Tuesday, March 16, 2010

come.........play golf...never too late

hi to all friends, let us play golf...golf is the only game which doesn't prejudiced anybody....obese, cachectic( super thin) , tall and stunted, rich and poor, vip and kaygee....everyone can play.......you play against yourself!...

Well i do have 2 sets to spare......and i love to share my knowledge with you.........

Come and join me...........

Wednesday, March 10, 2010

CONFIDENTIALITY

PRINCIPLES OF CONFIDENTIALITY


Patients have the right to expect that there will not be disclosure of any personal information, which is learnt during the course of a practitioner’s professional duties, unless they give permission.Without assurances about confidentiality patients may be reluctant to give doctors the information they need in order to provide good care. For these reason:


# When a practitioner is responsible for confidential informations, the practitionermust ensure that the information is effectively protected against improper disclosure when it is disposed of, stored, transmitted or received;


# When patients give consent for disclosure of information about themselves, the practitioner must ensure that they understand what will be disclosed, the reason for disclosure and the likely consequences;


# The practitioner must ensure that patients are informed whenever information about them is likely to be disclosed to others involved in their health care, and that they have the opportunity to withhold permission;


# The practitioner must respect requests by patients that information should not be disclosed to third parties, except in exceptional circumstances (for example, where the health or safety of others would otherwise be at serious risk );


# The practitioner should only disclose such relevant confidential information for specific purpose;


# Any information given to health workers or any concerned third party is done on the understanding that it is given to them in confidence which must be respected;


# If practitioner decides to disclose confidential information, the practitioner must be prepared to explain and justify the decision;


# These principles apply in all circumstances, including those discussed in this document.


DISCLOSURE OF CONFIDENTIAL INFORMATION WITH THE PATIENT’S CONSENT


A practitioner may release confidential information in strict accordance with the patient’s consent, or the consent of a person properly authorized to act on the patient’s behalf.


DISCLOSURE WITHIN TEAMS


  1. Modern medical practice usually involves teams of doctors, other health care workers, and sometimes people from outside the health care professions. The importance of working in teams is explained in the MMC’s booklet ‘GOOD MEDICAL PRACTICE’. To provide patients with the best possible care, it is often essential to pass confidential information between members of the teams , on a need to know basis.
  2. A practitioner must ensure that patients understand why and when information may be shared between team members, and any circumstances in which team members may be required to disclose information to third parties.
  3. Where the disclosure of relevant information between health care professionals is clearly required for treatment to which a patient has agreed, the patient’s explicit consent may not be required . For example, explicit consent would not be needed where practitioner disclose relevant information to a medical secretary to have a referral letter typed , or a practitioner makes relevant information available to a radiologist when requesting an X-ray.
  4. There will also be circumstances where , because of a medical emergency, a patient’s consent cannot be obtained, but relevant information must in the patient’s interest be transferred between health care workers.
  5. If a patient does not wish a practitioner to share particular information with other members of the team, those wishes must be respected. If a practitioner and a patient have established a relationship based on trust, the patient may choose to give the practitioner discretion to disclose information to other team members, as required.
  6. All medical members of a team have duty to make sure that other team members understand and observe confidentiality.


DISCLOSURE TO EMPLOYEES, INSURANCES COMPANIES AND OTHER THIRD PARTIES INCLUDING MANAGED CARE ORGANIZATIONS


  1. When assessing a patient for a third party ( for example , an employer or insurance company), a practitioner must make sure , at the outset, that the patient is aware of the purpose of the assessment, of the obligation that the doctor has towards the parties concerned , and that this may necessitate the disclosure of personal informations. The practitioner should undertake such assessments only with the patient’s written consent.
  2. A practitioner must ensure that his or her relationship with third party payers or managed care organizations do not contravene the principles of confidentiality as stated above in item 1.



