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  • Lian Yun-Perng, Physiotherapist

Bad Medical Practice

I have heard many stories about what medical doctors (MD) say/do to their patients. I have three examples here:

1. Pt complained of occasional numbness around his ULs and neck pain. MRI scan reported multiple Cx disc prolapses and there were signs of spinal cord compression. The MD told the patient that he would need surgery IMMEDIATELY or else he would be paralysed, the secretary of that MD also called the patient numerous times to schedule him for surgery within that week.

2. This patient of mine had a cerebellar stroke; he was still independent despite his brain insult. He was concerned with his gait as he was not like how he used to be. He expressed his concerns to the Neuro consultant but the consultant said he would be alright and did not bother to refer him for physio.

3. A patient of mine had to undergo two TKR within 6 months 20 years ago because the first TKR was a failure. Her Ortho did not refer her for physio and because of that my patient has had limited ROM for her knee since the surgery.

I am very concern about our healthcare in Malaysia. It is very profit driven and certain MDs should learn to refer their patients to other healthcare professionals (HCPs). I understand that MDs get their profit by prescribing medications and performing surgeries but they should also think about other ways to help their patients. I know I am ranting about MDs but that does not mean I do not RESPECT some of them even though I get disappointed with what I hear. The one thing I disagree most is instilling FEAR into your clients about their problems! I am ABSOLUTELY against that. Once the patient fear their body, everything goes downhill.

Quick summary about patient 1, 2, and 3:

Patient 1 is doing well now, numbness has disappeared and neck pain is less. This patient even cancelled his appointment so it should mean he is managing well. Fingers crossed.

Patient 2 is now able to walk for 1 hour continuously and I am still seeing him.

Patient 3. This patient is doing well and her limited knee range is not bothering her.

PS: I am not against MDs, I am only displeased with some of their practice. Same goes to PTs and other HCPs.

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Lian Yun-Perng  

UK Qualified Physiotherapist
Bachelor of Physiotherapy

Keele University, United Kingdom
Diploma in Physiotherapy

AIMST University, Malaysia

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