Thank You NNI, TTSH

[kopiuncle]

kopiuncle, beside being the resident attention whore you still want to take up the vulgarities police portfolio?

my dear narong
please do not call me a whore
i do not want to start
another vulgar war....
be good and clean
go to Brahma Four
repent again and again...

 

[kopiuncle]

yes...i appreciate NNI and TTSH who performed well

NNI is one of the best neuro centres in the world. Even their radiologists are doing fantastic interventional treatment !!!

 

[kopiuncle]

A summary of his MRI result

MRI Brain - Stroke Protocol (MRA)

Report
Limited MR stroke protocol. No prior study available for comparison.

An acute infarct is seen in the right occipital lobe with small area of haemorrhagic conversion. There is mild mass effect with effacement of adjacent sulci.

MRA of the major intraccranial arteries shows minimal atherosclerotic irregularities in both the anterior and posterior circulations.

Comments
Acute infarct in right PCA territory with small haemorrhagic conversion.

good prognosis with quick intervention and minimum medications. thank you. no need to stay in hospital for too long. thank you for sharing.

 

[kopiuncle]

You never know what's really good treatment unless you look around, even if its not the "best yardstick". Note that it wasn't malaysia, india or thailand treatment times

Good medical protocol is the yardstick. American doctors are not necessarily the best doctors in all fields. There is no need to be so patronising about American medicine.

This is a straight forward case. There is no need to call in the Americans or the British. Our doctors in NNI can treat just as well.No need to compare and to scoff or ridicule at our own doctors' management.

 

[TracyTan866]

Please don't bullshit on a stroke with bleeding, discharged after 4 days..please BLUFF PROPERLY!!

You sound knowledgeable and a reasonable man.

After reading my subsequent posts, do you still believe I made up this story?

Keeping silence abt your error and pretending that you didnt make a mistake is not a man! It brings you to the detestable level of the pap.

 

[TracyTan866]

You never know what's really good treatment unless you look around, even if its not the "best yardstick". Note that it wasn't malaysia, india or thailand treatment times

I have seen what and TTSH did for my loved one. And I am thankful and impressed. That's what this thread is all abt....is it wrong for me to share my appreciation and gratitude?

The world will be a better place if more of us have a grateful heart and openly be show appreciation to those who did well

 

[kopiuncle]

I have seen what and TTSH did for my loved one. And I am thankful and impressed. That's what this thread is all abt....is it wrong for me to share my appreciation and gratitude?

The world will be a better place if more of us have a grateful heart and openly be show appreciation to those who did well

I totally agreed. Thanks for sharing and I wish you and your loved one well.

 

[TracyTan866]

I totally agreed with you Tracy. Yes, I am also very impressed with TTSH and NNI - both are not the top world class hospitals . Yes, we must give credit when it is due. In other countries, notably in USA, if you have no medical coverage and no insurance, you can go to ER and you can just collapse there.Nobody will give you a damned. You die your business.

They are more interested whether you are covered with medical insurance or not. Then they will decide whether to treat you or not.

Our world class medical system is already the cheapest in the world. I am glad you have posted what you had experienced. I share your sentiments and I think we should always give credit to the hospitals and to the doctors for a job well done.

There is NO need to keep the patient in hospital for a long period. Early ambulation and early discharge is the keystone to a good prognosis and less morbidity. The fact that your loved one was discharged early is a good sign and it is good medical practice. The more days you keep a patient in hospital, the worse it is.

Thank you for sharing. There is no need to give the patient a host of medications. Basic aspirin and simvastatin I believe are sufficient. Control the BP with the minimum of medications.No need to bombard the patient with a string of medications. Yes , the doctors did well and I believe we should congratulate all of them.

Thank you for sharing your experience. Some may have painful experiences with TTSH. Yours is a breath of fresh air.

Amlodipine is a calcium blocker that helps to manage hypertension. For a stroke patient, it may be good to keep the blood pressure on the slightly high side. So, Halsey02 is wrong to think that Cardiprin, Simvastatin should be taken with Amlodipine.

More medicine does not mean it's better for the patient.

I trust the neurologist that Cardiprin and Simvastation are sufficient. No reason for me to doubt her

 

[TracyTan866]

Good medicine does not mean that you have to bombard the patient with a string of medicines that make the patient more stony.

