No more dr Oz bloke, just me

aka Dr Charlotte Charlatan

Friday, February 24, 2006

Street 11 clinic replies

Street 11 Clinic reply

The reply from Street 11 Clinic is out.

It looks like a clear case of miscommunication. Did Mdm Gan bring up her concerns to the clinic at the time they presented?

Or did she choose to go straight to the Straits Times instead?

Personally I am never comfortable seeing "doctor-hoppers". These people tend to be rather impatient, ignorant and unwilling to learn more information. What they want are instant cures.

They go to one doctor, don't get the results they want and go to another doctor. Most of the time if you ask these patients whether they know anything about the types of medicines they have been prescribed and the natural course of their illness they would give replies to the effect "Dunno, not interested, dun care"

Doesn't make for a very good patient-doctor relationship. Some would say what relationship?

But you see, the relationship between you and your doctor is very very important in helping you get well. Think about it.

14 Comments:

At 10:13 PM, Blogger uglybaldie said...

"Dunno, not interested, dun care"

Got such patients meh?

You mean they don't really care what rubbish their docs are prescribing or what nonsense they are being told?

Where got this kind of patients anymore huh?

If have, you will be having a real friggin' good time. Don't even need to go for your refresher course certification. Can play golf or mahjong the whole day. Can even ask the clinic girls to get ready to dole out the same old generics after asking these "dun care" patients what's wrong with them BEFORE seeing you leh!

Hee Hee.

Everytime I leave my GP's room, he heaves a sigh of relief that he got through the session unscathed and with his professional reputation still intact!

 
At 4:18 AM, Blogger Dr Oz bloke said...

Uglybaldie,

trust me there are MANY such patients out there!

Think about it. Singaporeans are not exactly the most proactive, independent, fight for my rights sort of people. You should know that well.

While there are increasingly more patients that are interested and informed, there are also equally as many uninformed, lazy and ignorant ones as well. We have not reached the level of patients in Australia.

I'll give you a VERY EASY way to prove my theory. Just go around and ask people whether they have any drug allergies. And if they do, ask them what drug it is.

I'm sure the usual answers would be "I don't know" or "Antibiotics" or "The red and black tablet".

And yes, for many years GPs were having friggin' good times. Like I mentioned in a previous entry. They can say anything they want and as long as the patients like them as doctors they will believe everything they say.

Frankly I don't like seeing these simpletons, I prefer my patients to be involved.

Just today I was telling a patient who had a mild case of gastroenteritis that insisted she had not been able to keep any water
or food down for 2 days but had no signs or symptoms of dehydration. I was telling her what some of the signs and symptoms were and what to do if she encountered them and she just kept saying that she did not have them and how she keeps vomiting everything she drinks and eats. Again and again. I reinforced that I was not saying that she was dehydrated, but IN CASE she was at least she knows what to do.

It's a hassle seeing such patients. Personally I don't know what they want. (Note this was already after I had written her MC which I have no problems giving so definitely not a case of trying to prove anything to me).

I know there are some doctors who prefer to see these "silent" type patients. Come in say they got diarrhoea and vomiting, check here and there out with MC, say nothing else.

I hate it.

That's just me.
Cheers!

 
At 5:18 PM, Blogger uglybaldie said...

小美女,

How to buy medication that is regulated without a doc.'s prescription at the pharmacy?

If non OTC (Over The counter) medication is required, got to go to my GP lah. as I am too lazy to drive up to JB.

But progressively quite a fair bit of medication is being deregulated but the liberalisation is too slow. In the west, you can just walk in to the pharmacy and get medication without a prescription for a wide range of common medication to treat most common illnesses.

 
At 5:36 PM, Blogger Dr Oz bloke said...

Hey uglybaldie,

You got GP meh? Or just any tom dick harry GP will do since just get Prescription right?

I thouhgt you said you go to specialist for everything?

So you see GP for prescription only got say "Err so no medicine no need to pay lah?"

LOL!

 
At 12:46 AM, Blogger uglybaldie said...

Not free lah!

Pay the poor slob 5 friggin' bucks to write the piece of shit with his chop.

If want to save the 5 bucks and cheaper branded prescription med. go to JB. No need for any quack's dhoby mark.

You don't know??? ;)

 
At 6:54 PM, Blogger Dr Oz bloke said...

Everyone knows lah :)

Why you think I am so eager to go Oz?

At least down there the govt pays the doctors for consults. Patients dun have to pay anything when seeing dr.

So go to doc to get script is effectively....FREE! (Of course from taxes lah)

 
At 8:21 PM, Blogger Dr Oz bloke said...

I've done my homework.

The amount the pay doctors to do what Singapore GPs do is much much more.

AFTER TAX of 50%, I still make MORE money there than I do in Singapore. And that's just from pure consultation and procedures that I do.

Yes racial bias might kill me though. But hey it's more of an experience for me.

Every place has its own problems. There is no perfect place.

