Lowyat.NET: Latest topics by FrostLance

Singapore recruits Malaysian doctors at KLCC

FrostLance — Wed, 09 Jul 2025 14:38:57 +0800

https://thesun.my/viral/going-viral/singapo...kPNihZhcoh3q5mQ

IN a bold move to strengthen its healthcare workforce, Singapore's Ministry of Health (MOH) is conducting direct interviews with Malaysian doctors and general practitioners (GPs) at Traders Hotel KLCC, drawing significant attention from the local medical community and netizens alike.

The recruitment effort comes with an attractive package with a starting salary of SGD110,000 (approximately RM385,000) per year, excluding monthly accommodation allowance, insurance, and other benefits, offering what many describe as a golden opportunity to build substantial savings within just two years.

User @dr_amandaelli on Threads highlighted the offer, describing it as an excellent opportunity for doctors to accumulate strong savings before eventually returning home, whether or not they grow homesick.
The move sparked strong reactions online. User @KahirulAqmal posted on X: “There you have it! They’re coming directly to KL just to recruit our doctors.”

Another user, @HKontrak, took a jab at local health authorities with a sarcastic post: “Good luck @KKMPutrajaya @DrDzul.” Supporting the sentiment, user @realshahr added, “If you convert the salary, even nurses could be earning up to RM10,000 per month.”

Meanwhile, user @SaifulA77188378 wrote, “They’ve been doing this for a while. Perhaps our Health Ministry just pretends not to notice. Anyway, congratulations to those who landed a job in Singapore. A golden rain in a foreign country is truly better than a storm of stones in your own.”

The situation has once again sparked worries about Malaysian doctors leaving to work overseas, with some wondering if the government is doing enough to keep them here

Meanwhile in KKM, 8 years service gaji has not reached 6k, still stucm at UD43, oncall rate at RM9 per hour.

UMMC’s Medicine Department Mulls ‘Zero HO Protocol

FrostLance — Mon, 15 Jan 2024 14:18:50 +0800

https://codeblue.galencentre.org/2024/01/15...seman-shortage/

Too few new doctors now until affecting and disrupting service.

QUOTE

KUALA LUMPUR, Jan 15 – A dire shortage of house officers (HOs) has forced the Department of Medicine at Universiti Malaya Medical Centre (UMMC) to consider adopting a “Zero HO Protocol”.

The “Zero HO Protocol”, termed by UMMC’s Department of Medicine (DOM) acting head, urges staff at the largest department of the public university hospital in the Klang Valley to operate “under the assumption that we no longer have the services of house officers”.

“Personally, I fail to understand how it is that a tertiary, quaternary centre like UMMC serving a densely populated area like KL and PJ can be denied the services of HOs. The irony that we are the most prolific producer of medical graduates is not lost on us,” the DOM acting head said in a WhatsApp message to department staff last December 20, as sighted by CodeBlue.

“To address this dire situation, may I propose what I term is the Zero HO Protocol until the situation becomes normal, if ever that is possible.”

In a separate letter drafted by the DOM acting head and a couple of other doctors that was emailed to the department’s staff last January 2, requesting feedback, it was stated that the UMMC’s medicine department is undergoing a “dire shortage” of both trainee doctors (HOs) and medical officers (MOs).

“The situation is critical with no end in sight,” stated the DOM’s January 2 letter, as sighted by CodeBlue.

“With the current house officer shortages, the existing manpower (available house officers, medical officers) are stretched too thin to run a service at full capacity, with high likelihood of burnout of the current staff. Additionally, specialists and consultants who have to help out with the routine clinical duties will also face disruptions in carrying out their core duties in leading the clinical team, teaching, administration and research.

“If the situation persists, the entire department will not be able to function optimally,” the DOM’s January 2 letter read. “We are now in the process of eliminating certain services.”

The letter did not specify what services were being cut from the department.

The medicine department is recognised as the busiest among UMMC’s inpatient, outpatient and procedural-based departments, accommodating over 300 inpatients concurrently and contributing to 20 per cent of the hospital’s inpatient services.

