SGH again,prescribe medicine wrongly
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I had posted an earlier post "Poor Service at SGH'.
http://sgforums.com/?action=thread_display&thread_id=254178
Well,thanks to them giving me instructions to take medicine properly,i've now got an infection at the wound area that has disabled its healing.The wound is still raw,no skin has come over it,bleeds a little.Stitching did not help at all.I was prescribed the medicine Co-Amoxiclav.And i was told to take it 'With Or After Food'.
Then yesterday they took out my stitches after 2 weeks.First week i was prescribed Co-Amoxiclav when i had went to A&E on the 11th of may,medication was for a week.They had to told me take if like mentioned 'with or after food'.So i went back for my first appointment on the 18th and doc said wound for some reason had not healed and gave me another week of mc and appointment.That time the doc gave me a new set of antibiotics.
So yesterday i went back which was on the 25th and had my stitches out,doc could still ask me 'why haven't heal ah?'.I could just stare at him.Then he gave me Co-Amoxiclav again.And instructions were take it with or after food.He said i had to do daily dressing myself.But i went to my family doc today whom my family has been going to for nearly 25 years now.Then i showed him the medicine and when he saw the label that said with or after food he told me 'You wanted to know why the wound never heal right? This medicine supposed to take BEFORE food,at least 1 hour before,not after,you take after it would hardly have any effect at all.No wonder the stitches did not help you'.I was really shocked.
I came home and went to the net and googled Co-Amoxiclav and came across the website http://www.patient.co.uk/showdoc/30003152/.Imagine my pain now,wound still raw,so much pain i am in.All thanks to SGH.I wonder how it is for other patients with even more serious infections.
Below is the pic of my medicine lable.It is abit blurred but can be seen.
http://i193.photobucket.com/albums/z173/anfieldroad_2007/as.jpg -
SUE!!!!!
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Taken with or after meal is to promote faster absorbtion of clavulanate potassium.
There are more than 101 reasons why your wound didn't heal. So you cannot say the doctors gave the wrong instructions.
I am glad that my school taught me to cross reference with sources from other website rather than just stick to one. -
But like mentioned in the site and by my family doctor,especially him,the effect would be less than more than half.
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I think you wait for oxford mushroom to come in and explain why the medication didn't work.
The doctor is probably doing something wrong... because if antibiotics aren't working, it's a viral infection (which means antibiotics won't work, no matter how much medication you take). And he didn't even bother to check if it's bacterial or viral.
http://www.nlm.nih.gov/medlineplus/druginfo/medmaster/a685024.html -
haha that one get lecture for sure.But that link says with a meal.Well i dunt know at all man,i seem to trust my family doc more and as the wound nv heal i only can think that it was given wrongly as my doc said if take before food it wld heal faster as the effect is more.Strange eh?
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oxford mushroom is a doctor. We hear what he has to say. I don't see how this issue is political. If you are going to drag in politics, disagreements will be seen, which isn't uncommon as seen in your previous thread.Originally posted by eggprata:haha that one get lecture for sure.But that link says with a meal.Well i dunt know at all man,i seem to trust my family doc more and as the wound nv heal i only can think that it was given wrongly as my doc said if take before food it wld heal faster as the effect is more.Strange eh?
As I've said, the doctor didn't bother to check if it's a viral or bacterial infection, which will play a huge role in the prescribing of medication. If it's a viral infection, antibiotics will not work, which is why your wound never heal. If it is a bacterial infection, then there are other checks. Not all bacteria are known to destroy penicillin, an ingredient in your medication. At the same time, some bacteria are known to be resistant to be penicillin, which obviously says why the medication didn't work.
Also, your health history plays an important part. If you have diabetes, it will make wound healing a very long process. Did the doctor ask? -
No i got no diabetes or anything like that.
Well i did ask the doctor why the swelling had not gone down and he said 'hmm we will change ur dressing and u must do daily dressing'.Never answered the question.And i told him at the side there was pain and he didnt even bother to check.
