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> The MOST EXPENSIVE CLICNIC, I've ever been.

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fist_Aileron
post Jul 30 2012, 12:51 AM

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kamon laa..common cold need no antibiotic..tonsilitis also doctor shouldnt give 3rd generation cephalosporin for ? viral tonsilitis? all money masuk longkanglah virus gelak je dgn cefipime pown
bagi amox atau paling kuat awal2 cephalexin seems fairlah

Malaysian mentality -sikit2 nak antibiotik..bapak aku dokter dari kecik aku demam tiap2 bulan pun aku tak amek antibiotik..3-5 days settle..skang aku dokter kerajaan antibiotik free pun aku x amek..

200+ for tonsilitis is simply atrocious..go report MMA

pehal bagus sangat dokter tu pon tonsilitis bukak mulut suluh je.. bukannye dia ada mata bionik scan culture+sensitivity terus tau bagi ubat pe.

fist_Aileron
post Jul 30 2012, 12:55 AM

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memang mahal pon.3rd gen cephalosporin bro..2nd gen zinnat pun 30-40 sepapan kat klinik kampung..in kl maybe x2..

doesnt justify the prescribed medicine..GMP - good medical practice should start with normal antibiotic first..u go 3rd gen u'll get resistant - orang kampung mmg xtaw sbb xde internet.. u kan /k y u no read..u said u health conscious
fist_Aileron
post Jul 30 2012, 12:57 AM

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MMC dekat2 area masjid negara tu..that day i took my APC there.. cant remember..go search lebai google la
fist_Aileron
post Jul 30 2012, 01:03 AM

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QUOTE(gabbylim85 @ Jul 30 2012, 12:42 AM)
TS, why did you go to the clinic?

that is a very famous clinic. the doctor is very good. last time i see 3 different doctors before going to see her and the spots i had on my skin went away in just 2 days after her treatment, despite being around previously for 2 weeks with no signs of subsiding. if you not happy with her price, please go to other clinics, there are many clinics in that area. simple things no need to go see her. she is hardly panel because she don't need that to get customers. everyone that knows that clinic knows she is not cheap, but people still go to her.
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rilek bro jangan nangis - me emotionally rage with unethical practice vmad.gif go MMC at Jln. Cenderasari discuss with staff over there..
common cold shouldnt cost that much
fist_Aileron
post Jul 30 2012, 01:05 AM

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lysosyme tu brape sen je..tu anti inflammatory utk augment antibiotic..good for flu also..ceftibuten is the expensive one.. kalbe i think brand name not sure what medicine..yellow pill should be PCM ony
fist_Aileron
post Jul 30 2012, 01:14 AM

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QUOTE(Ahn3hn3h @ Jul 30 2012, 01:08 AM)
Bro KL susah cari makan. Not for people to live one. Must make big sale to continue survive the million dollar house loan, big car and buying food. Well to do family must have combined 5 digit figure salary to live comfortably.
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so its fair to cekik my patient's bloody money so i can live comfy? what kind of attitude is that? oh wait is that part of my Hippocratic oath? lucky my UNI dont use that oath

even rm50 per patient gp can get 5 figure salary..heck in melaka normal cough n cold only cost rm20-45
dr oso drive beemers - VW
fist_Aileron
post Jul 30 2012, 01:19 AM

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QUOTE(monkeygirl @ Jul 30 2012, 01:13 AM)
fyi, everybody who is saying all the medications are generic dunno wat they talking about. cedax is original antibiotics and one of the most "powerful" ones available (normal antibiotics u hv to take it twice a day, cedax is only once a day, rite?). and it's expensive.

worked at a clinic before. cedax isn't normally stocked by most pharmacies cause it's too expensive for them to give to any tom, d*** or harry.

about msian drs giving too much antibiotics... i also dowan to comment. we as med students are taught not to prescribe antibiotics too much to prevent resistant bacteria... not because our bodies get used to the antibiotics.

(but if ur dr suspected u have bacterial tonsilitis, memang patut shud give antibiotics. dun listen to ppl here saying it's not bacterial, bla bla bla... nobody here hv seen u or ur throat to say wat is it. otherwise ppl all just hv online consultation. no nid see dr at all)
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iye la medical student..aku tak cakap murah..dah aku mention 3rd gen cephalosporin td kan..
giving antibiotic is fair since the dr the one who check n might be not practical to wait for swab c+s blabla

but tonsilitis can give amoxy / cephalosporin then step up to more potent antimicrobial la y jump to the most powerful one..
fist_Aileron
post Jul 30 2012, 01:22 AM

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QUOTE(Ahn3hn3h @ Jul 30 2012, 01:19 AM)
What colour is your phlegm? yellowish and greenish?
If yes then antibiotics is a must.
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not really..yellowish can also be viral..doctor must assess clinically not online


Added on July 30, 2012, 1:24 ambrown = blood + stomach acid

This post has been edited by fist_Aileron: Jul 30 2012, 01:24 AM
fist_Aileron
post Jul 30 2012, 01:39 AM

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haah maybe the doc saw u willing to pay more to get the 'best' so she offers the best she had..unfortunate for u it cost bomb.. sangka baik..anyway u have the right to refuse her medicine..or maybe can ask discount heheh
fist_Aileron
post Jul 30 2012, 01:44 AM

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frankly i never use cedax not in my clinic so i dunno the exact even i know best not to reveal also. but since augmentin ori also rm60-80 retail so cedax would cost more..can ask certain pharmacy outlet sometimes they sell antibiotic also over the counter


fist_Aileron
post Jul 30 2012, 01:47 AM

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QUOTE(Ahn3hn3h @ Jul 30 2012, 01:43 AM)
Even better say I'll just pay for consultation thanks. Keep the drug and hand me a paper prescription so I can get them at a pharmacy.

