I was born with that. The growth has actually alleviated the twitch somewhat.
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I was born with that. The growth has actually alleviated the twitch somewhat.
Imo, current policy provides for replacement to meet quota. New additional may also bring the whole village, may have exponential results.
It's still out of your depth Sam.
You and Scroobal are simply making motherhood statements.
Because some of the 3rd world countries I mention;their private hospitals have medical tourism from oil rich Arab countries.Surely they have money to burn.
And please don't preach where you are ignorant.I am talking about heart-attacks and brain hemorrhage...both has a degree of emergency just as your balls swelling;which you could die of internal bleeding or hemorrhage too.Incidentally ,in an accident more people die of internal bleeding and shock than anything else because it's hard to diagnose.
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I have to admit that I honestly don't understand what you are arguing about. All I said in a nutshell was that if I was involved in a major accident in Singapore and seriously injured, I wouldn't want to be taken to a mini trauma centre staffed by approx 2 doctors.
The same would apply in NZ. If I was cut out of my car after a horrific accident, I'd want to be taken to Auckland, North Shore or Middlemore hospital which has the equipment and expertise to patch me up asap.
I wouldn't want to be dumped at White Cross Emergency (Private). That's for when I fall off my bicycle and graze my knees and elbows.
I can't comment on PNG, Thailand etc because I'm not familiar with how the health system works in such places. I'll go to Thailand when I need a facelift. I know how that goes. You pay Thai rates for Western expertise at places such as Bumrungrad. However, if I was run over by a truck while I was there, I have no idea which facility would give me the best chance of survival.
Okie,forget about foreign private hospitals or otherwise.
Let's stick to Singapore.Firstly,I fail to understand why ambulances took emergency cases to private hospitals;surely the patient would not be in a condition to request.
Secondly,just having 2 doctors on stand by for emergencies in a private hospital does not justify your argument.Because it depends on the quality of the 2 trauma service provider.Since even in SGH only 1 doctor will attend to emergencies to per 1 patient basis and than after initial diagnosis will be handed over to a team of doctors or surgeons---still under 1 specialist who heads the team.Just like in SAF emergencies situation--the first line is their GP who makes the diagnosis.Then ferried to SGH or so if need be.
You are just confusing the stages in trauma procedures with the number of doctors.SGH more in numbers simply because they handle more cases.
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OK accident with major injuries happens 5 minutes from Raffles hospital 15 minutes from SGH.
What is the better course of action?
A) Paramedics and Fire service extricate victim and stabilise as far as possible > Rushed to Raffles for doctor to assess again because it's just down the road > Doctor does what he can and says victim needs urgent surgery and 4 litres of blood > Rushed to SGH. Extra 30 minutes before arriving at SGH.
B) Paramedics and Fire service extricate victim and stabilise as far as possible > Rushed to SGH.. extra 10 minutes but everything available if need be.
Boss, besides facilities I think it's also the question of payment to private hospital. Who's gonna furnish guarantee of payments at these unearthly hour?
We haven't started that debate yet. We first have to settle the medical aspect of the two options.
Boss,have you not contradicted yourself?
Go ahead and award yourself the winner for the stupidity contest.
If your logic applies that a 5mins distance is better than 15 mins;why than complain that the Raffles has only 2 doctors.Because they have given that initial first-aid which is so critical?
Boss,are you smoking something you shouldn't ?
I'm sorry you've lost me again. Initial first aid is given by the paramedics. The two doctors at Raffles wouldn't be able to do much more before handing things over to a team that has the necessary resources and diagnostic tools.
I know you want to put your points across but you need to put then in the context of the discussion. You went off in a tangent talking about medical tourism and now you're headed somewhere which has confused me further.
I spent 6 months attached to a medical centre during my NS days and decisions regarding where to send a patient all depended on vital signs.. very weak pulse... fluid in the lungs... collapsed lung etc could be detected by a senior Medic with a stethoscope. If it sounded serious, it was straight to GH not SAFTI medical centre just round the corner.
I do not think SCDF sends emergencies to pvt hospitals.
The general hospitals (eg SGH, TTSH, NUH) have fully staffed A&E 24hr. Consultant A&E specialists, specialized nurses, police post 24hr. They also have a full range of junior specialists from almost every discipline somewhere in the hospital 24hr. These folk can be called into the A&E to help, they can immediately start the surgery if necessary, and they can call in their senior specialists to come in from home if necessary.
