Saturday, 22 May 2010

Regarding the complaint in Borneo Post "Waited 12 hours to receive treatment in Emergency Department, Sarawak General Hospital?"?

There was a complaint in Borneo Post dated 21 May 2010, saying that a patient has waited for 12 hours in Emergency Department, Sarawak General Hospital, in order to received treatment and to be admitted into the ward. However, as a staff in the same department, I would like to give an overview of how the department is functioning.

The overview below reflects the normal system for majority of the patients, however, variety may occur depending on the severity of the disease, the number of staff, and the availability of the beds in different wards.

Emergency & Trauma Department (E&T) or Accident and Emergency Department(A&E) in Sarawak General Hospital (SGH) is in fact the first department to see and screen all the patients before they are either discharged, being observed for hours, or to be admitted into different wards.

It is divided into 3 zones, GREEN, YELLOW AND RED, according to the severity of the patients' condition. GREEN, as the name implies meaning all the non-urgent cases, YELLOW as intermediate and RED is urgent, needing immediate attention. For all the patients arriving at E&T, they are screened by the Triage Center, which will further decide which zone they will go to. The staff in Triage Center are Assistant Medical Assistant(AMA), who are medically trained to identify urgent and non urgent condition. Once they are seen at the Triage Center, patients will be directed to the respective zones.

Normal waiting time for patient in GREEN zone ranges from 15 mins, to 2 hours. In YELLOW and RED zone, waiting time is virtually less than 5 minutes as there will nurses/doctors attending them right after they are pushed into the YELLOW/RED zone. Patient in GREEN zone are mostly discharged back home with medications, with or without an appointment to come back to see the doctors. As for patients in YELLOW/RED zone, most of them will need some specialist input from different discipline, to name a few surgical, medical, paediatric etc. The first doctors who attend the patient are basically House Officer(HO) in E&T. Once patients are seen by HO, the more senior doctors, Medical Officer(MO) will again verify, and agree with the HO decision before further management can be made.

Once the decision has been made that the particular patient needs attention from certain discipline, such as Neurosurgical, the HO will call the doctors from Neurosurgical to come and review the patient, and this is always the time when patients are kept in E&T to be observed and awaiting review. Please be reminded that current SGH is still short of staff, most of the time the doctors on-call are busy in the ward, taking care of unstable patients, at the same time, they need to review new cases coming from E&T.

Apart from that, beds in SGH is always lacking, meaning that when a patient is decided for admission, he/she may not be able to enter the ward if beds are not available.

Thus patient may feel irritated that they are kept in E&T for too long, but in reality many process are going on in order to help and optimize the treatment given to the patients.

In conclusion, this is an overview to the public that how the E&T is functioning. Nevertheless, scenario may differ in reality due to different in severity, number of staff, availability of beds and numerous factors that may contribute to the waiting time to the patients.

Sunday, 16 May 2010

Custom Red Toyota Vios

Front View of the Toyota Vios 2008 Model Custom Body Kit (by Thailand Car Body Kit shop)

These are some of the custom modified Toyota Vios by a car bod kit shop in Thailand. I would say they did a marvelous job. I like the custom-made body kits for this model as in Malaysia, it is not easy to get good and nice looking Toyota Body Kits especially for 2008 model. The exhaust of this Vios reminds me of Toyota Camry.

Despite the exterior appearance, the interior part of this Toyota Vios is also shocking, with fully equipped audio system(subwoofers, amplifier, active/passive crossover, capacitor, speakers), customized sterling plate, dashboard etc.

One day if I have a car like this, most likely it will stays at home only(didn't have the guts to drive it out to town) :D

Toyota Malaysia

Thursday, 13 May 2010

Free Online Streaming World Cup 2010 - South-Africa

How can I watch Free Streaming Live World Cup 2010 using Internet?

Well, you can visit sites like Justin tv, p2p, atdhe, TVU, iraqgoals, Live iphone, espn2, Streaming TV, telkom vision, Internet TV, Online TV, Sopcast, ustream, Yes TV, freedocast. Maybe those sites will show this coming event online via live streaming. Good Luck!

For youth aged 15-35 years old, please visit HERE.

Tuesday, 11 May 2010

My Wedding Car: Toyota Vios 1.5 E(2008 Model)

Front view of my car with the flowers

Right side of my car

Left side of my car

Back of my car

These were some of my pre-wedding photos of my Toyota Vios 1.5 E. The bridal studio involved is Mushroom King Bridal Studio, which is located at Ang Cheng Ho, Kuching, just beside to Kuching Park.

The car was polished a day ago prior to the wedding, so it looked very shiny, can indeed be a mirror. :D

Initially I wanted to put a TRD Toyota Body Kits for my car, which cost around RM2,000+ including installing it. However, I decided to delayed my plan as I wanted to channel my money into renovating my new house. So there goes my dream of modifying my car. :(

However, I will still consider putting some body kits to my Toyota Vios, body kits such as Toyota Vios GT Street Version.

This type of body kits is on sale in Thailand, and it is another variation of TRD Body Kits. There is only slight variation with the TRD version that is currently selling in Malaysia.

Visit Official Toyota Website:

Other Wedding Cars Collection:
Mini Austin

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