Chitchat Singaporean rejects Bumese Doctor - Good for him

[nayr69sg]

sama sama. went to ent specialist because of severe allergy problems last few springtimes, and all she did was recommend and prescribe anti-allergy and anti-histamine drugs like zyrtec. could get alternatives like allegra and generic versions off the shelves at a pharmacy. they didn't help. web browsing suggested propolis and a longer term immune buildup with local raw unfiltered honey, and from then on i don't need any anti-allergy drugs whatsoever. my immune system from consuming local raw honey and beehive extract is now so strong that i can hike in the open fields at the peak of pollen season without a single sneeze. it's night and day. my sceptism of recommendations and suggestions from the web has changed drastically after that. sinkies who bought expensive manuka honey from nz thinking it will help alleviate their allergies in sg are wasting their money for their honey. the honey has to be raw and localized by local bees via local plants and flowers to be effective. and with that remedy, the ent doc will not tell you.

Put it this way. If I tell one of my patients to take local raw honey and beehive extract for his nasal long term problem which he is worried about and say no point see specialist and then turns out he really has nasopharyngeal cancer you think I can say, well it worked for eatshitndie?

Scope first. Exclude cancer then can talk about beehive extract lah.

You trust the internet to do the nasoscopy for you?

That is the problem with patients who talk like they are so damn smart after they have seen the specialist and had all the high end investigations exclude all the deadly diseases.

Your family physician could have sent you to an allergist as well. They would run the tests and I wouldn't be surprised if you were actually allergic to honey and beehive extract. You taking those supplements were actually a form of desensitization therapy. Many patient have these therapies once they are diagnosed. I am sure many people have also taken this beehive extract and found no results whatsoever.

We cannot go by anecdotal evidence case by case basis as doctors.

 

[eatshitndie]

Put it this way. If I tell one of my patients to take local raw honey and beehive extract for his nasal long term problem which he is worried about and say no point see specialist and then turns out he really has nasopharyngeal cancer you think I can say, well it worked for eatshitndie?

Scope first. Exclude cancer then can talk about beehive extract lah.

You trust the internet to do the nasoscopy for you?

That is the problem with patients who talk like they are so damn smart after they have seen the specialist and had all the high end investigations exclude all the deadly diseases.

Your family physician could have sent you to an allergist as well. They would run the tests and I wouldn't be surprised if you were actually allergic to honey and beehive extract. You taking those supplements were actually a form of desensitization therapy. Many patient have these therapies once they are diagnosed. I am sure many people have also taken this beehive extract and found no results whatsoever.

We cannot go by anecdotal evidence case by case basis as doctors.

if it was nasopharyngeal cancer the ent doc would have detected it and advised me about it. that's altogether a different level of medicine where the specialist's existence is godsend. not belittling the ent doc, but on a case by case basis the more educated and well informed patient is a desired and welcomed client of the doc not the clueless patient. my gp deep dives into the medical file and diagnosis with me, and takes the effort to explain in scientific detail the reason for each diagnosis and treatment. he writes the report on his laptop and shares the write up with me, going through every fact, observation and reasoning verbally. and i get a copy of it. same as all my specialists. my gi tract doc shares all my video files and images with me, and goes through every observation in detail. they told me they would voluntarily do these when they consider a patient a different specialist in hisher own trade and training. mutual respect. they don't waste their time with ignorant or clueless patients who do not care about the science but just the cure.

 

[nayr69sg]

if it was nasopharyngeal cancer the ent doc would have detected it and advised me about it. that's altogether a different level of medicine where the specialist's existence is godsend. not belittling the ent doc, but on a case by case basis the more educated and well informed patient is a desired and welcomed client of the doc not the clueless patient. my gp deep dives into the medical file and diagnosis with me, and takes the effort to explain in scientific detail the reason for each diagnosis and treatment. he writes the report on his laptop and shares the write up with me, going through every fact, observation and reasoning verbally. and i get a copy of it. same as all my specialists. my gi tract doc shares all my video files and images with me, and goes through every observation in detail. they told me they would voluntarily do these when they consider a patient a different specialist in hisher own trade and training. mutual respect. they don't waste their time with ignorant or clueless patients who do not care about the science but just the cure.

You say this after the fact you were examined by the ENT specialist and had the nasoscopy and all. Which is useful because it excludes diagnoses that obviously beehive extract cannot cure. So it is NOT a waste of your time.

Anyway, as scroobal said the GP has a role too. Trouble is in medical training we teach young doctors to be prudent with tests and not waste health care dollars or patient's money etc. But come to the real world nobody gives a shit about saving health care dollars and being prudent with tests if you didn't order them and the patient turned out to have the fucking cancer. You save heathcare dollars for fuck? For the govt to fucking give you a medal? No way man. You are on your own to burn at the stake.

All doctors realize this as they go through their careers. Fuck the prudence. Just order all the fucking tests and refer as much to all the different specialists and make sure no stone is unturned. If patient cannot afford then refer to polyclinic to refer to their subsidized specialists. Cover all bases.

And talk about antibiotics....

http://www.cbc.ca/news/health/antibiotics-1.3664279

All the Chinese patients all want antibiotics for every fuck small cold and sniffle.

Fuck the research, If you don't give antibiotics and they turn out to have pneumonia or got worse they will say doctor fucking lousy, spend time see him and get no antibiotics now lagi worse. You give antibiotics later get worse what more could doctor have done right?

Last time I tried to explain multi-drug resistant bugs from excessive use of antibiotics to patient he fucked me and said that is you doctors fucking problem I got meeting to attend tomorrow my sore throat must be cured tomorrow. Give me the strongest antibiotic.

