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PES FAQs

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  • Moderator
    eac's Avatar
    4,048 posts since Dec '03
    • Simple.

      Simply refer to Page 1 of http://sgforums.com/forums/1390/topics/395004

      As simple as ABC.

      A Piece of Cake.

       

    • Please submit the hospital specialist memo to the camp doctor to assess and process.

      As usual, please refer to this guideline:
      http://sgforums.com/forums/1390/topics/392446

    • FYI, PES is http://en.wikipedia.org/wiki/PULHHEEMS.


      1) Go to Public Hospital / Private Specialist.

      Note: You will be classified as a subsidised patient if your first visit is via:

      • Referral letter from a Government Restructured Hospital under subsidised status, A&E, Polyclinic or SAF, without specifying a specialist by name.
      • Discharge from inpatient class B2 or C without specifying a specialist by name.


      2)
      Consult specialist, and do whatever medical check ups required. E.g. physical exam, blood test, x-ray, CT scan, MRI scan.

       

      3) Specialist gave a finalised clinical diagnosis.

       

      4) Get the specialist to write you a memo which is to be given to SAF MO. Those who can and are willing to spend some more money can get him/her to write you a specialist report, which is more precise and detailed.

      Note: For not to waste time and money, please be more direct yet humble. Request the specialist to write about reviewing of PES and medical board / anything specific such as any excuses to your conditions.

       

      5) Book an medical review appointment using the eHealth module @ www.ns.sg (for NSman Reservists).

      Just go down to your camp medical centre (for NSFs).

      Call CMPB @ 6373 1340 to request another PES review (for Pre-Enlistees after CMPB Checkup).

       

      6) Make a trip down to the respective unit camp medical centre. Give the MO whatever supporting documents you have in hand. E.g. Specialist memo/report (most usually the case and highly recommended), x-ray films, CT/MRI scan report, blood investigation lab report... etc.

       

      7) MO will decide whether you are deemed eligible for KIV downgrade, according to the criterias set in the "PES Bible" directive. E.g. Diagnosis, Extent of Diagnosis, Degree of Diagnosis/Injury/Illness/Disease...etc.

       

      8) If deemed so, you will sign an acknowledgement notice of Medical Board, whereby your case statement is prepared for review discussion at the monthly medical board meet (usually at the Formation/Division HQ) with another NSF CPT MO and the Chairman (SAF Regular Medical Doctor of MAJOR rank or above). Your Medical Board result will be post mailed to you by your respective NSHRC (Formation NS Hub).

       

      Time and time again, the questions for Medical Review (Downgrade) is repetitive. Therefore, this serves as a general SOP for Medical Board.

       

      Extract from www.mindef.gov.sg/nsmen:
      NSmen must update their NS HRCs if they should develop any new medical condition or if their existing medical condition has worsened which might affect their ability to perform their duties during ICT. Arrangements will then be made for them to attend a medical review at the SAF medical centre to assess their fitness for NS.

      The NSmen MUST bring along all investigation results and memorandums from his external physician/specialist during the medical review. Depending on the outcome of the medical review, the NSman may be given a medical certificate to defer him from ICT, be scheduled for a medical board to downgrade him if his medical condition is significant, or referred to a restructured hospital for further investigation. In the event that the medical officer determines that the NSman’s medical condition will not affect his ability to participate in the ICT, he will allow the NSman to attend the ICT.

  • Dayjame1998's Avatar
    1 post since Sep '15
  • lulzie1996's Avatar
    1 post since Sep '15
    • Hello to all,

      I am a pre-enlist and I am about to go for my medical checkup soon.

      May I enquire what would be PES grade roughly be?

      I have a childhood asthma, havent had a attack since primary school.

      I fractured my arm in secondary 2.

      My spine is not straight too.

      Thanks! 

  • Moderator
    eac's Avatar
    4,048 posts since Dec '03
  • gone86z's Avatar
    1 post since Nov '06
    • Hi, 

      I am currently a NSmen. I was refer to a specialist after the redness and swelling on my nose  have been persisting for more than a year. I was then diagnosed with Rosacea by a doctor in NSC. Currently it is under control by the diet and lifestyle changes and by applying cream. I was having another medication but due to acid reflux, I had to stop the medicine.  I was advice to avoid spicy food and to avoid direct sunlight. I have also asked the specialist to write a letter regarding my condition to the MO. 

