Dengue death : The BS to avoid liability starts

[winnipegjets]

According to this article, don't waste your time seeking medical attention if you have dengue. There's no cure and you will die. Save your medisave money.

If there is no medical help for dengue victims, then why is NEA taking the spread of dengue so lightly? Instead of focusing on dealing with dengue, they are busy attacking the WP TC.

We did our best, says hospital

By Salma Khalik, Senior Health Correspondent
The Straits Times
Monday, Jun 03, 2013

In spite of their best efforts, doctors could not beat the dengue virus which overwhelmed Mr Ang Yong Han, 20, the first person to die of the mosquito-borne disease this year, said a senior doctor at the hospital which treated him.

Not only were his blood vessels leaking fluid, making his blood very concentrated and causing his blood pressure to plummet, the virus had also caused inflammation in his liver and brain, said Associate Professor Lim Poh Lian, head of infectious diseases at the Tan Tock Seng Hospital (TTSH).

Mr Ang died at 7.34 am on Wednesday, exactly a week after he first fell ill.

He had gone to the emergency department at TTSH three times, according to the hospital and his mother, Madam Yap Geok Kuan.

On his first visit on May 23, he was in stable condition and dengue was suspected. He was given Panadol and told to see a doctor in three days' time, or to return if his condition worsened.

This happened two days later and he returned to the hospital, which said he arrived at 3am and was seen by a nurse within five minutes.

But he did not get to see a doctor after waiting for more than two hours. He approached a nurse at 5.18am to cancel his registration, and left.

Mr Ang was back at the hospital in the early hours of Sunday with fever, body aches and vomiting. He was given fluid intravenously and admitted to the Communicable Diseases Centre (CDC).

He was seen by the medical officer (MO), who tested his blood twice that day. It showed that his liver was inflamed.

In normal people, levels of the enzyme Aspartate transaminase (AST) are between 10 and 40 units per litre of serum. In dengue patients, 200 to 500 is common, said Prof Lim. But in Mr Ang's case, the level "was way off the charts" at 1,000, and it later rose to more than 4,000.

Early on Monday morning, the MO called the registrar (or trainee specialist) on duty because Mr Ang appeared confused and complained of stomach pain.

He also had a high concentration of red blood cells - an indication that fluid was leaking out of his blood vessels. He was moved to a high dependency unit.

With no cure for dengue, patients are treated for pain and kept hydrated as far as possible.

Mr Ang received 18 litres of fluids while he was in hospital, including transfusions of blood, plasma and platelets.

Later on Monday, however, he took a turn for the worse.

When his confusion persisted on Tuesday, a scan of his brain was taken. It showed some inflammation, according to Prof Lim.

Mr Ang's blood pressure started to fall and continued to do so even after he was given strong medication.

His heart eventually stopped, she said. He could not be resuscitated.

Mr Ang's family have asked whether he could have been saved if he had been admitted to hospital earlier.

Madam Yap said she had set off with her son for the hospital on Saturday morning but they turned back home in the cab at his request.

Prof Lim said his condition deteriorated on Monday, and it would not have made any difference if he had been admitted to the hospital a day or two earlier.

[email protected]

 

[halsey02]

"Prof Lim said his condition deteriorated on Monday, and it would not have made any difference if he had been admitted to the hospital a day or two earlier." quote

That means, you die your business...then again, if this was any of "white horses" children or relatives or part of "you know who, a name I can't mention" family, you think, this Prof Lim dare to make this kind of comment?? How bloody insensitive these people are these day, at least she could have said was "There is no known cure for Dengue, but we try our best to find a solution to heal the patient, unfortunately the patient came in late to hospital to get proper treatment" Don't you think this sounds much better? even though we know that the patient is dying whether the patient come in now or three days ago.

That is why they have their slogan, "they breed, we bleed"..we bred these kind of medical people...now we are bleeding!!

 

[Narong Wongwan]

Last heard we got 7000 cases?
WTF more sinkies drop dead better.......they deserve this fucked up sorry excuse for a government.

 

[Sinkie]

With no cure for dengue, patients are treated for pain and kept hydrated as far as possible.

This is a lie. The treatment of plasma injection to boost low platelets, etc......is the cure.
It's the same as taking medicine orally. That is the cure.

 

[Narong Wongwan]

This is a lie. The treatment of plasma injection to boost low platelets, etc......is the cure.
It's the same as taking medicine orally. That is the cure.

So the white scum pet dog prof lied.......WHAT THE FUCK CAN YOU DO ABOUT IT? continue to suck thumb one corner.....LOL

 

[halsey02]

This is a lie. The treatment of plasma injection to boost low platelets, etc......is the cure.
It's the same as taking medicine orally. That is the cure.

