Dr Keith Goh Ignores Khaw Boon Wan's Warning
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http://www.easybourse.com/bourse-actualite/marches/singapore-doctor-still-considering-indian-twins-operation-653667 Singapore Doctor Still Considering Indian Twins' Operation Monday April 20th, 2009 / 11h22 SINGAPORE (AFP)--A prominent Singapore doctor said Monday it was "premature" to rule out an operation to separate Indian twin sisters joined at the head despite a warning from his own country's health minister. Neurosurgeon Keith Goh, who had been asked by the state government of Andhra Pradesh in India to separate five-year-old twins Vani and Veena, said he was still in discussions with doctors and officials in Hyderabad on the case. Goh said he would not be able to confirm any surgery until more thorough investigations had been carried out. But he disagreed with published remarks by Singapore's Health Minister Khaw Boon Wan cautioning that an operation is more likely to harm the patients than improve their situation. "I think that Mr. Khaw is entitled to his opinion...but that it is a little too premature to close our minds to the possibility of doing such an operation, especially when the full evaluation and all the investigations have not been done," Goh told AFP. He also disagreed that separating conjoined twins amounted to changing the course of nature. "Nature never intended for any of us, humans or animals, to be conjoined to another individual," said Goh. The Indian twins "represent a most extreme form of congenital malformation and deformity, and should be considered an aberration of what nature intended," he said. "If such patients ask for help to correct their abnormalities, I feel that we, as doctors, owe it to them to see what we can do." Health Minister Khaw said in remarks carried Monday by the Straits Times that in certain situations, it may be better not to operate on conjoined twins. He also said that in some cases, surgeons have to pick one twin to die in order to save the other, and the survivor is often left with brain damage. In 2001, Goh was involved in a 97-hour operation that separated 11-month-old Nepalese twins Ganga and Jamuna Shrestha, who were born with fused skulls. The surgery left Ganga with brain damage and Jamuna unable to walk. It also left a hole in Jamuna's skull covered only by a layer of skin. Ganga survived for seven years before dying last year from respiratory problems at a hospital in Kathmandu. Goh was also involved in the tragic operation of 29-year-old Iranian twins - Ladan and Laleh Bijani - in July 2003. Both women, joined at the head, died from severe blood loss following a 52-hour operation. "Let me point out that Ganga and Jamuna both survived the separation surgery, and that Ganga's survival after the surgery was seven years, dying only because of a chest infection," Goh said. "Jamuna is still surviving and is a happy, intelligent and delightful child, although she has some limb weakness." Goh said his preliminary assessment of Vani and Veena showed their clinical condition is very similar to that of the Nepalese twins. He believes a "better outcome" can be achieved with the Indian pair because "the collective experiences and knowledge of all the centers worldwide which have done such conjoined twins surgeries is much more than in 2001." ----------------------------------- Latest updates at Singapore News Alternative: 1. The Right to Die in Singapore 2. Singapore embraces barter in recession 3. Singapore Doctor Still Considering Indian Twins' Operation 4. Singapore minister warns against twins' surgery 5. Singapore Regulator Aims For Junket Control 6. Singapore Police Force on Facebook 7. Moody's cuts ratings outlook on Singapore banks 8. Name of new mall in Northeast Singapore unveiled 9. adidas launches running club in Singapore 10. Singapore Botanic Gardens develops orchid seed bank 11. AXA opens Singapore university 12. Defence Ministry issues tender for media agency 13. Things that go bump in the night at Singapore varsity 14. Political Realignment In Southeast Asia 15. MAS MD Says ’Wrong’ to Expect Bigger Currency Drop Latest video added: 1. Interview with Geylang Serai stallholder .
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I agree with Dr. Keith Goh on this. If he feels he can do it, then he should be given the chance to try.
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The despots now think that they are gods? He should be working towards lowering the health care costs. Even if it ends up in failure it is none of his farking business.
The decision should rest with the family and the doctors.
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I think what Dr Goh did was very correct. Have to evaluate and let the family decide on the operation.
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they are both doctors, so they both have professional opinions. Keith can take the advice, but to follow the advice or not is his call. I don't see anything wrong here, unless the health minister use his power to stop the surgery.
