Something
I digged up from my computer...bit long though.
OCT 28, 2002
3 hours' sleep in 34 - and that's on a good day
The charges have been made several times: The long hours that
doctors work here could endanger their patients. But just how bad
does it get? SHAHIDA ARIFF follows a junior doctor on a 34-hour
shift to see how it affects his concentration and standard of
patient care
IN THE 34 hours from when he started duty on Thursday morning, Dr
Thomas Ho saw 45 patients, assisted in three surgeries, had five
meals and got three hours' sleep.
All in all, it was a good on-call shift for the 29-year-old medical
officer at Tan Tock Seng Hospital.
After all, he said, things could have been worse - he could have
missed his meals, gone without sleep completely and seen a lot more
patients in much less time.
'Thank God such bad days don't happen often,' said the trainee with
the department of orthopaedic surgery. He does one or two on-call
duties a week - shifts where he is on standby at the hospital
throughout the night.
Thursday's duty started at 7.30 am with Dr Ho checking on his 10
patients who were warded in different sections.
He spent about five minutes with each of them, discharged a couple,
and was done by 8.45 am.
Thirty minutes later, he was downstairs at the clinic, and went on
to see a dozen patients over three hours.
Most were seeking follow-up treatment, the kind of patients he
would dread on busy days.
'If I have a long list of patients waiting to see me, and a patient
is asking lots of questions about why he hasn't recovered, I get a
bit frustrated,' he said.
'I want to finish with them quickly because I have a pile to go
through.'
Such a scenario would reflect what was said in a report by an
international panel of medical experts late last year.
The panel, led by Lord Ronald Oxburgh, honorary professor at the
University of Cambridge, reported what had been said countless
times - that there was a shortage of public doctors, and those in
the system were being overworked.
One comment went: 'Medical officer (is) seeing up to 40 patients
per clinic, with little time for