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 Medical Staffing and After Care in Australia (Part Three)

And so, why a part three?. Some would say, because it is there.

Four catagaries fell under my Radar and they are------Missing Hospital Reports-----Pharmacy Out lets

and Pharmacautical Manufactures  Plus a note on Overseas Nursing and Doctor Imports!~Plus my  conclusions and hopes. 

(a)  Missing Hospital Reports

This appears to be caused by the moving around of patients from their GP or Emergency Departments---- Hospital to Hospital; Doctors and Specialists and sometimes Hospital Ward to Ward. Theoretically I gather, via computor, reports, the end game is for the GP receive discharge papers etc, BUT, it does not always happen.and a search has to be made, going back up to a year.;.

My blogs are, as always, as I remember or Perceive them. And based on experienced facts

(b)  Pharmacy Out Lets

In association with GP's etc this is a real money spinner. In nearly all cases,it is Strictly Ballroom , what the Presciption says , is what you get and if possible, with their own brand. If the patent is well known to them ,the Pharmasist will conform with the GP as to whether the product called for is correct or in fact necessary. 

The industry is expanding and the major players ore taking advantage the ever increasing volume of GP's precriptions. I Think many are not necessary and should be monitord., and corrected. This is indeed a lucrative sector.

It appears to me also, that Pharmacy Groups pick a Product supplier, almost in cooperation with competitors , thus reducing competition and increasing the opportunity to sell Own Bran and better profits.

(c)  Pharmacautical Manufactureres

What can one say, of the secracy of their operations, of research and developement  plus marketing practices. I honestly do not know the detail, but if it is like the m\Motor Industry it is bad and kept well away, from Political Scutany

I could tell a long tail about Chrysler in Australia and others.  

(d) Overseas Nurses

 I must get one thing straight here. I am a multicultural man, in a multicultural Country.

 In my younger days, I represented the UK British Motor Corporation and US Chrysler International, doing business for them in over seventy Countries. When I talk about people from over seas I know 'Where They are Coming  From' and work conditions they have mostly been in..

Right then.   Nurses first

UK and Ireland--- Usually very well trained via quite strict practical experience. My dear late sister was awarded the Queens Medal for Nursing, a strong minded, but gentle person. Accept to her little brother of course!!!!.

I only have one nasty memory and that an Irish night nurse , who woke me with a hot spoon on my cheek. All the rest from trainee to theater nurse, treated me with kindness.  Doctors from GP's to Specialist Consultants and Surgeons .---

GP's I have found , not much better than average. They prefer to look at  their computor for inspiration rather than the patient. Don't for get the stethascope and photo opportunity  for checking Blood l. TV and Pollies love that.. 

Like all nurses these days, in Hospitals are commited to pushing computors around, ask the patients date of birth (Identification), temperature and blood pressure, then issue the pills. If the patient refuses the younger inexperienced nurse will leave, reporting the outcome. Older more experienced will get the patient to take the medicine, saying I do not like pills etc also. Usually successful

China--- Usually well educated, but not always proficient in practical matters like injections, which I hate.One little  lady (young) just could not do it  nicely. I sent her away, then alone came a South African Senior nurse who said , how was that, brilliant says I. She could not get ecanomic rent so was returning home, at a great loss to us in need of experienced Nurses. I think I told some on with clip board.

Phillipinnes~~~~~~Hunt in packs and easy to spot. Usually there is a senior lady in charge,leading a group through Hospital/Nursing home and accomodation  if provided. 

Indian ------- Appears to be  in groups, to our Government and poppulas. simply too many and of dubious qualification and experience. I have seen cases of junior ladies simple not knowing what to do, until a senior lady comes along. 

I do not know of accomodation they have for groups

These writings are from my experience.  .

A mixed bag arn't they. We certainly need more nurses don't we, but only well qualifed at the moment and of proven experience

Doctors; Surgeons and Specialist's--------    ;

 A completely mixed bag. All; are highly skilled and trained, (We Hope). They are the kind of person who,are used to good support teams, as they actually get up close and personal, with their client. Surgeons in particular, are also supported by Incredible equipment, particularly in Operating Theatres  

Rather than us looking at them, they are looking at us. Usually through Medical Press. They will be looking at our specialists, a high number are World class and reconised as such and thus the incomming Specialist will be joining the best. Of course there will be the odd one, with purchased extra credentials!!!!,. .     

Thoughts and Conclusions.

 (a)  My major thought 

I must revert to my call for the establishment of a MOBILE DOCTOR SERVICE on the MOBILE,. To start with they cold use end of service Emergency Ambulances, ideal. Go any where any time and operated  by a Doctor and a Nurse.

Th House or Retierment home would simply phone the Mobile Doctor and he or she would update any GP of treatment etc./

Doctors them selves, would do this in the past.

Whilst on the aubject of home care, I am talking of people who are looked after by family, in their own home and where so called Health providers, refuse to service because of location or have to drive on Dirt Roads and or cross fords or rivers.(Must not get the car dirty)``This situation applies to me where I look after my dear wife of 64 years at home in a forest by a river. 

As I am 90I I can no longer carry trays up stairs and enter the nobble large bucket. Tissue on base (anti Slip) in goes breakfast and up the stairs with one hand for the bucket and one for me, like in sailing ships of long agoe.

(b) Grade Nurses by their status and uniforms to indicate this, ie Trainee; Basic Nurse; Staff Nurse; Ward Nurse and of course the modern Nursing Diercctor!. The same grading could be used for salaries.   

(c) The great talking point at the moment is AI and association with ROBOTS. Yes many jobs in the Medical area will b e done by Robots and what I call talking heads. I gather from a bbc  radio interview in California (Where else) of tests in an operating theater, the surgeon doing a procedure, with the assistance of a robot handing over the instruments on call. A local medical cemntre now uses an AI generated answering machine  to control appointments. I Tested it and it cold identify me as a patient, and cut me off-------Where are you programmer?.

Of course the Motor Industry as had an early form of AI controls, like painting and spot welding  plus of course the bottling plants etc. In hospitals each bed will have its own computor at the end of the bed and controlled by say the ward Doctor and Ward Nurse,.

(d)  Me----------I call for all modern Medical Staff, yes use AI etc but please ,First, not theMillios and Computor or precription pad. Please "LOOK at ME".

All the best everybody.

Malcolm E Mason

X@MalcolmEMason 

 masonedgar@gmail.com

 Important Notices----

The Governments of Australia spend Millions and Millions of Dollars on Medical  and After Care with enormous WASTE. What we need is a Supremo to regulate, with Deliberance. A kind of person , who when he or she walks into a room everyone knows of the presence, like when a Funnel Web Spider comes in to say hello.

On a lighter note I have changed my logo Koala from Cranky to the simple KEN. Like a lot of Kens I knew----Never did too much. 

Back to  Cost Control. 

Do I know of such a person=====Yes I Do, he is young and  and excellent at anlaysis, he saved my wife's life when others failed , He actually looked at her more the a computor - -----Whow.

FIN.