FUck it lah. Just go overkill. That's what most chinese patients want.

 

[Leongsam]

FUck it lah. Just go overkill. That's what most chinese patients want.

If all your patients were as smart and as prudent as I am the world would be a far better place for all.

I used to throw away the antibiotics I was given. It kills all the good stuff in the gut which is far more important to me than the possibility that my sore throat may be bacterial rather than viral. Viral sore throats are usually on the mend by the 7th day. If it goes beyond that I'll seek further help.

I don't take pain killers or panadol either because I want to know when I'm really getting better and not just feeling better because of medication.

And I'm not even going to go down the path of discussing patients that demand "jabs" so they can get better faster. I know what's in those shots and it does absolutely nothing to alter the course of a head cold.

 

[scroobal]

I remember there was time when doctors use to prescribe vitamin C for demanding patients. Gone are the days. Nowadays the patients will mention amoxicillin even before the examination. I know this because I heard Singapore migrants complaining that doctors in their new country refuse to prescribe these things. You can only laugh.

 

[Leongsam]

I remember there was time when doctors use to prescribe vitamin C for demanding patients. Gone are the days. Nowadays the patients will mention amoxicillin even before the examination. I know this because I heard Singapore migrants complaining that doctors in their new country refuse to prescribe these things. You can only laugh.

The doctor I know injected nothing more than saline solution. He said there were zero risk of complications and was also the most profitable option.

 

[nayr69sg]

Here's the funny thing about all these people
The ones who say antibiotics are useless think they are geniuses. Those who swear by antibiotics also think they are geniuses. And who is the doctor to tell geniuses they are wrong eh?
Well why do geniuses still have to go see the doctor then? Just stay at home and treat yourself lah.

 

[Leongsam]

Here's the funny thing about all these people
The ones who say antibiotics are useless think they are geniuses. Those who swear by antibiotics also think they are geniuses. And who is the doctor to tell geniuses they are wrong eh?
Well why do geniuses still have to go see the doctor then? Just stay at home and treat yourself lah.

Well I don't think I'm a genius because when my wounds start to ooze yellow stuff and are more painful than the day they were inflicted, I know that antibiotics will save me from amputation.

Everything has its place. You just need to know what's appropriate. I thought a basic education would create this sort of common sense in a population. I was sadly mistaken.

 

[scroobal]

There is a move in the UK for patients who are ill to go thru an online checklist of symptoms and proceeding to either self medicate or see a doctor. I think they have automated phone dial in for the same purpose. The load on their universal healthcare is immense.

Well I don't think I'm a genius because when my wounds start to ooze yellow stuff and are more painful than the day they were inflicted, I know that antibiotics will save me from amputation.

Everything has its place. You just need to know what's appropriate. I thought a basic education would create this sort of common sense in a population. I was sadly mistaken.

 

[nayr69sg]

You dont say Sam! The anti vaxxer movement is one example of geniuses showing up also. I think the Asians have less of this antivaxxer stuff though.
Honestly I don't give a shit anymore. I will give my opinion and you decide whay you want.

 

[Leongsam]

You dont say Sam! The anti vaxxer movement is one example of geniuses showing up also. I think the Asians have less of this antivaxxer stuff though.
Honestly I don't give a shit anymore. I will give my opinion and you decide whay you want.

The problem with the anti vaxxers is that they did not live through the era of polio epidemics.

Had they seen their children in one of these wards with zero hope of a normal life they'd be singing a different tune.

 

[JohnTan]

The problem with the anti vaxxers is that they did not live through the era of polio epidemics.

Had they seen their children in one of these wards with zero hope of a normal life they'd be singing a different tune.

Their tune won't change. It's more important for their kids to go to heaven and get their virgins instead of walking normally. You want their kids to burn in hell fire?

 

[ginfreely]

That time this Myanmar doctor not qualified case haven't come to light mah and so no basis to insist on choosing local doctor if not they say you xenophobic. As you know subsidised patients cannot choose doctor in govt hospitals or polyclinic. In fact I remember clearly the staff saying only can choose between female and male doctors . But that's no use as I ended up with one foreign female doctor in one case due to many foreign third world doctors around.

I had my suspicions of these foreign doctors qualifications then due to my experience and observations that I shared in this forum before and even went to check the medical council list that time and saw significant number of foreign doctors on temporary registration but it did not strike me that temporary registration means unqualified lol. Btw I also created one thread on there are many third world foreign doctors in Spore but no one here highlighted then that PAP are allowing unqualified doctors to practise in Spore. I guess no one will ever think that unqualified doctors are allowed to work in govt hospitals and polyclinics until this case brings this to light.

So how ? Is there really a right to insist on local doctor in hospital as subsidised patient? Don't forget Myanmar doctors are not just found in polyclinic but hospital too. I have seen one before in community hospital. So now can choose to wait longer for local doctors in polyclinics. Can do the same in govt hospitals too?

 

[ginfreely]

So how ? Is there really a right to insist on local doctor in hospital as subsidised patient? Don't forget Myanmar doctors are not just found in polyclinic but hospital too. I have seen one before in community hospital. So now can choose to wait longer for local doctors in polyclinics. Can do the same in govt hospitals too?

No answer from anyone here? Seriously can we choose doctors in hospital? Like in A&E, you won't know which doctor and whether foreign or local until you see the doctor. And in true emergency with blood gushing out or unconscious, how to wait to choose doctor?

 

[blueRad]

I don't understand why do we have to import doctors from ASEAN countries? Australia is having a glut of doctors and Australian medical school like Monash and Melbourne are well reputable medical schools?

Why don't we offer a fast track to PR for these talents?