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Re: CV and mad panic behaviour

Reply #2760
Very sad Video on yahoo news of a son transporting his dead mother(CoVid) on a motor bike wedged in between himself and the son in law, no ambulance or other transport available. I didnt post the video as it might distress some but it just shows the state of the country and how bad things have got in terms of resources.

I think it also shows a resilience that is incomprehendable to those in developed countries except, perhaps, in extreme wartime. My experience of third world countries is that ambulances are the exception rather than the rule.

Re: CV and mad panic behaviour

Reply #2761
I think it also shows a resilience that is incomprehendable to those in developed countries except, perhaps, in extreme wartime. My experience of third world countries is that ambulances are the exception rather than the rule.
India's private health system is very modern but the public system is a shambles and as you suggest Ambulances are in short supply although I did see a few in the major cities.
Ambulance system here isnt going that great either...no code yellow anymore and if you are deemed fit enough to travel by car etc after a medical episode they attend they will also refuse to take you to the ER and ask your family and friends to do the job.

Re: CV and mad panic behaviour

Reply #2762

Ambulance system here isnt going that great either...no code yellow anymore and if you are deemed fit enough to travel by car etc after a medical episode they attend they will also refuse to take you to the ER and ask your family and friends to do the job.
It's not the Ambulance system that is the problem, it's the hospitals.

The Ambos take you in and get stuck there waiting for a handover. A mate's missus got taken to Monash Medical Centre the other day from a GP office due to dizziness, the GP was worried she might be having a stroke, but when she got to Monash the hospital kept her on the stretcher for 11hrs with the Ambos staying there for 3hrs before the hospital took over. The hospital ward she ended up in was half empty! They gave her a CT san the 2nd day, then she spent another week in there waiting for an MRI and was discharged 24hrs after!
The Force Awakens!

Re: CV and mad panic behaviour

Reply #2763
It's not the Ambulance system that is the problem, it's the hospitals.

The Ambos take you in and get stuck there waiting for a handover. A mate's missus got taken to Monash Medical Centre the other day from a GP office due to dizziness, the GP was worried she might be having a stroke, but when she got to Monash the hospital kept her on the stretcher for 11hrs with the Ambos staying there for 3hrs before the hospital took over. The hospital ward she ended up in was half empty! They gave her a CT san the 2nd day, then she spent another week in there waiting for an MRI and was discharged 24hrs after!
I have had to visit an ER a few times early this year. What I have seen is too many DH's there with silly, non urgent illness that could be dealt with by a GP or a medical clinic. I think the hospitals (at least the one I visited) were very poor at screening these people at the door and moving them on to better prioritise and cater for genuine ER patients.
2017-16th
2018-Wooden Spoon
2019-16th
2020-dare to dream? 11th is better than last I suppose
2021-Pi$$ or get off the pot
2022- Real Deal or more of the same? 0.6%
2023- "Raise the Standard" - M. Voss Another year wasted Bar Set
2024-Back to the drawing boardNo excuses, its time

 

Re: CV and mad panic behaviour

Reply #2764
I have had to visit an ER a few times early this year. What I have seen is too many DH's there with silly, non urgent illness that could dealt with by a GP or a medical clinic. I think the hospitals (at least the one I visited) were very poor at screening these people at the door and moving them on to better prioritise and cater for genuine ER patients.
In Vic a problem is Kennett closed too many mental health facilities, so every weekend the hospitals are over-loaded with people who have no real physical problem but need Psychiatric help.

Between that Kennett action and the left wing call for more pill testing the hospitals are overloaded with party drug ODs! Pill testing is nothing more than a "Smoking Doesn't Kill" Ad campaign for Es.

The Force Awakens!

Re: CV and mad panic behaviour

Reply #2765
In Vic a problem is Kennett closed too many mental health facilities, so every weekend the hospitals are over-loaded with people who have no real physical problem but need Psychiatric help.

Between that Kennett action and the left wing call for more pill testing the hospitals are overloaded with party drug ODs! Pill testing is nothing more than a "Smoking Doesn't Kill" Ad campaign for Es.


