Angry Doctor

Tuesday, November 29, 2005

Got Heart?

OK, no gossip but a letter from the ST Forum:


Nov 29, 2005
Houseman makes fun of patients' plight

MY MOTHER, Madam Chong Kwoi Sin, was warded for a major stroke at Alexandra Hospital (Ward 5, Bed 19) on Nov 17 and died in the evening of the next day.

On the morning of Nov 18, a group of housemen in their early to mid-20s went on their rounds to examine the record of each patient.

When the group stopped by the bed next to my mother's, a male houseman commented in an amused manner to his peers that the patient, who was not in her bed then, was of very light weight at 38kg. He laughed while repeating the comment loudly several times. 'I've never seen anyone so light!' he said.

Later, in the corridor just outside the ward, this same houseman held up my mother's CT brain scan and commented, again in a jocular way, this time to another houseman: 'She's still alive, meh?' He repeated the same insensitive remark without realising that I was within hearing distance.

As my heart was heavy and my mind preoccupied with the imminent death of my mother, I pulled her doctor, who was also a 20-something houseman, aside and told him how hurt I was with the insensitive remarks of his colleague.

I told him to tell his colleague that should I complain to the hospital's CEO, the young trainee doctor's record would certainly be blemished.

More importantly, I also told him to remind the young man that he also has a mother. He apologised profusely on behalf of his colleague and, to my surprise, was honest to admit that he, too, had made the same mistake of passing crude remarks, albeit innocuously, about his patients. However, he promised that he would not do it from then on.

Two hours later, my mother's doctor informed me that my message had been relayed to the houseman. I expected the culprit to come up to me to thank me for not reporting him and apologise for his loose tongue.

But this was not to be.

Thereafter, I noticed that he continued with his chatty arrogance, as if nothing had happened.

The haughty houseman demonstrated a high degree of thoughtlessness and a total lack of compassion and ethics, completely out of line with the noble medical profession. If he exemplifies the future of Singapore, my heart bleeds for the nation.

It is such an irony that Alexandra Hospital has this on its website: 'AH has promised to place heart, soul and mind to caring for the patients. Our staff are our best assets, central to the work we do and the level of success that we attain. We are prepared to commit the resources necessary to recruit, develop and retain the best staff. We take pride in providing them the best in training and development, and also in imparting a sense of empathy and care for our patients and community.'

Terrence Shan Chee Hoong
Hong Kong


I suspect the 'housemen' may really be medical students, but I won't be surprised if they were not.

Labels:

76 Comments:

  • Well, once you become a doctor you basically have to become Jesus Christ.

    No sin, no mistakes, perfect, heal people, preach gospel truths, turn the other cheek, and be crucified for your patients AND (this is the worst) die a virgin.

    I remember my friend told me before, "but I dun want to be Jesus leh"

    By Anonymous Dr Oz bloke, At November 29, 2005 9:16 am  

  • Hmm this entry reminded me of something that happened to a colleague of mine at a specialist clinic.

    Nothing really related to the case in the ST. That one I agree is insensitive behaviour on the part of the "housemen" (any doctor who does something wrong is a houseman so it seems)

    My friend had a patient named Woo Nim Pei. He called her number once, twice, three times but there was no response. She was an elderly patient and so with usual practice, he went out to the waiting area to call out her name.

    Usually one has to call out pretty loudly.

    So he went "Woo Nim Pei! Wooooo Neeem Peeeii!"

    The entire crowd at the waiting area laughed. The other doctors in the other room also heard this and were wondering what was going on? Why was my colleague shouting "I am your father" in hokkien so loudly. So we all came out to take a look at the comotion.

    In the end the lady came with her relative. The relative was unhappy and I made her feelings known.

    The problem is my colleague did not do anything wrong technically speaking.

    But you have to admit it WAS funny.

    Sometimes we are human too even if we are doctors. And aren't doctors allowed to have a sense of humor?

    By Anonymous Dr Oz bloke, At November 29, 2005 9:26 am  

  • hmmm interesting how things seem to flow....

    the author's name for that ST letter is Terence Shan Chee Hoong

    Well guess there might be some smiles (not mine and not the doctors and not the hospital staff god forbid) on other patients faces at the waiting area if we had to call his name out loud too.

    Human nature lah. And doctors not supposed to be human mah.

