Wednesday, October 31, 2012

How to be a successful salesman as a doctor?


So why you want to be a doctor?

If you are in for the money, you are in the wrong field. Very wrong field.

If you are in for the status, you have long and hard journey to go.

It is very difficult to treat this job as a job and I am seriously serious about this.

Some people call this as a profession, and that we should approach it professionally. Dont really know how to do it.

Anyway, it is very perturbing that all the systems in this world chooses the best among the best to be doctors. And who came up with this seriously?

You can only be a good doctor if you are a good person.

If you treat this as a job, in which you punch in and punch out everyday on time, go home quickly and sit down reading to garner a lot of knowledge, then go for examinations, to pass with flying colours, enthusiastically brushing your skill in surgery, then you will no doubt be a successful doctor, very competitive, very driven. It makes competent doctor no doubt.

But humility and compassionate personality are the other two things that makes a hell lot of difference.

Anyway, this post is not that philosophical. Hahahaha.

Let me just share with you how to be successful in doing sales as a locum doctor.

1. Look.

You must be marketable in terms of outlook. Outlook must be confidently elegant. Hair must be conservatively smart. Coloured spiky hair doesnt sell as much as a conservative side parting. Unless you are doing aesthetic medicine. Spectacles is a must. Tie and stetescope would be a bonus

If you are doing business involving surgery, then wearing a scrub is a plus point. They watch a lot of movies, didnt realise that a PPK also wearing scrubs in the OT.

2. Customer always right.

Treat the patient's first complaint as valid complaint and respond adequately to that. If the fella say he is not well, dont jump yet to ask a train of questions on what is that unwell. Have a feel of his pulse, or pull out your stets and listen (anywhere), and then only ask, where unwell? That would firstly show that he is not saying something stupid needing clarification that you acknowledge that general unwellness as a valid starter, and also it will simply alleviate the general unwellness sometimes, and then we can proceed on a more focus further history and examination later.

My experience so far is that 80% of patient come in see doctor because they felt generally unwell, so who said it is not a valid presenting complain?

3. Acquire some pundit skills. 

You must be able to somehow able to predict the progress of the disease that your patient has in order to be a good doctor. For example, if he said that he is dizzy, take our your hand like those chinese sinseh feel the pulse, then add another few light comments:

"Hmm...dizziness hor, sometimes feel like vomiting and not very good appetite isn't it?"

"Yesterday got feel feverish no?"

Who felt dizzy and not feeling like vomiting and can eat as normal? But these predictions is going to stick to his mind that you are damn good, able to not just a doctor that he tells complaints, but you can know his complaints even before he tells you. Win.

Also, must be able to do some prediction. For example if he comes with some swelling of the ankle after a football injury, as we know there is only two outcome forward: It gets more swelling and more pain. Or it doesnt.

So, predict the worst, give treatment but tells him predictions of things that doesnt gets better. What I meant is: you proceed as normal to give painkiller and anti-swelling: and say:

- This one, might (KEY WORLD) get more swollen in 2-3 days time. But it should be okay. Then it will get better.

If in the event that your anti-swelling meds doesnt work, you are still a damn good doctor because you already predict it.

If in the event that the leg is not swollen, the credits goes to you and your super medication.

Like I always say:

We let nature takes it's course.

We take the credit.


4. Treat the mind.

If the patient comes in saying abdominal pain, address the abdomen first. Dont waste time go into getting further history like when it started, how does it feel, shooting/burning/constant/heavy/prickling/radiating/spreading/ all of which is very important according to medical school teaching, but in the mind of the patient, it is the same. pain pain pain.

Point the patient to the couch.

Put your expensively trained hand on the stomach, feel feel a bit. Percuss a bit, auscultate a bit, altho it makes not much of a use in clinical point of view, but it is very magically marketable to the patient.

Then, only proceed with your history and examination. The patient felt more secured that you didnt forget about his main chief complaint. And that you address it first.

5. Reputation advertisement.

Probably most important thing in GP. When you talk, you must show that you care. Occasional eye contacts and addressing the other family members as well, not just the patient. In the concept of advertisement, you must strive to get the message across, as widespread as possible, that you are a good fella. Also, this would make sure that when they go out of the room, the family member re-inforce the belief that you are a good fella to the patient.

