How is life as a doctor in Singapore?

Originally Posted by Unregistered

unker when i locum, i nv examine front one unless is very paeds or very old aunty.
urti just need to ascultate back for most cases what

die die need chaperone if you touch the front.

the senior doctor suspension is correct. imagine if your son lose a ball. or you lose a ball.
young boy testicular pain is always torsion. after torsion is ruled out is EO.
always refer. you dont have ultrasound in your clinic go get one. if you dont have one, please send to ed.

another trap is cornea ulcer. very painful red eye with vision problem. always refer. then you tell me your clinic no slit lamp or fluorescin. then of course you should refer right. sometimes hard to determine cornea abrasion or ulcer. still refer.

the era is different. in 1800s lose balls nvm, become enunch or castrato singer. in 2020 cannot. coz no job for enunch or castroto singers.

btw gdfm would have sufficiently taught the above two conditions. i was a gdfm grad.

Got slit lamp also refer la
The moment eye is painful, dun need bother. U confident to differentiate between ulceration vs keratitis meh?
The only eye condition I happy to treat is subconjunctival haemorrhage, stye and possibly viral conjunctivitis or maybe take out a strand of hair.
The other condition all is heard story decide to sent to A&E, direct access eye, early or routine nia.


His generation where got gdfm.

Originally Posted by Unregistered

unker when i locum, i nv examine front one unless is very paeds or very old aunty.
urti just need to ascultate back for most cases what

die die need chaperone if you touch the front.

the senior doctor suspension is correct. imagine if your son lose a ball. or you lose a ball.
young boy testicular pain is always torsion. after torsion is ruled out is EO.
always refer. you dont have ultrasound in your clinic go get one. if you dont have one, please send to ed.

another trap is cornea ulcer. very painful red eye with vision problem. always refer. then you tell me your clinic no slit lamp or fluorescin. then of course you should refer right. sometimes hard to determine cornea abrasion or ulcer. still refer.

the era is different. in 1800s lose balls nvm, become enunch or castrato singer. in 2020 cannot. coz no job for enunch or castroto singers.

btw gdfm would have sufficiently taught the above two conditions. i was a gdfm grad.

If you only examine the back,
A) you cannot lift up the shirt right (i.e must be examine over clothes) otherwise confirm need chaperone
B) If the female pt still accuse you of outrage of modesty even if you only examine back, how ah? (Coz it's one word against other?
- also remember sma ethics guideline also got one clause that says chaperone must be offered regardless if pt feels uncomfortable with the examination (something along that line)

Originally Posted by Unregistered

If you only examine the back,
A) you cannot lift up the shirt right (i.e must be examine over clothes) otherwise confirm need chaperone
B) If the female pt still accuse you of outrage of modesty even if you only examine back, how ah? (Coz it's one word against other?
- also remember sma ethics guideline also got one clause that says chaperone must be offered regardless if pt feels uncomfortable with the examination (something along that line)

practical
if you got chaperone, then ask chaperone and do proper
if you no charperone, then dont lift up shirt.

now is not mbbs , mrcp or mmed exam.
is practical life.

but u can examine 4 corners of lungs. and said lungs clear. no wheezing. no crackles. coz it is an actual finding. btw u only got 5min.

but pls dont write heart s1 s2. if you didnt examine.
unless you think got pericarditis or cardiac conditions then examine heart lor

Originally Posted by Unregistered

Got slit lamp also refer la
The moment eye is painful, dun need bother. U confident to differentiate between ulceration vs keratitis meh?
The only eye condition I happy to treat is subconjunctival haemorrhage, stye and possibly viral conjunctivitis or maybe take out a strand of hair.
The other condition all is heard story decide to sent to A&E, direct access eye, early or routine nia.


His generation where got gdfm.

precisely. you offer good practical life advice.

Originally Posted by Unregistered

Got slit lamp also refer la
The moment eye is painful, dun need bother. U confident to differentiate between ulceration vs keratitis meh?
The only eye condition I happy to treat is subconjunctival haemorrhage, stye and possibly viral conjunctivitis or maybe take out a strand of hair.
The other condition all is heard story decide to sent to A&E, direct access eye, early or routine nia.


His generation where got gdfm.

MMeder all so quiet. Crickets......

Originally Posted by Unregistered

MMeder all so quiet. Crickets......

My mmed practice got ultrasound one and I know how to use
Be it torsion or even check for FAST trauma
Slit lamp and even OCT
We got rotation to eye and urology.
In fact many of us serve as eye MO before, and do independent eye MO calls
Fm Mmed is a fm specialist level, cannot be compared to gdfm or mbbs leve

Originally Posted by Unregistered

My mmed practice got ultrasound one and I know how to use
Be it torsion or even check for FAST trauma
Slit lamp and even OCT
We got rotation to eye and urology.
In fact many of us serve as eye MO before, and do independent eye MO calls
Fm Mmed is a fm specialist level, cannot be compared to gdfm or mbbs leve

come i clap for you

Originally Posted by Unregistered

My mmed practice got ultrasound one and I know how to use
Be it torsion or even check for FAST trauma
Slit lamp and even OCT
We got rotation to eye and urology.
In fact many of us serve as eye MO before, and do independent eye MO calls
Fm Mmed is a fm specialist level, cannot be compared to gdfm or mbbs leve

MMed got so much time to perform all these procedures?
Get to see Trauma cases in clinic even? Working where?
Charge how much for doing all this? $20?
May not be a bad idea train everyone as MMed. No need specialists. Just pay MMed salaries MMed do everything. TKR. Cardiac Bypass. Whipples.

Originally Posted by Unregistered

MMed got so much time to perform all these procedures?
Get to see Trauma cases in clinic even? Working where?
Charge how much for doing all this? $20?
May not be a bad idea train everyone as MMed. No need specialists. Just pay MMed salaries MMed do everything. TKR. Cardiac Bypass. Whipples.

that is the future of family medicine.
a one stop service.
we are half way there.
fellow mmedders, we must keep the fm flag flying high

Originally Posted by Unregistered

My mmed practice got ultrasound one and I know how to use
Be it torsion or even check for FAST trauma
Slit lamp and even OCT
We got rotation to eye and urology.
In fact many of us serve as eye MO before, and do independent eye MO calls
Fm Mmed is a fm specialist level, cannot be compared to gdfm or mbbs leve

3 consecutive posts sounded like a sour grapes gp or some stuck mopxer

I do have a U/s probe in my office. Last time buy using productivity grant..hehehe
Mainly use for gallbladder scan nia. Sometimes to help with small parts injection.
Pick up quite a few gallstones still refer out