Nsman here
memo from Mount Alvernia hospital
state that i did a 24 hr blood pressure test,diagnosed with hypertension,not well controlled even after mediciation
Has a very high pulse rate of 120/min at rest after monitoring
Strongly recommend to be excused from 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
My son is a pre-enlistee graded B1L1, and just receive notice to report for enlistment on 11Dec (PTP BMT). Recently he consulted an orthopedist for suspected shoulder injury and the specialist memo said that clinical exam showed positive O'Brien's test, suspected SLAP tear and recommended MRI to further investigate. My son will be bringing the specialist memo to see the MO at CMPB tomorrow. I have a couple of questions on behalf of my son
1) If MO recommends MRI investigation, will my son's PES be temporarily changed to D pending the MRI results?
2) if no change of PES, and if MRI appointment is after the original scheduled enlistment date! will CMPB change the enlistment date?
3) is it better for him to go to private specialist to get MRI scan first, then see the MO with the MRI results?
4) assuming SLAP tear is confirmed, will his PES be downgraded?
As my son's BMT is less than 2 months away and my ultimate concern is that he does not go into BMT with possible shoulder injury /risk of further injury, would very much appreciate if EAC or some others with experience of CMPB process can help answer the above questions. Thanks,
Source: www.NS.sg
Please note that pre-enlistees can only be assigned to an enlistment intake after being certified medically fit for a PES for enlistment at the pre-enlistment medical screening.
CMPB Medical Classification Centre (MCC) hotline: 6373 1340
MRS: www.ns.sg/nsp/web/esvcs/mindef/medical/referral-system
What is Medical Referral Management System (MRS)?
The Medical Referral Management System or MRS is designed for the pre-enlistee to perform some of the medical services prior to the completion of his medical investigation. In particular, the pre-enlistee can update the outcome of his medical appointment, apply for a Letter Of Identity (LOI), be reminded of any outstanding actions that have to be undertaken by the pre-enlistee and find out his latest PES status.
What is a Letter Of Identity (LOI)?
It is a form that is issued to the pre-enlistee for every appointment. Upon presentation to the hospital, it would waive payment up to the point of diagnosis. It is to note that any appointment made for purposes of treatment would NOT be paid for and shall be borne by the pre-enlistee.
What is a Further Reporting Order (FRO)?
The pre-enlistee is to note that under the Enlistment Act, specified in the FRO, he is obliged to attend all appointment as required. Under no circumstances is he to default any appointment.
The FRO also serves as a reminder to the pre-enlistee the details to his medical appointment and specify the documents that are issued to him or important instructions that he is to take note of.
What is a Progress Report on Patient's Medical Status (PR)?
This form when completed by the attending doctor at the hospital and accurately transcribed onto the electronic version on MRS would facilitate MCC in deciding if the pre-enlistee has completed his hospital medical appointments.
I have been referred to the hospital after being seen by the Medical Officers at Medical Classification Centre. What are the things that I have to take note of?
You are expected to be punctual and attend your appointment. The Letter Of Identity (LOI) is to be presented at the point of registration and Referral Letter must be submitted to the attending doctor. The doctor is to complete the Progress Report on Patient's Medical Status (PR) and hand it back to you after every consultation.
Please refer to the Further Reporting Order (FRO) for a list of other documents that you have to bring to the hospital.
I have attended my hospital medical appointment. What do I have to do next?
You are to log onto you MRS account and validate the LOI (confirm the attendance of your medical appointment). You can do so by either clicking the "Validate LOI" button on the menu bar or the row specifying the appointment that you are going to confirm.
What am I to do with the Progress Report on Patient's Medical Status (PR)?
For every follow-up appointment, you would be issued with a Progress Report through MRS. You are to bring with you to the hospital appointment and get the attending doctor to complete. You are to translate this onto the PR that is available in MRS before you can apply for a new LOI (if necessary).
I have another hospital appointment to attend. Can I apply for a new Letter Of Identity (LOI)?
Yes you can apply provided the appointment is only for investigations up to the point of diagnosis. The LOI is not applicable for any appointment that allows you to seek treatment.
To apply for a LOI, you must first complete the Progress Report on Patient's Medical Status.
MCC reserves the right not to pay for any of your appointment should it be found to be for other causes other than for investigative purposes.