DISCLOSURE OF INFORMATION WITHOUT THE PATIENT’S CONSENT


a.Disclosure in the patient’s medical interests.


i.) Problem may arise if a practitioner consider that a patient is incapable of giving consent for treatment, and the practitioner has tried unsuccessfully to persuade the patient to allow an appropriate person to be involved in the consultation. If the practitioner is convinced that it is essential and in the patient’s medical interests, relevant information may be disclosed to an appropriate person or authority for a specific purpose. The practitioner must inform the patient of the disclosure. The practitioner should remember that the judgement of whether patients are capable of giving or withholding consent to treatment or disclosure must be based on an assessment of their ability to appreciate what the treatment or advice being sought may involve, and not solely on their age.


ii.) If a practitioner believes a patient is a victim of neglect or physical abuse, and is unable to give or withhold consent to disclosure, the practitioner should provide information to an appropriate responsible person or statutory agency, in order to prevent further harm to the patient. In these and similar circumstances, the practitioner may release information without the patient’s consent, provided the disclosure is in the patient’s bet medical interests.


iii.) Rarely a practitioner may judge that seeking consent for the disclosure of confidential information may be damaging to the patient, but that the disclosure would be in the patient’s interests. For example, a practitioner may judge that it would be in a patient’s interests that a close relative should know about the patient’s terminal condition. In such circumstances information may be disclosed without consent.


b).Disclosure after a patient’s death


The practitioner still has an obligation to keep information confidential after a patient dies. The extent to which confidential information may be disclosed after a patient’s death will depend on the circumstances. These include the nature of the information, whether that information is already public knowledge, and how long it is since the patient died. Particular difficulties may arise when there is a conflict of interest between parties affected by the patient’s death. For example , if an insurance company seeks information about a deceased patient in order to decide whether to make a payment under a life insurance policy, the practitioner should not release information without the consent of the patient’s executor, or next of kin, who has been fully informed of the consequences of disclosure.



DISCLOSURE FOR MEDICAL TEACHING, MEDICAL RESEARCH AND MEDICAL AUDIT


  1. Research


i.) Where, for the purpose of medical research there is a need to disclose information which is not possible to anonymize effectively, every reasonable effort must be made to inform the patients concerned, or those who may properly give permission on their behalf, that they may, at any stage, withhold their consent to disclosure.


ii.) Where consent cannot be obtained, this fact should be drawn to the attention of a research ethics committee which should decide whether the public interest in the research overweighs patient’s right to confidentiality. Disclosures to a researcher may otherwise be improper, even if the researcher is registered medical practitioner.


  1. Teaching and audit


Patients’ consent to disclosure of information for teaching and audit must be obtained unless the data have been effectively anonymized.


DISCLOSURE IN THE INTEREST OF OTHERS


Disclosure may be necessary in the public interest where a failure to disclose information may expose the patient, or others, to risk of death or serious harm. In such circumstances the practitioner should disclose information promptly to an appropriate person or authority.


Such circumstances may arise, for example, where:


# A patient continues to drive, against medical advice, when unfit to do so. In such circumstances the practitioner should disclose relevant information to the employer and Road Transport Department.


# A colleague who is also a patient, is placing patients at risk as a result of illness or other medical condition.


# Disclosure is necessary for the prevention or detection of a serious crime.



DISCLOSURE IN CONNECTION WITH JUDICIAL OR OTHER STATUTORY PROCEEDINGS.


  1. The practitioner may disclose to satisfy a statutory requirement, such as a notification of a communicable disease or of attendance upon a person dependent upon certain controlled drugs. The practitioner may also disclose information if ordered to do so by a judge or presiding officer of a court, or if summoned to assist a Coroner or other similar officer in connection with an inquest or comparable judicial investigation. If a practitioner is required to produce patients’ notes or record under a court order, the practitioner should disclose only so much as is relevant to the proceedings. The practitioner should object to the judge or the presiding officer if attempts are made to compel him or her to disclose other matters which appear in the notes or records, for example matters relating to relatives or partners of the patient who are not parties to the proceedings.
  2. In the absence of a court order, a request for disclosure by a third party, for example, a lawyer, police officer, or officer of court, is not sufficient justification for disclosure without a patient’s consent.
  3. When a Committee of the MC investigating a doctor’s fitness to practise has determined that the interests of justice require disclosure of confidential information, the practitioner may disclose information at the request of the Committee’s Chairman, provided that every reasonable effort has been made to seek the consent of the patients concerned. If consent is refused the patient’s wishes must be respected.


