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How is life as a doctor in Singapore?

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  #3191 (permalink)  
Old 25-11-2021, 05:37 PM
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Yea IV biphosphanates rarely given except for like hyperCa
Bro u NV give iv zolendronic acid before?
Which hosp u working at?!

Cfm NV do Endo posting

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  #3192 (permalink)  
Old 25-11-2021, 05:42 PM
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hi wall of text,
so what are u doing ah
I decided to venture into some healthcare business consulting and set up a business.

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  #3193 (permalink)  
Old 25-11-2021, 05:54 PM
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Dr pay is quite high.

$5k whereas most degree holder start at $4k.
They shld be appreciative

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  #3194 (permalink)  
Old 25-11-2021, 09:19 PM
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Wait wait wait what is IV biphosphanates. Are you sure you're a doctor? You're talking about teriparatide or denosumab I presume? Teriparatide and denosumab is indeed better for patients, with better improvements in bone density and less hassle. Not cheap both for the clinic and the patient. Must compare apples to apples.
BroÖ.
R u some Junior HO or Baby MO?
Have you not heard of IV bisphosphonates??? Lol??
You havenít heard of IV Zoledronic acid?
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  #3195 (permalink)  
Old 26-11-2021, 07:50 AM
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This is for the sotong who has never heard of IV bisphosphonates in his life:
s://.ace-hta.gov.sg/docs/default-source/acgs/supplementary-guide-on-available-treatment-options-(nov-2018)ecd01456d0bc4c3581d805b12a46c143.pdf

Pls read the Osteoporosis ACE guidelines
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  #3196 (permalink)  
Old 26-11-2021, 08:21 AM
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Happens frequently in private.
GPs and specialists over charging or choosing more expensive treatments to line their wallets.
Just saw another patient yesterday who was following up with a specialist (not Ortho / endocrine) for an unrelated issue, who has been on IV bisphosphonates costing 1000+ dollars a year, and she had no idea there was an oral alternative which prolly cost 10% of the cost. And she has no contraindication to oral bisphosphonates.

Another patient I had was given a customised combination steroid / moisturizer / antibiotic cream from private derm which was $300+, when the same individual creams can prolly be bought at $50 tops.

Most of the time itís willing buyer, willing seller.
But the problem is that many patients are not even made aware of the alternatives.
What about this dr who accuses specialists of profiteering giving IV bisphosphonatez? Sotong or satki?
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  #3197 (permalink)  
Old 26-11-2021, 10:08 AM
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What about this dr who accuses specialists of profiteering giving IV bisphosphonatez? Sotong or satki?
Patient with osteoporosis do you offer an old auntie IV bisphosphonates straight up or discuss management options like PO bisphosphonates costing 10% of the cost?
The poor auntie didnít even know what the medicine is for until I explained it to her.
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  #3198 (permalink)  
Old 26-11-2021, 11:04 AM
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Patient with osteoporosis do you offer an old auntie IV bisphosphonates straight up or discuss management options like PO bisphosphonates costing 10% of the cost?
The poor auntie didnít even know what the medicine is for until I explained it to her.
maybe she has IDA/gerd/gastritis? so cannot take oral bisphosphonates have to use IV
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  #3199 (permalink)  
Old 26-11-2021, 11:56 AM
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Patient with osteoporosis do you offer an old auntie IV bisphosphonates straight up or discuss management options like PO bisphosphonates costing 10% of the cost?
The poor auntie didnít even know what the medicine is for until I explained it to her.
Clear problem of conflict of interest because Drs can profit from actual sale and dispensing of the medication they prescribe.
Polyclinic drs see poor patients. But not all patients are poor. I agree drs shouldnt take advantage of ignorant patients. But would you have looked at it differently if "poor auntie" was instead some rich tai tai?
I think both ways it is wrong.
Question why is a "poor auntie" going to expensive pte specialist for treatment?
It is like accusing expensive high end restaurants of overcharging for crab steak lobster.
Poor auntie should not go to high end specialist clinics and expect cheap treatment.
But overall should ban drs from profiteering from prescribing and dispensing medicines
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  #3200 (permalink)  
Old 26-11-2021, 12:07 PM
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maybe she has IDA/gerd/gastritis? so cannot take oral bisphosphonates have to use IV
Erm, I did mention she did not have contraindications to PO bisphosphonates.

If yíall see enough patients, there is a lot of information asymmetry out there.
You will see even poor patients going to private specialists simply because they do not know any better.
Some think only certain meds can be found at certain specialists, or wrongly assume that thereís only one management option available.

Of course itís not in the private doctorís interest to right site the patient because it is not in his own interest.
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