    By Anonymous Dr Oz bloke, At November 29, 2005 9:36 am  

  • Good morning folks,

    Tks for highlighting this letter Angry Doc.

    So what else is new?

    And hi there Dr. OZ. You really make my day bright and funny.

    I have said time and time again, if you can afford it, don't go to hospitals with med students or housemen or students around. Go to a REAL healing institution where the doctors don't only look professional, they behave professionally as well. Everyone from the doorman upwards has only one wish and that is, to make you whole again and not forgetting in the process raking in the most money out of you. But like they say, if you have to go,why not go in style instead of having to take in all those snide remarks. If I were Mr. Shan, no two ways about it. My beef will be made known not only to the CEA of AH but also to the Honourable Health minister and the Honourable Education minister so that we can have a better Singapore.

    By Blogger uglybaldie, At November 29, 2005 9:42 am  

  • Doc OZ,

    You are right about dying a virgin for many doctors. GPs are cooped up in the clinic for hours on end. No time for SDU and socialising. Doctors in hospitals are so busy they got no time even to scratch their balls.

    My GP is still unmarried at age 45 but I am not so sure he is still a virgin though.

    Favourite holiday destinations. Bangkok, Taiwan, Macau and Seoul. Get the drift?

    By Blogger uglybaldie, At November 29, 2005 9:47 am  

  • Oz Bloke, technically you are not supposed to shout out a patient's name as it compromises confidentiality - all the other patients in the waiting area have no business knowing the patient's name!

    Anyway, my receptionist tells me that there's an old man called 'Kok Soh Long' whose son cannot help giggling each time he registers his father at the clinic...

    By Blogger angry doc, At November 29, 2005 9:49 am  

  • Hmmm, we are not supposed to call out patient's names? Gee at the clinic I work the only way I can call a patient into my room is calling his/her name.

    I think the issue here is that it wasn't the DOCTOR who gave the patient their names which they dun like being announced. Dun blame the doctor!

    Moral of this gospel (since I am expected to be Jesus): As a parent, name your child well.

    By Anonymous Dr Oz bloke, At November 29, 2005 9:54 am  

  • You are supposed to have a queue number system to get the patients into your room whether your practice is thriving or not.

    Technically, by calling out the patient's name and identifying him or her, you have breached patient confidentiality.

    By Blogger uglybaldie, At November 29, 2005 10:03 am  

  • hmmm anyway my boss does not want a number system.

    Wah so confidential for what? After a while in a small HDB community, everyone knows everybody.

    The chicken rice man, the fruit seller, the aunty with the big mole....

    Dun say the name can see through the glass door and see them in the clinic....breach of confidentiality liao!

    So must have totally dark windows and all patients need to be blindfolded and wear headphones playing music to avoid them identifying any other patients in the clinic yeah? Then we lead them in by the hand.

    Sheesh what's with this patient confidentiality business? I mean they are sick so go see doctor, like that also want to hide? Tsk tsk tsk.

    By Anonymous Dr Oz bloke, At November 29, 2005 10:07 am  

  • Aiyoh, if the conman finds out the ah-soh's name, he can pretend to be a friend of her nephew and con her money!

    I think it's not important WHETHER or WHY they want to remain unnamed - it's our duty to try to keep it confidential.

    By Blogger angry doc, At November 29, 2005 10:11 am  

  • you missing the point here. If your patients choose to identify themselves as being in your clinic, you have no control. But you can control what you do. So if you are not careful, someone may just throw the book at you. Not very damaging to be sure but like the bite of a mosquito, you can have dengue!

    By Blogger uglybaldie, At November 29, 2005 10:16 am  

  • I find Mr Shan somewhat typical in his complaint about the 'arrogant houseman' in that his 'right' over the houseman's supposed conduct is his own power to complain to the CEO and get the rude houseman fired.
    I agree it was insensitive and not appropriate for people to make fun of a dying patient - but i find this line "I expected the culprit to come up to me to thank me for not reporting him and apologise for his loose tongue. But this was not to be." < arrogance on the part of the aggrieved relative to expect the houseman to thank him for not reporting him to his superior?

    Apology expected, yes. but to grovel in repentance? So unforgiving... lacks a graciousness for gentle correction of a fault in others. Some people just like to exercise power over others when they are aggrieved...just like so many patient's relatives...

