Originally posted by randomalgorithm:Hi, I'm serving in PNS (SPF).
Recently, I was diagnosed with Bilateral Chondromalacia Patella (CMP) and sent to physio after being referred to Orthopaedics by my camp MO. I gave him the ortho's memo/letter and was given 1 mth LD(light duty) and med board.
Problem is, my condition deteriorated since the xray by ortho more than 1 month ago, as in the following:
-Sharp snap sound in left knee followed by acute pain inside the knee cap. Occurred twice.
-Wobbling in both knees when descending stairs, sharp and acute pain when ascending.
-Just last week, both knees had sudden, extremely sharp pain, I could feel the rubbing of the bones against each other and the pain became unbearable to the point that I ended up limping.
-Went to see A&E twice requesting for MRI scan, A&E rejected my request saying that decision lies with Ortho dept.
-Went to see camp MO, gave only painkillers and excuse from RMJ when I already have LD. (Wtf?)
I can't bend, squat, kneel, run, straighten my knees or do anything that places high stress on my lower limbs to avoid aggravating my condition. Simple stuff like attempting to straighten my knees and a sharp, acute pain follows after trying to do so. Standing for prolonged periods of time also causes the pain to increase in intensity.
Now, I just suck thumb wait for board. My condition currently doesn't permit me to do any strenuous activity that may aggravate the pain in both knees and my LD is nearing expiry, so I may have to renew it.
HI! i have the same problem. I all along got excuse RMJ and all LL for months. Thats all.. The MO say the condition isnt in the pink bible eh..
Originally posted by tootpop:HI! i have the same problem. I all along got excuse RMJ and all LL for months. Thats all.. The MO say the condition isnt in the pink bible eh..
CMP, is not longer a condition you can downgrade anymore.
Originally posted by tarutaru:CMP, is not longer a condition you can downgrade anymore.
yep i know! sadly just live with it. irritating pain
Originally posted by tootpop:yep i know! sadly just live with it. irritating pain
Not really. There is a gradient of CMP. Some people may require a surgery to repair or shaved off the damaged cartilage. Others, the knee cap is just slightly out of place.
If you are having CMP recently, then it can be cured. 3 to 6 months can give good recovery results.
I got an excuse for RMJ and all lower limbs activites perm for right knee CMP.
Hi, just need anyone's advice on my dilemma.. I am recently downgraded to pes C9L3 currently with guards reservist unit due to multiple instances of shoulder dislocation.. My question is will i be revocated to another unit due to my new pes or will i still be able to stay with my current unit? And if i do stay what will my new duties be? It really sucks to be revocated as i have been with my mates all thru my ns life due to our mono intake together.. Many thanks for any replies..
I got scihzophrenia now, will it be pes f after CMPB medical check up?
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
Hi. I am a ns man and i had an injury during reservist 4 years ago. After MRI, it was found that i have central disc protrusion L4/5 and i was downgraded to C9L2. Recently, my lower back and leg pain got worse and i had urine problems as well. I went for another scan and MRI results shows severe deterioration, L4/5 prolapsed intervertebral disc with sequestration and cauda equina nerves compression. My specialist said my condition is quite bad and I was asked to go for decompression spine surgery which i just did and discharged, I was also given a memo for downgrade.
Now, i have concern over my back condition. I do not think i will even be fit enough to help out with carrying stores, ration or jumping off the tonner with my current condition during in camp training which is coming up next few months. Any idea for this case will i be able to downgrade further or will they even upgrade me after this surgery?
Hi all,
I am currently a pre-enlistee, just have a few questions to ask, hope you guys will help :)
I have been diagnosed with Mild Hyperlipidemia after several check - ups and appointment with SGH, and after submitting everything (Specialist memo, blood report), i've been graded PES C2L3 for 6 months.
First question,PES C2L3 for 6 months, is it meaning that after 6 months, they will review my medical condition again? And if i am deem fit to up PES, i will have to go through BMT all over again ? Honestly i am fine with my PES status, but the 6 months seem very uncertain for me.
Second, i also have an appointment with NUH during the end of August with a specialist to review about my condition as well, and if the specialist gives me a memo, is it necessary for me to bring it down to CMPB to further review my PES ??