For what its worth, on the occasions I went, the "ER cloggers" I saw didn't appear to be needing psych help, just normal people need to see a GP.
2017-16th
2018-Wooden Spoon
2019-16th
2020-dare to dream? 11th is better than last I suppose
2021-Pi$$ or get off the pot
2022- Real Deal or more of the same? 0.6%
2023- "Raise the Standard" - M. Voss Another year wasted Bar Set
2024-Back to the drawing boardNo excuses, its time

Re: CV and mad panic behaviour

Reply #2766
For what its worth, on the occasions I went, the "ER cloggers" I saw didn't appear to be needing psych help, just normal people need to see a GP.
Don’t wanna be $35 out of pocket now…
Let’s go BIG !

Re: CV and mad panic behaviour

Reply #2767
This is not a simple discussion as it sounds.

There is a spectrum of behaviour that goes on.  Some of the ambulance drivers stick around, faffing about on their devices when they could be out the door.

Some of the emergency departments (rightly or wrongly) are not staffed enough to be filled, which means they have to remain until its possible to go.

Sometimes there is a queue of ambulances that have arrived (perhaps this is a point that could be better considered with a short handover, and that means freeing up 2 ambulances, but that is a difficult discussion and not as simple as it sounds).

Some of the times, the hospitals themselves are on bypass and are not accepting ambulances, which is why they end up going here there and everywhere.

In terms of filtering at the door, that is a tough ask.  The triage clerks and nurses aren't there to necessarily determine if they should be there, but rather what category of patient we are dealing with.

GP's are very hard to get into at the moment.  A few weeks ago, I was unwell on a Friday.  Couldnt get an appointment with a GP on the same day I was calling around, and the weekends are even harder because they dont all operate.  I ended up making an appointment for monday (which I cancelled) because my symptoms were flu like, I went and got a covid test (negative) and ended up cancelling my monday appointment because I wasn't feeling up to it.

Im not saying I would have gone to the hospital on Friday, but I can understand why unwell people might take themselves to hospital int he event of not being able to see a GP.

The current climate is making things very difficult for a lot of people.

Its a tough gig.  Our community has grown by a significant amount over the last 20 years.  I would wager our hospitals are not growing at the same rate, and that we are seeing more people needing to attend because the bugs are getting harder to get over which is why they dont give out antibiotics so much these days.

Health care is tricky.  Most of the reasons why things dont move has more to do with liability, than anything to do with best practise, and litigation has made things a bit more difficult than it needs to be.
"everything you know is wrong"

Paul Hewson

Re: CV and mad panic behaviour

Reply #2768
Code Yellow is for bypass on Hospitals, my new info is that it has been scrapped and that the ambulance officers will take you to the closest ER regardless of how many patients are waiting there.
If you have private insurance dont muck around with the public ER's...If In Melbourne go the the Cabrini, Knox Private ER' s and the like...yep it will cost you around $300 to be seen but you will get immediate attention and access to a specialist if required much quicker.
We are now little America healthcare wise and you need Private Insurance, if you are forced into the public system  then go to the Royal Womens if you are female,  or the Austin in Heidelberg ....If I lived in the West I would avoid Sunshine Hospital and try an inner Hospital like Royal Melbourne or John Fawkner which is private.


Re: CV and mad panic behaviour

Reply #2769

If you have private insurance dont muck around with the public ER's...If In Melbourne go the the Cabrini, Knox Private ER' s and the like...yep it will cost you around $300 to be seen but you will get immediate attention and access to a specialist if required much quicker.
Just be careful if you have recently renewed or moved insurer. Coming out of COVID Insurers have been under the pump not to increase premiums as much as they would like to, so they have been very quietly revising the terms of policies so that many procedures that were previously covered in Private Hospital are now only covered in Public Hospitals(Cheaper). It's devious as hell because people think they are still paying for the same product, Scotty from Marketing is letting them get away with murder so they don't close up shop smashing the public health system!
The Force Awakens!

Re: CV and mad panic behaviour

Reply #2770
Health care is tricky.  Most of the reasons why things dont move has more to do with liability, than anything to do with best practise, and litigation has made things a bit more difficult than it needs to be.
Nice insight @Thryleon‍ 
The Force Awakens!