When more than 1 person say you are good, it is more likely that you are good, according to marketing theory.

--------------------------------------

Joking aside, if you are in to make money, 

think again.

I think I can make much more money selling stuffs. You too the same. 

Sunday, October 28, 2012

Why oh Why!!

Brother Dell.

You have served me well for past 6-7years.

Why you left at one of the most important juncture of my journey?

Remember the days we travel across the world? You are fatter than youe other colleagues but it is ok. You fit well into my life.

Right now, there is so much in you that letting you go is not an easy option.

The papers, the ebooks, the ********** - i mean pictures from all thesr years; all embedded deep in.

I cant blog using other instrument. It doesnt feel the same.

Come on brother dell.

Wake up! Wake up!

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Friday, October 26, 2012

If

IF you can keep your head when all about you

 Are losing theirs and blaming it on you,

If you can trust yourself when all men doubt you,


But make allowance for their doubting too;


If you can wait and not be tired by waiting,


Or being lied about, don't deal in lies,


Or being hated, don't give way to hating,


And yet don't look too good, nor talk too wise:


If you can dream - and not make dreams your master;


If you can think - and not make thoughts your aim;


If you can meet with Triumph and Disaster


And treat those two impostors just the same;


If you can bear to hear the truth you've spoken


Twisted by knaves to make a trap for fools,


Or watch the things you gave your life to, broken,


And stoop and build 'em up with worn-out tools:


If you can make one heap of all your winnings


And risk it on one turn of pitch-and-toss,


And lose, and start again at your beginnings


And never breathe a word about your loss;


If you can force your heart and nerve and sinew


To serve your turn long after they are gone,


And so hold on when there is nothing in you


Except the Will which says to them: 'Hold on!'


If you can talk with crowds and keep your virtue,


' Or walk with Kings - nor lose the common touch,


if neither foes nor loving friends can hurt you,


If all men count with you, but none too much;


If you can fill the unforgiving minute


With sixty seconds' worth of distance run,


Yours is the Earth and everything that's in it,


And - which is more - you'll be a Man, my son!

Monday, October 22, 2012

Brightened Up

It does not take alot to brighten up my life.l

I was so busy and down in my day 1 moship, because the gap of knowledge is so big, the learning curve is so steep and time seemed not enough.

Just as I was about to give up on today, and brushed it off as another bad day of my life, this msg came:

(I cant printscreen)

X - Hi. Are you there?

Me - ? What did I do wrong boss?

X - Just wanted to say thanks for treating my grandma a few days back

Me - Hahahah. Me?

X - Yup. She had a small cut on the finger on Friday night

Me: Yeoh? Lin?

X - Yong.

Me - Oh, ya...nice auntie.

X - She is so happy with u.

Me - She is examplary patient

X - Going on and on about you. Driving me nuts

Me - I feel good treating nice auntie like her. Seldom do HPC randomly, but decided to do one la since she is so kind and friendly.

X - I know!! Just wanna say thanks. Dr Ang from Penang, very very polite and kind bla bla bla

Me - So it is ur auntie! I tot it is my inlaws testing me. So I pretend!! Hahahaha!!!

X - No it is not my auntie. My maternal grandma!!! Flesh and Blood, hahaha. Really thankful she met such a good doctor like u. Shes sooooo happy. Think you made her day for many days on :)

Me - Hahahaha.
____________________________________

No, auntie you made my day.

Sometimes we do alot of good things, but no one recognises us.

But it takes a great satisfaction, when you are treating a patient of complete stranger, who turns out to be one of your friends/boss's relatives, and they speak highly and thankfully of u.

Really made my day.

And really, I do random HPC for all patients above 50 I see in A&E.

Not knowing you are diabetic is just unaccetable in this current medical advancement.

Wednesday, October 17, 2012

SSPPSS

Like seriously!!!

If now is the best fitness I can ever have, and after that is all downhill, then...by the time i reach 40 i mah have to be contented with playing mahjong only.

SSPPSS

Serious Six Pack Programme Starting Soon.