DOM’s clinics serve approximately 1,000 patients daily. With the ongoing resurgence of Covid cases, the medicine department foresees another surge in admissions, placing an additional burden on its operations.

‘Severe’ Doctors’ Shortage Risks Patient Safety, ‘Near Misses’ Reported

The DOM’s January 2 letter openly admitted the risk to patient safety as a result of the “severe” manpower shortage in UMMC that generally takes in highly complex cases, requiring a fully functional team of clinicians from seniors to juniors to ensure quality care.

The public teaching hospital, the letter noted, often receives cases from reputable private health care institutions that are complex as they are referred to UMMC as a last resort. Accompanying relatives frequently express anger and frustration.

“It is to be expected that a lower doctor-to-patient ratio will result in compromise to quality of care and patient safety. This is especially true during out-of-office hours,” said the DOM’s three-page letter.

“Conventionally, house officers are expected to be the first-line in attending any issues that arise among patients, as well as carry out phlebotomy duties, as medical officers have a higher number of wards to cover and are expected to attend to cases of higher urgency and medical emergencies.

“However, with the miniscule numbers of HOs during out-of-office hours (sometimes practically none), medical officers, who may be covering up to five to six wards at one go, have to shoulder the burden of addressing all issues, minor or major, including mundane duties like phlebotomy. This will take away their time or availability to properly assess patients during medical emergencies.

“We are currently collecting reported instances of suboptimal care/ near-misses/ morbidities that have occurred as a result (directly or indirectly) of the severe manpower shortage.”

The DOM’s January 2 letter did not specify what “near misses” have been reported so far that resulted from the dire shortage of doctors.

“We fear the day may come, sooner rather than later, that the reputation of UM as a Centre of Excellence may not be upheld if we cannot ensure even the most basic issue of patient safety.”

The DOM’s letter proposed that only ill, passed-over, and patients with high National Early Warning Score (NEWS) be reviewed during weekend rounds. NEWS is a tool developed by England’s Royal College of Physicians to improve the detection of and response to clinical deterioration in patients with acute illness.

“Our MOs will not review and manage all patients, which involve taking blood, setting up intravenous lines, paperwork, and filling up the cardex. It is not humanly possible to do everything at once.”

Hire Phlebotomists, Let Medical Graduates Do Phlebotomy And Cannulation

The DOM’s January 2 letter outlined a set of countermeasures aimed at managing the heightened workload in the department to maintain lean services. This involves engaging senior clinicians to prevent unnecessary investigations or procedures, deferring or avoiding bio-imaging requests for CT (computed tomography) scans and MRIs (magnetic resonance imaging) outside of office hours, and streamlining clinical procedures.

However, given the high complexity of patients, there is a constraint on how much the Department of Medicine can reduce these essential clinical procedures.

“We, therefore, appeal to the management to take swift measures to address this dire situation. These [measures] include engaging the nursing workforce to identify phlebotomy-trained staff to assist in routine blood taking or cannula insertion, appealing to the management to consider hiring phlebotomists, as well as appealing to the Ministry of Health (MOH) for allocations of house officers,” read the DOM’s January 2 letter.

Phlebotomists are medical professionals who are trained to draw blood. A cannula is a thin tube inserted into one’s nose or vein used to drain fluid, administer medication, or provide oxygen.

“University Malaya’s medical degree is acknowledged to be the best in the country. Yet, our graduates could not be hired to help with phlebotomy and cannulation. We propose that we give them an opportunity to do PRINT 2.0 but this time, they are paid a stipend for their effort.

“We should give them the privilege to do phlebotomy and cannulation, as well as basic clerking and filling up the paperwork. This will prepare them for life as house officers as well as keeping their skills sharp while waiting for their posting from the Ministry of Health,” the DOM’s January 2 letter said.

PRINT 2.0 are pre-housemanship students.

Matter Of Time Before Rakyat Begin To See That ‘The Health Care System Is Failing’

The DOM’s January 2 letter noted that the long wait for a “decent post” is one of the factors driving Malaysian medical graduates to countries like Singapore.

The letter also pointed out that Malaysian medical graduates are underpaid compared to their Singaporean counterparts, even after adjusting for income tax and rent.

