Unhealthy MInds

We tend to think that once we come across someone who has mental health issues, it would be manageable. We would be one of the few who knows how to go about it because we have read about it online and asked for expert advice. We would be empathetic and non-judgemental. We would be supportive of that person. This is mostly true but here’s a secret. That is only possible if the person in question is properly diagnosed by the doctors. Otherwise, trust me, it is quite a challenge.

I have had the opportunity to witness two professional colleagues suffering from the same medical diagnosis. Each of them of course, presented with different symptoms. One sought medical help and is under treatment whereas the other, well, we’re still in the dark of whether there was a diagnosis in the first place or if treatment is ongoing or defaulted. Each of them managed their mental health issues differently and it is the latter colleague that got me questioning things about life.

The Brain

Putting it simply, mental health issues stem from a problem within the brain. It could result from a structural defect, a transmission glitch or a hormonal imbalance. It disrupts the function of the brain thus its manifestations externally. Since the brain is the command centre of our body, it would be very difficult to control it if it goes haywire. why am I saying this? Because the contrast in behaviour is so drastic whenever the sick part of the person takes over. With reference to a person with bipolar here.

On good days, this colleague is a team player. A friendly and great employee. However, on really bad days – this colleague ignores everything. Work, courtesy phone calls, even when the big bosses call. Interestingly, this colleague seems to have ‘no insight’ that when you go M.I.A, it puts the burden of tasks and responsibility to another person on an ad-hoc basis. I couldn’t find a better word to ‘no insight’ but what I am trying to say is that when these people reach their weakest point – they are stuck in that hole and no amount of high office power could summon them out from the darkness. Unless they are on therapy and have learned ways to cope with the early signs of the condition. Otherwise, one would have to just wait for the phase to dissolve.

It would be easier for other people around this person to work around the problems, if they had known about the mental health issue. It’s like we could together anticipate when the next phase will be and that contingency plans can be implemented if the colleague goes M.I.a again. Otherwise, it would be perceived as just another worker being lackadaisical and irresponsible.

It did however made me realize one thing – that we are replaceable at work. No matter how important we are at work. If one day you end up in an accident and land in ICU, there will always be someone who is able to cover up for you.

Bultaoreune λΆˆνƒ€μ˜€λ₯΄λ„€

I am enjoying virtual popcorn at the moment as I watch the drama unfold in the vaccine WhatsApp group. There seems to be a disagreement in terms of how the booster doses should be implemented swiftly in preparation for the upcoming state election. Currently, the plan is to conduct it like a drive-through with all Klinik Kesihatan contributing manpower for the purpose.

All is well until a decision came up abruptly of wanting to open the centre on the weekends. Mind you, the existing workforce at all KK’s are already stretched to the maximum as centralized Covid Assessment Centres (CAC) and Rapid Response Team (RRT) are still ongoing on top of running routine clinical services at their respective clinics. The workforce will be further burdened by the provision of teams during state elections due to commence on the 20th. The way I see it, medical front liners are already fed up with all the ad-hoc instructions and what felt like an unnecessary burden of work to the current ones they have.

It came to a point where a young medical officer pointed out the occupational hazards linked to the drive-through operations at the airport if the weekend plan was allowed to continue. It was a valid concern on top of highlighting the strenuous shift systems some medical personnel had to go through. After all, with the current opening of 5 days a week, not everybody is taking the booster. We are not achieving much on the weekdays, so there is a concern of why we need to open on the weekends. I thought it was a tad courageous for this young man to stand up to an experienced doctor.

Hence, the title of my blog post today – FIRE λΆˆνƒ€μ˜€λ₯΄λ„€

A successful organization needs to have λΆˆνƒ€μ˜€λ₯΄λ„€. But not just any λΆˆνƒ€μ˜€λ₯΄λ„€. We want a bonfire, a campfire and a candle. In my clinical facility, I would describe bonfires as the young, junior doctors. Full spirited and passionate about their duties. Eager to learn everything. Motivated to help everybody at all costs. Ready to fight, ready to sacrifice. Ready to make a scene for the sake of their patients and themselves.

Candles are the seasoned, experienced doctors who would say, they have seen it all. They are stable emotionally. They keep on burning but not with rage. They are cool-headed that some may mistake as being lackadaisical or simply not motivated. But they are there to keep the fire burning and light up other fires as needed. However, if the wick becomes shorter and is not replaced with a new one, the spirit of Hippocrates may just die off without a trace.

I would describe myself as a campfire. In other words, I have learned how big my fire should be depending on the purpose. If my purpose is to cook a meal, it should be bigger. If my purpose is to keep the campsite lit and protect the campers from wild beast – it shouldn’t be that fiery. It is about knowing where to channel your effort properly. This is because, with time, I discover that not all patients want your help. They just need that vote of confidence to proceed with their health decisions which may not be aligned with yours. Especially in cases of end of life care. It’s knowing which battles to fight, and which to just let it be.

Perhaps I forgot to mention one more fire. It’s not a good fire but somehow it’ll find a way to exist.

BATU API

Look it up.

Awkward visit

My dad came over last weekend. Alone. Usually, it will be him and my mom. However now that mom has passed away, it is just him. The trip is an excuse for him to drive his car on the highway. Honestly, it was an awkward visit. I’ve never actually talked to my dad about stuff. You know that little stuff about school, movies, actors, anything.. I also rarely seek his advice for anything. Unlike some dads who are naturals at passing on wisdom or relating life stories. Come to think of it, I don’t do that with my mom either but I still love listening to her gossip. I am a wonderful listener like that.

Back then, when the parents come over, mom would usually bring over a bag of goodies. They can be leftover cakes or random vegetables. Or anything that she manages to buy from the shops or her little trips. Then, we’d be talking about activities and whatnot. She will talk and play with the kids. Now is that deafening silence as I don’t really know what to talk about. Even if I do, I don’t really want to talk about it. Thankfully, there are grandkids. At least, it’ll buffer the white noise.

I realize that the glue to the family is mom. Without her, everyone is living as their own. Minding their own problems and matters. Perhaps the visit would be less awkward if my sister came. She is the next glue to this family.