A medical student, I'm still pretty amateur in the field, as such, i might not be accurate on what i'm going to mention.

-As to diseases, make a habit of two things - to help, or at least, to do no harm" By Hippocrates. 


Primum Non Nocere - the first principle taught in medical school.

How many doctors out there actually practising it? How many seniors out there are actually guiding the juniors to avoid harm to patient? How many healthcare systems out there actually set up to do no harm to patients?

Another random issue :-
Helping people, doing good thing ≠ you will receive similar amount that you have been given in.
    I have acknowledged this principle since the first year of medical school. No matter in friendship, relationship, family, studies... whatever you do in this world, there is rarely equal amount in return. Don't get to frustrate about it. It just how it works. A little expansion on the fact. Medicine is a field, where you require huge investment at first, then a life-long commitment to your work. I remember in my lecture last week, maybe in aussie or some other country where there is law that all doctors, including psychiatrist are obliged to help in emergency situation.  Pls think carefully before you enter this course. Especially to those who live in a society where they value doctors as being the high class job, easy $$$, easy job, genius with knowledge on everything. wtf??! It's actually the opposite. Talk to someone else if you unsure.

Child Abuse and Mandated Reporting

Title of this year Personal & Professional Development (PPD) is "Document the indications for Doctors in Western Australia for mandatory reporting and discuss the ethical issues regarding mandatory reporting in clinical practice". 

Google is always the first or if not, 2nd choice when it comes to writing assignment. The moment I typed "Mandatory reporting", 1-10 topics that appeared in front of me are about DCP and child abuse. 

Further my research into history of mandatory reporting. I found one PPT website that touched on the history of child protection law in US. It's interesting to realise that "animals protection" law actually came 10 years before child protection law. When it was first introduced, there was no obligation to report abuse; reports stemmed only from incidents which involved serious physical injury or death. In those days, what happened in the family was regarded as a very private manner; children were considered their parent's chattel. Until 1962, one doctor urged physicians to report suspected child abuse. 10 years later, it became a mandatory reporting by law. 

The first reported child abuse case - Mary Ellen McCormack-Wilson 

She was rescued at 10 years of age. 

Her testimony in courtroom: 

"My name is Mary Ellen McCormack. I don't know how old i am... I have never had but one pair of shoes, but i cant recollect when that was. i have no shoes or stocking  this winter... i have never had on a particle of flannel. my bed at night is only a piece of carpet, stretched on the floor underneath a window, and i sleep in my little undergarment, with a quilt over me. I am never allowed to play with any children or have any company whatever. mamma has been in the habit of whipping and beating me almost everyday. she used to whip me with a twisted whip, a raw hide. The whip always left black and blue marks on my body. i have now on my head two black and blue marks which were made by mamma with the whip, and a cut on the left side of my forehead which was made by a pair of scissors in mamma's hand. she struck me with the scissors and cut me. I have no recollection of ever having been kissed, and have never been kissed by mamma. i have never been taken on my mamma's lap, or caressed or petted. i have never dared to speak to anybody, because if i did i would get whipped. whenever mamma went out i was locked up in the bedroom... i have no recollection of ever being in the street in my life." 

Her foster mother was prosecuted for assault and battery. She was placed into a new home and grew up healthily. The ppt i found, it said "grew up normally" hmm i wouldn't use "normally" in such case. It's never going to be normal in the back of her mind. 

She married, had 2 children. died at the aged of 92. 

A few things.

1) After comparing Beats & Bose headphones, I have decided to go for Bose. And my options are $199 normal headphone and $449 wireless noise cancelling ! haha. Had a look at HK bose website, it's cheaper over there. If i'm going for $449 one, i'll buy it in HK.


2) Medicine is scary. Or, i should say Human doesn't like to change. I hate transition phase. I had a bad transition phase and it's a nightmare for me to imagine another one. Another 6 months to go... What can I say or complain. I guess nothing. I chose this, I have to do all my best to adapt. Some time, i wonder if i'm too lazy to complain or I just fed up to complain over unavoidable things. With the amount of time left, there are many big decisions ahead of me now...
 a) Between Malaysia vs Aussie - Still waiting for Aussie application result...
     In Malaysia - cant imagine myself working from 5am to 12am, no foods, verbal abuse flying here n there, and with my insufficient knowledge (& language problem), it's going to be nightmare.
     On the other hand, Aussie - 6am to 5 or 6pm, with lunch, no verbal abuse allowed, teaching by seniors. Less bullying. But i have english problems. haih... not sure if i'll pass my IELTS. Haihhh...
    This Question has been bothering me in the last 6 months, initially i wanted to go home, but after listening to friends' feedback about the health care system. I dont think i'll like it. absolutely no idea why no one actually suggest to change. It's horrible. Complaints floating around in the newspapers by the public about doctors. but do they actually realised what's happening behind the scene? Sigh. These people, just dont use their mind to think before they speak.
 b) Between peninsular Malaysia or East malaysia? I'm tired of being what you want me to be, what you wish me to be, I know what the society and what you guys expecting of me, to be honest, it put me under a lot of pressure. It's just impossible to ask people (esp senior people) to think from your side. I know they have a lot of experiences, but no one is ALWAYS right, they are not in my shoe! walk in my shoes and see what i see.


3) Human is super complicated animal. No one really knows what is actually in another person mind. And, No one can understands what you been through in your life. As i always mention in this blog, No one is also perfect in this world. I guess i dunno you.