    House M.D. dvd set

    By Blogger zinc, At November 29, 2005 10:19 am  

  • "lacks graciouness"? on the part of Mr. Shan? Was the med student sensitive enough to know that a dying patient deserves respect and not derision? What kind of medical training are our med greenhorns being taught other than how to hang the damn stethoscope around their neck when they strut around the hospital looking important. Like they say, the higher you go the more humble they are! With exceptions of course.

    By Blogger uglybaldie, At November 29, 2005 10:26 am  

  • Ok confidentiality. Point taken. I'll make it a point to be as secretive as possible :)

    Speaking from the experience of the busy specialist clinics, sometimes the old people cannot "catch" their numbers. Also if they miss their numbers while they are outside stretching their legs, they complain when they get passed over.

    Just can't please everybody.

    I find being a doctor very much of a hassle these days. We not only have to be Jesus, we have to be confidential about it too! Geez! Imagine Jesus being told off because he called out their name in front of everybody.

    So the walls of the consult room should be sound proof too? I noticed most clinics dun have sound proof rooms.

    Wah I got an idea man. Maybe I should form an agency that goes round throwing the book at GPs who flout this confidentiality. Think I can make some money? Uglybaldie want to invest? Hee hee.

    By Anonymous Dr Oz bloke, At November 29, 2005 10:26 am  

  • Aiyah, zinc, the reason why asians are like that is because we like to have people govern us.

    The asians generally like to have kings and emperors and leaders to take responsibility. Let them settle the problems when they arise. It is not my problem. I am lazy. If things go wrong and were not fixed properly, also not my problem it is the emperor's problem.

    Like that good mah. Never ever wrong. No responsibility. Then can gloat and condemn the guys who make mistakes. Haha!

    Asians like to be powderful.

    By Anonymous Dr Oz bloke, At November 29, 2005 10:28 am  

  • I will invest in anything that is legal and that will make money. But your idea sounds profoundly skittish but unprofitable. The SMA and the SMC are the bodies monitoring this, provided they are in the mood for more work!

    By Blogger uglybaldie, At November 29, 2005 10:30 am  

  • With the current outsourcing craze, I'm sure they would be happy to have people do their work for free. Remember we are not asking to be paid, but merely to get a cut of any legal suits :)

    I once thought of forming a big time organization that busts and exposes mistakes in major hospitals in Singapore. The details are sensitive. But basically it would make me a very very unpopular figure among doctors in Singapore but extremely popular with patients. It involves espionage work with other doctors hired as information gathering "agents" in Mortality and Morbidity meetings, grand ward rounds and internal department discussions and audits etc.

    I personally was surprised and disheartened by the level of integrity some senior consultants had.

    By Anonymous Dr Oz bloke, At November 29, 2005 10:39 am  

  • I think the least the 'houseman' could have done is to look Mr Shan up and apologise (not sure about thanking him). It's the decent thing to do when you have caused what a common man will think as offence.

    But yes, I would not beg him to not complain to the CEO.

    If I was caught doing the same thing, I wil apologise to Mr Shan 'as one person to another', but I will not ask him not to complain to the CEO. I think if I was careless enough to be caught, I deserve to be reprimanded 'as an employee'.

    Tis a fair cop, guv'nor.

    By Blogger angry doc, At November 29, 2005 10:42 am  

  • Well the housemen was unequivocally wrong. He was unprofessional in making those comments.

    I mean c'mon. He should learn his lesson. The patients are just patients. Concentrate on their disease and problems. Don't view them as anything else. Be professional. All comments pertaining to patients should be objective, scientific and factual. No personal, social comments. Leave that to the social workers.

    Yes I think he should have apologized to Mr Shan and assured him that he would concentrate on being a purely objective doctor to all his patients from now on.

    That's the safest way to practise medicine. At the most people will say you are not Mother Theresa, but no one can accuse you of being unprofessional from then on.

    Wakarimaska?

    By Anonymous Dr Oz bloke, At November 29, 2005 10:48 am  

  • Now Doc OZ, this is a cool idea.

    How about me being the CEO and you the Chief Operating Investigator?

    We also need a good legal team as well so you probably has to work closely with the Chief Legal Officer.

    But we also need a Chief Operating Officer. Any suggestions. Some good troublemakers from Hong Kong would foot the bill. Must import some foreign talent to pick their brains and their er.....penchant for stirring up trouble you know.

    By Blogger uglybaldie, At November 29, 2005 10:55 am  

  • I dun think you truly understand the potential and what the business is all about, uglybaldie.