Brace yourself!!!

Tuesday, October 16, 2012

THREE MORE DAYS

FTW!!!!

Housemanship 99% completed.

What did I learn?

This:

Things seem easier when you don't know how difficult they can be

How true. :)

Sunday, October 14, 2012

My country is very Funny

I am not joking.

Recently, one of the human rights watcher NGO was under heavy investigations for receiving funding from overseas, and the government claims that it might be an attempt by foreign powers to destabilise the country to doom us all. Why all the foreign powers are so interested in my funny country? Because we are in the middle of China-India sea trade? Or isit we control the Straits of Malacca?

The anti-establishment groups all cry foul saying that the government is against this particular NGO because the NGO is anti government.

Which NGO is pro government if you are a human rights NGO? Funny. and if government not supporting your cause, who will give u money if not of some overseas funding?

Can you write a letter seeking funding from Kedai Kopi Ah Leng? Just to remain locally funded.

I am not joking, seriously.

Lately, one Sabahan lawyer who was caught trying to smuggle in 16 million SgDollar to Malaysia and money trails shown millions in US, HK and Sg dollars been channelled across the world then finally to this lawyers' Swiss account.

He alleged that he is holding the money for Musa Aman, the Chief Minister of Sabah. Then, tong cheng tong cheng, all the subsequent investigations cleared Musa Aman, because the money was said to be a political donation for UMNO Sabah not for Musa's personal use. No, I am not trying to say the investigation is not fair, well i dont know, but the thing is....they said because is political donation, it is halal no need investigate.

Funny no? This RM40 million, first which not only we dont know comes from where or who, or how, also we dont know how  and why it travels from many many foreign firms to many many British Virgin Island's firms then ended up to a timber trader in Hongkong who said it was Musa Aman's money and actually it belongs  to a political party, and it is halal????

No kidding! My country's highest leader said no need to ask where is the source, this is normal because the opposition also got political donations. They also never disclose sources. But but but....RM40 million political donation which travels across the globe to Sabah UMNO? Some millionaire sold off entire business to fund political party but refused to be known therefore moves the money across the world?

Do they know, or I am confused, of the meaning of money laundering?

I am not joking serious shit.

There is now a new summon system called the AES. The government pasang camera all over the country. My opposition leader is complaining two things. One is the tender for this project is not transparent. Some crony companies got the contract and pasang all plus get a big chunk for first dunno how many summons. True, I do agree the arrangement and the agreement is a bit lopsided. But that is not funny.

The second thing that he complains of is funny. No kidding. He said that the government could easily earn back the RM500 cash the government gave out on the BR1M programme for the poor income family, from this AES thing.

Am I missing the point here? The summon will only be issued if you break the law am I wrong?

Erm., I dont understand what is so wrong. Just follow law and dont get the summon. Funny la. Another thing which is funny to me is that dont we all know the AES is already in place all over the country in form of policeman. The difference is that now the AES summon money will go to government. Last time it is flat rate goes to the hardworking human AES.

Haih, no joke.

I think my country is very funny. Funny leaders across the political divide. I cant read news that often. I get depressed easily.

Thursday, October 11, 2012

Strangers

I read the article about the overproduction of nursing graduates unable to find a job in TheStar newspaper yesterday.

One of the most interesting line I have heard this year:

Sorry Najib. It is not "Janji Ditepati".

"In nursing, half the battle is won by just being kind"

How true.

I dont know, sorry if this sounds absurd, sometimes I wonder why some people still at the job if the rage is uncontrollable.

We are in this line, definitely not because of money. Our effort and risk vs money-earned graph do not tally at all.

We are in this line, mostly because we want to feel good in serving, helping and because it is a noble job.

Then why angry, or more acccurately, i mean why angry so often?

There are certain things we can get angry at, certain things that we can disgusted with, and I know everyone has their moments when you just lose it.

But I think if we constantly, everyday, lose it, then what is the point. Seriously what is the point.

I get very disgusted at myself when I lose it and being rude to patient.

To think about it, if I felt dizzy and pain, I would go and see a doctor too.

Hmm, insaf already, dont want to scold anyone.