How much is the plasma injection?? they mean test you for the affordability & if you are lucky..."am I lucky"...you may be a $8 plasma injection..but these are exclusive deals...we get rid of incompetent people & replace them with competent ones, that is the CURE. The number of dengue & chin no whatever virus cases will fall to a minimum..we can never eradicate the viruses at least we some form of control...stop the breeding now!

 

[Leongsam]

There is no cure for most viral infections.

Treatment is about keeping the patient alive while the body fights the infection.

There will always be a few who do not respond to treatment. Medicine is not an exact science. A regimen that works for one patient may not work at all with another.

The parents should simply move on. The rest of us should use this unfortunate episode as an illustration that life is precious and cannot be taken for granted.

It is therefore important to make good use of every waking moment and not waste hours whinging and complaining about the PAP. Instead, time should be spent planning for financial independence as quickly as possible.

 

[Sinkie]

So the white scum pet dog prof lied.......WHAT THE FUCK CAN YOU DO ABOUT IT? continue to suck thumb one corner.....LOL

This has to do with TTSH. It's very common for misdiagnosis and shrug shoulders mentality because of MOH's chobolan soul sold to the pharmaceuticals greedy fucks. Get your brain straighten out, don't everything also blame your grandfather.

 

[laksaboy]

If someone on the brink of death had to wait five hours for medical attention, that was clearly not a case of 'we did our best'.

 

[Sinkie]

There is no cure for most viral infections.

Treatment is about keeping the patient alive while the body fights the infection.

There will always be a few who do not respond to treatment. Medicine is not an exact science. A regimen that works for one patient may not work at all with another.

The parents should simply move on. The rest of us should use this unfortunate episode as an illustration that life is precious and cannot be taken for granted.

It is therefore important to make good use of every waking moment and not waste hours whinging and complaining about the PAP. Instead, time should be spent planning for financial independence as quickly as possible.

That is the CURE!! It's a course of treatment. As long as there's a course of treatment, that is the cure. But a cure is not a guarantee or a miracle. There will always be some who will not respond to treatment.

The acid test is that if given no treatment, the patient will die and if given timely treatment, the patient may recover. That then is THE CURE!!

 

[Leongsam]

That is the CURE!! It's a course of treatment. As long as there's a course of treatment, that is the cure. But a cure is not a guarantee or a miracle. There will always be some who will not respond to treatment.

The acid test is that if given no treatment, the patient will die and if given timely treatment, the patient may recover. That then is THE CURE!!

A course of treatment is not a cure. What it is doing is buying time so the body can overcome the viral infection.

 

[halsey02]

There is no cure for most viral infections.

Treatment is about keeping the patient alive while the body fights the infection.

There will always be a few who do not respond to treatment. Medicine is not an exact science. A regimen that works for one patient may not work at all with another.

The parents should simply move on. The rest of us should use this unfortunate episode as an illustration that life is precious and cannot be taken for granted.

It is therefore important to make good use of every waking moment and not waste hours whinging and complaining about the PAP. Instead, time should be spent planning for financial independence as quickly as possible.

You are saying?? we should save up money & visit a Private hospital where our chances are higher? Well, my family did, we planned for years to be financially independent & take our chance with private hospitals..not that me or we don't use the government ones...this is not whinging & complaining about the PAP, many of the things we complain are valid..who ask them to be like a "peacock"..best in this, best in that, pay more for these to get the best"....why shouldn;t we complain?? there is no smoke without fire...

 

[Leongsam]

You are saying?? we should save up money & visit a Private hospital where our chances are higher?

With many viral infections, I'm not sure if your chances would be higher in a private hospital.

 

[Sinkie]

A course of treatment is not a cure. What is doing is buying time so the body can overcome the viral infection.

You still don't get it. That is THE CURE.

For example, give you a simple analogy.....if your cock cannot stand, you take viagra and your cock stand. If you don't take viagra, your wife will start a wordpress blog on you. But it does not mean your cock will stand forever.

Another simple example.....you have a headache. You take Panadol as the cure. If you don't take, you've the headache. But sometimes, it does not work. But as long as there is a course of treatment, that then is THE CURE!!!

 

[halsey02]

With many viral infections, I'm not sure if your chances would be higher in a private hospital.

Virus is ever evolving, though taking chances with private hospital is not a guarantee...but the point is & always will be...Money can get you maybe the best, how soon you die is no one can predict. With money, you do not have a queue in front of you & would not be attended 5 hrs later, with money, you get a specialist on call who will change from his/hers pajamas & come down to evaluate your infection or.... with money you will be in ICU with a team attending..with money..your bets are better..not necessary you will live..but it is the you plonk down your money to get the best first..that is the chance you take.

