Today 10:03 PM |
Unregistered |
Quote:
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.
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precisely. you offer good practical life advice.
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Today 10:01 PM |
Unregistered |
Quote:
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)
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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
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Today 09:36 PM |
Unregistered |
Quote:
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.
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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)
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Today 08:48 PM |
Unregistered |
Quote:
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.
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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.
|
Today 08:28 PM |
Unregistered |
Quote:
Originally Posted by Unregistered
Can I ask, fellow male practitioners here, do you all get chaperone when examining the lungs or heart? (E.g for urti case)
Feeling scared/confused after the recent mme webinar last sat. Seems quite easy to get complaint/sued nowadays..
If you admit that you examine over the clothes, then they can say this is not the usual standard of care (which is full exposure of chest for respiratory exam)
Just feels that we are in a precarious position practicing medicine daily. Just seen a senior doctor suspended for missing a torsion (for a boy who presented initially with abdominal pain)
Like 1 mistake, your rice bowl gone
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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.
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Today 07:17 PM |
Unregistered |
Can I ask, fellow male practitioners here, do you all get chaperone when examining the lungs or heart? (E.g for urti case)
Feeling scared/confused after the recent mme webinar last sat. Seems quite easy to get complaint/sued nowadays..
If you admit that you examine over the clothes, then they can say this is not the usual standard of care (which is full exposure of chest for respiratory exam)
Just feels that we are in a precarious position practicing medicine daily. Just seen a senior doctor suspended for missing a torsion (for a boy who presented initially with abdominal pain)
Like 1 mistake, your rice bowl gone
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Yesterday 09:09 AM |
Unregistered |
Quote:
Originally Posted by Unregistered
we need to appeal to MP
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After you have gone through the proper channels first.
Your mother or father can appeal to MP for you without your consent.
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26-05-2024 10:45 PM |
Unregistered |
Quote:
Originally Posted by Unregistered
I don’t think moh is so kind
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we need to appeal to MP
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26-05-2024 06:52 PM |
Unregistered |
Quote:
Originally Posted by Unregistered
No. I wasn’t. I also don’t think it’s standard
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I don’t think moh is so kind
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26-05-2024 06:51 PM |
Unregistered |
Quote:
Originally Posted by Unregistered
Are we excused from calls after delivery? e.g. for at least the first 1-2 years?
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No. I wasn’t. I also don’t think it’s standard
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