“Young graduates are struggling to keep up with the exorbitant cost of living. It is shameful when elder authorities insinuate that the graduates are all driven by monetary gain,” said the DOM.

“What Singapore offers is a shorter lag between graduation, starting work and specialist training. This appeals to many of our graduates who come from poor families and cannot wait for seven idle months, and we must take into consideration that the Malaysian government only pays them after three months of working.

“Singapore also has a clear and transparent pathway for specialisation and permanent posting.”

The DOM’s January 2 letter criticised the Malaysian government for not coming up with “any clear guidelines”, despite this issue having been highlighted for the past decade.

“The Ministry of Health can confirm if the number of applications for HO and MO posts are dwindling. We expect this to be the case given the current situation. We urge for a more robust and faster processing of applications, and increasing the number of intakes to six per year, that is consistently sustainable and reflects the increasing number of Malaysian medical graduates per year,” stated the DOM’s letter.

“In closing, we would like to highlight the long waiting hours experienced by Malaysian patients in public health care institutions, in both inpatient and outpatient settings, including emergency departments. It is only a matter of time before the rakyat are affected and begin to see that the health care system is failing.

“The shortage of HOs and MOs is an urgent problem and we need solutions and actions now.”

What Is Zero HO Protocol?

The Zero HO Protocol proposed at the medicine department in UMMC involves smaller units forgoing house officer services, prioritising house officers in high workload units like respiratory medicine and infectious diseases, discontinuing “indiscriminate” test requests, and exercising “mindfulness” in admitting patients.

The protocol also notes that at-risk patients should be in the intensive care unit (ICU), with only stable patients in the medicine department’s wards. Any tests ordered by medical officers should be performed by the doctor themselves.

“If you feel your patient needs an IV cannula, this will be a good time to practise your skills. Or get someone in your team to do it during office hours. [If] the patient needs a CT scan or an MRI, there are ample laptops to make the request, and the radiologist is just a phone call away,” the acting DOM head wrote in his December 20 WhatsApp message to staff.

“All bloods are to be taken in the morning and reviewed before noon for action. Again, [if] you want a renal profile three times daily, please ensure that you perform the procedure and review the results yourself. Or better still, use your clinical judgement. If there is a need for bloods the next day, request it today so the MO can take the bloods in the morning the next day.”

The acting DOM head also said whatever tasks given to HOs must now be shared among MOs, lecturers, and consultants.

“Let’s put an end to indiscriminate requests for tests that are being made just because we assume we have the convenience that someone else is always available to carry out our orders.”

In his message last month, the acting DOM head further urged staff to “be mindful” of admitting patients to the ward. “If you admit the patient, then the management plan falls upon you.”

The acting DOM head’s December 20 WhatsApp message to staff acknowledged the possibility that the lack of housemen could be one of the main reasons for “indiscriminate” leave applications by medical officers.

“If the workload is beyond what MOs would experience in KKM (Ministry of Health) hospitals, there will be fatigue and resentment.”

CodeBlue understands that despite the acting DOM head’s call to implement the Zero HO Protocol, it is not being fully enforced.

“Not exactly [being implemented]. Because bloods are still ordered rampantly, and MOs are expected to take blood, review patients, give a plan, request imaging, update family, and go down to the clinic on time. [We] don’t really know how to multitask that way,” a source at the university hospital told CodeBlue.

Units in the DOM like geriatrics are also making daily requests for blood. “It needs to be highlighted that in geriatrics, sometimes the order is to take blood a few times in the same patient – already their lines are so small and fragile.”

CodeBlue understands that a final version of the January 2 draft letter by the acting DOM head and some doctors – upon gathering feedback from department members – is intended to be sent to UMMC director Dr Nazirah Hasnan. However, it is unclear if the letter has been sent out.

UMMC’s top management has yet to provide a response to CodeBlue after a request for comments on the situation.

