What Bugs Me
Death of CEO after liposuction: How come a GP allowed to do plastic surgeon's work?

STOMPer George wonders why a general practitioner is allowed to perform invasive procedures like liposuction at all. Mr Franklin Heng, former CEO of a property management firm, had died after going through such a procedure at Reves Clinic on Dec 30.

Broadly, liposuction involves sucking fat out of the body.

In the STOMPer's email:

"I have read recently the horror of Singapore General Practitioners performing liposuction treatments such as Vaser etc on patients without proper training and caused the death of a patient in Singapore.

"This has seriously placed a serious question mark on the reputation of the conduct and professional qualifications on a GP being allowed to perform such high risk treatments without proper control.

"We as Singaporeans would like to urge and hope the Singapore Medical Council to prevent such things from ever happening by banning GPs from performing such invasive treatments. This kind of treatment should be solely done by trained specialists like plastic surgeons.

"Likewise, any other risky treatment like laser treatments that may burn a patient should be left to a trained dermatologist, who can rectify any sort of emergency immediately.

"Mr Franklin Heng could have been saved if he was immediately sent to a hospital where a professional could address the emergency there and then.

"It's such a pity to see such cases and the ignorance of a GP who is just out to make money doing aesthetics.

"Shouldn't a GP be trained to see sick patients ? Why is he stepping into the turf of specialist? Or performing a role of a beautician?


"This is a serious situation and we hope the Singapore Medical Council or MOH can look into it!

"This is not just about banning a specific clinic but all GPs in Singapore to prevent such cases from ever happening."

Reves Clinic at International Building in Orchard Road was registered in July 2009. The Ministry of Health (MOH) has ordered the clinic to stop all liposuction and liposuction-related procedures. Mr Franklin Heng died after undergoning "liposuction" treatment at the clinic.

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Keywords:  liposuction doctor dead
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22 comments
devilmarch said   on 25 Jan, 2010   Report as offensive  
GP should only stick to prescribing drugs,performing surgery is completely out of it's league.
haroldma said   on 12 Jan, 2010   Report as offensive  
If an error had been made by the people who made the guidelines then they should admit their mistakes. Of course everyone is allowed to make mistakes and we are all humans but to admit ones error would prove their true respect for the humankind!
Let's see if the truth is revealed and whether the people can stand up to their mistakes.
Of course by now the coroner's report would be ready as the case has received enough attention. Let us see how long more it would take to be revealed!
haroldma said   on 12 Jan, 2010   Report as offensive  
The dilemma is whether the guidelines are appropriate or not. It was an initiative made by people or who are not even doctors. Do remember that our country does not have the luxury to have a doctor as a Health Minister. We should remember that these guidelines are sometimes made by non-doctors.
An organ perforation would be an unacceptable case unless the death was due to medication error.
If it is due to organ perforation it was be clearly negligent.
Let us wait to see the coroner's report! Then justice should be served once and for all!
z888888z said   on 12 Jan, 2010   Report as offensive  
"A GP is a GP nothing more than that"
"A GP is not a surgeon"

These statements are unneccesary. We must remember that the vast majority of GPs do practice within their area of training and do so with competence and professionalism.

Allowing GPs to perform high risk procedures like Liposuction in their clinics have and probably will always be controversial. The bottom line is that if MOH has allowed GPs to perform them, then there is nothing wrong techinally for a GP with the appropriate training to do so. There are guidelines set out and they should be adhered by.

In every procedure performed that are bound to be risk involved. The main thing in this unfortunate case is whether guidelines have been adhered to, and whether the procedured was performed according to accepted methodology.

z888888z said   on 12 Jan, 2010   Report as offensive  
If everything was done by the book so to speak, then in my opinion the risk will the same for any patient whether or not the Dr was a plastic surgeon or GP.

As for theh ability to correct problems and complications, this will be an area of interesting debate as a plastic surgeon is also a qualified general surgeon and will be able to potentially perform an emergency laparotomy should the need arise.

If guidelines were not adhered too, then there is nothing further to say. Punishment needs handed down.

Instead of criticising the offending Dr and GPs in general, let the authourities do their work to ascertain what really happened. This case has recieved much media and public attention and will surely be fully investigated.

z888888z said   on 12 Jan, 2010   Report as offensive  
"A GP is a GP nothing more than that"
"A GP is not a surgeon"

These statements are unneccesary. We must remember that the vast majority of GPs do practice within their area of training and do so with competence and professionalism.

Allowing GPs to perform high risk procedures like Liposuction in their clinics have and probably will always be controversial. The bottom line is that if MOH has allowed GPs to perform them, then there is nothing wrong techinally for a GP with the appropriate training to do so. There are guidelines set out and they should be adhered by.

In every procedure performed that are bound to be risk involved. The main thing in this unfortunate case is whether guidelines have been adhered to, and whether the procedured was performed according to accepted methodology.

LINCOLNSG said   on 11 Jan, 2010   Report as offensive  
didn't read enough Men's Health Mag..
gwenhotspice said   on 11 Jan, 2010   Report as offensive  
A GP is not a surgeon. The risk is a Life no matter how good and skillful he is , he doesn't have the license to kill anyone. This is a reminder to anyone the risks involved on a errant doctor. Its so easy to say and support the doctor who did such things. But when its your love ones who are the victims I don't think you will say such things.
The public should be protected by such errant doctors ! Nowadays GPs are getting ridiculous by claiming they are plastic surgeons and dermatologist?? these lies lead people to think they are qualified.