Would appreciate advice !
Thanks !:)
Originally posted by Lokey:Not really. There is a gradient of CMP. Some people may require a surgery to repair or shaved off the damaged cartilage. Others, the knee cap is just slightly out of place.
If you are having CMP recently, then it can be cured. 3 to 6 months can give good recovery results.
I got an excuse for RMJ and all lower limbs activites perm for right knee CMP.
true. sorry just giving a passing remark. how to cure it? i am undergoing physio but frankly no effect. with this cmp it caused me to have some stress injuries on the tissues near my knees.
oh well.
Originally posted by tootpop:true. sorry just giving a passing remark. how to cure it? i am undergoing physio but frankly no effect. with this cmp it caused me to have some stress injuries on the tissues near my knees.
oh well.
In the initial phase, there may be inflammation at the knee cap. NSAIDs and rest can help to relieve the problem.
Next is Physio, where you strengthen the imbalanced muscles. Buy a balancing board and stand on it.
It take time to recover slowly. We are talking about years before you can run a marathon again. But to relieve the pain, it take about 3 to 6 months.
If you have perm damage such as torn cartilages. You might conside surgery.
Hi
Can anyone advice on the PES status is I'm diagnosed wiyth "Servere" Obstructive Sleep Apnea? My oxygen level is as low as 63%.I'm servere enough to dose off while i'm on the wheel and even a simple conversation.
Read plenty issue of knee, joins, back & skins problem but OSA is very rare mentioned in this forum.
Currently I'm needed to sleep with a machine and I can't be bringing the machine to go incamp to sleep with it.
Any advice on the PES status for such diagnostic?
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
Hi
something i have been suffering from pains and cramps in my foot and went to specialist and they diagnosed with flatfoot and have been going for physio for foot exercise and insoles. But non of these is helping much as the pain and cramp are still on going and get worse if i participate in sports. My specialist have written a memo for consideration of downpes but I was not able to book my mo appt due to slots being taken up till oct and the original mo there was out for overseas duties. Is there anything i can do?
Also I had nasty swollen bites after mainly coming back from the field or sometimes the bunk and from the doctor i went to, he said that i have allgeries from the mosquito bites that is why bites from the mosquito to others is so much different to me and they are quite irritating as sometimes it takes few days to a week plus to heal and i have to see the doctor for medicine costing me a bomb. Any solution for this problem?Thanks
Originally posted by TPeas:Hi
something i have been suffering from pains and cramps in my foot and went to specialist and they diagnosed with flatfoot and have been going for physio for foot exercise and insoles. But non of these is helping much as the pain and cramp are still on going and get worse if i participate in sports. My specialist have written a memo for consideration of downpes but I was not able to book my mo appt due to slots being taken up till oct and the original mo there was out for overseas duties. Is there anything i can do?
Also I had nasty swollen bites after mainly coming back from the field or sometimes the bunk and from the doctor i went to, he said that i have allgeries from the mosquito bites that is why bites from the mosquito to others is so much different to me and they are quite irritating as sometimes it takes few days to a week plus to heal and i have to see the doctor for medicine costing me a bomb. Any solution for this problem?Thanks
You may call 1800-3676767 to request for an earlier appointment booking timing in September, but there is no guarantee.
Depending on severity of Flat Foot condition and the specialist memo, most flat foot cases are normally PES B/ B2 nowadays because it has become a common condition. Only severe type are within PES C2/ C9 range.
As for the mosquito bites, insect repellant products/ powder/ anti-itch cream will be in your bag wherever you go.
Hi eac,
Can I check after slipped disc surgery laminotomy and microdisectomy what PES status would it be?I was operated cos I had L45 PID with sequestration and cauda equina compression.
Originally posted by Spacers:Hi eac,
Can I check after slipped disc surgery laminotomy and microdisectomy what PES status would it be?I was operated cos I had L45 PID with sequestration and cauda equina compression.
It's within PES C9 to E range.
