PES FAQs
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Should be.
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alright. thanks EAC :)
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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. -
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 eac, I am a NSF. I've served for almost 6 months now and I'm in a Guards camp as a rifleman. I was recently diagonsed by a SGH Orthopaedic specialist with exostosis over the right lat calcaneum at the Tendo-Achilles insertion. The memo also stated that this will chronically rub in boots and shoes. The specialist also wrote that "should the pain persist in spite of these conservative measure like Mircopore tape to reduce chafing, he may require surgery in the form of exostectomy and Tendo-Achilles debridement, reattachment with suture anchors. Please excuse the patient as and when the pain arises."
My question is, I've already shown my camp's MO this specialist letter. The MO advised me to go for the surgery but I refused. Now that I decided to object going for the surgery, what should be the next step for me to take?
Should I ask for a permanant excuse boots? If given that permanant excuse, would it be a downgrade in PES? What would be my vocation if given the permanant excuse boots?
If I reluctantly and eventually take and undergo the surgery, would I be temporary or permanantly downgraded in PES?
Hope to recieve your reply soon, thanks!
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You may request MO for a temporary excuse combat boots for the time being, but an excuse chit is not a PES downgrade per se. It is a Att B (Fit for light duties) MC.An excuse chit is just to compliment your existing PES.
For example:
PES B, with excuse boots for 1 to 84 days.
Serviceman is fit for light duties.You may be placed on OOC/ OOT to be temporarily posted to HQ Battalion/ Brigade as a temporary clerk/ storeman/ whatever vocation assigned.
Should you wish to go for surgery, you will get a couple of weeks of hospitalisation medical leave (Att C MC) after post-surgery discharge from hospital.
Thereafter, depending on the specialist memo that you must get from the subsequent post-surgery hospital specialist follow-up, you may get a temporary PES downgrade for a few months to recuperate.
At near due expiry of the temporary PES, you are to get a latest specialist memo to submit to the MO to decide whether to give you a permanent PES or not.
Take note that while you are still a NSF, should you go for the surgery, it will be 100% subsidised for the general surgery. After ORD, you will have to bear and pay the cost yourself.
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Hi again Eac, I know a temporary excuse boots does not mean a downgrade in PES. But what if I am given a permanent one instead? Does that downgrade my PES? If so, to what PES?
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Even if you are given permanently excuse boots, you can still be a combat-fit PES B soldier, technically speaking.
For example, PES B with excuse boots permanent.Cannot wear combat boots, fine.
There are other footwears available in SAF eMarts such as to wear PT shoes, No.3 office shoes, workshop safety shoes, sandals...etc. -
Hi eac, gotten my status PES E9L9 but only for temp 1 year. Due to my severe chest pain, hypertension n high cholestrol n blood arteries blocked. Isit saf norm to always give temp status 1st for heart related issue?
how many temps cycles I need to go through to have a perm status?
when will they call me up for Review again? 1 or 2mths before pes expire? If I can't extend my pes, will they revert me to my past status or a new pes?
if perm E9L9 wat will happen? MR?
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When near due expiry for temporary PES, you will be call up for medical review.
Just submit all the newer and latest hospital specialist memos from the next few hospital specialist follow-up appointments.PES E nowadays are also to serve ICTs as clerk or storeman until MR/ ROD.
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What are the changes to your lifestyle, diet and exercise?
Firstly, you are strongly advised to eat oats (instant/ quick-cook) as heavy breakfast, and greatly reduce eating fried foods and junk foods.
Secondly, please start cardio exercising.
Start from light to gradual to moderate.
e.g. brisk walking, then fast walking, then slow jogging, then jogging.
Thirdly, if you drink alcohol/ smoke tobacco, please quit.
It's best that by changing your lifestyle, your BP will gradually stablise and be within normal range. Doctors advise that to manage BP effectively, it's optimal to change your lifestyle, next is to reduce drug dosage, and finally be completely off medicine.That's why I strongly urge you to eat oats (instant/ quick-cook).
3 big scoops (Chinese soup spoon) into a bowl.
Just add boiling water to 70% full.
Cover the bowl with a plate and wait 10 to 15 minutes.
Add water to 100% full, and consume at lukewarm.
Fast and easy-to-make breakfast.
Never ever skip breakfast.
Start off the day by having a heavy breakfast.
Have lunch at 70% full.
Have dinner at 30% full. If still hungry, eat oats.
If possible, drink Pu'er/ oolong tea (without sugar) daily.
Why I recommend you this?
My parents have HBP since first known 2 years ago.
And now, their BP is well-maintain with this 1st step in a simple change in diet/ lifestyle.
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Hi eac tks for ur reply.
3 qns
1) can I change to other cardiologist as I dislike my current 1 always tell me to go for further tests like CT scan that can expose me to high radiation .will medical board penalize coz my clinics n consultation specialist changed?
2) when my temp e9l9 is not successful next year to be perm, will they revert me back to previous status of c9l2 perm or they will issue new pes ? Coz under ns portal my previous c9l2 is erased n overwrite by e9l9 temp 1yr
3) how do medical board constitue a perm downgrade? Any factors they will based on? NNormally for my case need to go through how many years of temp before perm?
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1. It's your choice. If asked, just reply that you want to seek a 2nd opinion from another specialist doctor.
2. As long as you submit all the newer and latest hospital specialist memos from the next few hospital specialist follow-up appointments.
3. The factors are based on the "PES Bible" directive, which is classified.
As usual, please refer to this guideline:
http://sgforums.com/forums/1390/topics/392446 -
Hi again Eac. Let's say that my medical case has been referred to the Medical Board, how long do I wait for the results and do I get PES D while waiting for the results? And do I need to sign any form to certify that my case has been referred to the Medical Board by the MO?
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As usual, please refer to this guideline:
http://sgforums.com/forums/1390/topics/392446Please read, read anew and read again point number 8.
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My case is being referred to the medical board but my Medical Officer says there is nothing for me to sign to acknowledge that my case is being referred. Why?
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Then please return to the medical centre to request for one.
Say you need the undertaking acknowledge form for documentation for own reference.
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Hi,
If I am already in pes B2L2 but i just got an additional specialist memo to further excuse me from live firing, will my pes status change?
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No change.Your existing PES will just have another permanent excuse attached to it.
That is, PES B2L2 with Permanent Excuse Live Firing. -
As usual, please refer to this guideline:
http://sgforums.com/forums/1390/topics/392446 -
oh yea eac another question. is temp status considered a temp down pes?
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Yes, obviously. -
hi, does anyone know exactly how many times one can postpone further medical checkups (already went for the main checkup, these are further checkups regarding some issues they found) till they get pissed off? I postponed once for a family issue that I had to attend to.
The next date they gave me is coming up soon and I don't think I can make it either because I have something on AGAIN and I really can't do anything about it. Do you think I can miss this appointment without sizeable consequences? Advice on what else I can do please? Thanks.
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It's either you go by yourself or Military Police knock on your home door to fetch you go. -
Hi,
is hair loss treatment at hospital covered under 11b card?