Showing posts with label Hospital Tengku Ampuan Afzan. Show all posts
Showing posts with label Hospital Tengku Ampuan Afzan. Show all posts

Wednesday, March 20, 2013

Expat Diaries: Do Not Underestimate Dehydration - A Personal Experience and Warning from an Expat in Malaysia

Dehydration is a very real threat to your health - foreigner or local - in the hot and humid climes of Malaysia. 

Located close to the equator with 90% humidity and daily temperatures year-round of between 32-36C, it is hot and wet.


Dehydration occurs when the amount of water going out from your body exceeds the amount going in. For example when there is more fluid lost from urinating and sweating and water vapour dispelled when you breathe, than there is from fluid being consumed by drinking water, you may experience mild, moderate or severe dehydration.

This is particularly useful to know if you are an expat in Malaysia and may not be accustomed to such high temperatures and humid conditions.

I've been living in Malaysia for around 9 years but I've learned to NEVER underestimate dehydration. Some of the signs that you are dehydrated may include: 
  • a dry mouth
  • feeling thirsty
  • stomach discomfort
  • feeling nauseous
  • vomiting
  • diarrhoea
  • dizziness
  • weakness
  • confusion

Now I will share my personal experience with dehydration:

On October 15th, 2012, I began to feel unwell. I hadn't drank much water in the preceding couple of days and I was beginning to feel rather nauseous. Around 7pm I was very weak and noticed my mouth had become particularly dry. It was difficult to drink water, even a little. I started vomiting, 4 times. Then the diarrhoea came along. I was becoming increasingly distressed. My body was going hot, then cold and I started shivering. My wife helped me get to the bed and that's when the scariest part of my ordeal occurred.

As I lay on the bed, I started having convulsions. It started with my hands. I couldn't stop them from shaking. My wrists bent inwards and became locked in place so tightly. The same with my fingers and thumbs. Sharp pains followed before they became completely numb. That's when I screamed out for my wife to call the ambulance. My legs soon started shaking too and were likewise starting to get very tight and slightly numb.

For a few moments, I thought I was going to die. It's funny, when confronted with the prospect of death, I actually wasn't afraid. I was in physical distress and pain which I had never before felt, but something inside of me said, "If I'm going to die . . .then let's do it!"

My wife later told me that the 2 minutes I thought it took for the ambulance to arrive was in fact 20 minutes. Whether I passed out I don't know. I vomited once more outside the ambulance while people were carrying me in my bed sheet.

Then the IV drip was inserted into my vein in the ambulance and everything suddenly changed for the better. I was no longer 'going to die', but I knew that I'd be alright. The saline drip of sodium chloride is heaven! Over the next 48 hours I would have a further SEVEN bags of sodium chloride pumped into my veins!


Here I am in the Accident & Emergency area of HTAA Kuantan with the IV drip working its magic.

I was diagnosed with food poisoning and severe dehydration. Spent that night in the hospital, all day on the 16th (which incidentally was my birthday!) and was discharged after lunch on the 17th.

Here I am in my hospital bed at HTAA Kuantan

The moral of the story is: If you're living in Malaysia or places of a similar climate, especially if you're an expat, you need to drink plenty of water daily, coupled with electrolyte drinks like 100plus, Revive or Gatorade. Dehydration can both hit quickly, and creep up almost unnoticed. Make sure you have access to clean drinking water wherever you are, and drink it regularly, even if you think you are not doing much physical exercise or sweating rapidly.


Stay happy, healthy, and hydrated in Malaysia!




Friday, May 11, 2012

Recovering from A-Z April

A-Z April was a very busy month, and not just for the blogging challenge. Lots of things were happening in our lives as well, and perhaps it's all taken its toll on us.

Well at least on me. I've been struggling to have too many positive thoughts when logging in to blogger and having the opportunity of writing a post. Taking a rest from the blog for a while has been necessary. The A-Z blogging challenge was particularly challenging, more so than last year. Whether or not I'll be joining up next year is by no means decided.