Agree with you. In fact unnecessary medication can be bad for a person.

Try to take less rather than more

 

[TracyTan866]

I think these two basic medications are sufficient. There is no need to add more and more medications . Anti-hypertensives have to be very careful following a stroke .

Agree...as I said in a previous post, it may be better to keep the blood pressure a little higher than normal for a stroke patient

 

[TracyTan866]

absolutely spot on! there is no free lunch anywhere in the world. someone has to pay for it.

it should not be free...but health care should also not be priced to make money from the sick. a balance is important. Heath care cost is just too high in SG

The sad part of the pap is that it makes money from the sick to the extend that the poor struggles to have basic health care. that angers many singaporeans and alienates the pap from Singaporeans .

 

[TracyTan866]

NNI is one of the best neuro centres in the world. Even their radiologists are doing fantastic interventional treatment !!!

I dont know abt other countries and there is no need to compare. But I am impressed with NNI and that's what matters

 

[kopiuncle]

Amlodipine is a calcium blocker that helps to manage hypertension. For a stroke patient, it may be good to keep the blood pressure on the slghtly high side. So, Halsey02 is wrong to think that Cardiprin, Simvastatin should be taken with Amlodipine.

More medicine does not mean it's better for the patient.

I trust the neurologist that Cardiprin and Simvastation are sufficient. No reason for me to doubt her

There is a delicate balance here to maintain a comfortable blood pressure without making the situation worse. Not too high and not too low. Many post stroke patients somehow have their blood pressure lowered and many do not take anti-hyertensives anymore. My dad had a stroke and after that his blood pressure was "normal" and he did not take any anti-hypertensives at all.

Thanks for sharing.

 

[TracyTan866]

good prognosis with quick intervention and minimum medications. thank you. no need to stay in hospital for too long. thank you for sharing.

minimal stay in hospital should be the aim of good and effective healthcare

 

[TracyTan866]

No need to compare and to scoff or ridicule at our own doctors' management.

Spot on....

 

[TracyTan866]

I totally agreed. Thanks for sharing and I wish you and your loved one well.

Thanks for your wishes

 

[TracyTan866]

There is a delicate balance here to maintain a comfortable blood pressure without making the situation worse. Not too high and not too low. Many post stroke patients somehow have their blood pressure lowered and many do not take anti-hyertensives anymore. My dad had a stroke and after that his blood pressure was "normal" and he did not take any anti-hypertensives at all.

Thanks for sharing.

Cardiprin thins the blood and that helps it to flow better and lowers blood pressure.

 

[TracyTan866]

There is a delicate balance here to maintain a comfortable blood pressure without making the situation worse. Not too high and not too low. Many post stroke patients somehow have their blood pressure lowered and many do not take anti-hyertensives anymore. My dad had a stroke and after that his blood pressure was "normal" and he did not take any anti-hypertensives at all.

Thanks for sharing.

you sound medically savvy and knowledgeable....

your sharing breathes fresh air into this thread.

thanks

 

[Sir_Fcuk]

Amlodipine is a calcium blocker that helps to manage hypertension. For a stroke patient, it may be good to keep the blood pressure on the slghtly high side. So, Halsey02 is wrong to think that Cardiprin, Simvastatin should be taken with Amlodipine.


I trust the neurologist that Cardiprin and Simvastation are sufficient. No reason for me to doubt her

Stroke with bleeding don't want to control blood pressure? Like your garden water hose leaking but instead of turning water pressure down you turn it up.... *claps* Oh I forgot that one doesn't have many choices in Singapore... don't go NNI, scarly go Changi or Khoo Teck Puat... and soon, can go Jurong song song!

One good thing NNI did in its history is to get rid of one FT in the country

http://www.shorvon.eu/singapore_chronology.htm

 

[Dreamer1]

It should have been FREE!!! My wife after her caesarian had the same treatment as well. Nurse came to visit home and baby the next day, and the following 2-3 days. All without paying a single cent.

He stayed three nights in the hospital,must be in an air-con room which only less than 5% of Singaporeans & foreigners can afford,in short they belong to the top 1%/.