor prescribing you a PANADOL. I don’t accuse Indian doctors as “no good” but I experienced most of them just don’t want to listen to what a patient feels, how the sickness started, etc.How can a patient be treated correctly if these doctors themselves are deaf ears on complaints?
I was having an earbleeding and severe head pain a few weeks after my vehicular accident. And the doctor says, “it’s NORMAL, you are having a MIGRANE”. I was given PANADOL and AMITRIPTYLINE to make me sleep.
YA ALLAH, is there an EARBLEEDING assessed as normal???
Luckily, my family is a bit well to do, so I went oversea for treatment. And I got several blood clottings, luckily it was diagnosed early because on those days, I was already becoming complicated, dizziness and severe pain and bleeding.
In short, I was saved.
I went back to my country, go on with my normal life. But in my heart, is a great disappointment. How come such a rich country cannot hire foreign doctors who are really devoted to their work for saving lives? Not like what these foreign doctors we have now, who is just counting the working days and wait for salary and professional fees for their operation.
Oh yes, just a bit of thing, they operate you. And worse thing, SALAH operation pasal wrong diagnosis.
I salute a female local doctor whom I encountered a few weeks ago when I go to Sengkurong Clinic. She really explains to the patients what are the causes of sickness, etc.
I am calling the authority to look into the re-structuring of his HEALTH DEPARTMENT, to sack off all these foreign doctors who are very rude and arrogant !!!
By sasha on Feb 24, 2011
just go to jpmc.they will give u better services n clean sheets.this is what u get when u went to ripas because all the medications,foods n services are free so dun expect to be 24/7 be pampered n care by the nurses n doctors
By bebe on Apr 28, 2012
my only attention is to the foreign doctor. let me share my experience. i was having high fever but refused to go to the hospital because of the long waiting hours. as my condition worsen my mum dragged my a** to hospital. trust me, i’ve waited 2 hours to be checked by the nurse(s) and another 4 hours waiting to be checked by the doctor. i really don’t mind waiting but my concerned is my mum, it was late and she was driving me to the hospital and also staying wake keeping eyes for me waiting to be called by the doctors. my mum herself is not feeling well too, she had diabetes and high blood pressure so staying up late would trigger faint. ok, after long hours waiting and almost giving up, my number finally called up. i still can smile and greet the doctor politely. i asked the doctor, “what happened ah i wait so long outside, hehe” in a friendly way but instead the doctor replied, “u don’t ask me that kind of question, consider yourself as lucky enough to get free medication in Brunei. if outside (Brunei) so many people died waiting to be examined and given medicines…” and he continued his blah, blah. i almost cried. i’m not racist, but the doctor was a foreigner.
By PenganggurMuda on May 8, 2012