Tag: travel

Hospital C in Johor

After my discharge from Hospital B in Singapore, it appeared that the doctors knew what had gone wrong with me, as outlined in their reports. Another hospital which is about one hour drive from our home (in Singapore) is Hospital C. It is in Johor. We moved to Hospital C for 5 days from 11 June @15:18 to 15 June 2024 @10:31.

The great difference between B and C is that in Hospital C, you pay in Malaysian ringgit – indeed a huge difference compared to Singapore dollars!

In Hospital C, I underwent these procedures and treatments:

• Lumbar X-ray

There is reduce lumbar lordosis. The alignment is preserved.

No fracture or dislocation.

Impression: Lumbar spondylosis with likely L2/L3 disc bulge.

• CT brain – 11 June. Day 2 post mild head injury (after second fall).

Bilateral fronto- parietal hypodense subdural hemorrhage / effusion widest at frontal region, right measures 10 mm keft measures 13 mm in thickness.

There is hyperdense component seen at right parietal region (9 mm in thickness). Mild enhancement of the sulci bilaterally.

Gray-white matter differentiation fairly preserved.

No hydrocephalus.

No skull fracture.

Left parietal scalp swelling.

Impression: Bilateral fronto-parietal subdural hemorrhage as described.

• CT brain. Comparison made with CT brain yesterday – 12 June 2024.

Impression: Right parietal extra-axil haemorrhage, stable in size compared to previous.

Bilateral fronto-temporo-parietal subdural hygroma.

No new intracranial haemorrhage.

Blood- Tests

11 June 2024 @14.44

White Blood Cells                      12.0  H   (4.0-11.0)

Neutrophils                                 82.0 H  (40 – 75.0)

Lymphocytes                              11.2  L    (20 – 45)

Neutrophils (absolute value)   9.8 H   (2.0-7.5)

Lymphocytes (absolute value)  1.3 L  (1.5-4.5)

Sodium                                          118 (critical)    (135-145)

Potassium                                        3.6     (3.5-5.1)

Chloride                                            91  L   (98-109)

Creatinine                                        48   L   (62-115)

Calcium                                            2.14   L   (2.18-2.60)

Adjusted calcium                            2.1  L    (2.18-2.60)

11 June 2024 @19.58

Sodium                    120 (critical)   

Potassium               3.4 L 

Chloride                   92 L

Serum osmolality  249 L   (280-301)

Free T4                    25.4 H   (12.2-22.4)

11 June 2024 @23.45

Sodium                 124 (critical)   

Potassium             36 

Chloride                95 L

Urea nitrogen     2.4 L  (2.5-6.5)

!3 June 2024 @6:31

Sodium              123 (critical)   

Potassium           36 

Chloride              92 L

Urea nitrogen    2.3 L

!3 June 2024 @11:53

Sodium            125 (critical)   

14 June 2024 @ 8.10

Sodium          123 (critical)   

Potassium     38 

Chloride        94 L

Urea  nitrogen  2.5

14 June 2024 @ 14:12

Sodium          127  L

15 June 2024 @ 6:34

Sodium          126 L   

Potassium     3.7 

Urea nitrogen  2.2 L

Staying in Hospital was about taking the following medications and monitoring of blood as above.

8am
1. Omeprazole x 1 capsule
2. Metoclopromide (maxalon) / domperidone (motilium) x 1 tab (either or)
3. Celebrax x 1 capsule
4. Paracetamol x 2 capsule

9am – 10am (breakfast timing)
1. NaCl x 1 capsule
2. Potassium Cl x 1 tablet
3. Neurobion x 1 tablet

1- 2pm (pre lunch)
1. Metoclopromide (maxalon) / domperidone (motilium) x 1 tab (either or if papa feels nauseated)
2. Paracetamol x 2 capsule
3. NaCl x 1 capsule

6pm
1. Omeprazole x 1 capsule
2. Metoclopromide (maxalon) / domperidone (motilium) x 1 tab (either or)
3. Celebrax x 1 capsule
4. Paracetamol x 2 capsule

8pm-9pm (after dinner)
1. Metformin XR x 1 tablet
2. NaCl x 1 capsule

11pm-midnight (before sleep)
1. Paracetamol x 2 capsule

In the morning of15 June 2024, I was discharged and returned to Singapore. Was I fully recovered? I am sorry, the answer is NO. I was still unable to walk by myself and had to use a walking frame.

Cost of Hospitalization in Hospital C for 5 days

The total cost of hospitalization is RM 14,308.05, covering the following items:

1. Hospital Charges RM 12,197.04

Medication                                       1,970.64

Medical & surgical suppliers             890.00

Nursing procedure                              663.68

Imaging                                              1,561.60

Rehabilitation services                       880.00

Laboratory investigation                2,391.68

Nursing care                                         525.52

Administrative charges                         56.56

House supply                                          48.80

Miscellaneous                                         97.52

Medical officer fee                                 42.96

Room and board                                1,724.00

Equipment /instrumentation           1,333.08

• Doctor Charges RM 2,111.00

Dr. A – consultation & assessment. First consultation     235.00

Gen Ward visit (Weekday 8 am to 6 pm)                            840.00

Dr. B – Rad Fee            60.00

Repeat Fee – Brain      120.00

Repeat Fee Xray           21.00

Dr. C; Imaging – repeat fee – CT brain    120.00

Rad fee – on call surcharge                         60.00

Dr. D – consultation & assessment. First consultation     235.00

Gen Ward visit (Weekday 8 am to 6 pm )                          420.00

When you are in the hospital, remember that everything you used or was provided with has a price. So don’t be surprised. Take for examples:

1. Vomit bag. This costs RM12.80 each. I needed this bag when vomiting. Worse is, the vomit was induced by the consumption of the prescribed medications.
2. Every time I urinated, the disposable bottle costs me RM7.84 each.