Skip to main content

Patient Patient.

I was so fed up iwth my patient's relative today. What happen is, i
was going to clerk this patient and that patient agree to be clerk by
me. Patient autonomyis my first priority. However, suddenly this one
relative (maybe the son of that patient) suddenly acting clever and
tell me " If you want to ask questions, ask the doctor, not the
patient, can you see this patient is sick, why must you ask

Fair enough, i don't want to start a fight, we are professional, thus
i had to leave that patient but more spesifically the relative. The
wife of that patient already agree with me, and the patient also. I
guess patient autonomy does not apply for their relatives.

Fair enough, we still need to respect our patient, and we need to obey
them. if they refuse their medication also no problem nowadays because
patient have their autonomy.

What i want to highlight here is regarding 'asking question' or in
medicine it is called history taking. We could not say in malay "
ambil sejarah" because everyone will be blurred with that term.

History taking is one superior tool in making diagnosis in medicine.
Layman would picture doctor to read x-ray, holding stethoscope,
holding needle, and handle sophisticated modern machine to diagnose a
disease. However that is not the most important tool in medicine.
History of the patient is much more important.

More often drama and tv shows are showing doctors like house and
Grey's anatomy doing boombastic medical procedure to diagnose their
patient but to tell the truth, the part where they took history was
cut and they only show important question asked by them. So it would
not be boring.

In reality, we are spending at least 20 minutes to talk to the patient
and to ask them everything regarding their problem.

This is the first sentence that i heard when i enter medical school.

"80% of the diagnosis are made from history taking".

So asking question to patient is so important until all medical
doctors, i am sure, from everywhere in the world, they would need to
prepare themselves to be good in taking history before they can become
a good doctors.

However, most of patient and their relatives, did not understand that
history taking is used to diagnose patient. They think doctor just ask
question and talk with them without any purpose. I remember a friend
telling me that he read in the newspaper regarding a complain from
someone who complained that a doctor was insulting her father because
that doctor asked about her father occupation. She said that her
father was obviously poor by the way he dress thus why that doctor
need to ask about occupation some more.

It was a blunt with no guide complain. Occupation (social history) is
so important so that you are not only looking to the financial status
but more on to look what actually patient do in their work. poor man
can be sitting in the street begging for money, and poor man can also
work by lifting 200 pounds of wood on his shoulder everyday. If both
of this poor man present with inguinal hernia. is it the beggar or the
heavy lifter would be predispose to recurrent after treatment?

Doctors are looking beyond the scope of the disease. We take care of
patient not only in hospital but after discharged. Where the patient
would go, are the patient to continue his old job.. everything.

So, i hope that people would understand that asking question is
important in diagnosing a problem. It is common sense.

Doctors are people who want to knoe and solve the problem. So they
asked question. And they need to know.

p/s: A long time ago. when i was in secondary school. a friend tell me
a story about his grandfather. the story goes like this.

His grandfather would not talk a single word when he came to see a
doctor. When the doctor ask what is his problem, he would scold the
doctor by saying " you are the doctor, then you are the one who need
to tell me what is my problem!".

that time, i believed that that old man is right. But time change as
we became wise, now i would clearly and firmly said that he is totally
wrong. Doctor would not know wnything if you did not tell. History
taking contribute 80% of your diagnosis. Thus, if you did not tell,
doctor can only make it 20% or less. Tomorrow you will end up with
more catastrophic consequences.


  1. hahahahahahahahaha.
    we even take i.c. b4 conduct any HT

    "Bapak, saya mau menanyakan bapak beberepa pertanyaan yang akan membantu dalam pemeriksaan bapak, adakah bapak bersetuju?" <-- kalau nda buat ni time osce, confirm FAIL.

    apparently asking patients their sexual history is not the only sensitive question. hehhe


Post a Comment

Please leave your comment below.

Popular posts from this blog

Astro Remote volume not responding

I have been looking around for solution when my Astro beyond remote start having problem where it does not want to control the volume of my astro anymore.

The strange thing is, the remote seem fine and only the mute and volume won't respond.

After realizing that the remote cost around rm250 to be replaced, I start thinking that this is not an ordinary remote control.

After a few minutes of research (only) I found out that this remote can be programmed to be synchronize with our television.

Hmmm. So the remote problem must be cause by it some programming error.


Turn out of you have similar problem like this, all you had to do is to press OK button with volume down until it bleep 4 times then it will be ok. This method canceled the volume control for the television ( meaning that you can only control the tv volume not the decoder).

Later I found out that if you want, you can use your tv only volume to control the astro thus no hassle to have 2 remote at the same time.

Master in Pathology (Malaysia): A Guide To Apply.

Well, I got carried away in previous post talking about my experience taking entrance exam for Master in Pathology. You can check it here:

Master In Pathology: My Experience Entrance Exam That was not my first attention on trying to write such post. My intention was to share on how to get into that entrance exam in the first place. So here it is. A step by step guide on how to get yourself into the entrance exam. 
A Guide to Apply for Master in Pathology (Mpath) 
1. Make up your mind. I've seen a few of my friends who apply for this pathway and get confused before it begin. Ask yourself, are you really interested in Pathology? Do you know what pathology is? Do you know what kind of work are you going to do in Pathology. 
Most of the time, people thought pathology MO or specialist were all just sitting down drinking coffee and chit chat all day long. No work to do. Think again. The best thing to do is to get yourself into the department itself. Work as a pathology MO first, in a few…

Master in Pathology (Malaysia): My Experience Entrance Exam

I've told earlier that I wanted to talk about my experience taking entrance exam for Master in Pathology or MPath but talk about my celcom problem instead. - All Google App not working Over Mobile: Celcom Experience.

It has been years since I took an exam paper, this time I had to. To continue in master program, we need to sit for an exam organized by KKM along with Universities which were held in University Malaya this year. Living and working in Sabah, going to University Malaya Ticket, accomodation, transportation such as taxi, all need to be accounted for. Unfortunately, this year exam were held a month earlier than scheduled and the information regarding that arrive to us like 2 weeks before that. We were pretty much stressed out because the air ticket prices were all expensive. We have no choices as the everything was on short notice. I hate this kind of situation.

We have to go to peninsular twice, the first one for the workshop on how to answer the exam and…