    Anyway I dun think we would succeed in SG, simply because of three letters. M, O and H

    By Anonymous Dr Oz bloke, At November 29, 2005 11:02 am  

  • Just to digress a bit.

    At the causeway.

    Me to Malaysian custom officer: Er....brother, why are you not checking my car.

    Malaysian Royal Custom Officer: Check?
    What is there to check? See the long jam over that side, they are so thorough that everyone that comes in from Singapore or goes out from Malaysia is a good guy! They have done our work for us!

    Welcome to Malaysia!

    By Blogger uglybaldie, At November 29, 2005 11:38 am  

  • Now this is another potential topic to be explored.:P

    Someone who believes the system has broken down despite the efficiency of each procedure at each stage. The only fault? too many patients, too few staff.. for an $8 per session consult. Want faster service, don't wait at polyclinic lah...

    House DVD set

    By Blogger zinc, At November 29, 2005 11:39 am  

  • And don't wait at hospital either..

    also another victim of the system. haizz.. I also waited 2 hrs for consultant (though i was paying class patient)
    so pay also still have to wait. just that got air con to chill u out while u wait and fume...

    House DVD set

    By Blogger zinc, At November 29, 2005 11:46 am  

  • Sigh, you see what I mean zinc?

    Being a doctor has too many hassles these days. It used to be a lot simpler. Take a stroll, walk past a leper, lay your hands on him and voila!

    Simple no fuss. What happened har?

    By Anonymous Dr Oz bloke, At November 29, 2005 11:49 am  

  • Implement the means testing immediately to shift out those that has no business to be there.

    Some section of the population is using the polyclinics to get cheap medication rather than wanting a consultation.

    Employ more staff by cutting down on wasteful things like airconditioning the whole polyclinic which in itself may not be such a good idea because enclosed spaces breeds cross contamination and infection. When I brought this up, the Nursing Manager told me that it is hip nowadays to aircond everything! Stupid bitch should be sacked. Don't know where the priorities are.........

    By Blogger uglybaldie, At November 29, 2005 11:50 am  

  • I never refer my private patients to public hospitals as paying class patients.

    Any self respecting doctor who has worked in the public hospitals will know that the public hospitals are not geared towards serving paying class patients.

    If you are going to pay for it, might as well get the service you deserve and paid for right? I always refer them to Gleneagles, Mt E or Camden.

    Although Singhealth still sends their sales reps to woo us to refer to them.

    Angry doc, you recall my comments on having no private class at public hospitals?

    By Anonymous Dr Oz bloke, At November 29, 2005 11:53 am  

  • Can't see the wood for the trees.

    It seems that all improvements must come from patients.

    Sad.

    By Blogger uglybaldie, At November 29, 2005 11:54 am  

  • You must be out of your rocker to do so.

    When your patients get a taste of the poor service and the diatribe of the housemen, they will come after you.

    By Blogger uglybaldie, At November 29, 2005 11:56 am  

  • Haha which is why we use the system to our advantage.

    As a private GP we cannot refer patients to public hospitals as susbidized patients.

    So what the patients ask us to do is to refer them to the polyclinic who will in turn refer them to the public hospitals as subsidized patients.

    So they won't come after me. They will go after the polyclinics. And the polyclinics are possibly purposely kept so busy, you have no chance to complain to the doctor.

    Haha!

    Anyway I'm a duck so I do as the ducks do :)

    By Anonymous Dr Oz bloke, At November 29, 2005 12:04 pm  

  • "Some section of the population is using the polyclinics to get cheap medication rather than wanting a consultation."

    Uglybaldie, it is actually almost the entire population that is doing that.

    I'll tell you what's worse. There are patients who go there to get the cheap medicine and then come to private GP clinics like mine and talk to the doctor (ie consult) but that at the end of it say "No need to pay hor cos got no medicine right?" Free consult.

    My boss is very kind, he lets them have this misplaced privellege. I think he is mad. Some people say he is kind and magnanimous.

    But I can't help but wonder whether it has anything to do with why I have to keep asking for my paycheck that keeps getting delayed.....

    Sigh.

    By Anonymous Dr Oz bloke, At November 29, 2005 12:09 pm  

  • Why must patients ask you to refer to the polyclinics? They can go direct and tell a different story or get a second opinion without the greenhorns knowing anything beforehand and keep their grey cells since you have already done their dirty work for them?