      Will this warrant as an down-pes?

      Thank you

  • Moderator
    eac's Avatar
    4,048 posts since Dec '03
  • wizzylash's Avatar
    13 posts since Jan '08
    • Hi,

      I was on temp E9L9 back when i was a full time nsf for taking isotretinoin. My pes status has since been reviewed and i am back to pes B. From my understanding, it is not necessary to go to a specialist to obtain a prescription for isotretinoin. If isotretinoin is prescribed by one of those aesthetic doctors, will i be granted a temp downpes?

      Thanks in advance

  • Moderator
    eac's Avatar
    4,048 posts since Dec '03
  • wizzylash's Avatar
    13 posts since Jan '08
    • Hi,

      I was on temp E9L9 back when i was a full time nsf for taking isotretinoin. My pes status has since been reviewed and i am back to pes B. From my understanding, it is not necessary to go to a specialist to obtain a prescription for isotretinoin. If isotretinoin is prescribed by one of those aesthetic doctors, will i be granted a temp downpes?

      Thanks in advance

      Please submit the hospital specialist memo to the camp doctor to assess and process.

      As usual, please refer to this guideline:
      http://sgforums.com/forums/1390/topics/392446

      Thanks for your prompt reply. However, my question is specifically, whether the standard requirement of having a hospital specialist memo is applicable given that isotretinoin need not be prescribed by a hospital specialist (apologies if my understanding on the prescription is misinformed).

      Please advise. Thanks!

  • Moderator
    eac's Avatar
    4,048 posts since Dec '03
    • Well, if you insist, then you may try try no harm, but no guarantee since you don't heed advice. 

      Edited by eac 08 Oct `15, 1:37PM
  • onliner's Avatar
    7 posts since Mar '09
    • Hi,

      I just want to ask if I have the following conditions:

      - Vasovagal syncope (positive tilt test)

      - sinus tachycardia 

      - exercise induced asthma (FEV -14%)

       

      what is the General pes status. Appreciate the reply and answer :)

  • Moderator
    eac's Avatar
    4,048 posts since Dec '03
  • Alibaba92's Avatar
    11 posts since Oct '15
    • Hi all, 

      Can i ask for example in the past i wear the number4, i did not have rashes

      But when I reservice, i started to become allegic to it. What are the chance of down pes?

  • Moderator
    eac's Avatar
    4,048 posts since Dec '03
  • worriedsotong's Avatar
    6 posts since Oct '15
  • Moderator
    eac's Avatar
    4,048 posts since Dec '03
  • worriedsotong's Avatar
    6 posts since Oct '15
  • Moderator
    eac's Avatar
    4,048 posts since Dec '03
  • worriedsotong's Avatar
    6 posts since Oct '15
  • Moderator
    eac's Avatar
    4,048 posts since Dec '03
    •  

      The SAF psychiatrist will want to observe you, especially with the presence of a parent. 

       

      It's like going for an ordinary job interview where the department manager will interview you, and the HR manager will be present to observe you.

  • worriedsotong's Avatar
    6 posts since Oct '15
  • Moderator
    eac's Avatar
    4,048 posts since Dec '03
  • HumtyDumty's Avatar
    4 posts since Apr '15
    • Hi, I got down graded in pes from B 1L1 to C9L2 few months ago. From my MRI scans, my shoulder labrum is torn and 2  months ago I went for the operation to repair the tear. Another MRI result found that my ankle bone alignment is off ans fragments of damage is seen. The specialist recommends an ankle operation, which im still deciding to go or not. 4-5months ago I showed the  results to my camp MO and he down pes me. After 1 month later I received the information of new pes, C9L2 and on that slip, under PULHEEMS it states  1 1 3 1 1H 1H 1. I dont get it why they did not consider my UL prob but only the Lower limb? The surgeon told me that I will get full recovery abt 1 year later only. 

      What's more is that my company made me a storeman, expecting me to carry stuff all around. I want a revocation, and even get transferred out of this current camp cos it's 2h30mins away from my house. 

      Can someone instruct me on how to get a revocation to an admin job like clerk or something? For sure, I know my company isn't willing to help down pes personels to get revocated, which makes things veru frustrating when they know my current condition not being able to do store work but yet they don't want to help revocate me.

      Thanks much help will be appreciated!

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