MEDIA INQUIRIES ABOUT PATIENTS


Practitioners are sometimes approached by the media for comment about medical issues. where such comment include information about patients, the practitioner must respect the patients’ right to confidentiality. Before releasing any information, the practitioner should:


  1. Remember that information which the practitioner has learnt in a professional capacity should be regarded as confidential whether or not the information is also in the public domain.
  2. Whenever possible, obtain explicit consent from patients before discussing matters relating to their care, with the media, whether or not the patient(s)’ name(s) or other identifying information is to be revealed.Explicit consent must be obtained if patient(s) will be identified from the details disclosed.
  3. Remember that patient(s) can be identified from information other than name or addresses. Details which in combination may reveal patients’ identities include their condition or disease, age occupation, the area where they live, medical history or family.
  4. Always consider and act in accordance with the best medical interests of patients when responding to invitations to speak to the media about patients.


DOCTORS WHO DECIDE TO DISCLOSE CONFIDENTIAL INFORMATION MUST BE PREPARED TO EXPLAIN AND JUSTIFY THEIR DECISIONS

Tuesday, March 9, 2010

MANILA TRIP

To all friends and eager travelers around Sabah who are keen to make a memorable and convenient trip in Manila;

Kindly contact Mr Sonny Santiago @ Gore through his email, regore71@yahoo.com . He will arrange the accommodation and transportation at your will. Of course, he will add in a few suggestions in regards to your itinerary.

His staff ( the driver ) is very obedient, helpful and willing to accommodate you. You could get as cheap as RM150 per person for 4days and 3 nights trip around Manila and of course your return trip to Clark Airport.

So do ask any question pertaining to the above anytime.................

WHY SCIENCE MUST BE TAUGHT IN ENGLISH?

WHY SCIENCE MUST BE TAUGHT IN ENGLISH?


Why Malaysian Government insists on using English for maths and science?

This is because the whole world uses the language as an information and/or technology language. How dangerous it will be if we try to use Bahasa, especially in school. See example below:-

Hardware = barangkeras

Software = baranglembut

Joystick = batang gembira

Plug and Play = cucuk dan main

Port = lubang

Server = pelayan

Client = pelanggan

Try to translate this:

ENGLISH:

That server gives a plug and play service to the client using either hardware or software joystick. The joystick goes into the port of the client.

Now in BAHASA MALAYSIA:

Pelayan itu memberi pelanggannya layanan cucuk dan main dengan menggunakan batang gembira jenis keras atau lembut. Batang gembira itu akan dimasukkan ke dalam lubang pelanggan.

NEW PASSION? WELL OLD ONE...........

After almost two years in dormancy, i decided to take up golf again........well i started to practise my swing yesterday.....

My long shot with irons and woods was considered good but the so called short games of chipping and putting , not to forget to mention the bunker shot was a disaster...

emm i need someone to guide and teach me .....i forgot my theory, the golf swings mechanic .....errrggg

Sunday, September 13, 2009

why sugihara?

Kindly refer to Chiune Sugihara, a Japanese Diplomat who helped thousands of Jews to migrate to temporary countries before they finally settled in the United states of America,Brazil,Argentina and many more countries during Hitler's infamous 'Annihilation of the Jews' or the more illustrious 'Holocaust' early of the 20th century.Remember Japan,German and Italy formed the triad at war with the USA and the rest of Europe.Sugihara was tried and reprimanded for his noble cause.His life lives on for eterniy as long as the sons and daughters of the Holocaust survivors passed on the story to their offspring.I ADMIRE YOU,SUGIHARA.

Saturday, September 12, 2009

http://www.sabah.gov.my/gazzette/doc/001088.pdf

My father Gotulis Gui was honoured by His Excellency in 2001.None in the family knew about it until i accidentally came accross the address above.Certificate of Honour is very meaningful for an ordinary person like my father who worked as a driver in Department of Fisheries, Sabah State Government.Father, i am very proud of you.

