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Ade
14-06-2009, 12:20 AM
Need to bring my father for a full medical check-up in KL. Any recommendation and cost? My father has a history of hypertension and he's on medication now. Private or govt or semi-govt also can, so long the cost is reasonable and the doctor is good.

Thanks!

Sentinel
14-06-2009, 10:07 AM
For your Dad, if he is an ex-civil service man, go GH is good, very small fees charged even if he opts for the max like ECG, echogram, stress test etc... our GH facilities not too bad vis-a-vis private.

Ade
14-06-2009, 02:27 PM
unfortunately he's not....i was thinking selayang hospital...near to their place..ok?

coleslaw
14-06-2009, 03:06 PM
go to penang GH..it's a good hospital. saves you and yr dad travelling the long distance.

Sentinel
14-06-2009, 03:49 PM
go to penang GH..it's a good hospital. saves you and yr dad travelling the long distance.If your Dad is Penang-based, yes, I agree with coleslaw that Penang GH is best - it is one of the best hospitals around...

jan tomaswaki
14-06-2009, 04:23 PM
Need to bring my father for a full medical check-up in KL. Any recommendation and cost? My father has a history of hypertension and he's on medication now. Private or govt or semi-govt also can, so long the cost is reasonable and the doctor is good.

Thanks!
If your dad is a regular donor or donate blood min. 3 times he's entitle for free medicine for a 1-3 years,but must donate to PDN(pusat Darah Negara),Check it out.I think Penang is nearer maybe cheaper.My son got a dislocate arm and admit to SJMC ( Sime darby Medical Centre) cost RM3000 for a nite stay with a deposit of RM8000!!

MasterQ
14-06-2009, 04:53 PM
Need to bring my father for a full medical check-up in KL. Any recommendation and cost? My father has a history of hypertension and he's on medication now. Private or govt or semi-govt also can, so long the cost is reasonable and the doctor is good.

Thanks!
Your location says you are in Penang so all of us are wondering why your father need to do the medical check up in KL.

The basic medical checkup at BP Lab or even Pathlab starts at RM 140.00 and it can go up to RM 3,000. Once a while they do throw in a promotion that cost only RM 99.00. I do mine annually and just did one last week at BP Lab. They have branches throughout the country. Since we are talking about medical check up, I don't think there is any difference between two organisations be it government and private or between 2 private companies as all of them are using hitech equipment to do the analysis using your blood and urine samples or body tissues.

I have done one health check at University Malaya Medical Centre that cost me RM 72.50 that took me 4 hours (waiting time) whereas I did the same test at BP Lab at a cost of RM 99 and they just took less than 20 minutes!! Went back again 3 days later to collect the results and was attended by a doctor who was there to interprete the results and provide me with medical advices for free.

fRaNkY
14-06-2009, 10:54 PM
Some time "problems" cannot be picked up by blood test.... have to go to hospital to do a "all" test. Did mine in Pantai Medical Center... dunno how much... company pays for it...Executive health screening.

kwchang
14-06-2009, 11:36 PM
I believe Sentinel mentioned govt hospitals with regards their state-of-the-art facilities. Medical checkup may not simply be a range of blood tests but could include ECG, stress tests and others. Hence his recommendation is certainly valuable, especially if the private hospital's bill may give the patient a heart-attack.


...did the same test at BP Lab at a cost of RM 99 and they just took less than 20 minutes!! Went back again 3 days later to collect the results and was attended by a doctor who was there to interprete the results and provide me with medical advices for free.

Do enlighten me ... do private laboratories employ DOCTORs? I would suggest all customers verify if the person giving the diagnosis from a lab is a qualified doctor.

Sukdershan
15-06-2009, 09:32 AM
Need to bring my father for a full medical check-up in KL. Any recommendation and cost? My father has a history of hypertension and he's on medication now. Private or govt or semi-govt also can, so long the cost is reasonable and the doctor is good.

Thanks! Well, Govt Hospitals are CURATIVE in their approach. In palin language your father will have to be referred to a Govt Hosp from a Klinik Kesihatan, KK, (pending the discretion of the attending Dr at the KK).