Re: CV and mad panic behaviour

Reply #2772
Another take on the Indian 'disaster'.

https://www.globalresearch.ca/india-covid-need-scientific-integrity-not-sensationalism/5744258
The articles confuses cause and effect, whether that is deliberate or not I'll leave to the reader.

For example they claim people are dying because "Hospitals are overloaded" in a poor health system, not because of COVID! The truth is the phrase "The Hospitals are overloaded" is a contraction of "The hospitals are Overloaded with COVID patients!" :o

And in context the major comments come from Tengra who is an anti-establishment anarchist.

The cheapest fastest solution for India's 1B plus citizens is vaccination.
The Force Awakens!

Re: CV and mad panic behaviour

Reply #2773
A rational assessment of India's COVID crisis:

Quote
INDIA’S MOUNTAIN of new covid-19 infections is like none other in the course of the pandemic. On April 30th the daily tally of new cases surpassed 400,000, making the country’s current caseload far and away the heaviest yet (the next-biggest outside India was America’s 300,000 new cases recorded on January 2nd). Even that terrible figure is sure to be an underestimate. The share of Indians testing positive for covid-19 is now 23.5%; if a greater proportion of India’s population of 1.4bn were tested, no doubt millions of new cases would be detected. Compared with the scale of South Asia’s first wave, which peaked in September, the second is shocking. South America, another region with a surging caseload, is recording 60% more cases today than at the peak of the first wave. South Asia is logging four times as many, and with hardly a sign of slowing (see chart).

Deaths are now rising rapidly, too. With nearly 3,700 on May 1st, South Asia is logging deaths at the pace the European Union reached during its calamitous peaks of April and November 2020 (see chart). This tally, too, is almost certainly an underestimate. India’s data are collected according to different standards in different places, sometimes apparently with an eye to downplaying the crisis. Some of the country’s most populous states, such as Gujarat with its 64m people or Uttar Pradesh with its 238m, are attributing only tiny fractions of their current excess deaths to covid-19. Simple observation suggests that the true death toll is higher than the official figures suggest. On one day two weeks ago 78 covid deaths were recorded in seven Gujarati cities. On the same day in the same cities 689 funerals were performed under protocols reserved for coronavirus victims.
https://www.economist.com/graphic-detail/2021/05/03/indias-covid-19-crisis-has-spiralled-out-of-control


And an interesting analyses of how and why deaths due to COVID are understated, with hubris, inadequate and overwhelmed health and reporting systems, and political expediency all playing a part:

https://www.npr.org/sections/goatsandsoda/2021/04/30/992451165/india-is-counting-thousands-of-daily-covid-deaths-how-many-is-it-missing


“Why don’t you knock it off with them negative waves? Why don’t you dig how beautiful it is out here? Why don’t you say something righteous and hopeful for a change?”  Oddball

Re: CV and mad panic behaviour

Reply #2774
Code Yellow is for bypass on Hospitals, my new info is that it has been scrapped and that the ambulance officers will take you to the closest ER regardless of how many patients are waiting there.
If you have private insurance dont muck around with the public ER's...If In Melbourne go the the Cabrini, Knox Private ER' s and the like...yep it will cost you around $300 to be seen but you will get immediate attention and access to a specialist if required much quicker.
We are now little America healthcare wise and you need Private Insurance, if you are forced into the public system  then go to the Royal Womens if you are female,  or the Austin in Heidelberg ....If I lived in the West I would avoid Sunshine Hospital and try an inner Hospital like Royal Melbourne or John Fawkner which is private.


I went to the Austin and apart from a few goons in the ER who had nothing wrong with them, the service and attention was outstanding, I have zero bad to say about the Austin (Main, ONJ and Repat).
2017-16th
2018-Wooden Spoon
2019-16th
2020-dare to dream? 11th is better than last I suppose
2021-Pi$$ or get off the pot
2022- Real Deal or more of the same? 0.6%
2023- "Raise the Standard" - M. Voss Another year wasted Bar Set
2024-Back to the drawing boardNo excuses, its time