    By Blogger uglybaldie, At November 29, 2005 12:11 pm  

  • Why must pay if the doctor from private clinic say the same thing as Poly doc. No value added. As for your paycheck, your boss may want to go to heaven without passing through the gate of hell but you should not be so magnanimous!

    By Blogger uglybaldie, At November 29, 2005 12:15 pm  

  • "Why must patients ask you to refer to the polyclinics? They can go direct and tell a different story or get a second opinion without the greenhorns knowing anything beforehand and keep their grey cells since you have already done their dirty work for them? "

    Err very good question you know. I tell them that all the time. But then they want me to write a letter so that they dun have to explain anything to the polyclinic.

    Oh yes and the patients dun want to pay for consult when I see them and write such referrals and dun give medicine. Give medicine then ok. So I have learnt to give some "medicine".

    I too worry whether I may not be able to pass through the gates of heaven when I die. Which is why I decided better change system.

    By Anonymous Dr Oz bloke, At November 29, 2005 12:23 pm  

  • Are all of you so out of touch with the REAL local public healthcare system?

    All the public hospitals are turning semi-private - they are going all out to encourage patients to choose A class and pay the high rates, for the simple reason doing so helps the hospital to earn money (or rather decrease their losses).

    Our public hospitals are not altruistic institutions providing good affordable medical/surgical care. They are being run as businesses with an over-emphasis on the bottom line.

    On another note, many local doctors out there pay taxes to the government yeah? Lots and lots of money in taxes. Especially those in the private sector.

    Now isn't that ironic - they are paying taxes to the government so that the public hospitals can compete with them for the private patients.

    Likewise, as a large contributor of public funds, is it fair to refuse them the cheaper medical care of the public hospitals/polyclinics? Even if someone is filthy rich, don't they have the right to choose the type of healthcare, and the level of care they desire?

    What it all boils down to is $$$. The public hospitals wants more and more of YOUR money. Do you think they give a hoot about medical professionalism and ethics?

    By Anonymous Anonymous, At November 29, 2005 12:26 pm  

  • "Why must pay if the doctor from private clinic say the same thing as Poly doc. No value added"

    Actually we don't do the same thing. We talk to them about lifestyle modification with heavy emphasis on diet control, weight loss if needed and close monitoring of their BP to enable them to best understand and manage their problems.

    Our philosophy is really that with chronic diseases, most medicine merely control the disease but don't cure. We have to check the root cause of the problems or reduce the factors that aggravate the condition.

    This is part of consultation in my opinion. Talking and exchanging ideas and views with your doctor and learning from him. But unfortunately the definition of consultation in Singapore is "see doctor to see what medicine he want to give you"

    By Anonymous Dr Oz bloke, At November 29, 2005 12:29 pm  

  • Huh? you give placebo not effective, and the patients will say, this doc no f##@@** use. You give the wrong and inappropriate medicine, you will be sued (provided your ah pek and ah sim know their legal stuff). Wow, if I were you, better be a cattle farmer in Australia. No pressure from the cows just peace, Man.

    By Blogger uglybaldie, At November 29, 2005 12:31 pm  

  • Dear anon, who said anything about public hospitals providing good affordable services as their raison d'etre?

    Which was why I wrote many times that the public sector should do away with the classes. Just have a single class for the entire public system. You dun like it, then go private. Have an additional tax levy on private hospitals (since they now have a larger number of paying patients and this will fund the public hospitals further).

    Simplify. As a doctor in public hospital I will say it was kinda disruptive when we moved from lower class wards to higher class wards and had to "re-adjust" our demeanours to suit the different customer profiles. Can you imagine working in a 5 star hotel where you have backpacker class too?

    By Anonymous Dr Oz bloke, At November 29, 2005 12:34 pm  

  • Hey doc OZ, what you just said is what the greenhorn at the poly told me. So what is the value added?

    And Anonymous, how can someone park his BM and Merc in the polyclinic carpark and walk in and say he wants to see doctor and want senior citizen discount some more?

    This situation is synonymous with filthy rich buggers queuing up for free textbooks for their kids.

    I support the MOH call for means testing. And do it fast too.