At the Govt Hospital they will only do relevant lab investigations.
Govt Hospitals DO NOT offer medical checkups with the full range of lab investigations.
Lab investigations are done ONLY on a premise that it is needed to diagnose or manage a disease entity.
In other words I cannot go to a Hospital and say " Here I am do a medical check up one me and run all the lab investigations". Some how the public have been made to understand that Govt hospitals are a one stop center. Sadly the answer is NO. If one wants one can go to a KK, take a number, wait for ones turn patiently and asked for a physical checkup and some baseline lab results ie Renal function, Urine examination, Blood Sugar profile and Liver function test it is possible (pls ask the KK the date they do Medical checkups).

My advice is, take your father to go a Pathology lab and ask directly or at least choose the full range of lab results that you need (its cheaper) and later go to a Dr for consultation and interpretation of the results.

Need another option, bring him down to KL and call up IJN, fix an appt for him to do a full executive package. They are not to bad. Cheers !!
:)
BTW medical checkups as you all know are tax extempted !!

cskok8
15-06-2009, 10:35 AM
BTW medical checkups as you all know are tax extempted !!

There is a limit to this (I think RM 500)

On another note; there is no "complete medical check-up" that can absolutely exclude all disease in a person. Just as you can't bring a car to a workshop and ask them to check every part of the car, you can't bring a body to a hospital or doctor to have everything checked.

Most hospitals will have different packages for various age groups, sex and BUDGET. However a "clean bill of health" does not guarantee that you do not have any illness.

Sentinel
15-06-2009, 11:35 AM
I believe Sentinel mentioned govt hospitals with regards their state-of-the-art facilities. Medical checkup may not simply be a range of blood tests but could include ECG, stress tests and others. Hence his recommendation is certainly valuable, especially if the private hospital's bill may give the patient a heart-attack.



Ade mentioned FULL medical test and to my own experience this should include, apart from the normal blood tests (including INR) should include ECG, Stress Tests, Echogram, X-Rays etc.

It can cost something like RM3,500 (SJMC Executive Package) or RM125 at the Penang GH, your choice... same machines, same tests, same results... same specialists to interprete the results.

Sentinel
15-06-2009, 11:38 AM
Some time "problems" cannot be picked up by blood test.... have to go to hospital to do a "all" test. Did mine in Pantai Medical Center... dunno how much... company pays for it...Executive health screening.Thats what Pathlab does. Besides diabetes and cancer and cholestrol, blood doesn't show much.

The ECG, Stress Test, Echogram and full X-Ray will show the others especially the cardiac-related ailments...

Ade
15-06-2009, 12:01 PM
wao...thanks for the tons of advice guys...

I'm based in Penang...but my father is in KL..hence i was asking selayang hospital. But i guess we can't just walk in per Sukdershan advice.

Sukdershan,
What's your experience on the executive package? How much was it?

Sentinel,
Penang GH for RM125? That cheap? Need reference from a KK as well? I do agree that Penang GH is very well equipped.

I guess in KL, its either Pathlab or get chopped by SJMC...*sigh..

Sentinel
15-06-2009, 07:35 PM
Just go to Room 001 on the left of the main entrance, pay RM1 as an outpatient and ask the doctor to set you up for a full medical... it is RM1 + RM125 = RM126... 2 Durians of the Musang variety!

If he is above 55 and a retired civil service, free, only the RM1 registration!

Sukdershan
15-06-2009, 09:26 PM
But i guess we can't just walk in per Sukdershan advice.

Sukdershan,
What's your experience on the executive package? How much was it?

Sentinel,
Penang GH for RM125? That cheap? Need reference from a KK as well? I do agree that Penang GH is very well equipped.