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Originally posted by skythewood:
they are both doctors, so they both have professional opinions. Keith can take the advice, but to follow the advice or not is his call. I don't see anything wrong here, unless the health minister use his power to stop the surgery.
Khaw Boon Wan is a doctor?
You farking delusional idiotic liar!
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Originally posted by AndrewPKYap:
Khaw Boon Wan is a doctor?
You farking delusional idiotic liar!
oops, made a mistake, he worked in a hospital before, but is not a doctor. My bad.
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Originally posted by AndrewPKYap:
The despots now think that they are gods? He should be working towards lowering the health care costs. Even if it ends up in failure it is none of his farking business.
The decision should rest with the family and the doctors.
So the running dog of CSJ thinks that the Singapore Ministry of Health is not going to foot a single cent for the operation? Or that PAP should lower health care cost for foreigners but not locals?
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Originally posted by skythewood:
oops, made a mistake, he worked in a hospital before, but is not a doctor. My bad.
... and you are too stupid to know that doctors must examine the patients before they can give an opinion. Just because one is a doctor, unless he is also god, cannot suka suka give opinions.
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Originally posted by Herzog_Zwei:
So the running dog of CSJ thinks that the Singapore Ministry of Health is not going to foot a single cent for the operation? Or that PAP should lower health care cost for foreigners but not locals?
So you, proven delusional liar, (21 Apr `09, 12:47PM) , are asking questions out of your delusional mind again?
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Originally posted by AndrewPKYap:
... and you are too stupid to know that doctors must examine the patients before they can give an opinion. Just because one is a doctor, unless he is also god, cannot suka suka give opinions.
haha, nope, doctors can give opinions. and they don't give it suka suka, but after going through the report of the test that has been performed.
so you are stupid for thinking all doctors only give opinion after going patient again, even if test has been done.
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Originally posted by AndrewPKYap:
So you, proven delusional liar, (21 Apr `09, 12:47PM) , are asking questions out of your delusional mind again?
So please explain to me who foot the last 2 operation for conjoined twins bill? Please do not tell me that the Singapore Government did not foot a single cent.
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Originally posted by skythewood:
haha, nope, doctors can give opinions. and they don't give it suka suka, but after going through the report of the test that has been performed.
so you are stupid for thinking all doctors only give opinion after going patient again, even if test has been done.
So when you said Khaw "have professional opinions", he has "after going through the report of the test that has been performed."?
Or are you just a farking delusioanl idiot for thinking that Khaw has "after going through the report of the test that has been performed" when he gave his opinion?
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Originally posted by Herzog_Zwei:
So please explain to me who foot the last 2 operation for conjoined twins bill? Please do not tell me that the Singapore Government did not foot a single cent.
The issue is "But he disagreed with published remarks by Singapore’s Health Minister Khaw Boon Wan cautioning that an operation is more likely to harm the patients than improve their situation." whether Khaw can make that call that "operation is more likely to harm the patients than improve their situation".
What the hell are you going on about?
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Originally posted by AndrewPKYap:
So when you said Khaw "have professional opinions", he has "after going through the report of the test that has been performed."?
Or are you just a farking delusioanl idiot for thinking that Khaw has "after going through the report of the test that has been performed" when he gave his opinion?
Wrong. I said "so you are stupid for thinking all doctors only give opinion after going patient again, even if test has been done." I didn't mention khaw, and that is obviously is a thing from your delusion, which you have imagined was my delusion.
I already said i was wrong about Khaw being a doctor. See, the thing with normal people is that when they make a mistake, they apologized, things get cleared up, and life goes on. I made one, i said i was wrong, and i clarified.
that's the great thing about having the courtesy to say you are sorry. you probably never apologized before in the forum, judging from how you keep harping on my mistake after i said i made one.
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Originally posted by skythewood:
Wrong. I said "so you are stupid for thinking all doctors only give opinion after going patient again, even if test has been done." I didn't mention khaw, and that is obviously is a thing from your delusion, which you have imagined was my delusion.
I already said i was wrong about Khaw being a doctor. See, the thing with normal people is that when they make a mistake, they apologized, things get cleared up, and life goes on. I made one, i said i was wrong, and i clarified.
that's the great thing about having the courtesy to say you are sorry. you probably never apologized before in the forum, judging from how you keep harping on my mistake after i said i made one.
