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29 replies to this topic | 151 praises

#1

Posted 03 December 2017 - 01:09 PM

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As if the infrastructure of the MRT is not sufficient, our Hospital infrastructure is also painfully inadequate

 

Let me cite an example.

 

If you have a family emergency in the west, the nearest hospital is Ng Teng Fong Hospital.

 

While that is true, it then gets complicated. It is broken down into specialities.

 

So while its true you got to the hospital in the nick of time, you again need to be transferred to another hospital.

 

So driving as fast as possible to the hospital is one thing.

 

Getting the right skill and attended to is another.

 

Now comes the complexity. After being treated, the patient will be moved to yet another hospital at A&E to transfer to the right specialist with the right kungfu.

 

Still not an issue.

 

Issue here is transferring to the hospital is another 25 mins.

 

Then at the same sibling cluster like NUH, the specialist will again attend to the patient. Another half an hour. 

 

Still not an issue. 

 

The real issue here is the Specialist need to book the operating theatre which is shared by other equally important cases to be treated.

 

So while the patient may have arrived in time. The facilities is really CMI

 

Minimum waiting time to have an available operating theatre depends on the A&E load and the schedule at that time.

 

So my best guess is 2 to 3 hours max from the time the doc says ok, I know what to do?

 

Not necessary. From the near estimate, it can range from anything up to 6 to 8 hours.

 

I was just thinking to myself. Yes, now is require surgery already so long. WHAT IF its a brain haemorrhage or worst, life-critical condition or when face with the golden hour of fixing things up because as the hr pass, the chances of full recovery slips.?

 

Obviously, hospital care is like buying a refrigerator or washing machine.

 

You not too bothered about the price. You probably worried the time it is available or the efficiency when you need it.

 

But, this is really an appalling state that we are struggling with and need to be quickly sorted out.

 

I would say, forget about the 6.5 million population. Settle the immediate need first to cater for the 4 million population before the floodgate is open.

 

 

 

 



#2

Posted 04 December 2017 - 08:56 AM

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i would trust that the medical professionals would be able to assess and make decisions on the severity and seriousness of the patient... we cannot reasonably expect every hospital to have all the specialists and equipment for every possible case... 

 

did you have a personal experience on this recently? 


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#3

Posted 04 December 2017 - 09:05 AM

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i have seen how the govt hospital and even private hospital in msia work and the condition of their building and facilities, i must say any hospital in singapore is 5*.

 

 


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骑白马的不一定是王子,可能是唐僧;带翅膀的也不一定是天使,有时候是鸟人。

#4

Posted 04 December 2017 - 09:24 AM

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That is why if there is a serious medical issue that requires medical attention immediately, the best way is to call ambulance. The medic will be able to assess which is the nearest hospital that is able to treat the required medical issue,


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#5

Posted 04 December 2017 - 09:34 AM

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Don't get to see the whole picture here so can't really comment. As in we do not even know what the emergency is. What kinda priority the patient is given I'm sure the govt hospitals know best. And they are trying to refer the patient to the most suitable specialist to give the most accurate accessment. I really don't see what the fuss is about when you have to wait for it to happen. The diagnosis doesn't present itself on the patient's forehead or the patient's history folder is already ready in the hands of family members. You get what I mean. You want fast service you got to help make it happen too.

 

Overall I see it as rant. If you are dissatifised withe govt hospitals there's the option of private hospitals. The exception is subsidise or money issue.


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#6

Posted 04 December 2017 - 09:34 AM

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i wont even bother to comment. Just a rant by the same silly fella thinking he knows what/how to do better than hospital administrators and doctors who have thought about the issues for many decades. 

 

Not even a single drop in the empty vessel 


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#7

Posted 04 December 2017 - 09:44 AM

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i wont even bother to comment. Just a rant by the same silly fella thinking he knows what/how to do better than hospital administrators and doctors who have thought about the issues for many decades. 