I guess in KL, its either Pathlab or get chopped by SJMC...*sigh..[/QUOTE]


My take, serve the IJN website.
Looks like Sentinel has a different experience, though I have my doubts :)

palmdoc
16-06-2009, 07:07 PM
What an amazing thread with so many utterly useless recommendations. :eek:

Private labs and hospitals contribute to the myth of the "comprehensive medical check up" and worse still give the impression that blood tests are the be all and end all.
I can say that many of these packages will include useless and money wasting tests and that includes your "cancer markers", INR, CRP etc. "Routine Echocardiogram"? Puhlease. Stress ECGs in otherwise asymptomatic adults would by and large be an expensive way to gauge your aerobic fitness. Lipid profile and a tape measure to measure an asymptomatic man's abdominal girth is probably more value for money when it comes to evaluating coronary artery risk !
Many of the tests done in Malaysian labs especially in the private setting should be selective and done only upon physician recommendation.

A routine medical examination for otherwise well men and women should include a good medical history, thorough medical examination and screening test where recommended.

Read this CDC link
http://www.cdc.gov/family/checkup/index.htm
and the ARHQ links:
http://www.ahrq.gov/ppip/healthymen.htm
http://www.ahrq.gov/ppip/healthywom.htm
and try to understand that these list what normal adults need to undergo as they constitute what is worthwhile from what is reallya waste of money.
(The skin cancer bit doesn't apply here so much as it does for the orang putih).


Have a nice day.

Ade
16-06-2009, 09:57 PM
Thanks Sentinal.

Palmdoc, if I were to go for selective medical screening, what do you reckon for someone who's 56 yrs and has a history of hypertension?

Sentinel
16-06-2009, 10:03 PM
What an amazing thread with so many utterly useless recommendations. :eek:

Private labs and hospitals contribute to the myth of the "comprehensive medical check up" and worse still give the impression that blood tests are the be all and end all.
Both private and the general hospitals are doing the same tests lah, Doc. I have been to both (last one was 2 weeks ago at GH Penang) and they all do the same thing. Are you saying all these doctors and specialists are then crap?

palmdoc
17-06-2009, 04:43 AM
Both private and the general hospitals are doing the same tests lah, Doc. I have been to both (last one was 2 weeks ago at GH Penang) and they all do the same thing. Are you saying all these doctors and specialists are then crap?

No, but your concept of a "comprehensive check up" as stated by you


Ade mentioned FULL medical test and to my own experience this should include, apart from the normal blood tests (including INR) should include ECG, Stress Tests, Echogram, X-Rays etc.


is crap

palmdoc
17-06-2009, 05:18 AM
Palmdoc, if I were to go for selective medical screening, what do you reckon for someone who's 56 yrs and has a history of hypertension?

I would not use the terms "selective" or "comprehensive" but lets discuss the scenario for a reasonably thorough annual medical assessment of a hypothetical 56 year old man who has hypertension say for 5 years but is otherwise "asymptomatic". A physician (internist as the Americans would call one) would ideally include

- A good medical history to pick up any symptoms not initially volunteered, assessment of lifestyle, habits, occupation, family history etc.
- Physical exam including height, weight (and thus BMI) abdominal girth. BP. General exam (pallor, jaundice, oedema, clubbing etc). Enlarged glands (Lymph nodes, Thyroid). Any unusual lumps and bumps including testicular enlargement. Examination of the fundus of the eye.
Cardiovascular - pulses, examination of the heart (palpation, auscultation)
Examination of the resp system, abdomen. Rectal/Prostate examination. Basic CNS exam.
- Blood counts, renal profile including urine analysis, fasting lipids and fasting blood sugar
- HIV/STD screen if indicated depending on risk factors and after pre test counselling
- Perhaps selective additional tests if indicated from the history and medical examination and the screening lab tests
- Recommendation for colorectal cancer screening if not done already (should be done for all adults age 50 years)

Here again, I must emphasise "cancer markers" as done by blood tests are useless and not recommended as part of a routine examination. The rate of false positivity is too high (which leads to more unnecessary tests and anxiety) and there's also false negativity (leading to a false sense of security thinking one doesn't have a cancer).
Mind you even the venerable PSA is debatable as PSA as a population based screening test has not been shown to save lives from prostate cancer.

Once again, there is no such thing as a "comprehensive blood test". The panel of tests put together by various labs (both in private and public hospitals) includes some of high value, and but unfortunately also includes some tests of low pick up value. Some are just "packaged" to make things easier for initial screening but if you think about it doing things like repeatedly checking your blood group every year is nonsense.