Right, you admitted that you were wrong in thinking that Khaw was a doctor when he was not. Even if Khaw is a doctor, he has to go through the reports, at the least, before he can give an opinion.
You had no evidence that Khaw is a doctor, you have no evidence that Khaw looked at the reports, but you make wild claims anyway.
Like you make wild claims here:
and here:
and here:
...... and so on and so forth.... and also in this thread.
That Khaw Boon Wan is a doctor... 21 Apr `09, 12:06PM
So if you as you said, "normal people is that when they make a mistake, they apologized, things get cleared up," you have to admit that you are an idiot that makes claims after claims without proof and evidence.
Edited to add more evidence:
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so?
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Originally posted by AndrewPKYap:
Right, you admitted that you were wrong in thinking that Khaw was a doctor when he was not. Even if Khaw is a doctor, he has to go through the reports, at the least, before he can give an opinion.
You had no evidence that Khaw is a doctor, you have no evidence that Khaw looked at the reports, but you make wild claims anyway.
Like you make wild claims here:
and here:
and here:
...... and so on and so forth.... and finally in this thread.
So if you as you said, "normal people is that when they make a mistake, they apologized, things get cleared up," you have to admit that you are an idiot that makes claims after claims without proof and evidence.
wow, nice stalking. you can carry on the discussion about how i fail to back up my claim in the other thread.
But answer me this. What evidence do you have that Khaw never do any research before he make the statement? His statement has alot of details on the subject and should be sufficient prove that he did some research. his press release is my evidence he looked at the report
Or you want to prove that Khaw decided one day to flip a coin and say, hey, this operation won't work, than make a public announcemet about it? Are you high?
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Originally posted by skythewood:
wow, nice stalking. you can carry on the discussion about how i fail to back up my claim in the other thread.
But answer me this. What evidence do you have that Khaw never do any research before he make the statement? His statement has alot of details on the subject and should be sufficient prove that he did some research. his press release is my evidence he looked at the report
Or you want to prove that Khaw decided one day to flip a coin and say, hey, this operation won't work, than make a public announcemet about it? Are you high?
...god you admitted that he is not even a farking doctor and now you want to worm your way out.
...you made the claims, you provide the evidence, get it, you stupid insane idiot?
... how many times must I tell you that? You want proof that I told you that a few times already in the other thread alone and still you commit that stupid mistake?
You make the claims and I am supposed to provide the evidence that Khaw "do any research "? You are a farking idiot.
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Originally posted by AndrewPKYap:
...god you admitted that he is not even a farking doctor and now you want to worm your way out.
...you made the claims, you provide the evidence, get it, you stupid insane idiot?
... how many times must I tell you that? You want proof that I told you that a few times already in the other thread alone and still you commit that stupid mistake?
You make the claims and I am supposed to provide the evidence that Khaw "do any research "? You are a farking idiot.
Hi, moron, i provided the evidence already, look again and repent.
His statement has alot of details on the subject and should be sufficient prove that he did some research. his press release is my evidence he looked at the report
This prove that you are blind.
what worm my way out? i am always here to prove that you are an idiot, so don't worry. what point you not clear again?
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Originally posted by AndrewPKYap:
The issue is "But he disagreed with published remarks by Singapore’s Health Minister Khaw Boon Wan cautioning that an operation is more likely to harm the patients than improve their situation." whether Khaw can make that call that "operation is more likely to harm the patients than improve their situation".
What the hell are you going on about?
Minister Khaw is implying something lah... Dr Goh may go on with the surgery understaffed or underequipped. -
Originally posted by Herzog_Zwei:
Minister Khaw is implying something lah... Dr Goh may go on with the surgery understaffed or underequipped.Interesting, where and how did he impy that? I hope that you are not another "skythewood" that says things without providing any evidence of what he claims.
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Originally posted by AndrewPKYap:
Interesting, where and how did he impy that? I hope that you are not another "skythewood" that says things without providing any evidence of what he claims.
wooooo.... wild claim number 3. i did not provide evidence.
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Originally posted by AndrewPKYap:
idiot, all the claim have been backed up by evidence and logic. are you blind?
what a douche bag. And yes, most people won't click on a link inside a link inside a link.
i don't have short term memory, why don't you just post it out?
