A Doc's Life is a underground Medical Blog about some poor Singapore doctors. They are sibei sian and very buay song. Best practices not observed!
(Warning: Grammar is non existent in this blog. Those obsessively compulsive about good English please go no further and book an appointment to see your psychiatrist in Singapore.)

Monday, August 01, 2005

My Doctor

Dr BL Og knows he will never be able to afford a Ferrari....
Much less the babes that comes along with it.....


Stumbled upon an old post by Blinkymummy today. She said:

"刚才在快速公路上,突然想起一件事。去年,我因考试与工作而睡不着,去看了医生。那医生可真他妈的没医德。

While I was trying to explain to him that I hadn't been able to sleep at night, his mobile kept ringing. Instead of putting it on silent mode, he picked it up like three times and spoke in a low whisper.

After the second teleconversation, I realised that he was talking to some car salesman. He was trying to order his fucking topless SLK, while attending to a patient on the brink of depression. Everytime he's done with his call, he would turn around, apologise and switch back to his "I'm so damn concerned about you as a sick person" voice. Then he issued me some sleeping pills which made me sleep but totally fucked up my waking hours.

Because Mr Doctor stays in my estate, I saw his motherfucking SLK the other day. He can afford to pay for that brilliant piece of engineering because of sick people like me. And he probably uses it to impress himself and shiteloads of chicks.

Die! Yuppie Scum! Die!!"

Source here

While she had complained that the doctor is unethical ("那医生可真他妈的没医德"), all he really did was to answer his phone. Could it be that after driving a Corolla for the past ten years, her doctor had finally bought himself a new car and hence he was overly excited so much so he couldn't resist picking the phone up? He was at best rude.... not "他妈的没医德". Nor is it unethical to prescribe sleeping pills for insomnia.... or would she rather her doctor sing her lallabys everynight?

Don't get the wrong idea that I'm trying to take Blinkymummy on.... No, no, no! Her post just reflects what the general public feel about docs these days. It is most saddening to see that doctors are percieved in such negative light. What went wrong??? It wasn't that long ago that doctors were well respected members of the community. I know because before I became a doctor, I was a patient first. When I was young, I would see my doctor and hold him in awe. I never tried faking illness and even when I was down with flu, if my doctor did not give me an MC, I never asked for one. These days in my hospital staff clinic, I can have people telling me that MC is their entitlement.

So what has changed over these past few decades??? Has doctors become less professional? Has patients become more demanding? Has the society as a whole become intolerant? I think people's attitude have changed.... not only do they expect doctors to be healers, they expect doctors to provide good services and Blinkmummy's doctor has obviously failed the latter but not the former!

So is there something "他妈的没医德" about her doctor getting an expensive car? She is right you know, he can afford the car because of "sick people". You have to also realise that it is not only the expensive car but the condominium, the Moët & Chandon and junior's preschool education to some Montessori childcare centre that the doctor pays for with sick people's money. Would you then also fault a lawyer for doing the same with kannah sued people or funeral parlour owners with dead people. If not, why single out the doctor who works 70 hours a week and eat shit sleeps in his clinic for affording the finer things in life.

Of course there are always blacksheeps. But every corner I turn in the hospital, I still see doctors who dedicate their lives to the care of their patients and in every neighbourhood I still hear of those GPs who see the old and poor for free.

Do you want to be patients or clients/customers? Do we want to treat patients or entertain customers? Will there come a day when doctors are merely service providers? And when that day comes are you ready to part with the additional 10% service charge since we cheapskate Singaporeans don't ever tip? Maybe then, Blinkymummy's doctor will be driving a Ferrari and not just a SLK.

However, I do not think we will ever come to that (and doctors will thus never be able to afford a Ferrari) coz despite her obvious irritation with her doctor, Blinkymummy had not titled the post "That Doctor" or "The Doctor" or maybe even " 他妈的没医德 Doctor". He was after all still "My Doctor".

34 comments:

  1. Let me just say that ..as a patient/client, whichever way you choose to see it, I am just glad that I found a doctor whom I can trust and who is professional and competent enough to advise and cure patients like me. I am not sure what kind of car he is driving, but if it's an SLK, I think he deserve it.

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  2. People in the medical profession are always not given enough recognition and gratitude.

    No one knows how much they are needed until they really need them. And thats when they start complaining that they are being made use of.