SABAH, MALAYSIA
Warta Kerajaan
Jil. LVI] KOTA KINABALU, AHAD, 16 SEPTEMBER 2001 [No. 36
Kenyataan-kenyataan berikut adalah diterbitkan atas perintah Tuan Yang
Terutama Yang di-Pertua Negeri untuk Makluman Umum.
DATUK K.Y. MUSTAFA,
Setiausaha Kerajaan Negeri.
Diterbitkan dengan kuasa
No. 437 [No. JKM(R) 100-26/10 VOL. VI
7. THE ILLUSTRIOUS ORDER OF KINABALU - CERTIFICATE OF HONOUR
His Excellency the Yang di-Pertua Negeri has been pleased to approve the award
of Certificate of Honour to the following:-
1. ABD. GHANI BIN HJ. AYOB 580525-12-6129
2. ABD. HALIM ABDULLAH 470107-03-5307
3. ABD. JAPAR JAILANI H0707832
4. ABD. RAZAK MASSE 531103-71-5213
5. ABDILLAH BARHAMA 620504-12-5091
6. ABDUL BIN KARIM @ MAD SAID BIN ABDUL KARIM H0388842
7. ABDUL JALAL BIN KADIR H0408755
8. ABU BAKAR JAKARIA H0627267
9. AG. DININ AG. AJAK H0416762
10. AHMAD BARHAMA H0273498
11. AHMAD BIN SIDIK H0656389
12. ALIPOLDO TIMBANG 600312-12-6323
13. AMAR BIN ANJUL @ ABANG OMAR IDRIS 460502-12-520
14. ARBAYAH AMAT SALLEH 631225-12-5316
15. ARIFFIN B. AHAD H0236236
16. AWANGKU TAJUDIN PG. HASSIM 460607-12-5107
17. AZNAH BTE AZIS 810217-12-5782
18. BAGINDA ROMOKOW 480227-12-5031
19. BANGSAWAN BIN TAIP 501110-12-5433
20. CHEE PUI KIM 550619-12-5146
21. CHIN KIM LEN 530201-12-5386
22. CHONG LAN YIN H0082529
23. DAIM BIN LANGKUN 460807-12-5101
24. DANNEL LIM OI TZE 710808-12-5452
25. DAYANG AZIZAH PG. OSMAN H0013762
26. DAYANG SOFIAH AG. JIWA 770120-12-5002
27. DG. HABIBAH BINTI PG. KASSIM 510217-12-5008
28. DOLLY WONG @ ONONG 471220-12-5348
29. EDDIN WAHAB 470503-12-5371
30. EDRIS ENGGOH @ CHRISTOPHER 570707-12-5785
31. EMBANAN BEN H0651198
32. ENSIM BANAH H0034136
33. EVELEN MANGGATA H0808599
34. FATIMAH PARIGIMPUH H0419084
35. GEORGE DINDUI H0185329
36. GOTULIS GUI 471215-12-5363
37. HAMISIAH BTE TAUN 790405-12-5506
38. HASSAN MAHADI 591010-12-5489
39. IRENE YAHYU 510210-12-5240
40. ISMAIL BIN MOHD. SAID 471109-12-5175
41. JACINTAL TANAKINJAL 780707-12-5350
42. JAHILI BIN JAHIM H0479818
43. JAMES BELILI H0895988
44. JAMES SALIP H0225597
45. JINIS PAWJI 630502-12-6153
46. KANDAU GAHINSANG 460504-12-5283
47. KATONG BIN SUAKA (SJN.) RF/95656
48. KEPLINE BIN MASTAN 460601-12-5157
49. KERIU BIN GANSAUNG 461101-12-5147
50. KUYAT RANTANG H0764664
51. LAMIT BIN ULLAH @ HAMID 461003-12-5231
52. LAWRENCE LAPANIS BIN KONDIHIL 461231-12-5321
53. LOMOK OMAR 461202-12-5189
54. LORIS OMBOU H0414398
55. MAHMUD BIN AWANG ALI H0744740
56. MALADA KINSALAN H0264289
57. MANIN NASIRI H0683650
58. MARTIN DAYAH 490801-12-5087
1,332 WARTA KERAJAAN NEGERI SABAH KELUARAN KHAS 16 September 2001
7. THE ILLUSTRIOUS ORDER OF KINABALU - CERTIFICATE OF