What do I have to bring when I attend my hospital appointment?
After you have successfully applied for your LOI, the system would generate a list of documents for you to print. Of these, you are to bring with you the Letter Of Identity (LOI), and Progress Report on Patient's Medical Status (PR).
The LOI is to be presented to the hospital at the point of registration. The PR is to be completed by the attending doctor and handed back to you.
I have completed all hospital appointments and MRS informed me that MCC would request for medical report from the (hospital) doctor and review my medical status. I am to login in 2 months time to check on my final PES status. Why does it take so long?
MCC would need to request for the medical report on your behalf from the hospital. This would take some time, including time for MCC medical officer to review the report and determine if the investigations done would affect the final outcome of your condition and PES status.
I have been referred by MCC to the hospital for medical investigation(s). Who would be paying for the hospital expenses?
The initial referral would be made by MCC. You are required to update the outcome of your appointment and apply for a new LOI through MRS. This LOI, when produced at the hospital, would waive all medical expenses for you up to the point of diagnosis. The hospitals would then bill MCC directly for payment of your appointment.
MCC reserved the right not to pay / reimburse you for your medical expenses if you are found to have not updated your status via MRS or referral is not made for the conditions that you have undergone investigations/ treatment.
This would be considered on a case-by-case basis.
What should I do if I have developed new medical conditions after I have been assigned a PES status?
You can request to see the medical officers at MCC. To facilitate them in further understanding your medical condition, you are to produce any medical report that would provide further insight to your condition.
What are the types of potential medical appointments that I may have to go?
There are 2 types of medical appointments that are available to you.
Internal medical appointment refers to those that you have to MCC to complete your investigations.
External medical appointment refers to those that you have to complete your investigations at a location other than MCC. They are usually done at the (restructured) hospitals or Military Medical Institute (MMI).
MCC Services
MCC Eye Clinic
The Specialist Eye
Clinic at MCC provides medical assessment for eye conditions. An
appointment will be made for you during the screening procedure should
it be deemed necessary. Please bring all documents regarding any known
eye condition for your appointment.
MCC ENT (Ear, Nose and Throat) Clinic)
The
Specialist ENT Clinic provides pre-enlistment assessment for ENT
complaints. You will be informed if there is a need for you to attend
this clinic.
MCC Specialist Psychiatric Clinic
The
Specialist Psychiatric Clinic at MCC aims to assess the suitability of a
pre-enlistee with regard to psychiatric conditions already known or
discovered during the screening process. It is essential to have one
parent accompany you should an appointment be made for you and it would
greatly shorten the delay to enlistment if you bring all your
pre-existing psychiatric medical records for your appointment.
MCC Specialist Orthopedic Clinic
The
specialist orthopedic clinic has the purpose of grading a pre-enlistee
with regard to any orthopedic problems. A medical officer will be in
attendance together with a senior doctor from one of the restructured
hospitals. Here we will grade you based on your orthopedic problems.
Please bring all medical reports and X-ray films for this visit.
Medical Review
A
pre-enlistee with any abnormalities noted during the medical screening
will be required to undergo medical review. This can take several forms
as appropriately decided by the Medical Officer.
Referral to SAF Military Medicine Institute (MMI) / Government / Restructured Hospitals
The
pre-enlistee may be referred to SAF MMI, government / restructured
hospitals for further investigations. If the referral is required, he
will be given a set of documents to bring along as well as information
regarding the date, time and venue.
So does that mean he will not be required to enlist for the PTP BMT if the investigation of his shoulder condition / PES status review is not completed by the currently stated enlistment date?
Yes, for further details, please call the 24/7 NS hotline at 1800-3676767 to speak to a customer service officer to re-schedule his NS enlistment date, pending new PES review.
just to update my status from previous posts. Provided the camp medical officer the X rays via printed A4 sized paper and a memo from the podiatrist about my feet metatarsal fracture and got downgraded from C2 L1 to C2 L9:
PES : C2 L9
Effective From : 08/10/2013 Expiry Date : Permanent
Excuse Status Details
Description : Running, Marching, Jumping Medical Centre : MMI MEDICAL BOARD CENTRE
Start Date : 08/10/2013 End Date : Permanent
Remarks :
Description : Boots Medical Centre : MMI MEDICAL BOARD CENTRE
Start Date : 08/10/2013 End Date : Permanent
my injury looks like this example...
http://www.footeducation.com/wp-content/uploads/2010/08/Figure-1-Dancers-fracture_thumb-1.jpg
Dear Dr eac,
I am currently enlisted in the PTP batch. Before enlistment at the CMPB MCC, I was being referred to SGH specialist (last asthma attack back in sec 4). At the review, I took the spirometry test and was prescribed Salbutamol inhaler and graded PES B1L1.