WWF Replied back to Kelantan's Tiger Statement

FrostLance — Tue, 25 Jan 2022 23:25:39 +0800

WWF-Malaysia would like to clarify our stance on recent news reports that 'logging is good for tigers'. As a research-based organisation, we believe in learning and understanding conservation science and its methods.
The 2009 study entitled 'The importance of selectively logged forests for tiger Panthera tigris conservation: a population density estimate in Peninsular Malaysia' by D. Mark Rayan and Shariff Wan Mohamad was done to obtain information on density of tigers in selectively logged forests.
It is important to note that the study refers to selective logging, not indiscriminate logging. Selective logging is a forestry practice that only cuts a select number of trees annually in a forest compartment instead of the whole forest at once, in line with Sustainable Forest Management practices.
Ultimately, we believe that pristine, undisturbed forests are the ideal habitat for tigers. Protected areas in the form of wildlife sanctuaries and national parks are necessary.
For more information: https://www.wwf.org.my/?29985/Letter-to-Edi...tats-for-Tigers

https://www.facebook.com/wwfmy/posts/10161588038853242

https://www.wwf.org.my/?29985%2FLetter-to-E...1fvEXG3J18TAvLU
Berani WWF contradict pak lebai

OOOFFFFF Lembu langgar kereta

FrostLance — Wed, 08 Sep 2021 16:40:49 +0800

Laju betul lembugini

[FB]https://www.facebook.com/100002945419679/videos/550652552687889/[/FB]

Where to buy HOTAS

FrostLance — Mon, 28 Sep 2020 20:49:11 +0800

Guys with the release of MS flight simulator and upcoming Starwars squadron,

Im planning to get a HOTAS..
Aiming for Logitech X52 pro. Not really favouring Thrustmaster.

The thing is i cant find any shop selling.
Lazada/shoppee only from china. No reviews or ratings at all. Damn risky.
also warranty issue.

U guys know any physical shop selling new or any of u guys wanna sell used?

Split in PPBM? Armada declares support for TUN M

FrostLance — Tue, 25 Feb 2020 23:23:03 +0800

https://www.bharian.com.my/berita/nasional/...qxoavZq6kAVfyn8

ARMADA pertahan prinsip Tun M
Oleh Muhaamad Hafis Nawawi
mhafis@hmetro.com.my
KONGSI ARTIKEL
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PETALING JAYA: Angkatan Bersatu Anak Muda (ARMADA) mengambil ketetapan mempertahankan pendirian berprinsip Tun Dr Mahathir Mohamad yang tidak akan bekerjasama dengan UMNO.

Ketuanya, Syed Saddiq Syed Abdul Rahman berkata, sayap Parti Pribumi Bersatu Malaysia (BERSATU) itu tidak akan bekerjasama dengan parti di bawah kepemimpinan Datuk Seri Ahmad Zahid Hamidi.

Beliau berkata, ini adalah kerana isu rasuah, salah guna kuasa dan kes rasuah yang berjalan di mahkamah membabitkan pimpinan tertinggi UMNO.

"ARMADA juga mengambil ketetapan mempertahankan mandat diberi rakyat pada Pilihan Raya Umum (PRU) lalu.

"Rakyat berkuasa dan sudah memilih kerajaan dan kita tidak membenarkan pencatur kuasa menentukan hala tuju negara," katanya ketika ditemui media selepas mempengerusikan mesyuarat ARMADA di pejabat BERSATU, di sini, malam ini.

Syed Saddiq berkata, pihaknya ingin memastikan bahawa apabila anak muda menyertai politik mereka ikhlas ingin membersihkan politik.

"Jangan hantar mesej buruk dan negatif sampai anak muda benci politik. Kita perlu pertahankan mandat ini dan mempertahankan prinsip Tun Dr Mahathir tidak bekerjasama dengan UMNO," katanya.

Beliau turut menegaskan akan bersama-sama Dr Mahathir dalam isu ini.

Mahu Proton Murah? Pergi duduk Aussie!

FrostLance — Wed, 18 Nov 2015 12:59:16 +0800

Anyone in aussie can confirm?

5 years warranty summore lel.

Malayneum. He is still Alive

FrostLance — Fri, 18 Jul 2014 21:09:17 +0800

Still alive

Orb of Light Caught on Camera

FrostLance — Thu, 03 Jan 2013 01:32:48 +0800

So guys, my family just moved to puchong few months back, house still under renovation, 2 weeks ago just installed CCTV camera 8 Cameras all around and inside the house.
On 29 December 2012, at approximately 2.00AM , my mom woke up to check on my sis whether she was asleep or not (cuti sekolah budak2 tido lewat), then she stumbled on the CCTV monitor,
saw the Light object moving fast back and forth.