HONOUR - (cont.)
59. MARVIN CHIN CHEE PIN 430512-12-5203
60. MARY JOHN LIM H0180863
61. MATASIB BIN GANTALI 460920-12-5189
62. MATSAH DURAMAN 460908-12-5055
63. MINICA BINTI LAMADAS 490301-12-5446
64. MOHAMAD SAMRAH HJ. MADLIS H0721896
65. MOHD. TASSIM BIN TIKAP (LKPL.) RF/47711
66. MOHD. UDIN SATUS H0467360
67. MOYANG MARTIN BIN KUNTI 470107-12-5177
68. NAZLIN JEMANDAN H0672009
69. NORDIN ALIMUDIN H0569160
70. NUMAH BIN OSANA H0269723
71. PERMAN AMAN H0688476
72. PINDAH GADUAN H0599361
73. POMAR KEMBIGI H0096168
74. RAFEAH BTE AHMAD 541012-71-5436
75. RAFIDAH HYNDIKA 640822-12-5466
76. ROHANA MAIL (HJH.) 410908-12-5180
77. RONNEY LOTUNGAH H0000949
78. ROSLAN OSMAN 680224-12-5489
79. ROSMAN SABILOK H0162257
80. ROSNAH ABIDIN H0650388
81. RUSINAH BINTI LAMPOG 700603-12-5302
82. SABLI BIN MOHD. NOOR 450302-12-5036
83. SAGUN LOMBUT H0262792
84. SAHAR HJ. PIASIN 601031-12-5257
85. SAHIPIN RAIL H0614474
86. SAID JAPAR H0274279
87. SAIDI BIN SARIN 491008-12-5051
88. SAILON BIN TAYUK 461003-12-5071
89. SALAPUDIN HABIB TAHA H0748201
7. THE ILLUSTRIOUS ORDER OF KINABALU - CERTIFICATE OF
HONOUR - (cont.)
16 September 2001 WARTA KERAJAAN NEGERI SABAH KELUARAN KHAS 1,333
90. SALI BIN AMAT 490117-12-5187
91. SALIM TARADAS H0259015
92. SAMLIH AMANG 590109-12-5257
93. SARIMAH AMBOI H0709497
94. SERIBI KASIM H0457276
95. SHAHARI BIN HABIBI H0237699
96. SITI FATIMAH DULLAH H0381941
97. SITI HAJAR PADAN H0014116
98. SITI HAWA HJ. MALEK 780518-12-5116
99. SITI KHATIJAH HJ. JIFLI 701109-12-5192
100. SITI RAYA BTE TAUN 820727-12-5642
101. THERESA GANTUSAN @ WINNIE 460408-12-5000
102. TULAWI BIN ISMAIL 470419-12-5133
103. VIRUS MALITAM 600808-12-5105
104. WILLIAM F. SIPAJI 670829-12-5319
105. WONG KET PIN 461127-12-5081
106. WONG THAT KHEN H0082949
107. YAKUB SAUR 461006-12-5085
108. YONG THAU YIN @ LILY 470912-12-5292
109. YUSOF MAIDIN 490109-12-5051
110. ZAINAB BINTI SAKUN 481207-71-5274
No. 438 [No. JKM(R) 100-26/10 VOL. VI
8. SUBORDINATE COURT ACT, 1948 (REVISED 1972)
APPOINTMENT OF JUSTICE OF THE PEACE
It is published for general information that His Excellency the Yang di-Pertua
Negeri has been pleased to approve the following as Justice of the Peace:-
1. DATO’ JIMMY CHOK KON PHIN 510701-12-5253
2. DATUK HJ. HAMZAH B. AMIR @ AMIL 510621-12-5149
3. HJ. KARAMA BIN HJ. OMAR ALI H0025824
4. MARZUKI HAJI SPAWI H0478013
DICETAK OLEH PENCETAK KERAJAAN,
DATUK HAJI JAMDIN BUYONG, P.G.D.K., A.S.D.K., A.D.K., B.S.K. JABATAN CETAK KERAJAAN,
SABAH, MALAYSIA.
2001.
P.K. 0001 (L) - 2001
7. THE ILLUSTRIOUS ORDER OF KINABALU - CERTIFICATE OF
HONOUR - (cont.)
1,334 WARTA KERAJAAN NEGERI SABAH KELUARAN KHAS 16 September 2001