Xrays, Echocardiogram, ECGs (resting, stress) are not recommended as "routine" and should be done only if indicated by the initial assessment.
The routine "stress ECG" as conducted by some fancy "executive health screen" package is an expensive fitness test for an asymptomatic individual. If you still want to go ahead and pay for it that's fine. The main beneficiary would be private hospital profits.

Ade
17-06-2009, 11:39 AM
Thanks palmdoc...

tupai
17-06-2009, 12:58 PM
Thanks palmdoc.

Your list of to do for a medic checkup is same as my family GP. All my past medic done by Dr R.A.M who was my doctor for 25yrs! ...sad thing is that he has just retired to be a pharma-corporate medical advisor..and i cannot find a GP that can fits his standard...any recommendation? :D


Yang Best of Health latotupai :p

tehmc
17-06-2009, 04:39 PM
- Recommendation for colorectal cancer screening if not done already (should be done for all adults age 50 years)

This is the "scope" thing where the gadget goes in through your anus, right?
Is the surgeon the only specialist to do it? How much does it cost?

palmdoc
17-06-2009, 04:48 PM
This is the "scope" thing where the gadget goes in through your anus, right?
Is the surgeon the only specialist to do it? How much does it cost?

Colorectal cancer screening methods:
1. Stool occult blood testing (looking for trace amounts of blood in the stool) - if positive, you still need a colonoscopy
2. Colonoscopy (usually by a Gastroenterologist)
3. Virtual colonoscopy (Ct scanning) - personally I think although this is touted as being "less invasive" really the unpleasant bit about colonoscopy is the bowel prep, and you still need the bowel prep for a "virtual colonoscopy". If polyps are seen you still need colonoscopy anyway for biopsy/endoscopic removal.

*** Colorectal cancer is the Number 1 cancer in Malaysia ***

http://www.cancerscreening.nhs.uk/bowel/
http://www.cancer.gov/cancertopics/factsheet/Detection/colorectal-screening

HTH

tehmc
17-06-2009, 05:07 PM
1. Stool occult blood testing (looking for trace amounts of blood in the stool) - if positive, you still need a colonoscopy

Thanks, doc.
Is colonoscopy done only if the stool test is positive?
Is it not required if the test is negative?
I'm asking this becasue I do have a family history of CR cancer.

Sentinel
17-06-2009, 05:13 PM
No, but your concept of a "comprehensive check up" as stated by you



is crapBUT this is what the GH put us (me and wifey through??? how now?

palmdoc
17-06-2009, 05:17 PM
Thanks, doc.
Is colonoscopy done only if the stool test is positive?
Is it not required if the test is negative?
I'm asking this becasue I do have a family history of CR cancer.

The second link to the NIH cancer.gov site I gave you is quite informative - pls read
If you want to know more, here's an article from the Malaysian Gastroenterology website:
http://www.msgh.org.my/resources/hereditarycolorectalcancer.htm
Best thing is to see a gastroenterologist and seek specific medical advice.

palmdoc
17-06-2009, 05:20 PM
BUT this is what the GH put us (me and wifey through??? how now?

The question is what exactly were you put through, and also why.
The tests like INR, Echo etc. you quoted are not recommended as routine "screening" tests and if applied to everyone would be a waste of time and money (and if a public hospital, that would mean a waste of public funds)
If the tests were done for a specific reason relevant to you, then it's a different issue.

Sentinel
17-06-2009, 05:33 PM
The question is what exactly were you put through, and also why.
The tests like INR, Echo etc. you quoted are not recommended as routine "screening" tests and if applied to everyone would be a waste of time and money (and if a public hospital, that would mean a waste of public funds)
If the tests were done for a specific reason relevant to you, then it's a different issue.We went and sked for FULL medical test and thats what we got for RM126....

palmdoc
17-06-2009, 06:02 PM
Sounds like it could be a FOOL medical test
- FOOLish choice of tests
- your were FOOLed that these tests were indeed useful
- FOOL-hardy waste of public funds