In the pvt hospitals, the A&E are generally manned by non-specialists (i.e. GP-equivalent). They may or may not be experienced. But definitely do not see major trauma day in day out. If they need to operate, they need to call in the specialist from home. This person may be the best surgeon on the island (since many good ones don't stay in public hospitals), but s/he still needs to wake up, dress up and drive over. Time is of essence in emergency.
The general hospitals (eg SGH, TTSH, NUH) have fully staffed A&E 24hr. Consultant A&E specialists, specialized nurses, police post 24hr. They also have a full range of junior specialists from almost every discipline somewhere in the hospital 24hr. These folk can be called into the A&E to help, they can immediately start the surgery if necessary, and they can call in their senior specialists to come in from home if necessary.
In the pvt hospitals, the A&E are generally manned by non-specialists (i.e. GP-equivalent). They may or may not be experienced. But definitely do not see major trauma day in day out. If they need to operate, they need to call in the specialist from home. This person may be the best surgeon on the island (since many good ones don't stay in public hospitals), but s/he still needs to wake up, dress up and drive over. Time is of essence in emergency.
Dead female passenger in taxi ish japanese tourist.:(
You will wish someone send you to Police Hospital near the 4-faced Buddha junction as they staff the best accident trauma doctors you ever find anywhere
Hi Nice-Gook, I think the main difference between pte and govt hospital is the availability of standby surgeons and op theatre. For such great event, these people will know what to do and not wait till the next morning. If gang fight, maybe.... if op theatre is occupied.
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Boss,read my previous post again.Let me repeat.It all depends on the quality of the 2 doctors in Raffles.Though I agree with Checker that they are more likely to be GP in private hospitals.Which begets the question and does not answer why the accident victim was sent to a private hospital in the first place?
Now,with regards to a few minutes saved here and there;I don't think you been around SGH AE lately.Try going soon---I had seen people dripping blood all over and still waiting for an hour in SGH AE.....since you were a medic in SAFTI you should know any medic,whose training is a mere 3 months are taught to arrest bleeding.Which no qualified nurse in SGH AE does--till seen by a MO; instead their focus are on registration and looking into your medtsave account.
There goes all the minutes saved.What is the purpose of saving minutes when you have to wait for hours for your turn AnE ward?
I think you had seen too many emergency serials on TV rushing patients with urgency.In SGH AE you can wait for 3 hours before your turn.
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Wanbao
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??? I thought the question was why the patient WASN'T sent to raffles which was nearby.
I think you're referring to the walking wounded not major life or death trauma. I've waited 6 hours with a broken ankle but you see that isn't life threatening... my pulse was normal... blood pressure was normal.. breathing was normal so I was assessed as being "stable". I saw many cases wheeled past me at high speed.. one guy looked as if he'd lost half his leg.
I totally agree with you.No doubt about it.
It's like comparing NUS and say a private college.Because SGH itself is an institution that never sleeps.
But my bone of contention with Sam,is the reality aspect.Sam and Scroobal are arm chair critics.They are not in touch with reality.
But I wasn't even criticising. I was defending the decision made.
Now you've really lost me.
Pleez lah.Boss !
What if your pulse is abnormal.Your blood pressure is abnormal.Your breathing abnormal ?.....they rush you into surgery hor?
Look,do you know how ambulatory patients are dealt with in SGH?
They are wheeled straight into a sleeping stretcher first.
Than your basic parameters like blood-pressure ,pulse and etc are taken.Same procedure if you go and admit yourself and wait in a waiting room in AnE.Perhaps you are given a drip regardless-
The gist is the diagnosis....which involves blood tests,X-rays and etc.This is the killer part--if you are stuck with an amateurish FT MO than you are dead meat.Because he can kill hours before he/she comes to conclusion to hand over to nearest superior;perhaps a registrar.Who than may order further tests like MRI and etc.
First you have to be correctly diagnosed.Treatment whether surgery is the easier part.
FYI,many die because of misdiagnosis.Hence,all that minutes saved is of no use if the half past doctors in SGH takes hours to diagnose.That's why I repeatedly said all depend on the quality of doctors even if they are just 2 in attendance.
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