Adj Assoc Prof Lim Si Ching is a Senior Consultant in the Department of Geriatric Medicine at Changi General Hospital, and obtained Specialist Accreditation in Geriatric Medicine in Singapore in 2006.
Her listed areas of focus include falls, Parkinson’s disease, delirium, dementia and depression in older patients. She also serves as Education Director at the SingHealth Duke-NUS Memory and Cognitive Disorder Centre.
Clinical focus
Falls & mobility.
Qualifications (as publicly listed)
MB ChB, MRCP (UK), FAMS (Geriatric Medicine).
Where they practise
- Clinic / practice: Department of Geriatric Medicine, Changi General Hospital
- Hospital / training affiliation(s): Changi General Hospital
Getting to the clinic
Adj Assoc Prof Lim Si Ching is a Senior Consultant in the Department of Geriatric Medicine at Changi General Hospital (CGH), in the east of Singapore. CGH is served by nearby MRT and bus routes; the surrounding network connects the hospital to the eastern part of the island, and many visitors travel by bus or by taxi and ride-hailing car directly to the entrance, which is often the most comfortable option for older patients. The hospital’s drop-off points are clearly marked, and reception staff can direct you to the relevant clinic on arrival.
For drivers, CGH has on-site visitor carparks with the usual paid hourly charges for a public hospital; arriving a little early helps during busy morning clinics. Drop-off bays near the main entrance let a family member set down an older patient before parking, which is helpful for those who tire easily. As with any large hospital, confirm which clinic and building you need when you book, and allow time to find your way. Wheelchairs and assistance can usually be arranged at the concourse, and it is worth requesting mobility support in advance for patients who need it.
What falls and mobility care covers
Adj Assoc Prof Lim’s focus is on falls and mobility, with listed interests also spanning Parkinson’s disease, delirium, dementia and depression in older patients. Falls in later life are common and usually have several causes at once, including muscle weakness, balance and gait problems, dizziness, vision difficulties, medication effects, low blood pressure on standing, and conditions affecting the nerves or brain such as Parkinson’s disease and stroke. Because the contributing factors are often multiple, assessment is broad.
This area of geriatric medicine seeks to understand why a person is falling or becoming less steady, to reduce the risk, and to help maintain independence and confidence. It overlaps with the management of movement disorders such as Parkinson’s disease, with cognitive conditions like dementia and acute confusion (delirium), and with mood problems such as depression, all of which can affect mobility and safety. Care may include treating specific conditions, reviewing medications, recommending exercise and physiotherapy, and giving practical advice on making the home safer.
What to expect at a consultation
A first consultation is usually thorough and unhurried. The doctor takes a detailed history of the falls or mobility problems, other medical conditions, all medications, mood, and how the person manages daily activities. Family members or carers are welcome and often add useful information. The examination commonly assesses strength, balance, gait and blood pressure (lying and standing), and may include simple tests of memory, mood and vision where relevant.
Investigations are arranged according to what is found, and might include blood tests, bone density assessment, heart tracing or imaging. Reviewing all medications is a key part of the process, as some increase the risk of falls. The doctor then explains the likely contributing factors and sets out a plan, which may combine treatment of specific conditions such as Parkinson’s disease, a medication review, exercise and physiotherapy, and advice on home safety. The emphasis is on reducing falls and preserving independence.
Preparing for your appointment
Useful items to bring include:
- Photo identification and any GP or polyclinic referral letter.
- Previous medical records, scans and test results.
- A complete list of all medications and supplements, or the actual boxes.
- Details of any walking aids, glasses or hearing aids used.
- A written note of recent falls, including when and how they happened, plus a list of questions.
Keeping a brief diary of any falls or dizzy spells, with the circumstances, is particularly helpful for this kind of assessment. Bringing a family member or carer who knows the daily routine makes the consultation more complete, especially where memory or mood is also a concern.
After your consultation and follow-up
After the visit you will usually receive a plan that may involve further tests, medication changes, referral to physiotherapy, or home-safety advice. Results and imaging are typically discussed at a review appointment. Falls and mobility problems often need follow-up over time to check progress and adjust treatment, particularly where conditions such as Parkinson’s disease are involved. Referrals to allied health or other services are arranged where needed, and continuity with the same doctor helps track changes. You can seek a second opinion at any point. Seek urgent care after a fall causing a head injury, severe pain or inability to bear weight, or for any sudden weakness, slurred speech or confusion.
Booking, referrals and fees
As CGH is a public hospital, a referral from a GP or polyclinic can help you access subsidised care and is often the usual route in. Some investigations and treatments may attract MediSave use within set limits for eligible patients, while consultations are generally payable with subsidy depending on eligibility; these rules change periodically, so confirm current eligibility with the hospital. Because the exact tests and treatment vary, ask for guidance on likely costs and check your insurance coverage before proceeding.
Common questions
Why do older people fall, and can it be prevented?
Falls usually have several causes at once, such as weakness, balance problems, medication effects and vision difficulties. Many of these can be improved, so a thorough assessment often reduces the risk.
How is Parkinson’s disease linked to falls?
Parkinson’s disease affects movement and balance and can increase the risk of falls. Managing the condition is an important part of reducing that risk.
Will my medications be reviewed?
Yes. Reviewing all medications is a core part of falls assessment, since some drugs raise the risk of falling.
Can family members attend?
Yes, and it is encouraged. Family or carers often provide valuable detail about daily function, mood and recent events.
Related guides
Sources & verification
See also: our editorial directory of geriatricians (doctors for older adults) in Singapore and our shortlist of geriatric clinics.
This is an independent, factual profile compiled from the public sources listed above — not a paid listing, advertisement or endorsement. Details can change; always verify a doctor’s current registration on the Singapore Medical Council public register and confirm specifics directly with the clinic. This page is general information, not medical advice or a recommendation of any individual practitioner. See our editorial policy.
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