Sentinel
17-06-2009, 10:25 PM
Sounds like it could be a FOOL medical test
- FOOLish choice of tests
- your were FOOLed that these tests were indeed useful
- FOOL-hardy waste of public fundsShouldn't you as a responsible doc write an article and post the same in the Malaysian Medical Council's publication and website and tell these fools about their foolish practice?

palmdoc
17-06-2009, 11:00 PM
The point of all this is to disseminate information. Getting information out in the "new media" like blogs, engaging participants in online forums, etc. may achieve more than boring long articles which few people read anyway.
It's not about fault finding with doctors, labs hospitals, or patients. Guidelines are guidelines and despite it all, some will do more than others for some reason or other.
If the message has gone out that wellness check-up is more than "blood tests" then this little discussion has achieved something.
If the message has gone out to the 50+ yr olds who have not gone for proper colorectal cancer screening and all along misled by labs claiming "CEA and other blood cancer markers" are good enough, then I'm glad.

Good night folks. I have said enough and I'll leave you now to ponder on the points raised in the earlier posts in this thread.

Sentinel
17-06-2009, 11:50 PM
I think this is irresponsible. If you think that all the medical procedures and tests dished out in private and public general hospitals are crap, then as a responsible doctor, you should highlight this to the Malaysian Medical Council or the Health Minister... you cannot just say you have enough of these and say goodnite....

Afterall, you are a medical doctor sworn to the oath and an educated person unlike some of us who are ignorant. And as a medical doctor, you also have access to the powerful decision makers and influential people who can make a change.

On my part I will print out what you wrote and discuss it with the specialists here at Adventist as well as Island Hospital and then I will discuss them with the specialists at the Penang GH. I am going to tell them they have been doing crap work and wasting public funds indiscriminately.

I am gonna **** them so hard for fooling their patients with these foolish tests.

kwchang
18-06-2009, 12:07 AM
I do agree that the laymen should know what is and what isn't good for them. So if we the lay-people read what Palmdoc wrote here and make our own decisions, that is already a step forward.

Do note that if we still go to the labs and ask for the "works", then it is our own money and that is OK because we decide how to spend it.

For the private hospitals, well, they are out for your wallet anyway, so what can you expect?

As for the public hospitals, all I can say is doctors are not Gods. They don't know every thing and I dare say some of them also innocently prescribe the gamut of tests. Unfortunately, there are probably no guidelines at the public hospitals and probably no directive from the top guns at the MOH. So what can Palmdoc do? Really. I don't think his advice to the MMA or whomsoever would make a dent.

By the way...

Colorectal cancer screening ...
..Virtual colonoscopy (Ct scanning) - personally I think although this is touted as being "less invasive" really the unpleasant bit about colonoscopy is the bowel prep,...
Everyone above 50 should go get one done. Go for the normal one where they pass a colonoscope into your colon.... But don't do the virtual colonoscope. Not because of what Palmdoc said but because with the virtual "non-invasive" method, they actually do something equivalent to a CAT scan on you. What that means is the patient gets bombarded with X-Rays. That I feel is unnecessary exposure to massive amounts of radiation.

USJ27Resident
18-06-2009, 12:19 AM
Everyone above 50 should go get one done. Go for the normal one where they pass a colonoscope into your colon.... But don't do the virtual colonoscope. Not because of what Palmdoc said but because with the virtual "non-invasive" method, they actually do something equivalent to a CAT scan on you. What that means is the patient gets bombarded with X-Rays. That I feel is unnecessary exposure to massive amounts of radiation.

:eek: boss !! I REALLY don't wanna sound sh!tty @ midnite but at 50 - I don't think I wanna be putting anything up my arse... even if it means saving my life... heck, I'd rather die a virgin there... :p than to suddenly have "what if" thoughts....