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
hello eac
I just recently warded and diagnosed with coronary vasospasm that falls under the category of heart attack on July. I have to take medications almost for life and it contain nasty side effects. And I'm currently serving my ns as a transport operator at Pulau Tekong until this December then I'll be ord. What pes status can I get? And how long is the process for me to get the new pes status? Btw I've been Awol like 1 week. Do you think my camp commander can charge me to DB knowing that I have to go for re medical review and my heart condition?
Originally posted by killerxkush:hello eac
I just recently warded and diagnosed with coronary vasospasm that falls under the category of heart attack on July. I have to take medications almost for life and it contain nasty side effects. And I'm currently serving my ns as a transport operator at Pulau Tekong until this December then I'll be ord. What pes status can I get? And how long is the process for me to get the new pes status? Btw I've been Awol like 1 week. Do you think my camp commander can charge me to DB knowing that I have to go for re medical review and my heart condition?
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
Bros out there,
In urgent help needed. Apparently when doing my ord ffi, the found blood in my urine. so he give me some medicine, and ask me go back review again. but he passed my ord ffi. after that went back to do the urine test again, still got blood. So he refer me to specialist. then me hope to be able to down pes by this way. my referral letter is written as follows if anyone can help me decipher what me should do when me go see specialist and hopefully down pes because this problem is giving me problem.
"Noted last week during ord ffi, urine dipstik +3 for blood. Treated with a course of Ciprofloxacin. Repeat dipstik +4 for blood leucocyte, nitrite negative.
No dysuria
No back pain
No macroscopic hematuria
No family hx of kidney problems.
How bros out there. how to down? please advice. me is stressed.
Originally posted by Lub u21:Bros out there,
In urgent help needed. Apparently when doing my ord ffi, the found blood in my urine. so he give me some medicine, and ask me go back review again. but he passed my ord ffi. after that went back to do the urine test again, still got blood. So he refer me to specialist. then me hope to be able to down pes by this way. my referral letter is written as follows if anyone can help me decipher what me should do when me go see specialist and hopefully down pes because this problem is giving me problem.
"Noted last week during ord ffi, urine dipstik +3 for blood. Treated with a course of Ciprofloxacin. Repeat dipstik +4 for blood leucocyte, nitrite negative.
No dysuria
No back pain
No macroscopic hematuria
No family hx of kidney problems.
How bros out there. how to down? please advice. me is stressed.
Instead of first thinking about PES review, please think first that the most important main point is that there may be something wrong with your internal organs and that's the crux of the matter.
Please seek immediate professional medical attention and treatment first.
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
Originally posted by Lub u21:Bros out there,
In urgent help needed. Apparently when doing my ord ffi, the found blood in my urine. so he give me some medicine, and ask me go back review again. but he passed my ord ffi. after that went back to do the urine test again, still got blood. So he refer me to specialist. then me hope to be able to down pes by this way. my referral letter is written as follows if anyone can help me decipher what me should do when me go see specialist and hopefully down pes because this problem is giving me problem.
"Noted last week during ord ffi, urine dipstik +3 for blood. Treated with a course of Ciprofloxacin. Repeat dipstik +4 for blood leucocyte, nitrite negative.
No dysuria
No back pain
No macroscopic hematuria
No family hx of kidney problems.
How bros out there. how to down? please advice. me is stressed.
99.9% chance, it is nothing or no downgrade.
Treated with a course of Ciprofloxacin <=> He suspect that there may be infection.
Blood leucocyte, nitrite negative <=> no infection or inflammation.
No dysuria meants no pain when you urine <=> Most likely. no blockage in the tract or related.
No back pain <=> no injury to the kidney.
No macroscopic hematuria => There is no bleeding in the bladder now.
No family hx of kidney problems => Less likely a kidney failure related problem.
Strenuous exercise (especially running) may cause blood in the urine. It may due to the hopping that you keep on slapping your bladder when you run.In fact, 1/5 of the marathon runners experience blood in the urine after a run.
The only other causes are prostate, bladder or kidney cancer, which is rare for young boys. Even stones are rare for young boys. However, to be safe it is better to check it out. Blood in the urine is abnormal.
Most likely. it is strenuous exercise that causes the problem.
Thanks for the advices bros. Me will see what she specialist will say and see how from there thanks :)