So I've been sifting through my photos for something simple and light-hearted today, and came across the perfect image I snapped a few months ago at HTAA (Hospital Tengku Ampuan Afzan), the government hospital in Kuantan. I was teaching English there and made a quick trip to the bathroom where I saw this poster on the toilet door:



I find this incredibly . . . . . hilarious! I guess there are still some people here who don't know how to use a toilet properly!


Wednesday, October 5, 2011

Kuantan Government Hospital (HTAA) Replied my Letter of Complaint!

Those of you who have been following my blog closely will remember the letter of complaint I composed regarding the poor service we received in the Kuantan Government Hospital (HTAA).

Unfortunately, I didn't receive any reply for 3 months. Last week I decided to email the letter again. I sent it to HTAA, the Ministry of Health (MOH) and to the office of the Prime Minister.

I received an email reply from the office of the Prime Minister a few days later, which looked like this:


Sir/Madam,

LETTER OF COMPLAINT

I hereby refer to your complaint as stated above.

2.      First and foremost, Ministry of Health (MOH) would like to express our utmost gratitude for your concern in bringing up this matter.
 
3.      MOH has been looking forward to hearing more of the public insights and opinion especially on matters that would help us to improve our service quality.

4.      Therefore, MOH will conduct an immediate inquiries as well as in-depth investigation to find the best way in resolving the issue.

Thank you.



HARTINI HASHIM
Public Relations Officer
Corporate Communication Unit
Ministry of Health Malaysia



It was great to get this reply and to finally see that something was being done. Yesterday I received a phone call from a matron at HTAA, who wanted to set up an appointment with me so that I could present my case to them.

Today four matrons from HTAA arrived at our house at 11am. We had a good discussion about my letter of complaint as I retold the events of those few days we spent at the hospital. 

They apologised numerous times for the poor service we endured and they informed me that action has already been taken over the negligent nurse who failed to check my wife's blood pressure. Other problems were openly discussed and shared between us and they will send me the final report on the matter when they return it to the MOH.

I feel a great sense of justice and I'm very happy that action has been taken so that the hospital can make the necessary improvements to change for the better, especially for its patients. We were thanked for sending the letter of complaint to them and Matron Zaida commented this morning, "If you don't tell us, we don't know."



Thank you to matrons Lee, Zaida, Sara and Tan who came to our house in response to my letter of complaint, apologised, and built new friendships with us. Your time and effort to resolve these issues is very much appreciated and accepted!























Saturday, June 18, 2011

On a more serious note, a letter of complaint

We are so happy with our newborn baby daughter Leah, but the whole process of being in the hospital was a horrible couple of days where the service was awful. I wasn't happy at all so I had to complain. Upon reaching home, I formed this letter which I emailed to the Malaysian Ministry of Health and to HTAA (Hospital Tengku Ampuan Afzan), the hospital in Kuantan where Fidelia gave birth:


To Whom It May Concern,





My wife gave birth to a beautiful baby girl in the early hours of Wednesday 15th June, 2011, at HTAA, Kuantan. But, I'm sad to relate, we endured one inconvenience or problem after another. It was an awful two days at the hospital as we witnessed outrageous unprofessionalism in the vast majority of staff we encountered.

I was absolutely appalled and shocked at some of the antics of nurses there.

It all started when my wife was admitted to the hospital on Tuesday night/Wednesday morning due to painful and consistent contractions. While I waited outside the screening room I was not informed by any staff about the progress of my wife. I was waiting for a good two hours, completely in the dark as to my wife's condition. Nobody made any effort whatsoever to update me on events. Eventually, after hearing screams coming from the room, and becoming increasingly worried, I went to ask a nurse what was going on. She couldn't even answer me, probably because of poor English, so the male doctor came out to tell me that my wife is going to be sent to the labour room right away!

After exiting the ambulance I walked beside my wife's bed, doing all within my power to comfort her. It turned out that the baby's head was already protruding, even while she was still in the screening room in a different building! Why did it take so long to get my wife to the labour room, and for the ambulance to arrive from just around the corner?