    By Blogger uglybaldie, At November 29, 2005 12:37 pm  

  • "Huh? you give placebo not effective, and the patients will say, this doc no f##@@** use. You give the wrong and inappropriate medicine, you will be sued (provided your ah pek and ah sim know their legal stuff). "

    You don't say man. Some patients even "request" for injection. I mean sometimes there is no need for injection but they vehemently "request". Your reputation is on the line. Do you want to be known to the whole estate as the lousy doctor never give injection? The most ridiculous was when this guy had athelete's foot (Tinea Pedis) and insisted that ONLY injection will make him better.

    Well the customer is always right and my aim is to please the customer.

    In Singapore patients will be more PISSED if you DON'T give them medicine than if you gave them a medicine that wasn't needed.

    The force is strong in placebos.

    PS Yeah how I wish I could be a farmer. At least go Oz got hope right? Singapore no more farms already.

    By Anonymous Dr Oz bloke, At November 29, 2005 12:39 pm  

  • huh? pay cheap no smiles or words of comfort.

    Class A, everyone calling me Sir and give me 5 star service?

    We are then back to the 50s or 60s when the hospitals was the last place you want to be before you die. Better face the uncertainties of hell than the wrath of doctors and bitchy nurses!

    By Blogger uglybaldie, At November 29, 2005 12:41 pm  

  • "Hey doc OZ, what you just said is what the greenhorn at the poly told me. So what is the value added"

    Oh we do say a lot more stuff. For instance you will find that most patients go to the polyclinic to get their BP checked on one reading. And then they get 3 months worth of medication.

    There are cases where we find that their BP is too low and they are on a high dose of medication. Turns out theywere stressed or in pain when they went to see the polyclinic dr and the dose was increased based on that one snapshot reading.

    So we try to adjust for the patient. We teach them either to get a device at home and self check, or come daily to the clinic to let me check and we see what the mean BP is and go from there.

    As for diet. There's a lot to talk about and I talk about stuff I never learnt in med school.

    Simple question you might want to consider asking your GP or any doctor in future : Drs always say eat less salt. So how much is enough? What is less? (In objective weight eg milligrams)

    If I used to take 5 teaspoons of salt and now take 3 teaspoons, is that ok? If I take 3000mg of sodium a day is that ok?

    See what answers you get. I believe this sort of nutrtional advice is lacking even among doctors in Australia.

    By Anonymous Dr Oz bloke, At November 29, 2005 12:46 pm  

  • Dear uglybaldie, well when you have 40 patients in a C class ward and have to finish the ward round ASAP because the operating theatre is calling you for the first case and you still have not got to the A class ward yet.....well something has to give right? I can't split myself in two.

    And it's not that we WANT to be extra special in the smiles and say hi to the A class patients, but that they expect us to be special to them. (Singaporean mentality mah)

    I think most of the staff in the public hospitals are doing their best on the ground level. The problem is not with the doctors and nurses, it is with the administration.

    I remember my consultant telling me before at lunch. If you even see me on the roadside lying unconscious. Leave me ther ok? Dun take me to hospital. I agreed with him. Die better.

    By Anonymous Dr Oz bloke, At November 29, 2005 12:50 pm  

  • Wah man, you are one hell of a doctor.

    If I were your consultant, I'll say take me to Mt. E, Gleneagles or Raffles but not to any government hospital.

    By Blogger uglybaldie, At November 29, 2005 12:54 pm  

  • "If I were your consultant, I'll say take me to Mt. E, Gleneagles or Raffles but not to any government hospital. "

    Ah....that one also cannot. Cos got no money. You know how expensive they are? These days doctors dun earn that much in public sector you know.

    Anyway the saying "In Singapore you can die, but you cannot afford to fall sick."

    It is unequivocally true. Dun forget that you have to remember the "compassion" or lack of from the employer when it comes to these situations.

    By Anonymous Dr Oz bloke, At November 29, 2005 12:57 pm  

  • "Wah man, you are one hell of a doctor. "

    Yah man this doctor destined for hell at the rate he's going. Right angry doc?

    We should leave the nutrition to the nutritionists. We should leave the diet to the dietitians.

    I jia lat liao.

    By Anonymous Dr Oz bloke, At November 29, 2005 12:59 pm  

  • Oh yeah, I forgot, the consultant can get free stay or staff price at the government hospital but he doesn't want to go there because most probably his colleagues will be attending to him and he knows it's not going to go smoothly for him! Talk about a taste of his own medicine. I think that is how the saying came about!

    LMAO!

