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Why Govindan Had To Suffer

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Govindan had his throat operated on for cancer of the voice box at Tan Tock Seng Hospital (TTSH) in 2006. In 2010 the specialist there (now in private practice) told him he chose not to close the hole ("fistula") which caused Govindan years of misery. TTSH said the "graduated treatment plan" - keeping the hole open for 5 long years - allowed for flexibility if treatment should there be any relapse. Dr Song of Singapore General Hospital (SGH) begged to differ, "Since there are other means to detect cancer recurrence, performing fistula closure only after a 5-year cancer-free period is a relative contraindication." Thanks to Dr Song, Govindan can finally eat, drink and speak again.

This is not a note about medical science, or difference of professional approach. This is a note to self about the evil men can do.

Govindan taped the consultation session because he could not speak, and the doctor in question would not allow his wife or sons to be in attendance. Even allowing for transcription errors, this should ruin anyone's appetite:
"But it looks very good. You look perfect. Four months, four years. Perfect, perfect, but with a hole lah. Perfect with a hole."
Pause
"I can ask the plastic surgeon to see you. But the plastic surgeon here is not very good lah."
Pause
"Private, very expensive. Very expensive, OK. If you do in private, it would cost you, I would think, $50,000."
Pause
"Are you sure you got insurance? Your insurance will pay for private meh? For this? Are you sure will pay completely?"
Pause
"OK, you go and check with them. Because the one in TTSH, the private plastic surgeon I think is quite junior, he can't make it work.
"If you want to do it in private, er, it can be done. But you had better check that it's going to work. If you do it in Mount E, I tell you it will cost you at least $50,000."
Pause
"No, lah, if there was any other way, I would have closed, I would have told you already lah. It's just plastic surgery.
"OK, you're very good. You go and check your insurance and you come back to me. OK? You give me a call lah, OK?"


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