Longer wait times at emergency departments of TTSH, CGH and SKH due to high number of patients

[nabeifuckpap]

Tiagong Malaysia hospital service much better cos no CECA no Pinoy doctors or nurses

 

[porcaputtana]

because half the things they tell you, and the other half they sell you are fucking pharmaceutical lies

So who do you see when you fall sick? Temple mediums and bomohs ?

Or lie in an alien med bed sold to you by another anti vaxxx retard?

 

[porcaputtana]

There is something I also would like to share and disclose here for the benefits of samster, based on my experiences with hospital staffs, in case in future, anyone encounter the same situation either for themselves or their beloved ones .

As you may know in a hospital, there is this titled staff nurse and enrolled nurse, whereby a staff means they have a min dip in nursing, whereas enrolled nurses are without cert, and hired to assist the wards, but their duties are leemitted.
They do most of the dirtier jobs that doesn't leequire to be medically trained eg changing patients diapers, taking vitals etc
Nowadays most of the sg hospitals hire Ft from pinoyland, Myanmar, India.
Their guideline when taking the patients vitals, specifically the pulse rate, is cutoff at 100.. So when they take a patient with say pr of 110 after several takings, the next action is supposed to be by manual way I.e using their finger to feel the pulse and count.
So what I have discovered is that whenever they spotted a patient with a fast pr of say 130 , they will always go thru motion of taking it manually, but the reading they always will leeport officially to their system is 99.
I have caught a few of them, from different hospitals, practising this sickening and irresponsible behaviour.
I told one of them, if one time 99 I might believe but each time you all manual count is 99, don't think I don't know why you leeport this figure.
Becos you are lazy to leeport. And 99 is the cutoff for normal range so you all can leecord it and then go eat snake and doesn't need to spend time activating the loctor for the fast pulse rate.

This action to me is sickening, I told her off, if you want to be this lazy, seek other jobs and don't come here and cause harm to patient. And leeminded this fucker nurse not everyone is suitable to be a nurse, becos a nursing job is very different from any other industries, you are handling human life's.

Her face of course turned black and walked off.

There is no such cut off when taking pulse. The nurse has absolute no reason or benefit to document a false heart rate during triage

Heart rate has beat to beat variability . That's why the Apple Watch HR is a bar

Don't overthink and over analyse.

 

[porcaputtana]

You're joking, right?



Do you think that granting 22,000 naturalized Sinkie citizenship per year exacerbates the problem of longer waiting times at public hospitals?

Nope. Newly minted Singaporeans tend to be affluent and have international medical insurance. They won't bother to go government hospitals.

The bigger problem is Singaporeans are in general very very ignorant about health matters. I did 2 rotations at the Emergency Department and I can say 90% of cases could have been managed by a GP or even pharmacist the next day. But to the average Singaporean every damn thing is a dire emergency and will come storm the ED. Sundays will have all the NSF coming to seek MC to avoid booking in.

Various measures have been tried to mitigate this. In the early 2000s NUH decided to raise the ED consultation fee to $200 to dissuade non emergencies but people still come. They even had a staff nurse at triage giving directions to the nearest 24H clinic and people still insist on seeing the ED physician for cough and cold.

So long waiting time at public hospitals ED will never change . Learn from the newly minted Singaporeans from China and India. They usually buy very good insurance plan and go private hospitals. Minimal wait time.

 

[porcaputtana]

No. It's real. The doctors and nurses really have lots of e-filling to do on the screen to the extent that they are more interested in their screentime than the patient.

Absolutely true. Idiotic senseless administrative non-clinical work implemented by brainless hospital admin department to hit their KPI and make OYK happy.

Total waste of time.

 

[Truthspeak]

because half the things they tell you, and the other half they sell you are fucking pharmaceutical lies

Real doctors will cure their patients and advised them to eat an apple a day while the fake ones will encourage the patients to visit the fake doctors regularly

 

[knowwhatyouwantinlife]

Because nowadays, doctors and nurses got lots of e-paper work to fill in on their screens. instead of spending more time understanding patients' condition, they are more interested in e-filling on their screens so that they can cover their backside just in case things screw up. Same problem all over the island including govt polyclinics, govt specialist clinics and even at hospital wards. E-paper work more important than patients' health outcome.

That's only part of the problem...the other part is claiming private insurance (won't elaborate so much here, if you know you know)

 

[sbfuncle]

There is no such cut off when taking pulse. The nurse has absolute no reason or benefit to document a false heart rate during triage

Heart rate has beat to beat variability . That's why the Apple Watch HR is a bar

Don't overthink and over analyse.

1. Whenever I told the loctors, they will tell the nurses to inform him if only it stays above 100-110.
The actual reading I had from my own oximeter was 120-155. This oximeter was provided by a hospital during one of the discharged and pretty accurate, as I would measure it on myself and other people when I saw it high on my old folk.
For an elderly patient, a pr of above 100 at rest all the time is concerning. So when the lazy nurses leeport it as 99, what do you think?