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  3. hahaha, fell from Grace indeed!
    This post reminds of a case where a med student was forced to leave school after pics of him posing in a swimsuit appeared in a gay magazine.
    You know, part of the problem comes when folks expect lokuns to behave in a certain way. Even when that behaviour in no way conflicts with the doctor's professional competence. Like you said, I don't care if my lawyer/gardener/interior designer likes chilli crabs or is gay as long they get the freakin' job done so I can get on with my life. Or let me put it the other way, would you treat a CA lung patient on public subsidy, knowing that after this round of treatment he will probably go on smoking and wasting more taxpayers' $$. Can we discriminate against the "morality" of patients?

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  4. btw, love your jap nurse & race queen pics :-p

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  5. Gee given your monkey avatar, I thought u would have appreciated the one with the cat and dog more!

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  6. know that there are some people out here who say that for all the long hours doctors and lawyers work, we say they deserve all the SLKs, gold cuff links and booze

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  7. Well the doctor shouldn't pick up his phone while in a consultation. It's not rude, but it's more of being unprofessional. You don't want a doctor to chat on his phone intermmitantly when he's cutting up your chest right?

    I guess that's what "missed calls" functions are for! He can go drive SLKs or eat expensive food for all I care, as long as he gives me a good diagnosis and treatment, I think he has done his job.

    But in order to do that, he has to dedicate some professionalism when holding a consultation session with a patient, and LISTEN, in order to give a good diagnosis, isn't it? How to analyse things when at the back of his mind he's thinking of what finishings he want for his car?

    This is not the worst story. A gynae apparantly tried to flirt with a girl he was doing a check up with. Those are the black sheep.

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  8. Anonymous8:00 PM

    fuck the knnblinkyccbmomma. i bet if given chance she also wan to suck the lokun's cock. but i got better idea for her. come taste my dragon..muahahaha

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  9. I must say i am guilty of answering phone calls myself and even answering pagers. in fact the counter staff using the intercom function of the phone can activate the speakerphone and shout instructions at me.....i find it rather annoying but i am just a tiny weeny employee.

    other times its work related coz we also cover wards when running clinics. gotta also give instructions to nurses and HOs..... as well as answer calls from other Drs from other hospitals. You won't know if its urgent until you pick up.

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  10. oh and frankly doctors do answer phone calls (using speaker phones as well) during surgery. you see when running the OT, the doctors are also covering wards!!!!!

    arggghhhh!!! going crazy!!!!

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  11. not uncommon to have OT staff holding the mobile to the surgoen's ears during an op...better stop here, no more lurid tales from the OT :-p

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  12. I had to pay $82 and was prescribed 4 kinds of medicine (including lousy antibiotics at 10 dollars a pop, which I've been dispensed with for 4 cycles already)

    All this, for a cough. I did an experiment and took only the cough mixture. I got well by the next day. Who's going to refund me for my medicine?

    $82. Sheesh. And don't talk 70-hour weeks with me, most GPs don't work that long and you know it. If you work in a hospital different story, but I'm pretty sure BM's post was about a GP.

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  13. difficult to comment on your meds. seems like you're quite angry with the GP. I don't pay more than $30 bucks when i see my own GP for cough and fever.(actually for me just need mc lah, after all can self treat but still take meds and stuff coz they are also making a living mah)

    as for 70 hours week, I have no official figures to justify that.... just the experiences of my personal GP friends.

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  14. No no no...
    He can jolly well drive his fucking car. I dun care.

    BUT HE CANNOT ORDER IT WHEN HE'S ATTENDING TO A PATIENT?!!!

    IT'S ABOUT BEING PROFESSIONAL.

    HOW WOULD YOU LIKE IT IF OUR PRIME MINISTER OPENLY ORDERED HIS SLK WHILE HE'S IN PARLIAMENT?

    Let's face it.
    There are few people who have work ethics these days.

    BUT... At least fucking to pretend to have some, can?!!! At least put on the act to justify the fucking obscene amount of money he earns can?!!

    ReplyDelete
  15. Anonymous12:44 AM

    I have accompanied my mum at least 20 times to visit clinics and hospitals since March last year, when she started to have various physical problems.

    My mum's medical expenditure ran up to S$7000 in total so far, including one eye operation, 2 brain screenings and medication for her knee cap, high blood pressure etc.

    Seeing treatment applied to my mum by 3 GPs, 1 eye-care specialist and 2 neuro specialists in government hospital, I can understand why Singaporeans are so concerned about medical care.

