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How is life as a doctor in Singapore?

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  #1851 (permalink)  
Old 24-03-2021, 03:00 PM
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Hi everyone,

I need some answer to an urgent question I have. Could I ask, as a doctor, am I allowed to put my hand on xmm chest (under the shirt) to check their heartbeat?

Asking for a friend.

Thank you!

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  #1852 (permalink)  
Old 24-03-2021, 03:40 PM
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Hi everyone,

I need some answer to an urgent question I have. Could I ask, as a doctor, am I allowed to put my hand on xmm chest (under the shirt) to check their heartbeat?

Asking for a friend.

Thank you!
No. For xmm, you better auscultate back lung bases only

Never anterior. Never, never, never

And always with a chaperone

Unless you want to go to court

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  #1853 (permalink)  
Old 24-03-2021, 03:43 PM
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No. For xmm, you better auscultate back lung bases only

Never anterior. Never, never, never

And always with a chaperone

Unless you want to go to court
Why can't anterior? That's where the heart is for a more accurate reading

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  #1854 (permalink)  
Old 24-03-2021, 10:48 PM
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Why can't anterior? That's where the heart is for a more accurate reading
Many things in medical school they teach is outright not advisable to do in real life. Nobody in real life performs full cardiac examination like exam standard. For various reasons.
If you really need a proper cardiac assessment (would be in hospital) please send the patient for Echocardiography and Stress test rather than debate about anterior touch xmm chest auscultate on skin vs through clothes.


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  #1855 (permalink)  
Old 25-03-2021, 04:31 PM
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Hi lohkuns, what do you all think of psychiatry? As someone who has seen psychiatrists before and decided not to see another one anymore, sometimes I wonder why they even end up specialising in psych. The ones Iíve seen lack empathy as if they are sociopaths.
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  #1856 (permalink)  
Old 25-03-2021, 04:58 PM
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Many things in medical school they teach is outright not advisable to do in real life. Nobody in real life performs full cardiac examination like exam standard. For various reasons.
If you really need a proper cardiac assessment (would be in hospital) please send the patient for Echocardiography and Stress test rather than debate about anterior touch xmm chest auscultate on skin vs through clothes.
Hi, but in order to get a quick and efficient reading (which is important in life-threatening situations), such measures are needed and perhaps touching the chest directly would really facilitate the process
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  #1857 (permalink)  
Old 25-03-2021, 06:18 PM
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Hi, but in order to get a quick and efficient reading (which is important in life-threatening situations), such measures are needed and perhaps touching the chest directly would really facilitate the process
Yes in life threatening situation, like cardiac arrest in a 75 year old ah ma
When u do for

But not on a 20 year old xmm
Prepare to go jail and get strike off if no chaperone. And enjoy twenty strokes of cane


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  #1858 (permalink)  
Old 25-03-2021, 06:19 PM
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Even mrcp now don't palpate apex beat for modesty
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  #1859 (permalink)  
Old 26-03-2021, 01:54 AM
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Hi, but in order to get a quick and efficient reading (which is important in life-threatening situations), such measures are needed and perhaps touching the chest directly would really facilitate the process
Indeed. The key word is life threatening situation.

No pulse. No breathing. Comatose patient. CPR might be necessary.

Of course touching the chest is acceptable. But not in a clinic situation. Non life threatening.

Context is important.

Look at the original question

"Hi everyone,

I need some answer to an urgent question I have. Could I ask, as a doctor, am I allowed to put my hand on xmm chest (under the shirt) to check their heartbeat?

Asking for a friend.

Thank you!"

Do you honestly think that person was asking in the context of a life threatening situation?


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  #1860 (permalink)  
Old 26-03-2021, 07:40 AM
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Hi lohkuns, what do you all think of psychiatry? As someone who has seen psychiatrists before and decided not to see another one anymore, sometimes I wonder why they even end up specialising in psych. The ones Iíve seen lack empathy as if they are sociopaths.
Easy one to answer. Psychiatry is a dumping ground for MOs who die die want to be called specialists but cannot qualify for anything else. In other countries like Australia, psychiatry is even easier to get into than GP which is considered a specialty. In the USA, psychiatry is heavily influenced by Big Pharma. Birds of a feather flock together so those in psychiatry are sometimes afflicted like the infamous SGH senior con Chan HN.
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