But sometimes, you know, we all will lose it once a while.


Funnily, Human, predictably and irrationally, treats strangers the best.

I always judge another person's character by how he treats a total stranger.

Someone who you does not have any need for, or fear for.


-another of my too early for pm shift, too late to sleep, rant.

tq for reading. please click on advertisement if you want to help further.


Saturday, October 06, 2012

Safety in Practice

The general feeling among the senior bosses in healthcare is that our quantity of doctors is exponentially increasing but the quality of doctors is dropping exponentially as well.

I would like to retort that this is not just in medicine, but in everywhere if we look closer. Teachers were not as good as the olden days. Lawyers are not as sharp as yesteryears.

Academic inflation and knowledge deflation is everywhere. Howevery, I do agree that we cannot deny that me and other young doctor's competency level is dropping, but this problem is not just exclusively in this country.

Even in the UK or US.

Well, my take is that this phenomenal is inevitable. We tend to slip back a little as we progress.

And more importanntly, the psychology of human grandiosity.

It is a normal human behaviour to think that you are better than others when you are at certain position. Doctors, especially.

Ask yourself, do you think that you are better than your junior houseman?

Your senior also thought that way. Your junior will also think that they are better than their juniors.

I think all of us have to take a step back and rethink of the more important point here:

Safety in Practice.

We must culture a safe working environment, where asking question is acceptable.

Saying I dont know is normal.

Learning attitude is more appreciated than guessing the answer.

My hope is that when I say I dont know, the other person would not say where you graduate from?

Or how on earth you can become a doctor?

There is no way back now my dear friends, saying those things wont help.

There is gaps of knowledge in all of us.

This is especially true to the people that working in specialised field. Like ENT. Like Eye. Like Skin.

You actually didnt say I dont know, because you havent been explored in the area that you dont know.

It is easy to ask question, because you are scooping from your comfort zone of pool of your knowledge.

It is very difficult to be bad in things that you do everyday,

Be humble. Be nice. Be humane.

Encourage safety in practice. Accept I dont know. Teach. Not preach.

Friday, October 05, 2012

Uniquely you

We are very unique country, governed by very unique people and under a very unique system, to tackle some very unique problem.

You see we have only 2.9% unemployment rate in this country.

On paper.

And if you look at the problem of employability, we have a giant size of 1.4 million civil servants.

If you look at the latest census 2010, if i remember correctly about 60% of our 28 million population is between age of 15 and 64.

So I can grossly estimate that there are, out there 14 million Malaysians, between age 21 to 60 la, grossly speaking.

In short, 1 in 10 of the working people in our country, works for the government.

1 in 10 to serve the other 9.

Our unique government's way to reduce unemployment, is to employ them.

I read this newspiece in the Star today with a big smirk. Innovative and creative to increase productivity? :)

Tuesday, October 02, 2012

Scary Moments

We all have our scary moments.

Scary as in, at that time, you are the most religious person that you would ever known.

I remembered one time I got lost while hiking on my own in Moongate trail Penang. People that know this trail would understand why. It is one of the said to be haunted trail.

I lost my way despite hiking there, like 100 times. And it was already dark while I m still in the jungle/bush/trees (after been to Sarawak then you know what actually constitute a "jungle")

Oh well, today I want to share another scary moment I had recently.

I wear contact lenses for futsal.

I only have one pair of lenses, since.....

....

.... 5-6 months ago,

and I am still wearing it.

It got harden actually but...hehehe...I just dont care.

So on that fateful day, I wear it to play la.

Then had a small knock with someone who hit the eye a bit.

The contact lense broken inside my eye, and then I had a blurred vision for the night.

It is damn SCARY OKKKKKK.

I thought to myself the whole night; that would be it.

Career, life, family...

I'm F*cked.

The next day, I referred myself to Eye doctors, they see see see...

look at the cornea....slit test...see see seee

and said it was a minor corneal abrasion, advise me against wearing contact lenses for a few weeks.

Honestly.

Eye sight,

losing it.

It is scary.

( Recovered liau...dont worry wont use contact lenses anymore for forseeable future) Playing football with specs now.