my friend who is a MBBS graduate noticed that Lee Hsien Loong breasts are getting bigger.
He told me that this is not a good sign.
This could be due to his cancer marker is increasing and he needs stronger drugs to suppress his cancer cells and because of that, there are side effects and he boobs are actually growing.
do you guys notice that lee hsien loong chests are bigger now ?
Minister of Health Gan Kim Yong is best person to judge as Singapore laws mandated him to judge one such 'boob is too big' case recently.
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Minister of Health Gan KY to declare the acceptable replacement boob size.
Seriously, is a disciplinary solution really the solution to this issue? If found guilty, does it mean that public hospital specialist are so lousy, they have no sense of proportion? How will the minister of health pronounce the first surgeon guilty beyond reasonable doubt without even viewing the evidence now that a new implant has already been iinserted and the old discarded? Ask the husband's opinion?, ask the 2nd surgeon to stand as prosecution witness???!!!: Maybe the Minister of health is just too free and likes all these unhappy aunties chasing after him- like he is their white knight in shining armour.
Shouldn't SMC have perhaps floated the idea of expedient mediation between the parties instead of being preoccupied with instituting disciplinary action???!!! Wouldn't a chaired face to face meeting have been much more effective way to suss things out rather than operating cloak and dagger behind closed doors to discover if 2 breast were imbalanced or not: I have doubts if any MOH or SMC member had the personal opportunity to examine the patient complainant other than the 2 surgeons involved: now the PAP Minister (n his party), who seems to have directed legislation to place himself @ the judgement seat is going to decide by his best imagination and investigations what degree of breast imbalance constitutes 'professional misconduct'...
For SMC to take 2y+2mths to only conclude that there is only a 'communication problem' must be a grievous waste of resources considering that issues of a cosmetic nature are best discussed face to face and in person. How can one appreciate a performance without even seeing one???!!! Was SMC hoping that by stalling for time that the boob problem would just forget itself???!!!: too bad, now the joke is on the Minister of Health Gan KY who will have to use his greatest personal experience, imagination and moral persuasion for anyone to ever believe his judgement on boob balance/ size.
My suggestion would be that except for extremely egregious situations of professional misconduct (wrong limb amputated, samples mixed up, wrong medicine given, patient got raped/ molested etc), a reasonable fee from a paying (e.g. first class aka rich) patient should be collected towards subventing some of the costs of a professional mediator (e.g. a retired/ senior specialist in the profession etc or even more senior MOH staff). For patients in maximally subsidised wards in public facilities, the same subsidy scales would apply and if indeed the physician had fallen short of the required standards of care, then the mediation fees paid could be refunded to the aggrieved patient in addition to some reasonable restitution for any damages caused. No refund on mediation fees except some reassurance would the patient receive if the physician did no wrong. Such a process would surely be more edifying to both sides as well as reduce the frequency going forward of the Minister of Health having to adjudicate over problems cosmetic or otherwise such as 'breast is wrong sized'.
If the MOH were really sincere in fighting the war against diabetes on all fronts, then this war between doctors and patients must end. And for this reason, the MOH must surely be generous in supplying both the headcount as well as cost of providing mediators (for the subsidised patients) so that for once, at least both parties can see eye to eye.
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Patient challenges SMC ruling on plastic surgeon over alleged botched breast reconstruction
Breast prosthesis and bottom prosthesis (transparent) are seen in this file photograph.
Breast prosthesis and bottom prosthesis (transparent) are seen in this file photograph.PHOTO: AFP
PUBLISHEDFEB 3, 2017, 5:00 AM SGT
She claims he botched breast reconstruction surgery, complaints panel says no misconduct
Salma KhalikSenior Health Correspondent
The Singapore Medical Council's complaints committee has ruled there was no professional misconduct by a plastic surgeon whose patient complained he had botched her breast reconstruction 2 ½ years ago.
Ms Chia Wei Hong, 56, is now challenging this decision by appealing to Health Minister Gan Kim Yong.
She said Dr Tan Bien Keem, the head of Plastic, Reconstructive and Aesthetic Surgery at Singapore General Hospital (SGH), had not given her a reconstructed breast that was close to the look of her natural breast.
Because of this, she said she needed additional surgery to correct the reconstruction, resulting in more scarring and medical fees.
Ms Chia complained to the SMC in September 2014. The council replied in November last year to say there was no professional misconduct on the part of Dr Tan. It said "symmetry of the breast cannot be achieved immediately", and that a second stage of reconstruction could solve the problem.
However, Ms Chia had not chosen to have that second stage of reconstruction by Dr Tan.
She was diagnosed with breast cancer in April 2014. Following a mastectomy and tests which showed the cancer had not spread, she opted for a breast implant, which was inserted in two stages.
CASE FOR CORRECTIVE SURGERY?
The aim of breast reconstructive surgery is to reconstruct a mound that is as symmetrical to the other breast (as possible). However, it may not always be so. As long as the patient is able to fit her breasts... in a bra without too much discomfort, it should be an acceptable difference.
DR ONG WEI CHEN, a senior reconstructive surgeon.
First, an expander was inserted under the skin immediately after the mastectomy, stretching the skin as it was gradually filled with saline. This was replaced 10 weeks later, in July, by a 310cc implant.
She did not require either radiotherapy or chemotherapy.
Ms Chia said her reconstructed breast was more than twice the size of her remaining natural breast even after the swelling had receded. "I could not wear my normal fitting clothes. The reconstructed breast 'starts' high up on my chest and takes up a lot of volume so my clothes are pulled in a series of folds upwards to the shoulder," she told The Straits Times.
Dr Tan assured her the size would go down once the swelling caused by the surgery had subsided. He also told her that if she was not satisfied, she could return to have it downsized.
In September, she filed a complaint with the Singapore Medical Council (SMC).
While revisions of reconstruction do not happen often, they are not unheard of.
Dr Ong Wei Chen, a senior reconstructive surgeon at the National University Cancer Institute, Singapore (NCIS) and the National University Hospital (NUH), estimates the number of women needing such revision to be less than 20 per cent. She said: "The aim of breast reconstructive surgery is to reconstruct a mound that is as symmetrical to the other breast (as possible). However, it may not always be so.
"As long as the patient is able to fit her breasts... in a bra without too much discomfort, it should be an acceptable difference."
Being unable to fit her breast inside a bra, Ms Chia decided to look elsewhere for corrective surgery. In February 2015, she went to Raffles Hospital where plastic surgeon Walter Tan replaced the 310cc implant with one that was 120cc.
This cost her more than $15,000, for which she had to fork over $4,000, with the rest paid for by insurance. Her insurance plan covered the full bill of more than $25,000 for both operations at SGH but pro-rated coverage for surgery at a private hospital.
In its reply to her, SMC's complaints committee said it would advise Dr Tan by letter to "improve on his communication with his patients".
But Ms Chia has decided not to let her grievance rest. She said: "I appealed to Health Minister Gan Kim Yong on Dec 2, 2016, against the decision of the SMC."
The law allows the minister to ask the SMC to hold a disciplinary hearing if he feels the case justifies it. When contacted, the spokesman for SGH said the hospital and the doctor would not comment.
A version of this article appeared in the print edition of The Straits Times on February 03, 2017, with the headline 'Patient challenges SMC ruling on plastic surgeon'.
http://www.straitstimes.com/singapo...n-plastic-surgeon-over-alleged-botched-breast