 

Not even a single drop in the empty vessel 

 

 

in future all will be diagnosed by robot AI and immediately know what is wrong with the patient,  you will be out of job soon   [laugh]  [laugh]


骑白马的不一定是王子,可能是唐僧;带翅膀的也不一定是天使,有时候是鸟人。

#8

Posted 04 December 2017 - 09:49 AM

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Don't be surprised that ppl have the impression that doctors are miracle workers. They do not understand that it's more "medical detective" work. They thought that one look at the patient they will know what's wrong with him/her. LoL...

Their expectations vs what's reality is out of this world.


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The chosen one will bring balance to the Force...I mean Singapore. Even star wars do not reserve "the chosen one" to a sith lord or a jedi or a wookie.

#9

Posted 04 December 2017 - 09:56 AM

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Don't be surprised that ppl have the impression that doctors are miracle workers. They do not understand that it's more "medical detective" work. They thought that one look at the patient they will know what's wrong with him/her. LoL...

Their expectations vs what's reality is out of this world.

 

thats why i love to watch House MD  [laugh]  [thumbsup]


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#10

Posted 04 December 2017 - 09:58 AM

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in future all will be diagnosed by robot AI and immediately know what is wrong with the patient,  you will be out of job soon   [laugh]  [laugh]

 

 

Could well be. For minor illnesses, definitely don't make much difference.

But it's no different from going to pharmacy and getting meds from so called pharmacists which is very common in other countries. And these "pharmacists" cock it up all the time.

 

AI dunno how to discount human exaggeration. It only knows how to take things at face value. Hence that's why every webdoctor online resource gives u cancer etc.

 

AI can be incredibly powerful in maybe giving predictive values/diagnoses in hospitals whereby there's multiple blood test, scan results etc.



#11

Posted 04 December 2017 - 01:51 PM

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which hospital you get send to by SCDF is determined by where u stay. my mil used to sent to NUH but recently sent to NTF.

 

ok la they can handle. if you have stroke.. then if u stay in the east u probably land in CGH.. then get stabilized and if not get send to TTSH/NNI/

 

Not all hospitals have the expertise.. neuro surgeons, cardio thorasic surgeons are pooled .. not enuf/expensive to train.. anyway SG not that big la. Even if u go private A&E u still need to wake the surgeon up..

 

my suggestion...

 

if u have stroke.. drive quick quick to TTSH A&E... if u have heart attack.. suck sum aspirin.. get someone to pump u.. drive quick quick to NUH or SGH A&E


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#12

Posted 04 December 2017 - 02:50 PM

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which hospital you get send to by SCDF is determined by where u stay. my mil used to sent to NUH but recently sent to NTF.

 

ok la they can handle. if you have stroke.. then if u stay in the east u probably land in CGH.. then get stabilized and if not get send to TTSH/NNI/

 

Not all hospitals have the expertise.. neuro surgeons, cardio thorasic surgeons are pooled .. not enuf/expensive to train.. anyway SG not that big la. Even if u go private A&E u still need to wake the surgeon up..

 

my suggestion...

 

if u have stroke.. drive quick quick to TTSH A&E... if u have heart attack.. suck sum aspirin.. get someone to pump u.. drive quick quick to NUH or SGH A&E

learnt something new today. i had always thought stroke = heart attack.

 

mr google and you taught me otherwise. thank you. [thumbsup]




#13

Posted 04 December 2017 - 02:56 PM

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After watching code black, i am grateful to our medical facility and personnel.

 

Not forgetting that there is still cases of abuse of ambulance and medical personnel/facility.


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#14

Posted 05 December 2017 - 06:31 PM

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i wont even bother to comment. Just a rant by the same silly fella thinking he knows what/how to do better than hospital administrators and doctors who have thought about the issues for many decades. 

 

Not even a single drop in the empty vessel 

 

When someone needs surgery, its not small matter anymore.

 

Can we agree on this part atleast.

 

And IF you need an operating theather that needs a specialist. 

 

Please, do at least think about the consequence and the serious back log.

 

Are you even aware that Ambulance driver goes to the nearest hospital.?

 

I dont even want to go down the road on cluster hospital and dividing into differing group,

 

I do see a improve in the A&E vs several years ago when drunks just go to the AnE because they will not be turn away..

 

 


Edited by Sdf4786k, 05 December 2017 - 06:34 PM.