But as it is, the number of people like you calling us doctors useless quacks a bloody waste of money are growing in numbers.

I think if I wait in Singapore for another 20 years, the anti-doctor bias will also kill me too.

So let's say after 20 years I die from "some-form-of-bias", better I die with more money then less right?

Sorry not everyone is as lucky to be a stock broker like you.

 
At 10:23 PM, Blogger uglybaldie said...

You cannot stop the march of progress.

Patients have been the underdogs for too long. At the mercy of unscrupulous quacks, fleecing their pockets, slipshod in their professionlism and generally acting like Robbing Hood. Like the proverbial saying goes "Every dog has its day".

The current spate of vociferous articulation by dissatisfied patients is just a foreshadow of what is to come. In the days ahead, you can expect to see more complaints and frankly, I don't envy the doctors' lot. You have to be on your toes the whole day. No more bluffing, no more conning. Your profession is now under immense scrutiny. But like they say, "Every cloud has a silver lining" Weeding out the bad ones can only bring about greater respect for the deserving good ones.

Cheers.

 
At 10:59 PM, Blogger Dr Oz bloke said...

Well I've said it again and again and again.

There is no place in Singapore for good doctors.

A lot of the complaints that we have seen so far in the press actually show that the people are largely ignorant. The unhappiness and complaints have nothing to do really with the doctors conning people or being quacks.

Don't you realize the problem is also with the people themselves.

In the end many doctors in Singapore simply tell patients what they want to hear, keep them happy and it's ok.

That's the real tragedy frankly.

The ones who do well in singapore are not good doctors, but the best showmen and the ones who keep their customers happy. And mind you what the customers want is not really good objective honest medicine.

C'mon uglybaldie, you should know what I'm talking about. *wink*

 
At 11:08 PM, Blogger uglybaldie said...

OK lah,

Point taken.

Relax lah.

How's Mitchelle doing huh?

Hope she is in rosy good health.

Time for me to go practise my vocal chords lah and be happy.

G'day mate!

 
At 11:12 PM, Blogger Dr Oz bloke said...

Michelle is fine.

She shed her fur and grew a new coat. Guess it was the stress of the dehydration. Telogen Effluvium.

They getting tamer by the day. Now we can get them to walk into our hands and carry them around.

Very cute.

Anyway at the end of the day I understand what you mean. And I hope you got my point. It takes 2 hands to clap. Both doctors and patients in Singapore are not progressive. And both are contributing to the stagnation in some way.

If we want to improve we need both hands to clap. Continued slapping of each hand by the other doesn't count as clapping to me. But perhaps to some it's the same.

 
At 11:14 PM, Blogger Flatfeet said...

Uncle Oz,I must that patients here are less demanding and more willing to get involved in the treatment.I read about that auntie complaining about St 11's clinic. It's really such ashamed that she has to resort using publication method to voice out her uhhappiness. Hasn't she spare a thought for her image at least? Is it a real necessity for such complaint to be done over the media.*beech*
I am so afraid...very afraid of facing such aunties' kpkb-ness.
Over here, if i am not happy seeing the patient again the next time, I'll simply throw him/her to my boss. Why make life so sucky for myself when I have a choice?
By the way, is there a rule stating that health care professionals cannot reject to see their clients on the next visit...get my point here?
Everyone wants fast treatment in Singapore but for a pod like me, every patient needs friggin debridment, assessment, cutting, modification on shoewear..etc..how to act fast. I am also shocked that the local dept also forced in appointments like 3 people having 3pm appointment on the same day -how can the practitioner be able to function effectively. Is there a quality of care then?
It's also strange that one of the directors macam treat podiatry like sales marketing -" we hope you can see up to 30 people each day".
30 people may sound so little but as I said, patients tend to suffer from real chronic ulcers, mounted callus, multiple corns, patches of venous ulcer,etc .
Sigh* I aint no superwoman ok.*sob*

 
At 11:22 PM, Blogger Dr Oz bloke said...

well that's Singaporean productivity for you.

Same for me. They asked me "Can you see 60 patients in 3 hours?" I said "No problem. In the SAF I saw 100 patients in 4 hours!"

So SAF good cos it trained all of us to work fast.

Sigh. I agree with your points. But the real thing is if we do want to make things better, we have to work TOGETHER. Patients, doctors, podiatrists, nurses, radiographers, nutritionists, pharmaceuticals, Health Ministry, Newspapers.

At the moment the press is just happy to create mini controversies and scandals with the medical field because we are weak and toothless and people like to read such stuff.

The Oz recruitment lady is coming back from her 1 month long holiday tomorrow.(I don't remember knowing anybody personally who has taken a 1 month holiday before, have you?)

I might be able to get my answer whether I can go to Oz from her come 1st March.

Wish me luck :)

 
At 11:23 PM, Blogger Dr Oz bloke said...

Hey flatfeet,

In Singapore doctors cannot refuse to see patients.

How's it like in Oz?

Cheers!

 

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