However, first week into enlistment, I started having shortness of breath & tight chest while doing PT, quick march with field pack or running around with SBO. On most occasions, I experienced numbness throughout my body & giddyness. I reported my condition to the PTMC MO and was given a month of light duties & specialist review at SGH again. The review will be on the upcoming week and I do have 2 questions in mind:
(1) What to request / expect at the specialist review?
(2) Will I get down PES or OOT?
Thank you for taking time to read this, much appreciated.
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
Good day to all, just a quick question to dr eac. Can i check with you if MO have the access to public hospital records? How about private clinics? Thanks for your reply.
National Electronic Health Record System
By June 2013, the National Electronic Health Record (NEHR) system will be implemented in all public hospitals, specialist centres, polyclinics, as well as some community hospitals, nursing homes, and general practitioners.
We are now at the next phase of implementation to rollout more functionalities to more healthcare providers. Access to NEHR has also been provided to the Agency for Integrated Care, some GPs, and long term care providers, with more nursing homes to follow.
Providers can share information such as patient diagnosis, lab results, medications, and discharge summaries. MOH will next work towards enriching the system’s functionalities, including case management and shared care plans. With information shared across providers, we will have a system that is better connected, better coordinated, and better able to provide good care to each and every patient.
Source: Ministry of Health (www.moh.gov.sg)
Dear Sirs
Recently I was diagnosed with major depression with passive sucide tendancies by IMH doctors. I was given a memo by the doctor.
I'll be attending my ICT soon, any ideas what will happen to me if I endorse this memo?
Thank you for taking time to read my post.
The MO is to refer your case to Military Medical Institute (MMI) for Medical Board (MB).
If he didn't/ forgot to do so, you are to please request for it.
Military Medicine Institute
Services available:
- Cardiopulmonary Lab
- Deployment Medicine
- Dermatology
- Ear, Nose and Throat
- Internal Medicine
- Medical Grading
- Occupational Medicine
- Orthopaedics
- Ophthalmology
- Psychological Care
- Specialist Dental Centre
- Sports Medicine
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
Sorry, I was not clear with my post. The MO will prob recommend me for Med Board. That I understand. I would like to know how will this affect my ICT. At present I'm a C2L2 Signaller.
1. At present, I find myself unfit to carry on my daily life, let alone ICT.
2. Given my condition, what will I be doing what I normally do in ICT?
3. As I've been roll over from my previous unit due to work overseas, I'm apprehensive about what my new unit will assign me since they are not aware of my limitations.
Thank you for your constant guide towards our questions towards medical issues in the army. As NSMen we are often very unsure what to do with our medical issues especially since we are all getting on in age.
1. On the very 1st day of ICT, you are to report sick to show the MO the memo to get an excuse chit (MC) for the ICT period. For example, Att B (Fit for Light Duties only) throughout the ICT period.
2. It is strongly recommended/ advisable to sound out (voice out) to the officer-in-charge (OIC). You can speak to him one-to-one in private/ confidential. If he is not helpful, next is to just follow the chain of command to the next higher officer.
Dear Dr EAC
Thank you for your feedback. I'll do that. I've already served 5 high key ICTs and only left with 2 more to go. My only worry is that I would be either posted out from signals or out pro... Cause I saw that happen to a platoon mate during my last ICT due to similar problems.
When patients feel at their most vulnerable, Head of medical social services at Singapore General Hospital (SGH) Ms Esther Lim steps in to help them make sense of what is happening.
Such patients may have tried to take their own lives or showed signs of wanting to do so. Ms Lim also helps families cope when they have lost a loved one.
The 39-year-old's helping hand is extended not just to patients, but also to hospital staff who face challenges at home or at work, for instance, if they have been abused by a patient.