Well after 1 week see how lor,if now becomes better means had to do smth with the medicine if not means there is smth else. -
I don't think you can call him a doctor just because he answered some questions on diabetes insipidus on his own forum. The reply looks as it's been paraphrase from some website. Unless, you know him personally and know where he is practicing. The kind of attitude he possesses would hardly justify him to be a person who heals, as compassion and understanding is the basic quality of a good doctor.Originally posted by ndmmxiaomayi:oxford mushroom is a doctor. We hear what he has to say. I don't see how this issue is political. If you are going to drag in politics, disagreements will be seen, which isn't uncommon as seen in your previous thread.
As I've said, the doctor didn't bother to check if it's a viral or bacterial infection, which will play a huge role in the prescribing of medication. If it's a viral infection, antibiotics will not work, which is why your wound never heal. If it is a bacterial infection, then there are other checks. Not all bacteria are known to destroy penicillin, an ingredient in your medication. At the same time, some bacteria are known to be resistant to be penicillin, which obviously says why the medication didn't work.
Also, your health history plays an important part. If you have diabetes, it will make wound healing a very long process. Did the doctor ask?
When I confront him with questions like PQRSTU, he scuttles away like a headless chicken.
I think it's better that eggprata sticks to his family doctor, afterall, you can be sure of his family doctor's status. -
Taking it before food is to reduce the effect that your gastric juices will nullify the effects of the medication. Suggest you consult lawyers and take a legal course of action for the negligence on the part of the SGH doctors.Originally posted by eggprata:haha that one get lecture for sure.But that link says with a meal.Well i dunt know at all man,i seem to trust my family doc more and as the wound nv heal i only can think that it was given wrongly as my doc said if take before food it wld heal faster as the effect is more.Strange eh? -
Yeah as the family doc is really experienced as well,as for lawyers nahh no money haha.
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Hmmm imagine the consequences if you aren't the only one being prescribed with the wrong medicine......its an outrage...
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Yeah thats why,lets say people with urinary tract infections all more worse than me man.
But i have to say thanks to SGH for 1 thing.
Yesterday when the doctor told me to go home do dressing myself i asked can you write the appropriate things i need for dressing cos got so many kinds of gauzes and cleaning solutions.He said pharmacy people would tell him and 'I'm not sure also'.Funny stuff man.Went to pharmacy and the lady was kinda rude and said 'you should had asked the doctor,how am i supposed to help you?'
I came out thinking of going to my family doc and thank god i went there.He gave me an antibacterial cream to apply at the wound and also the necessary plasters or whatever you call them. -
You should be very concerned indeed if you're actually considering the advice of someone who can tell you the Swiss economy is self-destructing...Originally posted by maurizio13:I don't think you can call him a doctor just because he answered some questions on diabetes insipidus on his own forum. The reply looks as it's been paraphrase from some website. Unless, you know him personally and know where he is practicing. The kind of attitude he possesses would hardly justify him to be a person who heals, as compassion and understanding is the basic quality of a good doctor.
When I confront him with questions like PQRSTU, he scuttles away like a headless chicken.
I think it's better that eggprata sticks to his family doctor, afterall, you can be sure of his family doctor's status.
eggprata, why don't you just stick to a second opinion (be it your family doctor or another doctor), follow through the advice and see how it goes? Knowing this regime, it probably won't be worth your while to pursue any legal course of action to redress the issue with that errant SGH doctor anyway. -
Yeah walesa.I am sticking to what my family doctor has said,after all we have been going to him for so long and he is really experienced.I am following his directions on taking the medication.And writing in to SGH is like talking to oxford mushroom.
Hope can be well soon man,really need to get to school,missed so many lessons.sian -
If you ask me, I would say judgment has been passed too quickly.Originally posted by maurizio13:I don't think you can call him a doctor just because he answered some questions on diabetes insipidus on his own forum. The reply looks as it's been paraphrase from some website. Unless, you know him personally and know where he is practicing. The kind of attitude he possesses would hardly justify him to be a person who heals, as compassion and understanding is the basic quality of a good doctor.
When I confront him with questions like PQRSTU, he scuttles away like a headless chicken.