    By Blogger uglybaldie, At November 29, 2005 1:18 pm  

  • Nowadays got no more free stay liao.

    I think they withdrew those benefits many many years ago.

    But yes, taste of own medicine :)

    Sometimes it's not just purely that the doctors are no good or anything, but that the thought of someone operating and doing the stuff you do to patients can be frightening. Just the thought of the procedure even if done perfectly. Sometimes better not to know exactly how it is done.

    By Anonymous Dr Oz bloke, At November 29, 2005 1:27 pm  

  • In reference to the "houseman" issue. I think insensitive remarks like these should not have been made public at all. Regardless of his profession or stature, it just reflects on his personal upbringing and lack of tact.

    Even between peers, my husband talks about some of his colleagues' lack of sensitivity. But i have to remind him that it doesn't just happen within the medical fraternity. It just happens to be part of life. There are always self-centred people everywhere.


    dr oz bloke, there are still farms in Choa Chu Kang. Granted, not very big, but they're still farms. :)

    By Anonymous wife of an un-doctor, At November 29, 2005 1:28 pm  

  • wah. interesting discussion going on. took me quite a while to finish reading everything.

    dr oz bloke u know japanese ah? ;)

    By Blogger 幸せな女の子 :), At November 29, 2005 1:29 pm  

  • starrz,

    eh hiao kong jeppun tum por lah

    By Anonymous Dr Oz bloke, At November 29, 2005 1:33 pm  

  • paiseh la i dun understand hokkien =x

    By Blogger 幸せな女の子 :), At November 29, 2005 1:36 pm  

  • Dear wife of an un-doctor,

    What you say is true.

    I mean I too have heard unpleasant comments from patients about doctors.

    We have had patient's relative who can be heard saying loudly "So fat can still be doctor ah"

    And this was in reference to a very famous Rheumatologist.

    But as doctors, as usual we are all chihuahuas tied to a tree. Bark is so soft nobody can hear. No choice but to suffer in silence.

    Jesus anyone?

    By Anonymous Dr Oz bloke, At November 29, 2005 1:36 pm  

  • starz,

    wo seck gong siu siu yuppun war

    Lay hai mai gorng fu yarn?

    By Anonymous Dr Oz bloke, At November 29, 2005 1:38 pm  

  • loLz. that i can understand! my mum's cantonese...i can understand, can speak a lil. am hainanese but totally dunno the dialect at all :(

    i took jap for 4 years :)

    By Blogger 幸せな女の子 :), At November 29, 2005 1:44 pm  

  • Ha, I know that fat guy. I brought my mother to see him many many moons ago. Most of the time, he is mumbling to himself. My mom is still saddled with the condition complained thereof.

    Medically, how can his skeleto frame support that kind of body mass huh?

    I think he applies AnMayLoo every night himself before laying down on his near collapsing bed to sleep.

    Laugh, laugh, laugh.

    By Blogger uglybaldie, At November 29, 2005 1:49 pm  

  • uglybaldie,

    how can you? I must write letter to Straits Times to complain of this stockbroker. How can be so uncompassionate? Say such things on a public blog site sme more. Tsk tsk tsk.

    I must report to SGX, DJIA, S&P also. IF you dun apologize I will make sure they fire you. And you must go and apologize to the consultant himself. If can apply Annmayloo for him.

    By Anonymous Dr Oz bloke, At November 29, 2005 1:57 pm  

  • must remember to thank him also, k? ;)

    By Anonymous wife of an un-doctor, At November 29, 2005 2:00 pm  

  • One time a patient's relative accused Dr FK Lim (the gynaecologist who died in the tsunami, God rest his soul - I know it's customary to call the deceased a good man, but he really was) of giving chemo to the patient with cancer because he was making a profit from it. And this was a subsidised class patient!

    He actually confronted the guy for saying that.

    By Blogger angry doc, At November 29, 2005 2:00 pm  

  • So did FK Lim succeed in getting the guy to get fired or apologize to him?

    By Anonymous Dr Oz bloke, At November 29, 2005 2:05 pm  

  • Huh, are we talking about the same person?

    The one I am referring to is not really a consultant. He is totally bald like me, wears glasses and is an Indian. Famous ah, wah, next time I see him, must ask for autograph.

    Anyway, I am already happily unemployed.

    By Blogger uglybaldie, At November 29, 2005 2:06 pm  

  • Got an apology. :)

    By Blogger angry doc, At November 29, 2005 2:06 pm  

  • uglybaldie,

    then cannot lah. Must get the garment to make you pay money lah. You can retire means must be rich lor.