In 2003, she pioneered a programme in SGH to train health-care and social work professionals in suicide intervention. It is now also offered in SingHealth's Postgraduate Allied Health Training Institute.
Since becoming a social worker in 1995, Ms Lim, who leads a team of 85 medical social workers, has received more than 15 awards. Last year, she was one of two recipients of the Outstanding Social Worker Awards given out by the Singapore Association of Social Workers.
She is married to a 37-year-old police officer. They have a six-year-old daughter.
I specialise in suicide and crisis intervention because...
When I was working in the emergency department years ago, I saw how a crisis, such as a life-threatening illness, a serious road traffic accident or an attempted suicide, can throw a family off balance.
The sense of disbelief and loss can be overwhelming, so this is where I step in to help people make sense of what is happening.
The immediate goal is to reduce the intensity of the emotional, physical and behavioural reactions, while the long-term goal is to help families get back to as normal a life as can be.
A person's life is precious because...
We live only once, so we have to live it fully and with dignity, despite our circumstances.
One little known fact about suicidal patients is...
They are not mentally ill. Anyone facing a seemingly desperate situation can be vulnerable to feeling hopeless and helpless, which may escalate to suicidal acts if the person does not receive help or cuts himself off from others.
If I were to give an analogy for what I do, I would...
Be a bridge to connect the suicidal person with the resources around him, such as family service centres, care facilities and legal aid. Often, a person may think nobody can help him, which is not true.
The eventual goal is to reconnect the suicidal person with his family and loved ones through individual, couple or family sessions.
A typical day for me would...
Start at 8.30am with administrative duties, followed by morning staff meetings or journal club sessions. I meet senior staff members regularly to plan and implement assistance schemes which benefit patients.
Other medical social workers also come to me to seek advice on cases they are working on. I co-manage the difficult cases, such as those which may involve suicide, or in which patients or family members consistently display behavioural difficulties.
I also support hospital staff members who need help and teach them coping strategies.
I have come across all types of cases...
But I find that families with strong social support fare better in crises. After the initial shock and confusion, members organise themselves very quickly to protect the affected family member by providing physiological and emotional comfort.
I love patients who...
Make it a point to turn up for their follow-up counselling sessions because this shows their readiness and motivation for change.
Patients who are forthcoming, open to working with their families and willing to reflect on themselves often make better progress.
They pick up positive coping strategies to deal with life's challenges, which range from relationship discord, financial issues to mental health or addiction challenges.
Patients who get my goat are...
Those who blame everyone else for their problems, without realising that they have a part to play.
For instance, a suicidal husband may be domineering at home and may keep blaming his wife and children, without realising that he has failed to communicate properly with them.
This can also explain the persistent suicidal behaviour in some patients. This vicious circle may wear out their loved ones and cut patients off from the support they used to have.
Things that put a smile on my face are...
Receiving handmade cards from the children of one patient whom I saw for attempted suicide and depression over several years.
Every year, though the drawings and handwriting would mature, they always conveyed their appreciation to me for being there for their mother.
It breaks my heart when...
An elderly patient asks me if the doctor can help end his life because he does not want to burden his children.
I realise, through interaction with elderly patients, that they are so stoic and self-reliant that they feel useless when they cannot contribute financially, take care of their grandchildren or, worse still, become disabled.
They have laboured hard all their lives, yet they have not come to accept that there is a time to receive unconditional care in return.
I would not trade places for the world because...
There is still so much to be done that I cannot find enough time for everything. This is what I am trained for and playing a part to restore equilibrium to lives is a constant reminder to live mine fully.
My best tip is...
To learn to take charge of emotions, thus reducing the likelihood of acting on impulse when emotionally charged.
Some things which may help include taking slow, deep breaths, sharing your problems with a trusted mentor and putting vexing matters on the back-burner, that is, taking your mind off it and revisiting the issue when you are calmer.
Samaritans of Singapore (SOS): 1800-2214444
Singapore Association for Mental Health: 1800-2837019
Sage Counselling Centre: 1800-5555555
Care Corner Mandarin Counselling: 1800-3535800
Refer: www.imh.com.sg
The Institute of Mental Health (IMH) is a 2,000-bed acute tertiary psychiatric hospital situated on a 25-hectare campus at Buangkok Green Medical Park. Set amidst serene surroundings, IMH offers a comprehensive range of psychiatric, rehabilitative and counselling services for children, adolescents, adults, and the elderly.