MONEY...next comes connection...who you know...the first chance you get, means life & death...& if you are the 'garden variety' type, you play the roulette & let providence smile on you..MONEY!!

 

[johnny333]

Problem seems to be one of cost & benefit. I mean how much $$$ can the emergency department squeeze out of a "lesser mortal"

If you were "related" there is the incentive of fear from angry & important relatives.
There is no fear if you are not someone important. In fact there is more incentive to neglect "lesser mortals" since the hospital gets first dibs on your organs i.e. HOTA.

So if you get ill, better hope that it happens during office hours & at a time when it is less crowded. Otherwise you will just be another ex-digit.

 

[Leongsam]

You still don't get it. That is THE CURE.

Relief of symptoms does not necessarily equate to a cure.

If you have a headache because of a brain tumor, taking a pain killer will relieve the symptoms caused by the tumor ie the headache but it does nothing to cure the cause.

Same thing with Viagra. The inability to gain an erection is caused by the poor circulation of blood to the penis. The underlying causes are manyfold. Viagra gives temporary relief by relaxing the muscles by inhibiting the enzyme PDE5 but it does not offer a cure. If you stop taking Viagra, you're back to square one.

Same with hypertension, diabetes, HIV etc. Medication does not provide a cure. It merely controls the symptoms. Stop the medication and symptoms return. In fact, in the case of HIV and diabetes, you'll DIE.

However, with bacterial infections, antibiotics actually cure the disease by killing the primary cause. When antibiotics have done the job, you can stop the medication and the disease will not return unless you're reinfected.

 

[eatshitndie]

the next dangerous virus to hit the world is the middle east respiratory syndrome coronavirus. just started a thread on it. and hoping for sg medical personnel to pick it up. it's contagious like sars and causing deaths. hospitals in the middle east are not ready for it.

 

[Sinkie]

Relief of symptoms does not necessarily equate to a cure.

If you have a headache because of a brain tumor, taking a pain killer will relieve the symptoms caused by the tumor ie the headache but it does nothing to cure the cause.

Same thing with Viagra. The inability to gain an erection is caused by the poor circulation of blood to the penis. The underlying causes are manyfold. Viagra gives temporary relief by relaxing the muscles by inhibiting the enzyme PDE5 but it does not offer a cure. If you stop taking Viagra, you're back to square one.

Same with hypertension, diabetes, HIV etc. Medication does not provide a cure. It merely controls the symptoms. Stop the medication and symptoms return. In fact, in the case of HIV and diabetes, you'll DIE.

However, with bacterial infections, antibiotics actually cure the disease by killing the primary cause. When antibiotics have done the job, you can stop the medication and the disease will not return unless you're reinfected.

For the case of dengue, it is not just relieving of symptoms. Dengue causes very low platelets count and if blood transfusion is given, he may ride the critical stage of the virus attack. If his fever is very high, he can take medication to bring down his fever to prevent his brain from getting fried and he getting into a dengue shock. All these steps to be taken is the course of treatment and hence as long as it is a medical course of treatment, it is THE CURE. All these tongue twisting and garbling up semantics cannot take away the fact that if a dengue patient is not given adequate medical treatment, that means he is deprived of THE CURE.

We're not just merely talking about arresting symptoms in dengue. It is a medical blueprint in attacking the dengue virus and the body will begin to create anti-body against the next dengue attack. This is the common way of dealing with virus attack. The body will do its part if there is medical help to arrest the symptoms. That then is THE CURE.

To say there is no cure is medical irresponsibility and trying to shield blame and medical professional responsibility.

 

[Leongsam]

To say there is no cure is medical irresponsibility and trying to shield blame and medical professional responsibility.

Placing "THE CURE" in caps does nothing to alter the fact that you do not understand the meaning of the word.

The issue here has nothing to do with cures. It was whether or not adequate and timely treatment was provided in order to give the patient the best chance possible of surviving the viral infection.

Treating Dengue is like dealing with a major trauma injuries. 3 seriously injured persons from a car crash usually arrive at a trauma centre simultaneously and are all treated at the same time. Treatment involves repairing broken and ruptured body parts, massive blood transfusions to replace lost blood, relieving pressure on the brain if there is brain injury and preventing infection from setting in by cleaning all open wounds as thoroughly as possible.

Despite all that is done, 1 out of 3 may still die despite all the intervention. There are always factors beyond the control of medicine. While 2 patients may have responded to treatment, the other might still have died from secondary infections despite the best efforts of the doctors.

A friend of mine who caught dengue didn't even go to hospital. He survived without realising he had caught the virus. Everybody responds differently to an infection because of the genetic diversity of the human species.