Who Lives Who Dies Doctors May Have To Decide


 

I’m alarmed over news that chronic patients in Kedah considered to have no hope of recovery will no longer be placed in the Intensive Care Unit (ICU) at hospitals.
Kedah health and local government committee chairman Dr Mohd Hayati Othman was reported by Berita Harian as saying last night that although the number of ICU beds was adequate, these were largely needed for Covid-19 patients.
“I feel guilty, but I feel this has to be said. Some doctors have no choice but to choose which patient needs to be admitted to the ICU. If the patient’s medical condition is too chronic and has no hope of (recovery), we will not admit him or her to the ICU.
“This includes non Covid-19 cases. The doctors will have a thorough and hard assessment for some cases. However, we will try our best to treat all of them until they have recovered and are in stable condition.”
It has been reported that Kedah’s ICU wards have reached 92% capacity.
I fear we will be hearing such warnings from other states too, as the number of Covid-19 cases continues soaring in the country. Yesterday, health authorities announced there were 59 Covid-19 deaths and 6,806 new cases in the past 24 hours. That’s a record.
We now have a total of 492,302 cases, making Malaysia the country with the third highest Covid-19 cases in Southeast Asia.
But the public can help ease the situation. I have said it numerous times before and I say it again: Let’s stay home as much as possible and if we have to go out, we should wear masks, practice physical distancing and wash our hands with soap.
This morning, health director-general Noor Hisham Abdullah said ICUs in hospitals in the country have reached 83% capacity.
The health ministry has requested private hospitals to increase the number of beds to treat Covid-19 patients. In addition, it is getting the military to set up field hospitals and so far three are up.
I suggest that the government seek the cooperation of clubs and associations to use their buildings as temporary medical centres for patients suffering from non-communicable diseases and who only need medicine.
For instance, patients who have their arms or legs in casts following falls or vehicle accidents could be housed in these places until the situation improves.
However, there should be proper negotiations with the committees concerned and they should be compensated for allowing their premises to be used for this. It should be on a voluntary basis. Putrajaya should start exploring this option now and not wait for the situation to get worse before acting.
I fear that if cases continue to rise at the current rate, more and more doctors will be placed in the unenviable position of deciding who gets a bed at the ICU, as in Kedah. It may mean life or death for the patient concerned. And that will simply be tragic.
If you remember, about one year ago, Italian doctors had to make heart-wrenching decisions as to who should be treated at the ICU and who should be left to very likely die.
Patients who were took sick or too old were just put on oxygen and not given other forms of more invasive support such as continuous positive airway pressure or CPAP.
Italian doctors were given guidelines in March that year as to how they could prioritise who gets what and two of the main considerations were the age and comorbidities of patients.
I believe our doctors will refer to the set of ethical guidelines on rationing resources published in the New England Journal of Medicine on March 23, 2020 by a group of doctors and academics in making their decisions.
One of the recommendations is that, at times like this, doctors should prioritise severely ill patients who are younger and who have fewer existing health conditions. Also, the usual approach of treating patients on a “first come, first served” basis should not apply.
The main consideration, they said, should be to maximise the number of lives saved and the number of life years saved. Translated into practice, it means that as younger, healthier people have a greater chance of survival and greater life expectancy, scant resources should be diverted to them first.
Perhaps our health ministry will draw up its own guidelines. Or perhaps, it will be unspoken and doctors will have to make their own decisions according to circumstances.
It will certainly raise ethical questions and put new pressure on the health authorities, especially doctors who have pledged to save lives.
Doctors dealing with serious cases have always had to make such life-and-death decisions. Now, they will be pressured to make more of them. I feel sorry for them. That’s why I’m staying home as much as I can. You should too. - FMT
The views expressed are those of the writer and do not necessarily reflect those of MMKtT.


Artikel ini hanyalah simpanan cache dari url asal penulis yang berkebarangkalian sudah terlalu lama atau sudah dibuang :

http://malaysiansmustknowthetruth.blogspot.com/2021/05/who-lives-who-dies-doctors-may-have-to.html?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+MalaysiansMustKnowTheTruth+%28Malaysians+M

Kempen Promosi dan Iklan
Kami memerlukan jasa baik anda untuk menyokong kempen pengiklanan dalam website kami. Serba sedikit anda telah membantu kami untuk mengekalkan servis percuma aggregating ini kepada semua.

