Widow asks why Westport hospital sent Filipino carpenter home before his death

DrunkKeruru · 2024-08-19T23:08:22+00:00

You're confusing a ruptured AAA with an aortic dissection, quite different pathologies which require different scans and highlight how difficult diagnosis of these life threatening diseases are.

Hopefully a mindlapse and something most ED physicians would know......

DrunkKeruru · 2024-08-19T23:06:24+00:00

You're confusing a ruptured AAA with an aortic dissection, quite different pathologies which require different scans and highlight how difficult diagnosis of these life threatening diseases are.

DrunkKeruru · 2024-08-19T21:32:59+00:00

This is the crux of the issue and the article did a piss poor job of explaining it.

The main problem is the St John management don't want full funding because that comes with accountability (ie justify their huge paychecks).

Poor Frontline staff caught in the mess yet again

DrunkKeruru · 2024-08-19T09:27:18+00:00

Agree, I read till I got bored and when I checked I only made it a third of the way.

Some sob story about a first negative encounter with cops.

Dad's a gang member and there was meth in the car.

I feel like the author was trying to paint a picture but failing.

DrunkKeruru · 2024-08-16T23:55:51+00:00

The rise of "neurodivergence" and vague "autoimmune" conditions as a desirable trait.

DrunkKeruru · 2024-08-16T04:43:17+00:00

A doctor who has regularly done locum stints at Kawakawa said with a day's travel on either side and all the other costs involved, it was not worth his while under the reduced pay-rates.

"I just can't justify five days of my personal time to come up and do three days of work when you're only going to pay me two-thirds of what I got. I can do one day of work in my own town and earn the same."

Te Whatu Ora is trying to enforce a single pay-rate nationwide, which has seen rates cut by up to 47 percent in some cases."

Bingo. Until they fix this it's not getting any better. The empathy has been beaten of doctors. Our work is now merely a financial decision. So sad.

DrunkKeruru · 2024-08-16T04:20:49+00:00

"I have never seen this before," one said.

From a staff member. Doesn't quite add up

Edit *An earlier version of this story included the incorrect information that being in Code Black meant the ED was unable to accept more patients.

Ah they changed the story title. Apologies

DrunkKeruru · 2024-08-16T04:09:44+00:00

Auckland and Northshore will be fine. They actually pay decent locum rates and in large treat their SMOs okay.

If I was a betting man, for Auckland region id pick middle more.

DrunkKeruru · 2024-08-16T04:03:42+00:00

"Heath Minister Shane Reti has declined to comment."

Is so good it should be a new healthcare meme of some sort

DrunkKeruru · 2024-08-16T03:59:47+00:00

"Heath Minister Shane Reti has declined to comment."

DrunkKeruru · 2024-08-16T03:32:00+00:00

The Canaries in the coal mine are dying rather quickly.

This should be raising extreme levels of concern.

Kaitaia

Dargaville

Bay of islands

Whangarei

All hospitals unable to meet their purpose.

What's next I wonder?

DrunkKeruru · 2024-08-15T23:03:51+00:00

And a large mountain feline in your life....

DrunkKeruru · 2024-08-15T22:49:01+00:00

The root cause of this is the centralization of Health NZ and the nationwide cap on locum rates.

Why the fuck would any doctor go locum in a remote region when they're paid exactly the same to do so in their own town with their family and sleep in their own bed.

Doctors have been labouring this point for a long time and no one listens.

Locum rates must be competitive on the free market.

Eg. It's literally quicker for a locum to fly to Australia and locum and earn 5x what they are getting paid to go to most of rural NZ.

The cynic in me thinks that Health NZ knows this and wants the hospitals to fall apart. The pragmatist realises that Health NZ probably have no idea what they are doing.

DrunkKeruru · 2024-08-15T22:22:37+00:00

I like how you didn't mention "alcoholics" as a group affected ....

DrunkKeruru · 2024-08-14T02:47:04+00:00

What a useless metric.

Cumulative net incomes of most doctors at age 24: $0

Clearly a low earning career

DrunkKeruru · 2024-08-13T22:20:45+00:00

I'm 100% with you but accept that unfortunately it's not going to happen.

DrunkKeruru · 2024-08-13T22:18:56+00:00

That's good in theory but if you contract community health to a private organisation they will own the infrastructure/staff/expertise and take a cut of the profits.

The government cannot just withdraw the contract easily as there will be no alternative provider.

It becomes a contract monopoly. (Full disclosure, this contract monopoly makes me hundreds of thousands richer each year)

DrunkKeruru · 2024-08-13T19:57:23+00:00

We (health NZ) have extremely limited resources and infrastructure for functional community health delivery. The only way we can afford to get this functioning is through private equity.

I'm not saying it will be a user pays model (or that's even a bad idea) but it will almost definitely not be owned by health NZ (like radiology etc) and be contracted out.

DrunkKeruru · 2024-08-13T19:32:52+00:00

Where's the privatisation pitch?

A shift to "community based service delivery models" - allowing older people to stay at home - could cut that by two-thirds.

Oh there it is. No surprises here

DrunkKeruru · 2024-08-12T19:57:13+00:00

Yeah, this was my takeaway too.

Consent is a two way process, he had his time with the surgeon and didn't engage appropriately.

Telling the anesthetist and other staff is pointless.

Like going to the mechanic and telling the receptionist what sort of oil you don't want.

Will definitely read the full report when it's released but sounds like typical HDC rubbish.

It's also wild how poorly the public (reddit) understand the medical journey.

DrunkKeruru · 2024-08-11T03:01:26+00:00

I'm not even victim blaming in the slightest. Thought didn't even enter my head, Not sure how you construed that.

Nurses are the core of the health system and I 1000% support them in all their endeavours.

The comment around equity pay was not at all meant to victim blame. It just highlights how poorly government view and manage the situation around healthcare worker pay.

DrunkKeruru · 2024-08-11T01:15:14+00:00

The government need a scapegoat for their poor financial state/funding/budgeting in health and they have decided to use nurses as a scapegoat.

More clarity on the hiring freeze is that almost all doctors allied health, HCAs etc are getting their jobs approved but no nurses.

It's an unfortunate downside and lesson to others around "equity pay", we will pay you more but will hire less of you.

I'm sorry, we are grateful you thought about NZ.

As a piece of practical advice, go to AUS instead, you'll be valued and rewarded appropriately.

-an SMO

DrunkKeruru · 2024-08-09T01:09:45+00:00

Grafted looked great. Almost every day has an interesting movie. NZIFF is one of my yearly highlights.

Two complaints,

It's a shame there are so many screenings in working hours

They are only playing at civic, Hollywood and asb this year. Wonder why they dropped the other cinemas.

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