Saturday, November 15, 2014

In Defense Of The Humble Doctors

"Mak Cik cek kejap ye".

This is not the first time I heard a doctor calling herself 'mak cik' when dealing with a patient, but every time I hear it, it is none other than from a Family Medicine doctor. Family Medicine is a medical specialty provides health care for the individuals based on knowledge of the patient in the context of the family and the community, disease prevention and health promotion.

They are the doctors that we first meet at the local Klinik Kesihatan, before we are referred to the hospitals, if necessary. They are the "gatekeepers" as what the medical fraternity likes to call, the ones who holds the dam to prevent a flood of patients to tertiary hospitals. Through emphasis on disease prevention and health promotion, they not only treat individuals but also the whole community. Family Medicine is an arm of medicine that is indispensable, but sadly are the heroes that are unsung.

Since Family Medicine doctors are the first to see patients, they can deal with any diseases under the sun. Hence in their training, they are required to do rotations for a couple of months in each department at tertiary hospitals. That is when I get to work with one of them, in the Paediatrics department, during one fine Saturday morning rounds:

"Mak Cik cek kejap ye"

She said again when dealing with a child. For some may argue it sounds unprofessional, lacks formality and all.

But I think to a child, it doesn't matter.

There is nothing wrong with it, and I think what is wrong is when a doctor is arrogant enough to be irritated when someone calls them 'Encik' or 'Puan'. She took time to talk with the mother, asking about the family, how they are supporting the child, socially and financially, in a very friendly and humble manner, like really talking to a 'mak cik'.
Being a doctor is a demanding job, I admit. The hospital can consume us and make us think that the wards, clinic and operation theatres are the only thing there is to life. Last week I was scrolling through the Facebook feed a post by a friend of mine caught my attention. It is about one surgeon, allegedly from my hospital, a tertiary centre, arrogantly bashing a Family Medicine doctor, labelling them as dumb and resistant to teachings.

It is quite common, when you spend too much time in the same place, with the same people, to develop an inflated sense of importance, putting yourself in the centre and thinking the world revolves around you, ignoring the fact that the outside world is bigger than what you see. Everyone is good at something, but not everything. It is not wise to judge that a chimpanzee is better than a dolphin based on a race to climb trees.

Respect must be earned, not forced. For many people, the more title you get, the more Dato' Dr, Professor Dr, and all sorts, the more respect you will earn. But for me, I can respect a doctor who is not a little bit annoyed when someone calls them 'Pak Cik'. I would hate it if I spend too much time inside that 4-walls of the hospital and develop this very false sense of self importance for myself. A way that I have found effective is to spend more time on the ground with the community through volunteer work, and secondly through traveling the world. That is how I think Family Medicine and Public Health doctors do it. It is a way to see that the world is wide, and what we do is just a speck of dust in this huge universe.

During my last call there was a death of a baby, which we failed to resuscitate after being exhausted of all efforts, and also a birth in the O&G ward, a premature, which we successfully resuscitated. It happened so spontaneously that the mother did not even make it to the labor room.

Moments of intense pressure makes time move so fast, you barely notice the clock ticking, during evening calls you come in when the sun is setting, go back when it's near noon the next day and punch in when the sun is setting again. I do enjoy the work, it made time felt worthwhile, but the most important thing is that it doesn't end there. It further values and add meaning to the moment when I am free to do what means most to me: treating the community and traveling the world.

Volunteer work and traveling should humble you. I am nonchalant when talking about my NGO trying to build a hospital in Cambodia because I went to South Africa and saw a kid of 17 years old who opened a school, and giving scholarships to people older than him. What I do is just 10% of what a 17 year old kid did. If that doesn't humble you, I don't know what does. We don't see this when we stay for too long in the same place with the same kind of people. Hence I always promise myself to use my free time for my NGO and for travel. It fights off arrogance. It makes me perfectly fine when people don't address me as 'doctor'. Call me "Pak Cik", I wouldn't mind. Because in front of the Creator, I am just a slave


Yuci said...

As always, very well written...

Safiya Amaran said...

Walk around the world n you will learn do much from others. :)

norsuhaida said...

Thank you very much for the writing.. the world need more people like you!

Anonymous said...

Assalamualaikum. May Allah bless you always Pak Cik Opie! ��

sherrina said...

well said, Dr. Especially how volunteering mould you into a better person.

drazman said...

agreed lutfi. it opened my eyes after being in the hospital's acute setting for 10 years. now i enjoyed deliver the service to the people, spend more time to understand their problems, their real social issues etc. it made me see things wider from different perspectives.

Morning Glory said...
This comment has been removed by the author.
Morning Glory said...

It is very well written.

Just a question: what NGO are you volunteering in?

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