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Professional Profiling Newsletter #5
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Effective Communication

 

 

Dealing with Death to Appreciate Life - Dr Lai Siang Hui, Forensic Pathologist

By Lee Xinni Yvonne
Diploma in Biomedical Science (SAS)

Synopsis

Dr Lai is a Forensic Pathologist with the Health Sciences Authority (HSA). He is an Associate Consultant at the Centre of Forensic Medicine (CFM). I conducted an interview with him to better understand the job, how he worked towards it and what made him decide to pursue this career. From the profiling, I hope to answer my own personal questions and find out if forensic pathology is a suitable career for me.

What is a Forensic Pathologist?

A forensic pathologist is a medical doctor who combines the knowledge of pathology (study of diseases) and medicine to investigate the effect of diseases on a person, and is often needed to help the police solve crimes. In crime cases, Dr Lai often needs to conduct post-mortem examinations on the deceased to look for clues on the cause of death, before submitting a report to the coroner for him to investigate the ‘who, what, when, where, how and why’ of a person’s death. In Singapore, a forensic pathologist participates in the medico-legal investigation of death, supporting the State Coroner in his function. The system handles all investigations related to sudden unexpected deaths and all deaths due to unnatural causes and circumstances such as suicide, murder, or accidents. In cases of unnatural deaths and in cases where the cause of death is unknown, post-mortem examinations will be performed.

For example, in murder cases, forensic pathologists attend the scene to investigate how the victim had died,

so that they may provide clues to the police for further investigation. Pathologists will check the corpse for wounds, and determine the approximate time of death. The corpse will then be sent to the mortuary for a detailed post-mortem examination. 

In cases of sudden death where the victim collapses and dies, the coroner and pathologist will study the case together. If the coroner decides that there is a need for a post-mortem examination, the pathologist will carry out the examination to determine the cause of death.  

Pursuing the Path of Forensic Pathology

Dr Lai chose this career primarily out of interest. His mentor, the late Professor Chao, was both a forensic pathologist and a lecturer when Dr Lai was a medical student and Professor Chow was a big factor in inspiring him towards the career. He feels that this career combines the best of both worlds - medicine and crime-solving.

Dr Lai’s training to become a fully qualified forensic pathologist was not an easy one. He had to first achieve a medical degree, then go through housemanship/internship training as a junior doctor to obtain full registration as a doctor, then go through postgraduate medical training in forensic pathology, which can take as long as eight years. During his studies, he had gotten used to facing corpses everyday and performing examinations on them, something he would have to do as a forensic pathologist.

Dr Lai is generally very satisfied with his career and enjoys his job tremendously. Occasionally, he does face challenges, for example, examining badly decomposed bodies, which are unsightly and smell badly. Some of his helpers became sick and even threw up but Dr Lai was glad that it has not happened to him.  

Choosing Your Career Well

Dr Lai firmly believes that a career must be selected out of interest, and once you have picked a career, you should be committed to it and plan for it. Once he had decided on forensic pathology, he did not waver from his path. 

His advice to me was: “Choose a career seriously; choose one that will never give you a chance for regrets. One life, 24 hours a day, be contented with what we have. Work towards your future and do the best you can.”

Having seen so many people who have died from accidents, sickness, diseases and drugs, Dr Lai has learnt to value life more. He is adamant that we should not waste time while we are alive, and be appreciative of what we have.  For instance, traffic accident cases have taught Dr Lai that speeding, drinking and driving can kill, just as an unhealthy lifestyle kills more people than cancer. While we are alive, we should eat balanced diets and live responsibly.

Afterthoughts

Before profiling Dr Lai, I had considered becoming a pathologist, but now I feel I lack the courage to face corpses everyday. Dr Lai has instilled in me the importance of choosing a career carefully and one that will leave me with no regrets. I am grateful to him for imparting his wisdom to me. I admire his determination and I hope to eventually possess the same qualities that have brought him success in life. 

References

1. Health Sciences Authority (HSA)
2. Centre for Forensic Medicine (CFM)
3. Singapore Press Holdings Newspapers, Lianhe Wanbao, 18 – 22 April 2005
4. www.hsa.gov.sg – Health Sciences Authority
5. http://www.hsa.gov.sg/html/cfm/about_cfm.html - Centre for Forensic Medicine