    I dare say the cost is the biggest worry. 2 weeks medication for knee cap is S$100 at 1 GP. After 6 months, we decided to visit another GP in Potong Pasir for the same treatment and medication is only S$45 a month.

    The eye-specialist immediately recommended operation for my mum during her first visit. Cataract is such common problem among the old and I wonder how many can really afford it. It cost slightly more than S$4000 including medication.

    We can cope, but still feel the pinch. What about those who are earning less than S$1000 or even S$2000 per month? Perhaps the doctors should occasionally come out of the room to see the patients expression when they pay the bills?

    The specialists in government hospital were always late for our appointment. The thorough checks were always done by junior doctors from Philippines or India, and the specialists would take a look at the results of their checks, made a few comments. End of story. See you in another month or 2. They went for meeting, made patients waited for them, and displayed very little concern in patients feeling.

    My mum disliked the visit to the hospital. She could feel the indifference. When I told her I have terminated the treatment for the time being since her condition had improved, she was so reliefed. The fact is, I have lost confidence in the so-called specialist.

    Doctors should understand the patients' financial concern and their needs to be treated with dignity. The sad thing is some doctors seem to have turned a blind eye to such needs and concerns of the patients.

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  16. Anonymous8:02 AM

    So what are the jobs with "work ethics" left? If I were to put my money down, I still say the doctors, nurses and healthcare professionals. Unfortunately, the way Singapore's healthcare system is going, things are going to be more and more impersonal. If you want a doctor to spend longer time with you etc, then the best bet would be at a private centre, not the subsidised clinic in hospitals with potentially 40-60 patients in one afternoon. There's a price you'll need to pay for "good treatment".
    I am sure the doctors all want to spend time with their patients, but circumstances simply don't allow it.

    ReplyDelete
  17. my heart goes out to you. In the big hospitals, dunno why, people tend to be hostile (even to colleagues). Perharps they are over worked though that shouldn't be an excuse.

    Medical cost are really not cheap though it is REALLY already heavily subsidised by the govt. Even doctors in the public sector do not get coverage for their parents. So the best thing to do for all of us is to save for the rainy day.

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  18. Exactly. You only need the MC verification, but you can't spell it out what. I also know I can self-medicate, and I would have, if I didn't need that goddamned MC. Why doesn't clinics break down the cost of each medication in the receipt so patients can know what they're paying for? Is it that much of a hassle? I believe patients have a right to know what they're paying for, at what price.

    And BM is right. At least pretend right? Even when I was earning 6.20/hr I smiled at every customer I was serving, even if they had really bad BO or very Obnoxious behaviour. Imagine a hwachongian being fucked upside down by a Frenchman and being called an idiot just because he's French. Suck it up right? We're already so nice and respectful when we step in the office, do they have to be fuckwits?

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  19. Anonymous9:42 AM

    My father had some prostate problem and was admitted to hospital last year. Upon discharge, he received further consultation from that specialist in Mt E. Every consultation (with medication) costed him $500. Unable to sustain such high medical cost, he defaulted "treatment" and goes to a polyclinic instead. Medical bills is now only $80 with the same medication.

    After a while, i proceed to make insurance claims for my father hospital stay. But that stupid insurance policy demands a medical declaration signed by his attending doctor. So i have no choice but to approach that Mt E doctor. After waiting for 2 hrs to pen his damned signature, i was charged $65 for "consultation" fee. God damned expensive signature. Maybe his ink is gold.

    I must say that some doctors are more interested in milking more money from their poor patients than treating them.

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  20. Anonymous10:06 AM

    yeah, medical bills are expensive (especially private), but think about the "consultation" fees for hair colouring/ rebonding/ facial/ massage/ pedicure etc... how come i don't hear people complaining about those?

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  21. breaking up the bill is quite reasonable i think. usually GP clinics in the neighbourhood try to keep consultation and medical fees within a resonable price coz the competition is tough.
    they even take contracts with companies and see patients for as low as $6, meds included.
    I am sure you won't be going back to the $82 GP......
    As for Mt E, boy, i can't ever afford to see doctors there.... their rent is already 5 digit....

    ReplyDelete
  22. Anonymous1:11 PM

    Quote "yeah, medical bills are expensive (especially private), but think about the "consultation" fees for hair colouring/ rebonding/ facial/ massage/ pedicure etc... how come i don't hear people complaining about those?"

