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  #2265 (permalink)  
Old 10-06-2021, 10:59 PM
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Originally Posted by Unregistered View Post
Ha. U apply evidence based medicine u go home eat porridge.
Take eye stye for example. U go gp, it will be lubricating eye drops, antibiotic eye drops and even oral antibiotics. Easily 60 bucks per consult.
The patient then come to me 1 week later complaing why not better, I tell them the treatment is to press your eye with a warm towel 3 times a day. Then they ask me why the gp give so many eye drops not working and u telling me warm towel can liao?

I tell them , to make money la! Tell u warm towel only can charge u 18 bucks Nia. Give u meds can earn more! But the gp should at least tell them some right things..(or maybe the gp himself dunno)

Many fly by night gp out there la. I understand no choice need to make money. But u have pple with mrcs going to setup gp clinic...duh. Some diabetic patient come to me and say they cannot pay for their empoglofozin cos it's 120 dollars per mth. Wah Rao. Haven't give Metformin already go second line, use some brains la, now u permantly lose a patient to polyclinic Liao. We more busy, u less business.
It is not just to make money. It is the patient's expectations. Most people in Singapore expect to go to see Dr and get some medicine. If they go and pay $18 and go home and tell family dr just said apply warm compress no medicine they will say wah lau $18!!! for that!!!! Give some eye drops also lah. You can also earn more money. Actually Singapore should do away with allowing GPs to dispense medicine. Maybe sure you can allow dispensing but maybe make it totally not-for-profit. Conflict of interest really. This is serious stuff that impacts negatively on the quality of medicine service provided.

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