To TS,
Anyways each of that Cedax should not be more than RM30. The rest should not exceed another RM60-80.

Did you wear very nice attire or make yourself look like some rich kid when you visited the doctor? laugh.gif
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hm?? so if 3 tabs is rm90 max? hmm..i think more expensive because even azithro oso around 50-80 3 tabs
fist_Aileron
post Jul 30 2012, 01:49 AM

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QUOTE(SilverRay @ Jul 30 2012, 01:46 AM)
Hi ts, just want to inform normally private clinic will charge consultation fee for around rm45-rm80 depent on time (normally more expensive after office hours), then they will charge per tablets price. cedax quite expensive $5.99 per tablet can refer here sos http://www.offshorerx.com/product/1534.htm but this not his price
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joe mamak already post mma guideline on pricing consultation in gp should be rm10-rm35 only and ts already mention if not mistaken consultation only rm35? huhu clinic in melaka only rm10-15

This post has been edited by fist_Aileron: Jul 30 2012, 01:50 AM
fist_Aileron
post Jul 30 2012, 01:57 AM

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yep..tonsil can cause glomerulonephritis (inflammation of the kidneys)..

the clinic charge could be reasonable with that kind of expensive antibiotics..just take it as a lesson not to take antibiotic lightly also.
its a modern disease induced drugs

i like some article in chrisskresser.com can go read when free.. chow need to sleep nao.hope u get well TS
fist_Aileron
post Jul 30 2012, 01:58 AM

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retail price
fist_Aileron
post Jul 31 2012, 12:19 AM

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QUOTE(Goblinsk8er @ Jul 30 2012, 05:24 PM)
This is what i hate about Private GP.

You are supposed to write the GENERIC name of the drug on the envelope.
For example: You must not write ponstan/pain-killer on envelope. The LAW says you need to label "Mefenamic Acid with a note Analgesic/Painkiller on it.

By doing so, you can prevent cheating by unscrupulous docs and unnecessary legal issues and liabilities.

All the clinics in malaysia have the same habit of writing trade names on their envelope. f***ing enforcement is really sleeping and and not enforcing anything.

When i was a MO, i threw the case note back into a houseman's face when i see them writing trade names on my case note.
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agree

QUOTE(Ahn3hn3h @ Jul 30 2012, 05:32 PM)
You must remember that no one can question a certified MD's prescription even if you complain to authorities. They will just tell the judge and lawyers if they know more about medicine than doctors?
The price of the fees, you can't challenged them because what they charge you is always industry's suggested retail prices which they've already worked out with pharmaceutical reps.

So where is the con and unethical act involved you might ask?

You see the more expensive the drug is, the higher profit margin the doctors get out of it.
So in this case, what the doctor did was overprescribed and pushing expensive drugs to his patients. You can't say he conned you because the drug prices were suggested retail prices and his consultation fees were all legal.

What he did was hiding behind the name of professionalism. Everything he did was right, selling the drugs at suggested prices, within MMA consultation fee recommendations, etc.
More of an honesty issue.

It's like you go to a shop asking to buy a specific product. There are many brands of the product but you ask him to give you one. He grabs the most expensive one he can find since he makes the most profit out of it and sell you instead.
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very true..i +1
fist_Aileron
post Jul 31 2012, 12:24 AM

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QUOTE(Goblinsk8er @ Jul 30 2012, 06:09 PM)
What I truly meant when i said generic names is WRITING THE INGREDIENT OF THE DRUG.
Eg: If he gives Panadol, write lah Paracetamol on the envelope.
If he gives Augmentin, write lah Co-amoxiclav.
If he gives Lipitor, write lah Atorvastatin.

I find most GP is f***ing llazy and unscrupulous for not labeling what are they giving.
Sometimes they just give the tabs and label it as painkiller. They are soo many painkillers out there in the market la, mangkuk.
How the f*** are the patients able to identify it.
This is NO DIFFERENT from buying street drugs from dealers. They don't label their drugs either.

In an incident of severe adverse drug reaction, hospitals are NOT able to trace back what meds this poor fella has taken since there is no label or whatsoever. So many drugs come in so many shape and sizes.
Imagine this: Patient comes in with severe toxic epidermal necrolysis or steven-johnson's syndrome, he only shows you a bunch of white color tablet but he dont wadafak was in them.

Private GPs are doing this just to protect their asses. If any ADR appears, they cannot hold responsibility for it since there is no label or anything.
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nowadays every single pill must be in blisters/ bottled so gone are the days tuang2 n picit2 so that patient wont buy the medicine cheaper at pharmacy when they identify the medicine..if get caught by enforcer kena riban2 woo..so SUPPOSE no more this issue but what i see is the same as what u say above

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