IMH’s tradition of care started in 1928. We were the first mental hospital in Singapore, starting with some 1,000 patients. Since then, many advances have been made in treatment, training, and research. Our treatment integrates evidence-based therapies, supported by the departments of clinical psychology, nursing, occupational therapy, and medical social work, to provide holistic care for our patients. IMH is equipped with modern facilities, with 50 wards for inpatients and seven Specialist Outpatient Clinics.
IMH was the first mental health institution in Asia to receive the Joint Commission International Accreditation in 2005, a highly coveted international accreditation for healthcare organisations.
Over the years, IMH has gained a reputation for quality research. In 2008, the Ministry of Health, Singapore, entrusted IMH with a S$25 million research grant to implement translational and clinical research into the causes of schizophrenia and related psychotic disorders.
IMH also plays a key role in training the next generation of mental health professionals in Singapore. We train psychiatrists and mental health professionals through the NHG-AHPL Residency Programme for psychiatry and through collaborations with the local tertiary institutions.
Address
Buangkok Green Medical Park
10 Buangkok View
Singapore 539747
Saw that article thank you... However, when the people closest to you cannot help, how would a voice over the phone help?
You can seek assistance from any Medical Social Services Department of any hospitals.
For example,
sgh.com.sg/Clinical-Departments-Centers/Medical-Social-Services/Pages/medical-social-services-department.aspx
Hi brothers. Please help me... I injured my right shoulder training for pull ups.. I went to poly to get a referal letter, went to hospital. Doc give me PT. did for 1 month plus, but no sign of improvement. The shoulder always feel weak/ dull ache. Like the discomfort is always there. Certain angle it hurts.
I have been temp excused from napfa. I'm enlisting next year. I come from a poor family, i have no money to go for MRI and surgery.. The medical checkup is in December. What should I do? Im afraid i will continue to screw up my shoulders if I have to do push up/pulls. Someone pls help me.
Source: www.NS.sg
Please note that pre-enlistees can only be assigned to an enlistment intake after being certified medically fit for a PES for enlistment at the pre-enlistment medical screening.
CMPB Medical Classification Centre (MCC) hotline: 6373 1340
MRS: www.ns.sg/nsp/web/esvcs/mindef/medical/referral-system
What is Medical Referral Management System
(MRS)?
The Medical Referral Management System or MRS is designed for the
pre-enlistee to perform some of the medical services prior to the
completion of his medical investigation. In particular, the
pre-enlistee can update the outcome of his medical appointment,
apply for a Letter Of Identity (LOI), be reminded of any
outstanding actions that have to be undertaken by the pre-enlistee
and find out his latest PES status.
What is a Letter Of Identity (LOI)?
It is a form that is issued to the pre-enlistee for every
appointment. Upon presentation to the hospital, it would waive
payment up to the point of diagnosis. It is to note that any
appointment made for purposes of treatment would NOT be paid for
and shall be borne by the pre-enlistee.
What is a Further Reporting Order (FRO)?
The pre-enlistee is to note that under the Enlistment Act,
specified in the FRO, he is obliged to attend all appointment as
required. Under no circumstances is he to default any
appointment.
The FRO also serves as a reminder to the pre-enlistee the details
to his medical appointment and specify the documents that are
issued to him or important instructions that he is to take note
of.
What is a Progress Report on Patient's Medical Status
(PR)?
This form when completed by the attending doctor at the hospital
and accurately transcribed onto the electronic version on MRS would
facilitate MCC in deciding if the pre-enlistee has completed his
hospital medical appointments.
I have been referred to the hospital after being seen by the Medical Officers at Medical Classification Centre. What are the things that I have to take note of?
You are expected to be punctual and attend your appointment. The
Letter Of Identity (LOI) is to be presented at the point of
registration and Referral Letter must be submitted to the attending
doctor. The doctor is to complete the Progress Report on Patient's
Medical Status (PR) and hand it back to you after every
consultation.
Please refer to the Further Reporting Order (FRO) for a list of
other documents that you have to bring to the hospital.
I have attended my hospital medical appointment. What do I
have to do next?
You are to log onto you MRS account and validate the LOI (confirm
the attendance of your medical appointment). You can do so by
either clicking the "Validate LOI" button on the menu bar or the
row specifying the appointment that you are going to confirm.