Like I said - I'd rather have stuff coming out from that behind, than going in.... (damn scary wei!!! ) :eek:

USJ27Resident
18-06-2009, 12:25 AM
Afterall, you are a medical doctor sworn to the oath and an educated person unlike some of us who are ignorant. And as a medical doctor, you also have access to the powerful decision makers and influential people who can make a change....

buddy... why do some people get called "hippocrate" and why is the doctor's oath's called "the hippocrate's oath" .... coincidence or... :confused:

kwchang
18-06-2009, 12:49 AM
USJ27resident,
Colonoscopy is not that scary really ... usually the specialist will put you to sleep so you wouldn't feel a thing and wake up about half an hour later, all rested. I know because I brought my Mum for a similar procedure once and she was so relaxed when she woke up. However, you would need a driver with you because I don't think you could just hop off the bed and drive home because you'd still have effects of the sedation.

Knowing in advance of any polyp formation is very important. Ignorance is not bliss because many people find out they have colon cancer when it is too late because your colon has no sensation of any tumour growth. Complications like no bowel movement due to blockage or blood due to rupture would be already too late.

Of course, if you would still like to avoid this examination, you could refer to some recent reports that said that colonoscopy does not necessarily detect all colon cancer risks. It is your life ... you decide.

USJ27Resident
18-06-2009, 12:53 AM
USJ27resident,
Colonoscopy is not that scary really ...

Of course, if you would still like to avoid this examination, you could refer to some recent reports that said that colonoscopy does not necessarily detect all colon cancer risks. It is your life ... you decide.

Jeepers... like you said... its my life, my choice...

Sooner or later - we ALL die... I leave my fate in God.. :)

kwchang
18-06-2009, 12:57 AM
... why do some people get called "hippocrate" and why is the doctor's oath's called "the hippocrate's oath" .... coincidence or... :confused:
The Hippocratic Oath is an oath traditionally taken by physicians pertaining to the ethical practice of medicine. It is widely believed that the oath was written by Hippocrates, the father of western medicine, in the 4th century BC, or by one of his students

I think the other word is spelled hypocrite ... very different spelling

USJ27Resident
18-06-2009, 01:14 AM
The Hippocratic Oath is an oath traditionally taken by physicians pertaining to the ethical practice of medicine. It is widely believed that the oath was written by Hippocrates, the father of western medicine, in the 4th century BC, or by one of his students

I think the other word is spelled hypocrite ... very different spelling


hahahaa.... I WOULDN'T have guessed the difference in a million years... oopss.. in MY lifetime... :p :D

palmdoc
18-06-2009, 06:20 AM
I think this is irresponsible. If you think that all the medical procedures and tests dished out in private and public general hospitals are crap, then as a responsible doctor, you should highlight this to the Malaysian Medical Council or the Health Minister... you cannot just say you have enough of these and say goodnite....

After all, you are a medical doctor sworn to the oath and an educated person unlike some of us who are ignorant. And as a medical doctor, you also have access to the powerful decision makers and influential people who can make a change.


One of the not so nice things about trying to contribute to community forums is to encounter people like you who make comments like this. I try to share some info and to bust some myths about tests and get accused of being irresponsible!
Who is responsible for the behaviour of the doctors and their practices ? It's the Director-General of Health and the Malaysian Medical Council.
Anyone can make a complaint against a doctor but you must be armed with facts - who, what, when, etc.
Just visit the MMC site (http://mmc.gov.my/v1/index.php?option=com_content&task=view&id=97&Itemid=141) for more info

The practice of blunderbuss test ordering per se is not IMO "gross professional misconduct" involving a "serious breach of medical ethics" but reflects just poor clinical practice. There is an important difference here. The ultimate solution is education - both of doctors and the public.


On my part I will print out what you wrote and discuss it with the specialists here at Adventist as well as Island Hospital and then I will discuss them with the specialists at the Penang GH. I am going to tell them they have been doing crap work and wasting public funds indiscriminately.

Now that is what you can do. If someone in a public hospital is ordering tests like an Echocardiogram on a routine basis as part of a "general check up" for no good reason, then it is a waste of resources. If it is a private doctor or hospital offering a large panel of unnecessary and perhaps even costly tests as part of "full check up" for the general public, then yes it is an ethical issue since profit may be a factor here. If for instance someone in the private is promoting Echocardiograms for all and sundry and claiming it is an essential part of a "full medical check up" then one could make a complaint against him/her. Once again you have to be armed with facts - who, what, when etc.

