Mariah Carey is in town for her concert tonight. Still awaiting Celine Dion’s arrival!

More hospitals are being built! Today’s paper mentioned 14 in all. Unfortunately, the staffing remains inadequate. Are additional hospitals really needed? All this when existing hospitals remain poorly staffed and ill equipped? Are we putting our chips in the right places? More doctors are certainly needed but mass production with little regard to quality is becoming an increasing problem today. Rumours are rife that even doctors that fail their Masters programme are offered positions as trainee lecturers. Are our universities diluting their already sour reputations? What about our future doctors?

It struck me today as well that obesity is certainly on the rise. We use to blame Westernisation of our diets and lifestyle as the culprit. Unfortunately local diets with all the santan and deep fried delicacies is actually the main cause. Even rural folks are not sparred. They definitely do not have McDonalds or Kentucky. If left unchecked, co-morbidities including diabetes and cardiovascular diseases will rise in incidence. What should we do? How are we to tackle this problem?

American Obesity Association

Weight Management Information Centre, Malaysia

Malaysian Association for the Study of Obesity

c/o Dept of Nutrition a Dietetics, Faculty of Allied

Health Sciences, Universiti Kebangsaan Malaysia

Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur

Tel:03-4040 5622/5465 Fax:03-2694 1296/2694 7621

Finding a direction for this blog. There is always a struggle between useful rumblings and nonsensical trash. Which do you think is more appealing?

Currently there is a non smoking campaign nationwide. However, it has already been touted as a failure. Why is that so?

There are no easy answers to this one. An anti-smoking strategy has to be multi directional. Such programs need continuous implementation. It has to be on going in schools, at home, in public places , in healthcare centers , in government departments and in the courts of law. Anti smoking campaigns are not alien to Malaysians and basically most smokers have become immune to such messages. Tobacco companies need to act more responsiby. Their cigarretes are killing lives. Governments should also tighten the screws on these companies. Strict advertising ban, increasing taxes, implementation of the law in penalising offenders in public places and eventually the demise of the tobacco industry need to be the anti-smoking strategy.

Doctors on the other hand need to counsel their smoking patients aggresively. However, being a smoking doctor will lead to a compromise of the integrity of the doctor. So it is necessary for healthcare workers to quit smoking and lead the way by example.

SOme useful sites


Quit Smoking Support

Quit Smoking Company

I have decided to relaunch the blog that I first tried to start in 2003. This is after reading some blogs especially that at MMR. Hopefully this will be a more lasting encounter. Still have to refresh myself on the works of blogging after staying away for so long.

A pharmacy student visited my clinic today requesting more information on management of drug addiction. My experience in this field is rather limited as i hardly manage these patients myself. But it was an interesting question that needs to be addressed especially in Malaysia.

Drug addicts in Malaysia are usually caught by the police and then thrown into rehabilitation centers called “Pusat Serenti”. There are many such government funded centers in malaysia. Their major role is of course rehabilitation of drug addicts. It is a good concept. However, recent studies have shown that this program has a low success rate. More than 80 % of previous “inmates” return to their old ways. There has also been widespread reports and rumours of corrupt and poorly trained staff at these centers.

Stigmatisation is high and a problem in malaysian society. most people despise them and they remain the pariahs of society. Even a high ranking government official once said that they should be left there to die. There is little effort in helping there people return to society. Most are only interested in prosecuting them.

An article in Malay of the possible existence of drugs in the rehabilitation centers itself.

The malaysian website of drug agencies and rehabilitation centers in Malaysia.

A good resource on drug addiction