    Rich people so elipe must make you all do community service mah.

    You promise go buy toto system 12 every week for me can lah ok?

    By Anonymous Dr Oz bloke, At November 29, 2005 2:12 pm  

  • okay, okay,

    I am off to sim lim square and then karaoke to sing Andy William's evergreens.

    Nice chatting on Doc Angry's blog.

    By Blogger uglybaldie, At November 29, 2005 2:16 pm  

  • nice chatting too :)

    Hee hee

    By Anonymous Dr Oz bloke, At November 29, 2005 2:19 pm  

  • wah uglybadie so carefree :)

    why today so many pre-employment checkups??!! :S

    By Blogger 幸せな女の子 :), At November 29, 2005 2:31 pm  

  • Economy getting better mah. More jobs!

    By Anonymous Dr Oz bloke, At November 29, 2005 2:37 pm  

  • having quite a couple of foreign doctors

    By Blogger 幸せな女の子 :), At November 29, 2005 2:47 pm  

  • Ah good. Foreign talent coming to help Singapore.

    We Singaporeans are useless lah

    By Anonymous Dr Oz bloke, At November 29, 2005 3:00 pm  

  • Haha this is so amusing, you guys are actually "chatting" on his comments section for 5hours! Totally amusing. Ok now it's time for me to hit teh books.

    By Blogger blindcat, At November 29, 2005 3:24 pm  

  • Dear Dr Oz

    What! your boss don't charge for consult when there is no medicine given.

    Wah, yr patients too much, even polyclinic also have to pay.

    Very true, poly doc don't bother to monitor patients closely and adjust their medication accordingly, easier to just repeat medicine.

    But, some private doctors also, just repeat medicine, at all.

    By Anonymous Anonymous, At November 29, 2005 5:56 pm  

  • Dun get it wrong though, if the BP is well controlled with a particular dose of medication, the patient is of ideal weight, is not a smoker, has good diet habits, then sometimes repeating medicine is not at all a bad thing.

    I have some patients who also just repeat medicine. We dun charge them for consult at all.

    By Anonymous Dr Oz bloke, At November 29, 2005 6:14 pm  

  • Dear Dr Oz

    Did not get you wrong. just talking abt my own experience, whenever, I see a doctor for a simple bp reading or anything else, got to pay for consult even no medicine given. Unless you buy the medicine from counter then pay only for medicine.

    Same goes for poly, got to pay consult even no medicine.

    I understand that some patients have to repeat medicine on a long term basis even if it well controlled. Most doc would not allow off medication for fear of stroke as my ex-doc told me.

    I am sure you have heard of patients that can go off medication if their doctor spent more time working closely on their condition and medicine. A two-way traffic kind of a relationship.

    Such doctors are hard to find, but finally found mine at the poly and I don't mind waiting hours to see him.

    It's a long story, from new private doc to new poly doc and finally I am off medication, after seeing him for only a few months.
    Wandering why am I on medication all these years for.

    I am for sure not a stupid patient, just have not found the right doctor.

    By Anonymous Anonymous, At November 29, 2005 7:58 pm  

  • Good to hear that.

    Continue consulting with this good doctor you found and hope you find your way to good health besides being off medicines. :)

    All the best.

    By Anonymous Dr Oz bloke, At November 29, 2005 8:06 pm  

  • Zinc has it all wrong when he said I had my "own power to complain to the CEO and get the rude houseman fired".

    This idea was furthest on my mind as I did not even want his career record blemished because of his inept behaviour, much less having him sacked.

    I told my mum's doctor to let him know my feelings so that he'd realise where his faults were and that I would give him a chance by not reporting him to his CEO. Shouldn't this be reciprocated by at least a simple courtesy of a "thank you"?

    But I saw no remorse on his part instead he was still "dancing and singing" thereafter and that's what prompted me to write to the Straits Times.

    Terrence Shan Chee Hoong
    Hong Kong

    By Blogger Terrence Shan Chee Hoong, At December 01, 2005 12:51 pm  

  • Wah chai from high school Klang would like to contact you. Are you Terrence Shan from 1968 high school Klang? Please reply @ sunny@yuyenconstruction.com.

    By Anonymous Anonymous, At October 26, 2014 3:13 pm  

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