As for the labs, this is difficult, even for the MOH/MMC as the Private pathology/laboratory Bill has yet to be passed in Parliament - it has been stalled for many years, possibly due to powerful forces at work.
Private labs in Malaysia are run as businesses by businessmen and they can promote pretty much what they want to and package things to sell to you.
Part of the solution is once again to try to reach out to the public to educate and inform. It is an uphill task.

Sukdershan
19-06-2009, 09:38 PM
What an amazing thread with so many utterly useless recommendations. :eek:


Hmmm Pamldoc, I understand your strong feelings, lets try to use perhaps gentler words like "I beg to differ".


My dear colleague we may be passionate about patient safety and at times the be overtly protective of gullibility of our patients-vis-a-vis fellow human beings (who have limited medical knowledge).


It may be a tall order for Drs to exercise restrain in our language when it comes to the fallacies and spins our patients are engulfed in.

Have a GOOD weekend Bro.
:D :) :)

palmdoc
19-06-2009, 09:46 PM
Hello Shan. I know what you mean.
It is difficult indeed to restrain oneself when you read threads like these.
Sometimes I do make provocative posts but the objective is to spark debate, no offence to anyone and not trolling for flame wars :p

Sukdershan
20-06-2009, 02:12 PM
Hello Shan. I know what you mean.
It is difficult indeed to restrain oneself when you read threads like these.
Sometimes I do make provocative posts but the objective is to spark debate, no offence to anyone and not trolling for flame wars :p
Palmdoc, Ha3

EricK
20-06-2009, 11:08 PM
i think this is what happens when healthcare is made into a business...

Sukdershan
20-06-2009, 11:27 PM
i think this is what happens when healthcare is made into a business...
Yes Sir, I agree with you. It is called medical comsumerism.
To read further, I suggest Sir, you Google search. It certainly has got many players.
Cheers. :D

patrick
21-06-2009, 02:47 PM
Hello Shan. I know what you mean.
It is difficult indeed to restrain oneself when you read threads like these.
Sometimes I do make provocative posts but the objective is to spark debate, no offence to anyone and not trolling for flame wars :p

Provocative or otherwise......I have certainly learn a few new things from your posting and also confirmed a few of my suspicions regarding health checks etc. It has been most useful and informative. Thanks palmdoc. You have earned a good night's rest! Ha ha ha!! ;-)

EricK
21-06-2009, 09:21 PM
Yes Sir, I agree with you. It is called medical comsumerism.
To read further, I suggest Sir, you Google search. It certainly has got many players.
Cheers. :D

And here foolish old me though health is a basic human rights..

palmdoc
22-06-2009, 06:59 AM
And here foolish old me though health is a basic human rights..

You are correct, it is in article 25 of the UNDHR (http://www.un.org/en/documents/udhr/index.shtml#a25)


# (1) Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing and medical care and necessary social services, and the right to security in the event of unemployment, sickness, disability, widowhood, old age or other lack of livelihood in circumstances beyond his control.
# (2) Motherhood and childhood are entitled to special care and assistance. All children, whether born in or out of wedlock, shall enjoy the same social protection.

It doesn't say everyone has the right to a "full" medical check up ;)
We all also require food, shelter, clothing as basic needs but we pay for them unless we live in a completely socialist society which we don't.
The Malaysian Government does provide access to basic healthcare services for all, even including non-citizens. And we (at least those who do) pay for it out of our taxes . However our country's healthcare financing model is not perfect - there probably isn't a perfect one - and is creaking under the strain of the ever increasing cost of medical care, and will be the subject of another (probably very long) discussion.

PakAmoh
22-08-2010, 01:21 AM
This Palm Doc is definitely stress out or burning out. Hey doc. take a break ! Have a kitKat !!!!! yah that's it .I know you are smiling.

chin_wan
23-08-2010, 08:46 PM
I'd go to govt. hospital. Both my parents goes to a govt. for medical checkup. Good doctors and medication at a very very reasonable price. Social medicine FTW!

This is the few times that I feel my tax money working for me. :)