I think it's better that eggprata sticks to his family doctor, afterall, you can be sure of his family doctor's status. -
Too quickly, I asked him at least half a dozen times already.Originally posted by ndmmxiaomayi:If you ask me, I would say judgment has been passed too quickly.
Moreover, I think eggprata's best advice is still from his family doctor, rather than some unverified cyber doctor. You should take in a fair amount of skepticism regarding the claims of individuals too. -
You are right. But I have my queries about his family doctor advice too. The chemicals in his medication work best when taken with or after food, not really before. Well, that's generally. It doesn't apply across the board... but I'm not a doctor, I can't say if one doesn't work, doing the opposite will.Originally posted by maurizio13:Too quickly, I asked him at least half a dozen times already.
Moreover, I think eggprata's best advice is still from his family doctor, rather than some unverified cyber doctor. You should take in a fair amount of skepticism regarding the claims of individuals too.
Still eggprata has to see another doctor to check on his wound. The SGH doctor is seriously too much. -
I duno man i tend to trust him more,after all he has been my family doctor. And the website is saying so as well but there are others saying before food.And since taking it after food didn't help,might as well try before help now.
Well i really hope that other people dont go through what i did -
Your family doctor might be right. But still, I'm not going to try the opposite way if one way doesn't work. It's your own health, don't fool with it.Originally posted by eggprata:I duno man i tend to trust him more,after all he has been my family doctor. And the website is saying so as well but there are others saying before food.And since taking it after food didn't help,might as well try before help now.
Well i really hope that other people dont go through what i did
Ask your family doctor to check the status of your wound and ask for recommendations... -
honestly, taking augmentin or any other antiobiotics before or after food is not really a big issue. with food, augmentin or (co-amoxiclav) is easier on the stomach with less side effects...
more likely reasons that wound is not healing?
1. antibiotic not working because of bacterial resistance; ie need to change to another type of antibiotics
2. insufficient dose.. (taken twice a day, augmentin is actually very low dose.. sometimes u need up to three to 4 tabs /day ) to even make a difference
3. remnant unresolve wound problems e.g. unremoved stitches, deep seated bad infections that may need to be drained surgically
4. other poor skin healing factors e.g. genetically poor ability to heal, immune compromised (e.g. on long term steroids, diabetes, AIDs etc)
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hi, eggprata, may I ask which specialty and doctor you went to in SGH? Is the doctor a medical officer, registrar, consultant or senior consultant?
Not to surprise to hear about your incident. I ever come across a doctor who labelled the wrong test results and how careless or can't be bothered they are when they do ward duties.
Please be a great help by posting this incident on other websites as well so that people can be more careful when they visit SGH. If you wanna go public hospital, don't go SGH, go to Tan tock seng. TTSH has better service.
Hope you recover soon! Good luck! -
Originally posted by maurizio13:I don't think you can call him a doctor just because he answered some questions on diabetes insipidus on his own forum. The reply looks as it's been paraphrase from some website. Unless, you know him personally and know where he is practicing. The kind of attitude he possesses would hardly justify him to be a person who heals, as compassion and understanding is the basic quality of a good doctor.
When I confront him with questions like PQRSTU, he scuttles away like a headless chicken.
I think it's better that eggprata sticks to his family doctor, afterall, you can be sure of his family doctor's status. "Doctor" oxford mushroom?????!!!! ha ha ha!! VEry funny!! Oops, can't stop laughing!!!
Yes, precisely, it is important that doctors is compassionate and understanding. In a senior doctor's short note/letter to the training doctors, he said it is vital that doctors have good character. And this senior doctor is a living example. He is the sort of doctor I respect! -
"Not to surprise to hear about your incident. I ever come across a doctor who labelled the wrong test results and how careless or can't be bothered they are when they do ward duties".
Correction (Should read as): "Not surprise to hear about your incident. I ever heard about a doctor who labelled the wrong test results and how careless or can't be bothered they (medical staff/staff in the wards) are when they work in the wards." -
I cant remember rane,not sure myself,but it was Clinic H at block 3.Absolutely terrible man,i told him about the swelling and he was kinda rude as well.Sigh.Doubt would ever wanna go sgh again and hopefully none need to also haha.
Scums they are.