2. Most important of all is there is absolutely 0% chances that each manual taking (by different hospitals) was 99,just passed the loctors orlar.

3.The benefit for the nurses to document a false reading is that they need not leeport back to the loctors (by messaging) and they doesn't want any followup takings. I caught them talking on beedio calls with their bf while taking vitals at night shift. It was a tipped off given to me while I wasn't there by a caregiver from another bed patient. You cannot imagine how ileesponsible some of these enrolled nurses can be. Especially those from pinoylands.

 

[porcaputtana]

1. Whenever I told the loctors, they will tell the nurses to inform him if only it stays above 100-110.

2. Most important of all is there is absolutely 0% chances that each manual taking (by different hospitals) was 99,just passed the loctors orlar.

3.The benefit for the nurses to document a false reading is that they need not leeport back to the loctors (by messaging) and they doesn't want any followup takings. I caught them talking on beedio calls with their bf while taking vitals at night shift. It was a tipped off given to me while I wasn't there by a caregiver from another bed patient. You cannot imagine how ileesponsible some of these enrolled nurses can be. Especially those from pinoylands.

heart rate is not the only parameter that is important. there is also BP and SaO2

if BP and sats are normal a bit of tachycardia is nothing to worry about

if protocol dictates the nurse inform attending that HR>100 then its just a simple call and she can continue to talk to her boyfriend

if she withholds the information and something happens to you she has a lot to answer for. not worth it

don't be so paranoid . no one out to cheat you

 

[porcaputtana]

That's only part of the problem...the other part is claiming private insurance (won't elaborate so much here, if you know you know)

claiming insurance is the job of back end business office and the insurance agent

clinical staff are not supposed to handle insurance

the biggest problem is the insurance agent has absolutely no idea whether the policy can claim or not because its not his job

insurance claims are submitted to the underwriter whose sole job is to reject, delay and deny. Their KPI to keep the company in the black

 

[sbfuncle]

heart rate is not the only parameter that is important. there is also BP and SaO2

if BP and sats are normal a bit of tachycardia is nothing to worry about

if protocol dictates the nurse inform attending that HR>100 then its just a simple call and she can continue to talk to her boyfriend

if she withholds the information and something happens to you she has a lot to answer for. not worth it

don't be so paranoid . no one out to cheat you

The actual reading I had from my own oximeter was 120-155. This oximeter was provided by a hospital during one of the discharged and pretty accurate, as I would measure it on myself and other people when I saw it high on my old folk.
For an elderly patient, a pr of above 100 at rest all the time is concerning. So when the lazy nurses leeport it as 99, what do you think?

There is no benefit for me to be lying here or being paranoid. I just want my old folks to be treated fairly. Despite encountering all these, I had never made any formal complaints, becos it requires many proofs gathering.
There was only once I couldn't take it anymore and bombarded one of the nurse about this irresponsible action and subsequently I just walked to a loctor in the ward and pulled her over and I pulled along with me the vital taking machine from the ward and plugged it to my old folk finger and forced showed the loctor. And told her pls pls look at it personally now and don't just leely on what was falsely leecorded by the nurse.

I can swear to a violent death that this is a true incident and the reading from the ward machine did showed a 120-155 and this loctor had to accept the fact that what she was seeing in the system leecord wasn't true readings.

 

[Leongsam]

One of the many factors. Others include:

1. Young snowflake residents who value work life balance so want to punch out on time instead of staying back to clear cases

2. Mass resignation of local doctors to join lucrative private aesthetic practices , resulting in manpower shortage

3. Vacant positions filled by contract hire foreign doctors who bring their toxic lazy NHS culture to our little red dot

4. Over production of doctors to fill the middle ranks with no prospect of promotion or job security, resulting in low morale and fuck care attitude. Soon to resign and join aesthetic practice anyway

5. Government hospitals also competing for foreign cash paying patients , resulting in resources and manpower diverted to service these VIP clients and leaving the unwashed peasants to languish at the A&E wards with little or no attention

Under Khaw Boon Wan the rot began and has now degenerated into a farce of a healthcare system. Mr $8 CABG laughing until he pops a hernia in retirement

Those who need quality medical care should stick to 4 board certified doctors. They're the only ones with a breath and depth of knowledge needed to ensure your issues are dealt with in a timely manner.

 

[porcaputtana]

Those who need quality medical care should stick to 4 board certified doctors. They're the only ones with a breath and depth of knowledge needed to ensure your issues are dealt with in a timely manner.

I don't see unvaccinated people. Just so you know

 

[porcaputtana]

The actual reading I had from my own oximeter was 120-155. This oximeter was provided by a hospital during one of the discharged and pretty accurate, as I would measure it on myself and other people when I saw it high on my old folk.
For an elderly patient, a pr of above 100 at rest all the time is concerning. So when the lazy nurses leeport it as 99, what do you think?

