Thursday, September 6, 2012

Day 10: Diabetics 123

I attended their diabetic clinic this morning. The system here was superb! I was totally amazed by their set up. 

First, patient had to go for anthropometric measurements just like in any other hospitals. Then, they'll have their blood sugar and HbA1C taken with the result obtained on the spot. The same nurse will ask few questions with regards to their insulin regime, site of injection and examined the site for complications like lipohypertrophy. 

The patient will then seen by a child psychologist (if they have an appointment or if they feel like they have any issue to discuss) then to a diabetic nurse specialist (who normally see them at home on a regular basis) to discuss regarding their sugar monitoring. A dietitian is also at site should they need a consultation. Finally, the consultant will see the patient for fine tuning, and that session normally doesn't take that long. 

In Malaysia, I guess the doctor is the one who does 4 in 1 job. Dia lah dietitian, counsellor and a doctor, all in one. Here, they take the psychological and social aspect of the illness very seriously especially chronic ones. How are they coping at school, sports activity, school performance etc which is sadly lacking in our country. They compliment the patient a lot even on small progress. You will hear a lot of " you did well', "excellent", " you are a big boy now" and many positive encouraging words. 

Back home, we converse mainly in our native bahasa during our day to day consultation. Agak janggal bila nak translate ke bahasa Malaysia sebenarnya. "Bagus", "awak cemerlang", "tahniah", "takpe.. bukan salah awak".. all sounds kelakar la pulak kan. Hmm, macamana nak apply kat Malaysia ni?

Petang pulak, we had a communication practice with our supervisor. Kecut perut since he is one of the examiners for the membership exam. He gave us some komen yang membina. Learnt a lot from him as he shared with us lots of useful tips! We will be having another session with him tomorrow noon, if time permits. Takuuuttnye!!

Nak study and buat comm lagi tonight. We definitely need to practice more. Wish us luck ya. 

Tak sempat nak skype with my hubb and my lil girl. Missing them lots!!

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