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26 Jul, 8 tweets, 2 min read
My thoughts after today on #HartalDoktorKontrak

I think what our remarkable young doctors have shown today is maturity beyond their age & experience. They’ve demonstrated a strike can be held safely without compromising patient care.
They’ve managed to voice out on very important issues regarding their employment, the system they are trapped in & ultimately our public health system.
Dissent is part of a healthy democracy. We shouldn’t be afraid of it. We shouldn’t stifle it.

For our country and people to thrive, we should embrace it. 10 years ago, no doctors will even think about joining a strike, even if we were in a similar predicament.
These young doctors today are fighting not just for themselves, but for the older generation of doctors & future ones too.
There has been some disagreement within the fraternity on the strike, although natural, it is unfortunate.

But today showed us that there r more than 1 way to approach a problem & with interests aligned, we can achieve much more by working together instead of against each other.
It’s been a day of mixed feelings. Angry at the system which we’ve endured silently for years, ashamed we didn’t have the courage to voice out in the past & sad that we needed police presence & threats against those who arguably have been carrying the country thru the pandemic.
But I’m also proud of my young colleagues for taking a stand & keeping to the oath we took on our first day of work.
Above all, I feel hopeful. Hopeful for our profession & glad that the doctors out there today will be the ones carrying the torch & taking care of us in the future. The journey is long but to the young doctors, keep the faith & soldier on, for I will be 100% behind you.

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More from @yoongkhean

Yoong Profile picture
24 Jul
Been seeing few folks promoting or doing C19 antibody testing, presumably to ‘check’ whether they received the vaccine in light of the empty syringes reports. Not gonna go into that, but thought I’d elaborate on how our immune response work, in a simplest way possible. /continue
1st of all, the immune response post vax is not just generating antibodies (Ab) & they standby forever waiting for the virus to come.

While the presence of neutralising Ab is a direct response to the antigen introduced by the vax, it’s not the measure of long term immunity.
The level of neutralising Ab will fall in time, body cant continuously produce Ab forever, if not your lymph nodes will also be forever enlarged & your blood will be like peanut butter.

The immune response is mostly a 2 phased curve; primary & secondary Ab response. Image
Read 6 tweets
Yoong Profile picture
2 Jul
Seems one of the debate last few days is whether factory clusters r causing the high C19 numbers in S’gor or it’s mostly community cases now. My thoughts in this thread & will try to correct some misconceptions too.

Also, because @nadsjalil ask to. She ask, u dont say no 😂
1st of all, categorising betw factory vs sporadic cases is wrong. Sporadic ≠ community cases. Sporadic simply means unlinked, where the source of infection cant be determined. So sporadic cases could mean from community or from factory clusters.
Only way to know the source of infection for the sporadic cases is thru contact tracing, specifically backward tracing, which the PH system is overwhelmed now & cant trace back in time (more on this later). So we cant exactly know.

But what do we know about factories and C19?
Read 12 tweets
Yoong Profile picture
1 Jun
I still see ppl claiming having vaccine side effects or reactions is a sign of the vaccine ‘working’. This is false, please do not cause unnecessary worry to those who did not experience any side effects.

Let me try & explain. /continue
The immune system respond to the vaccine (or any foreign pathogen) by 2 ways.

1. Innate immunity: this is the initial response where all the white cells come out & play, trying to clear the body from the foreign particles. The physical manifestations r fever, body ache etc.
The innate immunity response is not a measure of how hard the body is working or building antibodies. And can be addicted by various factors: age, gender, co-morbids, stress, lack of sleep, hormones. List goes on.
Read 8 tweets
Yoong Profile picture
31 May
Govt not wasting the school holidays. Kids >12 years old can to register for vaccination tmrw onwards. Adults <40 to start mid June.
Removing barriers is important to achieve high uptake. System should always be optimised to cater to the least privileged.
A lot of talk on vaccines but this is probably the most significant shift in mindset. Easy DIY test kits available any time at pharmacies for public to self test.

Seems to me govt accepting virus will be in the community, like an endemic & possibility of small outbreaks.
Read 4 tweets
Yoong Profile picture
29 May
Had a couple of days to think about the option of choosing vaccines in the mainstream PICK, so here are my thoughts:

These tweets are not really about whether it is a right decision but more of a ‘why’ & ‘how’ about it. Whether it is the right call, I think only time can tell.
Vaccine preference, whether we want to admit, do play a part in vaccine uptake. We always assume all who want to get vaccinated wont mind which type we get, but that’s not entirely true. I wrote about it little here:

medium.com/@Yoongkhean/co…
The theory of letting folks choose their vaccines is to cover whatever hesitancy, valid or invalid, people might have & subsequently increase uptake.

But the viability of that system hinges on 3 factors:\

1. Availability
2. Accessibility
3. Equitability
Read 9 tweets
Yoong Profile picture
2 May
Been answering Qs for the most part of the day, found out some misconception re: AZ vaccine or C19 vaccines in general. Would like to address these concerns/misconception.

Just to give everyone more in depth information that could help u understand more.
1. Blood disorders e.g Thalassemia, G6PD deficiency.

In general, this group mostly have no problems w receiving the vaccine. Even Haemophilia, platelet function disorders. Only consideration is if u are on treatment for these diseases, then u should consult your doctor.
2. On blood thinners.

Those on drugs like Warfarin, Aspirin, Dabigatran etc, all can take the vaccine safely. The concern is not increasing the AZ clot risk, the concern w blood thinners is after getting the shot, your arm bleeds intramuscularly.
Read 9 tweets

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