#15

Posted 05 December 2017 - 07:27 PM

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When someone needs surgery, its not small matter anymore.

Can we agree on this part atleast.

And IF you need an operating theather that needs a specialist.

Please, do at least think about the consequence and the serious back log.

Are you even aware that Ambulance driver goes to the nearest hospital.?

I dont even want to go down the road on cluster hospital and dividing into differing group,

I do see a improve in the A&E vs several years ago when drunks just go to the AnE because they will not be turn away..

When life threatening case, of coz go to nearest hospital La. If let's say non life threatening but need specialist doctor to attend, ambulance will still send to nearest hospital due to ambulance also need to turn around to attend to other case if there is any mah. Those non life threatening case means still can wait. So okay MA.

Current system is already very good Lao. Actually I feel that ambulance response to emergency case is quite good. It's real emergency case hor, not those assume by other people is real emergency but actually still can wait. That type they still can wait so wait a bit longer lor.

Edited by Yewheng, 05 December 2017 - 07:30 PM.

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#16

Posted 05 December 2017 - 11:33 PM

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I feel the main and most critical part of A and E is to stabilise the patients from immediate danger. Then later refer to the appropriate Specialists. So it's is understandable that specialist are not around all the time at  A andE unless need to.

 

I kenna gall stone before, went A and E. Only the next days, morning then the specialist came over.


Edited by Ender, 05 December 2017 - 11:52 PM.

"You are the average of the 5 people you spend the most time with." - Jim Rohn

#17

Posted 06 December 2017 - 02:51 AM

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I feel the main and most critical part of A and E is to stabilise the patients from immediate danger. Then later refer to the appropriate Specialists. So it's is understandable that specialist are not around all the time at  A andE unless need to.

 

I kenna gall stone before, went A and E. Only the next days, morning then the specialist came over.

Same here. Went to NUH A&E recently for gallstones due to the excruciating pain and they did blood tests, x-ray and given an injection of potassium to stem the pain by those young doctors on duty. After condition stabilised, transferred into ward after 4 hours and continued with intravenous drip of potassium. Specialist came in the morning confirming results for gallstones and recommended removal of the gall bladder.



#18

Posted 06 December 2017 - 06:48 AM

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I feel the main and most critical part of A and E is to stabilise the patients from immediate danger. Then later refer to the appropriate Specialists. So it's is understandable that specialist are not around all the time at  A andE unless need to.

 

I kenna gall stone before, went A and E. Only the next days, morning then the specialist came over.

 

I guess in essence is I dont see how someone here can dismissed it as ranting unless he has a love one who black out due to the pain as well as having high blood pressure.

 

Its a situation no one should experience when you have such anxiety and the only thoughts that comes to your mind is to fixed it now. Not 8 hours later when the theater is available due to a line of patients and not having enough OT available to be use.

 

Probably in today context maybe more transactional relationship.

 

Dont have, find another love one. Life goes on. Nothing last forever



#19

Posted 06 December 2017 - 07:11 AM

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I feel the main and most critical part of A and E is to stabilise the patients from immediate danger. Then later refer to the appropriate Specialists. So it's is understandable that specialist are not around all the time at  A andE unless need to.

 

I kenna gall stone before, went A and E. Only the next days, morning then the specialist came over.

just like those 24 hours clinics.

 

the Drs are always available ... but you have to wait for them only during the off peak hours.

 

but lucky for me, we have a family member working in the hospital and makes things slightly easier in terms of prognosis and attendance.



#20

Posted 06 December 2017 - 07:36 AM

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I guess in essence is I dont see how someone here can dismissed it as ranting unless he has a love one who black out due to the pain as well as having high blood pressure.

Its a situation no one should experience when you have such anxiety and the only thoughts that comes to your mind is to fixed it now. Not 8 hours later when the theater is available due to a line of patients and not having enough OT available to be use.

Probably in today context maybe more transactional relationship.

Dont have, find another love one. Life goes on. Nothing last forever

suddenly they have to build more OT just because of your case? nothing is perfect.
骑白马的不一定是王子,可能是唐僧;带翅膀的也不一定是天使,有时候是鸟人。


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