    The above reminds me of the "hairdo" remark made by a cabinet minister a few years ago.

    It is inadequate as it implies those who are concerned by high medical cost would splurge on facial, massage etc without blinking.

    As I mentioned, I have accompanied my mum for her over 20 visits to clinics and hospitals. The fellow patients I have seen were mainly old folks who looked worried, anxious and dejected. Just ordinary people you see in HDB neighbourhood, most speak dialects.

    Clinic charge for simple illness such as flu or cough is generally ok, may be S$20 or S$25. But when you visit a clinics where the doctors somehow are well-known for treating knee cap problem, mostly faced by the older generation, the medical cost can shoot up. Like I mentioned, from S$45 per month to S$100 for 2 weeks. Worse, unlike flu or cough, you need to take medicine non-stop, or else the pain will return.

    When we visit any clinic next time, try observing the slight change in facial expression of the older folks when they make payment. In some cases, you can almost feel their pain as they dig out whatever small notes they have in their pockets.

    ReplyDelete
  23. If it's a reasonable idea, how come no one is doing it? I'd really like to one day be able to see my receipt like a grocery one. Fundamentally, except for consultation, each medication is a specific good at a specific quantity with a predetermined price tagged to it. Or is it not :P

    It just gives them so much leeway to doctor (intended) their accounts!

    And I have no choice, the GP there is the only one open early and closing late. (But no 70-hour weeks there, they got 3/4 doctors running shifts. Very comfortable.)

    Regarding Mt E, their charges are sky-high. I went to consult a back specialist there on the advice of a friend, and ended up 800 poorer after an MRI scan. Which showed nothing wrong. In fact the original problem was already displayed in the $70 dollar x-ray, but noOoOoOoo, he insisted on a $600 scan.

    I never knew doctors could be such bloodsuckers, because if I had known earlier, I'd have pushed for the traditional Trip Sci route. Bloodsucking is right up my alley. Especially after being victimised so many times.

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  24. Anonymous2:07 PM

    You know what irritates me most about my father's Mt E doctor? For the $420 (initial $500 - $80 cost from polyclinic, i'm taking that the polyclinic charges are all for medicine only) consultation fee, all he did is ask my father, "How? Any new problem? No? OK, you may go out collect your new medicine." Not even some basic checking done. My father, or in fact any elderly, will choose to tell the doctor "No new problem" in fear of incurring more medical cost for their children. I was always label the "consultation" as "A $500 question".

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  25. Anonymous2:30 PM

    Consulting a MtE doc is like buying a branded good. If you want to buy Gucci bag, then stop complianing about the price tag. Its your choice. If you are not happy about the charges or service provided, then vote with your feet. There's still the public hospitals & polyclinics.

    ReplyDelete
  26. hospitals are breaking down bills. as for GPs, i'm sure if u ask they will break it down for u. except that if u need a detailed receipt, they will need to buy new cash registers (most just use hand written receipts). and guess who will bare the cost of the new machine.....

    what I know some rich people do is they see the specialist in Mt E but they don't collect meds. They then go to polyclinic to collect what is essentially the same medications. like tat they save few hundred bucks.

    ReplyDelete
  27. How much will a new cash register cost, given their income levels?

    That's sound advice. I guess I'll try to stay healthy, and stop visitng doctors. Maybe the healthier we get, the less business they'll have, they less cocky they'll be.

    And Dearest Anon, it's my policy not to reply gutless people. Have fun with your life~

    ReplyDelete
  28. wah, a few days neber read your blog, then kena so many comments one. so serious some more...
    heh, jap race queens have less fur than cats and dogs, that's why...
    btw, the cat in that pic has a totally priceless expression.

    ReplyDelete
  29. Anonymous11:14 AM

    Hi gaston,

    You paid S$800 for a MRI scan at Mt E. My mum did a MRI scan in SGH. The cost was S$770, as my mum was referred by a private GP, so not entitled to the subsidied rate, which is about S$450.

    In fact, all her treatments, including medication received from SGH was not subsidied. If you want to enjoy the subsidy, you must first visit a government polyclinic, which means longer waiting time, and I heard it is very difficult to get a referral letter from doctors there...

    So SGH or Mt.E, there is not much difference in charges if you are not referred by polyclinics' doctors.

    ReplyDelete
  30. Anonymous8:11 AM

    Hi, you have a great blog here! I'm definitely going to bookmark you!

    ReplyDelete
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