Anda juga boleh memberikan sumbangan anda kepada kami dengan menghubungi kami di sini
Car Carrying Fireworks May Have Blown Up After Driver Tried To Light Cigarette

Car Carrying Fireworks May Have Blown Up After Driver Tried To Light Cigarette

papar berkaitan - pada 23/5/2021 - jumlah : 180 hits
The driver who was killed after his vehicle carrying fireworks exploded may have tried to light up a cigarette Police said a witness had claimed to have seen the driver trying to light up before the explosion yesterday but the testimony is ...
Emco In Besut Sub District Two Areas In S Wak From May 20

Emco In Besut Sub District Two Areas In S Wak From May 20

papar berkaitan - pada 19/5/2021 - jumlah : 285 hits
The Pelagat sub district in Besut Terengganu will be placed under the enhanced movement control order from May 20 to June 2 Senior Minister Ismail Sabri Yaakob said the enhanced MCO will involve 13 villages in the sub district He said that ...
Make May 13 A Day To Honour Victims Of Riot Says Academic

Make May 13 A Day To Honour Victims Of Riot Says Academic

papar berkaitan - pada 18/5/2021 - jumlah : 177 hits
Tajuddin Mohd Rasdi is an academician who has been outspoken on race relations PETALING JAYA An academic who has been outspoken on race relations has called for May 13 to be treated as a day of remembrance to honour victims of the country s...
Selangor May Come Under Full Scale Mco

Selangor May Come Under Full Scale Mco

papar berkaitan - pada 17/5/2021 - jumlah : 228 hits
Selangor has been recording the highest number of daily cases in the country over the last few weeks PETALING JAYA The health ministry is considering enforcing stricter SOPs or even a full scale movement control order in Selangor if the sta...
Doa Akhir Ramadhan 12 May 2021

Doa Akhir Ramadhan 12 May 2021

papar berkaitan - pada 12/5/2021 - jumlah : 291 hits
Ya Allah jangan Kau biarkan Ramadhan pergi tanpa meninggalkan kesan keinsafan di hati kami Ya Allah jangan biarkan Ramadhan pergi tanpa membawa himpunan amal dan doa kami Ya Allah jangan biarkan Ramadhan pergi tanpa islah dan kebaikan terha...
Can Malaysia S Dap Capture The Muslim And Non Chinese Vote Anthony Loke May Be About To Find Out

Can Malaysia S Dap Capture The Muslim And Non Chinese Vote Anthony Loke May Be About To Find Out

papar berkaitan - pada 13/5/2021 - jumlah : 253 hits
The percentage of Chinese seats not voters will keep dropping while the Malay majority seats will keep going up So even if the DAP permanently locks in the urban Chinese majority areas it is a losing game because as percentage they will bec...
Umno Men In Cabinet May Become Party Outcasts

Umno Men In Cabinet May Become Party Outcasts

papar berkaitan - pada 20/5/2021 - jumlah : 197 hits
An Umno grassroots leader has warned colleagues serving in the Cabinet that they risk being ostracised by their own party as Covid 19 takes its toll on the economy and people s livelihoods The anger is there for everyone to see he said Many...
10 Year Old To Know On May 28 If He Can Be Malaysian Citizen

10 Year Old To Know On May 28 If He Can Be Malaysian Citizen

papar berkaitan - pada 22/5/2021 - jumlah : 264 hits
The boy through his father had filed an originating summons seeking for a declaration that he is a Malaysian citizen PUTRAJAYA A 10 year old boy who was born to a Malaysian father and a Filipino mother will know next Friday if he can get Ma...
Ph Must Safeguard Its Voter Base To Land Second Term For Anwar Says Analyst

Tetaplah Beriadah Di Bulan Ramadan

Honor Pad 9 Tablet Terbaik Untuk Berhibur Dan Kerja Mula Dijual Seluruh Negara Pada 28 Mac

Perumahan Izara Bayu Sutera Kediaman Idaman Tepi Tasik Dengan Ciri Smart Home

8 Resepi Air Balang Viral Di Bazar Ramadhan

Diet If Yang Berkesan Menurut Pakar

Lirik Lagu Raya Mana Nabila Razali

Sesi Tukar Duit Raya Di Maybank



6 Pantang Larang Penting Kalau Nak Selamat di Sekolah Asrama

Info Dan Sinopsis Filem 19 Puasa Playboys Of Plastik Hitam Astro First

Casimir Zeglen Paderi Yang Mencipta Jaket Kalis Peluru

Biodata Mohammad Rifdean Masdor Atlet Muay Thai Malaysia Yang Gegarkan One Championship Seangkatan Johan Ghazali Jojo

Biodata Abdul Qawiy Aro Qawiyaro Personaliti TikTok Islamik


Restoran Rebung 2 Di Putrajaya

Effective Email Marketing Strategies

Konsert Melly Friends Kuala Lumpur 2024

Terbukti Pasukan Terengganu Berkualiti

Asan Lembu The Movie

Flavour Mushroom Dadah Baru Kegilaan Remaja Ini Kesan Buruknya