There is no benefit for me to be lying here or being paranoid. I just want my old folks to be treated fairly. Despite encountering all these, I had never made any formal complaints, becos it requires many proofs gathering.
There was only once I couldn't take it anymore and bombarded one of the nurse about this irresponsible action and subsequently I just walked to a loctor in the ward and pulled her over and I pulled along with me the vital taking machine from the ward and plugged it to my old folk finger and forced showed the loctor. And told her pls pls look at it personally now and don't just leely on what was falsely leecorded by the nurse.

I can swear to a violent death that this is a true incident and the reading from the ward machine did showed a 120-155 and this loctor had to accept the fact that what she was seeing in the system leecord wasn't true readings.

pulse oximeter has a maximal reading of 100%, even on 100% supplementary oxygen

most people range from 95-99%

you sure you read the right instrument ?

 

[Leongsam]

pulse oximeter has a maximal reading of 100%, even on 100% supplementary oxygen

most people range from 95-99%

you sure you read the right instrument ?

He's referring to pulse rate. Oximeters measure that too.

 

[porcaputtana]

He's referring to pulse rate. Oximeters measure that too.

ok fair enough. maybe civilian models have that

hospital ones are dedicated SaO2 monitors

 

[sbfuncle]

pulse oximeter has a maximal reading of 100%, even on 100% supplementary oxygen

most people range from 95-99%

you sure you read the right instrument ?

I usually doesn't take readings from just one instrument to confirm there is a problem with someone health, be it thermometer or oximeter or BP.
To be more affirm, I will use at least 2.

Loctor always tells me I cannot based on my own oximeter and conclude there is a problem. So after I spotted a out of norm reading I will ask for the hospital instrument to confirm it.

That's when those lazy nurses will start to display their tricks on me as they doesn't know I had already measured on my own before i called for them.

As a loctor yourself, you need to be aware that not all medical personnels are suitable to work in the health care industry. They are merely there to earn their salary and not bother much about The wellbeing of their patients. I heard from someone a staff nurse is usually paid an additional like $100 allowance for their night shift. This extra is to compensate for their sacrifice as is definitely not easy to work thru the night taking care of patient. It is not for them to play punk and beedio call their bfs.
This job is different from a leegular job where tolerance is still acceptable up to a certain extend.
Hence I will tell them they had better work in another job and not here to cause harm to people.

 

[porcaputtana]

I usually doesn't just take readings from just one instrument to confirm there is a problem with someone health, be it thermometer or oximeter or BP.
To be more affirm, I will use at least 2.

Loctor always told me I cannot based on my own oximeter and conclude there is a problem. So after I spotted a out of norm reading I will ask for the hospital instrument to confirm it.

That's when those lazy nurses will start to display their tricks on me as they doesn't know I had already measured on my own before i called for them.

As a loctor yourself, you need to be aware that not all medical personnels are suitable to work in the health care industry. They are merely there to earn their salary and not bother much about The wellbeing of their patients. I heard from someone a staff nurse is usually paid an additional like $100 allowance for their night shift. This extra is to compensate for their sacrifice as is definitely not easy to work thru the night taking care of patient. It is not for them to play punk and beedio call their bfs.
This job is different from a leegular job where tolerance is still acceptable up to a certain extend.
Hence I will tell them they had better work in another job and not here to cause harm to people.

yup agree. especially the current cohort of residents

with no prospects in the government system they are just biding their time and then springboard to much more lucrative locum or aesthetic work

so why bother to do anymore than necessary?

as for nurses the system failure started decades ago. In Singapore nurses are treated so badly and unfairly the intelligent ones will naturally leave for another career.

MOH has never bothered with value retention. Their message to doctors and nurses has always been : we can always replace you with cheaper foreigners

Hence you see all the foreign healthcare workers in our hospitals

The rot began with Khaw BW. Ask any doctor and they will spit at his name

 

[True Believer]

Sinkees have a choice...they can always pay to go to a private hospital. Just like in the US. No wait.

Private hospitals are reserved for the 20% of S'poreans living in private homes, while the hoi polloi must join the queue at our restructured hospitals. Our infrastructure is unable to cater to a population of more than 6 million. S'pore is fast becoming unliveable except for the wealthy.

 

[disconsolate]

yup agree. especially the current cohort of residents

with no prospects in the government system they are just biding their time and then springboard to much more lucrative locum or aesthetic work

so why bother to do anymore than necessary?

as for nurses the system failure started decades ago. In Singapore nurses are treated so badly and unfairly the intelligent ones will naturally leave for another career.

MOH has never bothered with value retention. Their message to doctors and nurses has always been : we can always replace you with cheaper foreigners

Hence you see all the foreign healthcare workers in our hospitals

The rot began with Khaw BW. Ask any doctor and they will spit at his name

Doctor @porcaputtana

Can asked you a serious question about heartbeat. Below is my heart rate chart this morning for an approximate 12km run...

Is it ok to tax my heart to maximum for 77% of the run duration (or about 38mins out of the 50mins) ?

Or will I damage my heart in the long term?