I remember watching tons of those so called supernatural documentaries and bullshit shows mau tangkap hantu always shows this stuff, Never thought i would encounter one .

So it only happened once so far, appeared around 2 am till 3am.. The weather was fine, wasnt raining, the area in the video is a confined space, baru behind the kitchen at the rear of the house.

Baru upload youtube video i think belum betul2 abes process lagi, Framerate n quality issues.
Real video is about 80 MBs much smooth and clear, but donno where to upload for u guys.

Part 1 (2.00am - 2.30am)
[YOUTUBE]25ND-n2Rn9g[/YOUTUBE]

Vimeo Link : https://vimeo.com/56674851 <- Better FPS

Part 2 (2.30am-3.00am)
[YOUTUBE]KK_6IQ0TW1U[/YOUTUBE]

So need some /k/ experts to explain scientifically, Dust particles? Lens flare? any explanation would be welcomed
I think best explanation is insect,fly or bug on the lens.

**Using Kguard 8 Channel h264 DVR with 8 Sony IR Super HAD CCD camera (i think 570 TVL or something forgot)

inb4 videochopped, TS suluh lampu, TS pondan.

*Bonus
Pic of my Cats

» Click to show Spoiler - click again to hide... «

Diablo 3 Problems

FrostLance — Tue, 15 May 2012 18:28:48 +0800

Hi guys,

Having a problem here. Hope anyone can help.
Every time i load the game, when the map loads up, u start at the starting area. if i stay in that area i can do skills, Shift click skills, can do magic missiles and shoot arrows bla bla.. but when i move past the broken wagon, just a little to the right, then suddenly like im Disconnected. I cant do anything. Do shift click skills wont come out. Latency bar stays permanent.

Having this problem since Beta! Help!
Im using VIP5 Unifi, latency is 250-350.

Lu banyak duit ke berah! Berah!

FrostLance — Thu, 08 Sep 2011 21:38:11 +0800

I suddenly got this PM last month..
wtf mang...

Inb4 berah is the new broooo

Google Translate

FrostLance — Sat, 06 Aug 2011 03:23:55 +0800

Try using google translate.. from english to malay
http://translate.google.com/

QUOTE

Do not snatch philippines money
The people of bangladesh are angry
pakistani people hate national row

Yellow

FrostLance — Thu, 30 Jun 2011 17:38:19 +0800

[YOUTUBE]0zpi-iSGFaY[/YOUTUBE]

Will this song kena ban?
Can i call Hitz.fm/Fly/others and request this song on 9th of july or i kena tangkap polis also

Wenger and Raja

FrostLance — Tue, 28 Dec 2010 19:08:36 +0800

"Pasukan abg dh mng pg td, harap ko lakukan yg sma pd plawanan esok", tegas Arsene kpd adiknya, Rajagobal.

USED LOTUS ELISE

FrostLance — Tue, 04 May 2010 05:00:52 +0800

Hi all..
Wanna ask a few things bout the lotus elise.
Whats the current price on the market for new and used.
Preferably the S2 model.
Cant seem to find much info over the net. Not even in motortrader..haihz..
anyone has any expereince with lotus?
Wanna ask how is the maintainence also. Expensive?

How to listen to Local Radio FM channels on MW6

FrostLance — Tue, 19 May 2009 07:52:17 +0800

how eh.. wanna listen to hitz n fly streaming lor...miss malaysian radio so much now that im abroad. can anyone help

Mouse not Working in Windows Vista Ultimate

FrostLance — Sun, 19 Aug 2007 00:27:42 +0800

Hi all...
After my recent upgrade to Windows Vista Ultimate, my mouse,well MOST mouse that works extremely fine in XP just wont work in VISTA.

It says that the INF was done in windows 95 or above bla bla forgot what it says but something like that

Is there anyway i can solve this issue without changing to a new mouse?

TQ.