As we made our way to the delivery room, none of the two accompanying nurses attempted to communicate with me to describe my wife's condition. I was left to walk into walls and the nurses showed complete disregard for me when they allowed the double doors to close right in my face! It was as if I didn't even exist to them!

My wife was in labour and the baby was on it's way out by the time we reached the labour room. Of course, I attempted to go in with her and I was told by a flurry of nurses and a male doctor that I wasn't allowed to enter. I pressed them as to why but was offered no satisfactory explanation! Instead the nurses were laughing. I still don't know what was so funny. The male doctor was rather rude as well, when I heard him remark "What's his problem?" as the doors were closing. I clearly heard it and asked him what he just said, but he flatly denied saying anything. I refused to leave the labour hall and after two minutes they told me I could come in, where a few minutes later my wife gave birth to our daughter.

No sooner had the baby come out than I was once again told to leave my wife's side without any type of explanation at all. For 45 minutes I waited outside with no update or explanation by any nurse whatsoever. What sort of treatment is this? The hospital pretends to be husband-friendly, but I can tell you from my experience, it is a complete joke. I was made to feel like a stranger off the street while my dear wife had to suffer without me. I am severely upset by this, as is my wife. There is absolutely nothing husband-friendly about this pathetic hospital!

Eventually after stitching was completed on my wife, I was able to accompany her to the ward. But the problems didn't stop there.

Later on Wednesday I brought along my parents and 3-year-old daughter to visit my wife and our newborn during the scheduled visiting hours. I soon learned that there is a supposed rule that children under 12 years of age are not allowed into the wards during visiting hours. I find this absolutely terrible and fail to understand the reason behind this ridiculous rule! I'm sad to say that Malaysia is decades behind the rest of the civilized world. A female Indian security guard kept pestering us, speaking to us In Bahasa Melayu, which of course, neither me, nor my parents can speak. She was determined to pull my 3-year-old daughter away from this special moment to visit her new baby sister. She had also been missing her mother a lot and was so excited to see her. We asked the guard why my 3-year-old can't be here to visit on numerous occasions but we were never given an explanation. So we completely refused and just ignored her. Eventually she left us in peace and later even had the cheek to tell us that the 'sister' (head nurse) was angry! I will tell you that I was more angry than any 'sister' at that time! But no-one came to tell my daughter to leave, so I'm wondering if such a foolish rule really exists?

The next day during my visit my wife informed me that the nurse who is supposed to be checking her blood pressure and other things, wasn't doing her job properly at all. She simply opened the book and wrote down an imaginary blood pressure and pulse without even checking! I was so shocked at the complete and utter unprofessionalism and negligence in this hospital! My wife was suffering from hypertension and a nurse is basically jeopardizing my wife's health by guessing her blood pressure! How can this be? I approached some senior nurses on the ward to complain about this. They called over the nurse in question and she denied my allegations. I pressed her about it and told her she was lying. Then she had nothing to say and quickly went off to check my wife's blood pressure properly.

I have no words left to describe how shocked I am about this nurse's awful negligence of my wife's health on ward Melor 1B The nurse in question was (name withheld). I am disgusted at her lazy attitude to this most important work. A hospital is supposed to protect the health of its patients but in this case it was jeopardizing their health! It's just not good enough and I demand there to be a full and thorough investigation into this serious matter. (Name withheld) also invented mysterious figures when checking my newborn baby too! As I've said, this is completely outrageous! There is absolutely no excuse to not properly check a patient's health.

As to whether my complaint has reached a more senior figure in Ward Melor 1B, I have no idea. That is why I'm bringing this entire case to the Ministry of Health and to the HTAA hospital in Kuantan. I am severely unhappy and dissatisfied with the appalling service we have received, and would like to see some action taken so that no nurses like (name withheld) are allowed to continue putting patients health at such great risk.





Yours Faithfully,




Duncan D. Horne





Am I being too fussy? Do I even have an argument here? I was very upset with the dire effort of service we received, so I lodged this formal complaint. Surely we shouldn't have to tolerate such negligence and rudeness when it comes to our health!

What say ye?