What am I to do with the Progress Report on Patient's
Medical Status (PR)?
For every follow-up appointment, you would be issued with a
Progress Report through MRS. You are to bring with you to the
hospital appointment and get the attending doctor to complete. You
are to translate this onto the PR that is available in MRS before
you can apply for a new LOI (if necessary).
I have another hospital appointment to attend. Can I apply
for a new Letter Of Identity (LOI)?
Yes you can apply provided the appointment is only for
investigations up to the point of diagnosis. The LOI is not
applicable for any appointment that allows you to seek
treatment.
To apply for a LOI, you must first complete the Progress Report on
Patient's Medical Status.
MCC reserves the right not to pay for any of your appointment
should it be found to be for other causes other than for
investigative purposes.
What do I have to bring when I attend my hospital
appointment?
After you have successfully applied for your LOI, the system would
generate a list of documents for you to print. Of these, you are to
bring with you the Letter Of Identity (LOI), and Progress Report on
Patient's Medical Status (PR).
The LOI is to be presented to the hospital at the point of
registration. The PR is to be completed by the attending doctor and
handed back to you.
I have completed all hospital appointments and MRS informed
me that MCC would request for medical report from the (hospital)
doctor and review my medical status. I am to login in 2 months time
to check on my final PES status. Why does it take so
long?
MCC would need to request for the medical report on your behalf
from the hospital. This would take some time, including time for
MCC medical officer to review the report and determine if the
investigations done would affect the final outcome of your
condition and PES status.
I have been referred by MCC to the hospital for medical
investigation(s). Who would be paying for the hospital
expenses?
The initial referral would be made by MCC. You are required to
update the outcome of your appointment and apply for a new LOI
through MRS. This LOI, when produced at the hospital, would waive
all medical expenses for you up to the point of diagnosis. The
hospitals would then bill MCC directly for payment of your
appointment.
MCC reserved the right not to pay / reimburse you for your medical
expenses if you are found to have not updated your status via MRS
or referral is not made for the conditions that you have undergone
investigations/ treatment.
This would be considered on a case-by-case basis.
What should I do if I have developed new medical conditions after I
have been assigned a PES status?
You can request to see the medical officers at MCC. To facilitate
them in further understanding your medical condition, you are to
produce any medical report that would provide further insight to
your condition.
What are the types of potential medical appointments
that I may have to go?
There are 2 types of medical appointments that are available to
you.
Internal medical appointment refers to those that you have to MCC
to complete your investigations.
External medical appointment refers to those that you have to
complete your investigations at a location other than MCC. They are
usually done at the (restructured) hospitals or Military Medical
Institute (MMI).
MCC
Services
Medical Classification Centre
Location and Operating Hours
Our Address
MCC is located at Level 1, CMPB Podium.
Central Manpower Base (CMPB)
3 Depot Road
Singapore 109680
Our Operating Hours
Mondays - Fridays: 8:00 am to 5:00 pm
Saturdays, Sundays and Public Holidays: Closed
Pre-enlistment Medical Screening
Prior
to enlistment, all pre-enlistees have to undergo a thorough medical
examination at the Medical Classification Centre (MCC) within the
Central Manpower Base (CMPB). This examination allows the medical
fitness of a pre-enlistee to be assessed and this subsequently
determines his Physical Employment Status (PES).
Medical Screening Appointment Preparations
As
part of the e-documentation, you are also required to select your
preferred medical appointment date as well as to complete the medical
questionnaire (e7F). You will need to go through the medical
questionnaire form with your parents / guardian so that useful medical
information about you is captured.
To ensure that your medical
experience with us is pleasant and that the overall screening process is
not unnecessarily delayed, we have compiled a checklist for you:
Good day, I was previously diagnosed with Osgood Schlatter Disease (OSD) by the MO in tekong and was downgraded to PES C2L2 with perm excuse RMJ.
I read around and found out that there are others with similar condition but with PES C9 with perm excuse RMJ and HL.
Is this because my down PES application was not filed in with a specialist letter or does the severeness of my condition does not warrant for the PES status and excuse.
Please advice.
Thank you.
Nowadays, PES C2 and C9 not much different. It is all still within PES C 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